UT SOUTHWESTERN DEPARTMENT OF SURGERY
2013-2014TECHNICAL SKILLS COURSE OUTLINE
Course title:
Laparoscopic Port Insertion/Laparoscopic Energy
Course director:
Mark Watson, MD, FACS
Specialty:
Surgery
Additional course faculty:
Kristine Gilberg-Fisher, RN,BSN Clinical Educator SCMIS
Deborah Hogg, BS Clinical Study Coordinator SCMIS
Seifu Tesfay, RN, MS SCMIS Manager
Participants:
PGY 1 Surgery residents (excluding Oral Surgery) - 22
# participants
for course:
Curriculum dates:
22
1st group
11/28/12
2nd group
12/5/12
Expected attendance:
22
Sessions assigned to each trainee
1
Duration of each session
2
Trainees per session
hr(s)
11/11
Other assigned sessions:
Duration of each session
Trainees per session
When other sessions are held?
hr(s)
UT SOUTHWESTERN DEPARTMENT OF SURGERY
2013-2014TECHNICAL 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:
☐
Written testing:
based on passing a written test
Components:
☐
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
2013-2014TECHNICAL 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):
Estimated time requirements for self-study:
hrs
Phase of course where self-study completed:
Self-practice component(s):
Estimated time requirements for self-practice:
hrs
Phase of course where self-study completed:
Training Location(s): J-9 OR
Resources (Textbooks, CD-ROMs, Videos, etc):
Educational Scope:
☒
☒
☒
Skills
Components:
Cognitive
Components:
Judgment
Components:
Understand and demonstrate the use of laparoscopic access:
Veress needle (Pre-insufflation)
Sharp and blunt trocars
Ports
Preoperative planning for selection of appropriate
laparoscopic access.
Understand appropriate patient selection for closed vs. open
laparoscopic port insertion.
Learning Objectives:
Understanding closed vs. open laparoscopic port insertion. Ability to demonstrate
appropriate use of closed access laparoscopic port insertion. Demonstrate the use
of different laparoscopic port access on the porcine model.
Summary of Curriculum, Teaching Methods, and Resource Utilization:
UT SOUTHWESTERN DEPARTMENT OF SURGERY
2013-2014TECHNICAL SKILLS COURSE OUTLINE
(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)
1) Open insertion
a. Direct visualization (Hasson trocar)
b. Semi-closed (Umbilical or other site)
i. Digital palpation
2) Closed insertion
a. Pre-insufflation (Veress needle)
i. Unguarded (reusable)
1. Sharp
2. Blunt/bladeless plastic (XCel/Ethicon)
ii. Guarded (disposables or semi-reusable)
iii. Radially Expanding Trocars (Covidien Step)
iv. Spiral rotation, EndoTip (Storz)
b. Non-insufflated
i. Visual entry trocars
1. Spiral rotational, EndTip (Storz)
2. Optiview (Ethicon)
3. VisiPort (Covidien)
3) Hands on practice utilizing porcine model by participants
Methods for giving feedback to learners (Formative and Summative):
Direct instructor interaction and feedback during session
Methods of assessment of learners:
Demonstration to faculty of safe laparoscopic port insertion
Methods for remediation:
Continued one-on-one practice sessions with faculty
Methods of course evaluation:
Post-test questionnaires completed by trainees at the end of the course and faculty evaluations of skills
sessions
Materials:
Porcine model
Laparoscopic equipment tray