a basic s urgical s kills c urriculum for pgy1 training n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
A Basic S urgical S kills C urriculum for PGY1 Training PowerPoint Presentation
Download Presentation
A Basic S urgical S kills C urriculum for PGY1 Training

Loading in 2 Seconds...

play fullscreen
1 / 13

A Basic S urgical S kills C urriculum for PGY1 Training - PowerPoint PPT Presentation


  • 98 Views
  • Uploaded on

A Basic S urgical S kills C urriculum for PGY1 Training. Our 2012 experience. M. Daniel Wongworawat , MD Professor and Program Director Loma Linda University. Disclosures. Committee/Board Appointments AAOS Chair, Central Evaluations Committee (OITE/OSAE/OSIE) ASSH

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'A Basic S urgical S kills C urriculum for PGY1 Training' - dorie


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
a basic s urgical s kills c urriculum for pgy1 training
A Basic Surgical Skills Curriculum for PGY1 Training

Our 2012 experience

M. Daniel Wongworawat, MD

Professorand Program Director

Loma Linda University

disclosures
Disclosures
  • Committee/Board Appointments
    • AAOS
      • Chair, Central Evaluations Committee (OITE/OSAE/OSIE)
    • ASSH
      • Self-Assessment Examination Committee
    • San Bernardino County Medical Society
      • Vice President
    • ABOS/AAOS/AOA/CORD
      • PGY-1 Surgical Skills Taskforce
  • Editorial Board
    • Senior Editor, Clinical Orthopaedics and Related Research
  • Stock ownership
    • Stryker, Medtronic, Amgen
overview
Overview
  • Needs assessment based on semi-annual program evaluation meeting in 2011/2012
  • Focus on low-tech options
  • Course objectives
    • Perform sharp and dull dissection
    • Place deep, dermal, subcuticular sutures and secure knots
    • Operate power drill, saw, wire driver
    • Place K-wires, lag screws, compression plates, locking plates, tension bands
    • Operate basic arthroscopy equipment
methods
Methods
  • Content divided into four modules
  • Supervised by faculty members
  • Tasks deconstructed into components
  • One day per week, over four weeks
  • Modules

Soft tissue handling

Power tool operation

Bone handling

Arthroscopy

soft tissue handling
Soft tissue handling
  • Fresh pork belly
soft tissue handling1
Soft tissue handling
  • Fresh pork belly
    • Muscle fascial planes
    • Dermal layer
  • Incision
  • Scissor dissection along planes
  • Suture placements
    • Simple
    • Mattresses
    • Inverted dermals
    • Subcuticular
  • Knot tying
power tool operation
Power tool operation
  • Introduction to:
    • Stryker cordless
    • K-wire driver/collets
    • Drill chuck
    • Quick release chuck
    • Oscillating saw
basic bone handling
Basic bone handling
  • K-wire and oscillating saw skills
    • 10-cc syringe

Numbers as targets

Transverse wire placement

Oblique wire placement

Sawbones humerus

Saw cuts

Neck fractures

Supracondylar fractures

Wire fixation

Visualized

Under towel-wrapped envelope

basic bone handling1
Basic bone handling
  • Concepts discussion
  • Screw placement
    • Lag technique
  • Plate fixation
    • Neutralization
    • Compression
    • Locked
  • Tension band placement
basic arthroscopy
Basic arthroscopy
  • Scope operation
  • 30° angle
  • Triangulation
  • Instrument handling
  • Knot tying board
    • Visualized knot tying
    • Visualized through clear cannula
    • Visualized on monitor
post course evaluations 2012
Post course evaluations, 2012
  • Good feedback from learners
  • Goals met
  • Suggestions for improvement
    • Include closed reduction techniques
    • Include splinting and casting
    • Expand modules
    • Increase time dedication
future direction
Future direction
  • Expansion of modules
  • Dedicated month
  • Improvement of assessments checklist
  • Checklist validation
  • … introduction to PGY-1 Surgical Skills Taskforce
    • Joint project of AAOS/ABOS/AOA/CORD
    • Led by J. Lawrence Marsh