UT SOUTHWESTERN DEPARTMENT OF SURGERY
2013-2014 TECHNICAL SKILLS COURSE OUTLINE
Course title:
Vascular Hemodialysis Grafts and Fistulas
Course director:
James Valentine, MD, FACS
Specialty:
Vascular Surgery
Additional course faculty:
Vascular Fellows
Debbie Hogg, BS Clinical Study Coordinator
Kristine Gilberg-Fisher, RN, BSN Clinical Educator
Participants:
PGY 2 Surgery residents
# participants
for course:
Curriculum date:
12
9/18/13
Expected attendance:
Sessions assigned to each trainee
1
Duration of each session
2
Trainees per session
12
hr(s)
Other assigned sessions:
Duration of each session
Trainees per session
When other sessions are held?
hr(s)
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:
☐
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
2013-2014 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):
Estimated time requirements for self-study:
Phase of course where self-study completed:
hrs
Self-practice component(s):
Estimated time requirements for self-practice:
Phase of course where self-study completed:
Training Location(s):
hrs
Skills Lab J-9
Resources (Textbooks, CD-ROMs, Videos, etc.):
Pre-Course Slide Review (Ultrasound Imaging of Thorax & Vessels)
Educational Scope:
☒
☒
☒
Skills
Components:
Cognitive
Components:
Judgment
Components:
Creation of an end to end anastomosis
Teaching will utilize the preoperative evaluation of patients
requiring hemodialysis access, hemodynamics of arteriovenous
fistulas and postoperative complications
DOQI guidelines will be followed for hemodialysis access.
Participants will be knowledgeable of the DOQI guidelines.
Learning Objectives:
Understand the basics of hemodialysis access, including preoperative evaluation and choice of access.
Understand the hemodynamics of arteriovenous fistulas. Recognize and manage postoperative complications
including steal, aneurysms, venous hypertension, and infection. Demonstrate end-to-end anastomosis.
UT SOUTHWESTERN DEPARTMENT OF SURGERY
2013-2014 TECHNICAL SKILLS COURSE OUTLINE
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)
1.
Preliminary seminar session led by faculty.
1) Teach the indications for hemodialysis access.
2) Discuss the preoperative evaluation of patients requiring hemodialysis access.
3) Teach the DOQI guidelines.
4) Discuss the hemodynamics of arteriovenous fistulas.
5) Discuss recognition and management of hemodialysis complications.
6) Draw end-to-end anastomosis.
2.
Skill session. Two residents/suture board. One acts as surgeon and the other acts as assistant, then
switch. Demonstration end-to-end anastomosis.
Methods for giving feedback to learners (Formative and Summative):
Facility will use direct observation with immediate feedback to participants during session. The faculty will offer
comments on each individual performance.
Methods of assessment of learners:
Questions will be asked to assess learning cognitive information. Facility will use direct observation of each
participant’s skill level with immediate feedback.
Methods of course evaluation:
Post-test questionnaires completed by trainees at the end of the course and faculty evaluations of skills sessions
Materials:
Suture boards
1 per team
Binder clips
2 per board
6 mm PTFE grafts
1 per team
5-0 Prolene suture
5 per trainee
Needle drivers
Forceps
Suture scissors
Ex vivo porcine model aortas
1 per team = I extra