UT SOUTHWESTERN DEPARTMENT OF SURGERY
2013-2014 TECHNICAL SKILLS COURSE OUTLINE
Course title:
Laparoscopic II: Fundamentals of Laparoscopic Surgery
(FLS)
Course director:
Daniel J. Scott, MD, FACS
Specialty:
Surgery
Additional course faculty:
Kristine Gilberg-Fisher, RN, BSN Clinical Educator
Deborah Hogg, BS Clinical Study Coordinator
Seifu Tesfay, RN, MS SCMIS Manager
Participants:
PGY 1 Surgery residents
22 (excluding oral surgery)
Neurosurgery Rotators - 2
# participants
for course:
Curriculum dates:
24
1st group:
10/23/13
2nd group:
10/30/13
11/15/13
11/22/13
Rotators:
Expected attendance:
25
Sessions assigned to each trainee
1
Duration of each session
2
Trainees per session
Skills Only
hr(s)
11/11/2
Other assigned sessions:
Duration of each session
1
Trainees per session
1
When other sessions are held?
hr(s)
Scheduled by participant
UT SOUTHWESTERN DEPARTMENT OF SURGERY
2013-2014 TECHNICAL SKILLS COURSE OUTLINE
Course Completion Verification - How do you know when a trainee has completed each component of
the course and the overall course itself? Please specify for each course component, if applicable – for
example, assigned reading component verified by written testing and skills component verified by
attending 2 course-instructor led sessions.
☒
☐
Attendance based:
based on trainee attending all of the designated sessions
☐
Entire course - course solely based on attendance
☒
Part of course - attendance to designated sessions required in
addition to other components listed below
Repetition based:
based on the trainee performing a specific number of repetitions
Components:
# of Repetitions:
☒
☒
☐
Proficiency based:
based on the trainee performing a specified number of repetitions
Components:
Method for
determining:
FLS Tasks 1-5
FLS metrics with proficiency levels reached on all 5 tasks, as verified by
a proctor according to score sheets, plus formal post-testing once
proficiency has been reached. OR Privilege-linked: Trainees cannot
serve as surgeon of record on a Lap Cholecystectomy until post-tested.
Written testing:
based on passing a written test
Components:
Fundamentals of Laparoscopic Surgery Didactic Topics Test consisting
of 32 questions with a passing score of 75%
Documentation of watching videos/CD's/web-based materials:
based on proctor or
instructor verification that the trainee has watched the specified materials
Components:
☐
Other (specify):
Components:
UT SOUTHWESTERN DEPARTMENT OF SURGERY
2013-2014 TECHNICAL SKILLS COURSE OUTLINE
Self-study or self-practice (Is self-study or self-practice an expectation of this course?)
☐
No
☒
Yes
Self-study component(s):
Fundamental of Laparoscopic Surgery Didactic
Estimated time requirements for self-study:
5
Phase of course where self-study completed:
Training
Self-practice component(s):
hrs
Skills Training
Estimated time requirements for self-practice:
5-10
hrs
Phase of course where self-study completed:
Training Location(s):
Skills Lab
FLS Disk 2
Educational Scope:
☒
☒
Skills
Components:
Cognitive
Components:
☒
FLS tasks: eye-hand-coordination, cutting, endoloop,
extracorporeal knot tying, intracorporeal knot tying
Fundamentals of Laparoscopy cognitive components
Judgment
Components:
Fundamentals of Laparoscopy cognitive components
Learning Objectives:
Acquire proficiency in laparoscopic skills contained in the FLS Module, including eye-hand-coordination, cutting,
endoloop, extracorporeal knot tying, and intracorporeal knot tying. Acquire knowledge related to Fundamentals
of Laparoscopy cognitive components.
Summary of Curriculum, Teaching Methods, and Resource Utilization:
(For each component, please specify what material will be taught during each session, how will the
material be taught, and what teaching materials will be used. Please also specify the overall format for the
course including expectations required for successful course completion)
Each trainee will be required to have successfully completed the Laparoscopy I module prior to starting on this
module.
UT SOUTHWESTERN DEPARTMENT OF SURGERY
2013-2014 TECHNICAL SKILLS COURSE OUTLINE
All trainees will attend a single Wednesday morning session. This is held concurrently with Lap I orientation.
During this session, an introduction to FLS tasks and the curriculum will be afforded and an orientation to the
video tutorial, the materials, and the scoring system will be provided.
Trainees will be expected to self-practice on the tasks, with data on performance recorded for each repetition,
until proficiency levels are reached for all 5 tasks. Training will be conducted in a self-study fashion and trainees
will be encouraged to repetitively watch the video tutorials during training to review appropriate techniques and
tricks for performing the tasks. Proctors will be available upon request to provide additional feedback.
Once proficiency has been achieved, each trainee will notify the Clinical Nurse Educator, who will verify
achievement of proficiency on all 5 tasks according to the documentation on the score sheets. Each trainee will
then schedule a 30 minute post-test session with the proctor and will perform 1 repetition of each task while
being graded according to FLS metrics by the proctor. Score sheets will be collected and filed.
Trainees will be expected to view all modules on FLS disk 1 & 2. Proctors will be available upon request to
provide additional information and to answer questions.
Methods for giving feedback to learners (Formative and Summative):
Training will be conducted in a self-study fashion and trainees will be encouraged to repetitively watch the video
tutorials during training to review appropriate techniques and tricks for performing the tasks. Proctors will be
available upon request to provide additional feedback.
Methods of assessment of learners:
FLS metrics for pre and post-testing and modified FLS metrics for skills training.
Methods for remediation:
Anyone who cannot achieve proficiency at post test on any of the tasks will be remediated. Remediation
consists of 10 additional repetitions of the task that meet criteria for proficiency. A remediation post test will be
given by a proctor. Retesting of that task must have a score of 90% of possible points to pass.
Anyone who does not achieve a 75% score or greater on the Laparoscopic Didactic Topics cognitive post-test will
need to review content again and retake the test within 2 weeks. If passing score is not achieved after second
attempt trainee will be referred to course director. (Neurosurgery residents are excluded from Laparoscopic
Didactic Topics module)
Methods of course evaluation:
Post-test questionnaires completed by trainees at the end of the course and faculty evaluations of skills sessions
UT SOUTHWESTERN DEPARTMENT OF SURGERY
2013-2014 TECHNICAL SKILLS COURSE OUTLINE
Materials:
FLS training boxes
FLS disk 2 set-up (on skills lab
computers)
5 stations
Needle drivers
5 sets
Knot pushers
5 sets
Endodissect
20
Endoshears
10
Endograsp
10
Penrose drains
175
Endoloop foam
30
FLS testing gauze
50
SCMIS training gauze
625
Endoloop
375
Suture
1050