UT SOUTHWESTERN DEPARTMENT OF SURGERY
2013-2014 TECHNICAL SKILLS COURSE OUTLINE
Course title:
Vascular Anastomosis
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 3 Surgery residents
# participants
for course:
Curriculum date:
12
7/31/13
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
J-9 OR
Resources (Textbooks, CD-ROMs, Videos, etc.):
Educational Scope:
☒
☒
☒
Skills
Components:
Cognitive
Components:
Judgment
Components:
Creation of an end-to-side vascular anastomosis in an ex vivo
porcine model.
Teaching technical aspects of arterial exposure, handling
Prolene suture and preparing grafts.
Understanding the different types of vascular grafts and when
to use them.
Learning Objectives:
Understand the basics of arterial exposure technique, suture handling, and graft preparation.
Understand the physiology of graft healing.
Understand the appropriate circumstances for using different types of grafts.
Demonstrate an end-to-side vascular 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)
During the Preliminary seminar session led by faculty, the basics of vascular exposure, including length of
incisions, techniques for extending incisions across joints and proper depth of dissection, and adequate
mobilization of vascular structures.
Discussion of the physiology of graft healing and outline major differences in graft types will be taught.
(autogenous vs. prosthetic; PTFE vs. Dacron).
Faculty will demonstrate the proper handling of needle driver, suture and graft during vascular procedures.
Example of the end-to-side anastomosis procedure will be drawn on white board.
Skill session will be led by faculty with two residents/suture board. One acts as surgeon and the other acts as the
assistant, then switch demonstrating the end-to-side anastomosis. Faculty will evaluate each attendee’s skill at
completing.
Methods for giving feedback to learners (Formative and Summative):
The faculty has direct observation with immediate feedback. The faculty observes each team throughout the
session and comments on individual performance.
Methods of assessment of learners:
Faculty will ask questions to assess learning of presented cognitive information. Faculty has direct observation of
skill 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
Binder clips
5-0 Prolene suture
Needle drivers
Forceps
Suture scissors
Porcine ex vivo model