UT SOUTHWESTERN DEPARTMENT OF SURGERY 2013-2014 TECHNICAL SKILLS COURSE OUTLINE Course title: Vascular Ligation and Patch Angioplasty 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 4 Surgery residents # participants for course: Curriculum date: 13 02/19/13 Expected attendance: Sessions assigned to each trainee 1 Duration of each session 2 Trainees per session 13 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: Suturing # of Repetitions: 15-20 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.): N/A Educational Scope: ☒ ☒ ☒ Skills Components: Cognitive Components: Judgment Components: Creation of a patch angioplasty on an arterial model using PTFE and Dacron graft. Teaching anatomic exposure of specific arteries. Understands which vascular structures are appropriate to ligate and perform a patch angioplasty. Learning Objectives: Verbalizes the basics of anatomic exposure of the following the innominate, left and right subclavian, axillary, and carotid arteries. Verbalizes the contraindications of arterial and venous ligation. Verbalizes indications for patch angioplasty. Demonstrates patch angioplasty procedure on an arterial model. 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 anatomy of vascular exposure of the innominate, left and right subclavian, axillary and carotids will be discussed. The contraindications to vascular ligation and indications for patch angioplasty will be covered. Types of patches and technical aspects of patch angioplasty will be shown. Faculty will demonstrate the proper handling of needle driver, suture and graft during vascular procedures. Example of the patch angioplasty procedure will be shown by faculty. 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 patch angioplasty. Faculty will evaluate each attendee’s skill at completing. Methods for giving feedback to learners (Formative and Summative): Faculty has direct observation and gives 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 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