slide1
Download
Skip this Video
Download Presentation
PCACS

Loading in 2 Seconds...

play fullscreen
1 / 63

PCACS - PowerPoint PPT Presentation


  • 177 Views
  • Uploaded on

PCACS. Penn Center for Advanced Clinical Simulation. Integrated Surgical Skills Curriculum. Surgical Knowledge Manual Skills. PCACS: Penn Center for Advanced Clinical Simulation. PCACS. Residents Surgical Skills Curriculum. Medical Students Surgical Skills Curriculum. …

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 'PCACS' - teige


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
slide1
PCACS

Penn Center for Advanced Clinical Simulation

Integrated

Surgical Skills

Curriculum

Surgical Knowledge

Manual Skills

slide2
PCACS: Penn Center for Advanced Clinical Simulation

PCACS

Residents

Surgical Skills

Curriculum

Medical Students

Surgical Skills

Curriculum

Surgical Skills

Curriculum

slide3
Integrated

Surgical Skills

Curriculum

Objectives

- Surgical Knowledge

- Manual Skills

Core Competence

- Medical Knowledge

- Patient Care

- Interpersonal and Communication Skills

- Professionalism

- Practice based learning

- Systems-Based Practice

slide4
Integrated

Surgical Skills

Curriculum

Team Members: 3 to 4 Residents:

One PGY 3 /Lab Res

One PGY 2

Two PGY 1

slide6
Week 1 Schedule

Concepts

Skills Drill

Interaction with

The Clinical Expert

Each Day

Self Directed Learning

Team Based Skills

slide7
Day 1 General Surgery

Concepts

Session 1: Introduction to Surgical Tools and Instruments

Session 2: Aseptic and Sterile Techniques

Session 3: Suture Material and Handling

Skills Drill

Session 4: Knot Tying Techniques

Interaction With the

Clinical Expert

Session 5: Video Interaction with Surgeon eg.

Excissional Biopsy

Self Directed Learning

Session 6: Self Directed Practice Session

Session 7: Group Dynamic Training Clinical Scenarios

eg. SCARED Session. Stanford Course on

Active Resuscitation Evaluation Decision Making

Team Based Skills

slide8
Day 2 Trauma

Concepts

Session 1: Brief Review ATLS Concepts

Session 2: Airway Management, Line Placement, ..

Session 3: Thoracotomy, Tube thoracostomy, ..

Skills Drill

Session 4: Chest Tube Placement (Trauma Man)

Trachs & Cricothyroid, (Trauma Man)

Central Line Placement (SimLab/TraumaMan)

Interaction With the

Clinical Expert

Session 5: Video Interaction with Trauma Surgeon

Video Review of Trauma Response Sessions

Self Directed Learning

Session 6: Self Directed Practice Session

Session 7: Group Dynamic Training Clinical Scenarios

(eg. Trauma Scenario Review c Trauma Surgeon)

Group Dynamic Training

slide9
Day 3 SCC

Concepts

Session 1: Understanding Ventilators

Session 2: Understanding Hemodynamic Monitoring

Skills Drill

Session 3: Central Line Placement , Intubation Skills

Interaction With the

Clinical Expert

Session 4: Case Scenario review with Surgical Critical Care Expert

Session 5: Self Directed Practice Session/SimMan

Self Directed Learning

Group Dynamic Training

Session 6: Review of Different Clinical Scenarios c SimMan

(Section I)

slide10
Day 3 SCC

Laerdal SimMan Features:

Extensive Practical Features Allows Individual and

Group Practice of multiple clinical scenarios

Airway features:

Cardiac functions:

CPR:

Blood Pressure:

Circulatory skills and IV drug administration:     

Sounds:

Genitalia for urinary catheterization:

Event log:

Easy to use scenario and trend tools:

Air supply available by two alternatives: Air compressor/regulator unit

Easy to use:

Portable: Easy storage and transportation.

slide11
Day 4 GI Surgery

Concepts

Session 1: Instrument Tie, Hand Tie

Two Hand Tie – Square Knot

Two Hand Tie – Surgeon’s Square Knot

Tow Hand Tie – Slip Knot

One Hand Tie -- Slip Knot

Skills Drill

Session 2: Stapling Instrumentation

Session 3: Suture and Skin stapling

Interaction With the

Clinical Expert

Session 4: Video Interaction with the Expert

Fascia/Abdominal Wound Closure

Self Directed Learning

Session 5: Self Directed Practice Session

Group Dynamic Training

Session 6: Review of Different Clinical Scenarios c SimMan

(Section II)

slide12
Day 5 GI Surgery

Session 1: Stapling Instrumentation

Session 2: Anastomosis in GI Tract

Concepts

Session 3: Inanimate Lab – Basic Ligation

-- Wedge Resection

-- Functional end-to-end Anastomosis

-- Bilroth II

-- Low Anterior Resection

Session 4: Synthetic Lab – Bowel Anastomosis

Skills Drill

Interaction With the

Clinical Expert

Session 5: Video Interaction with Clinical Surgeon

Performing Bowel Anastomosis

Session 6: Self Directed Practice Session

Self Directed Learning

Session 7: Expert procedure task analysis

Expert definition of most common errors for each step of procedure

Description of error prevention strategies and error rescue strategies

Group Dynamic Training

slide13
Week 2 Schedule

Concepts

Skills Drill

Interaction with

The Clinical Expert

Each Day

Self Directed Learning

Team Based Skills

slide14
Day 1 Plastic & Reconstructive

Concepts

Session 1: Scientific Basis of Wound Closure Techniques

Session 2: Concepts of Flaps and Tension Free Reconstruction

Session 3: Excision of benign skin lesions and closure of simple wounds

Excision of a hand ganglion.

Repair of divided hand extensor tendon

Skills Drill

Session 5: Video Interaction with Clinical Surgeon

Performing Plastic Procedure/ Flap

Interaction With the

Clinical Expert

Self Directed Learning

Session 6: Self Directed Practice Session

Session 7: Expert procedure task analysis,

Expert definition of most common errors for each step of procedure

Description of error prevention strategies and error rescue strategies

Group Dynamic Training

slide15
Day 2 Vascular Surgery

Concepts

Session 1: Anatomy Review for Vascular Access

Session 2: Concepts of Vascular Anastomosis

Skills Drill

Session 3: Practical Session Vascular Anastomosis (I)

Session 4: Video Interaction with Clinical Surgeon

Expert Performing Vascular Anastomosis

Interaction With the

Clinical Expert

Self Directed Learning

Session 5: Self Directed Practice Session

Session 6: Expert procedure task analysis,

Expert definition of most common errors for each step of procedure. Description of error prevention strategies and error rescue strategies

Group Dynamic Training

slide16
Day 3 Basic Laparoscopy
  • Session 1: Key Skills in Laparoscopic Surgery
  • Port Placement
  • Camera and scope manipulation
  • Abdominal access and insufflation
      • Ergonomics
  • Session 2: Sharp and blunt dissection
  • Clip application electrosurgery
  • Looping
  • Tissue extraction
  • Port Site Closure

Concepts

Skills Drill

Interaction With the

Clinical Expert

Session 3: Video Interaction with Clinical Surgeon

Expert Performing Lap Chole

Self Directed Learning

Session 4: Self Directed Practice Session

Group Dynamic Training

Session 5: Expert procedure task analysis,

Expert definition of most common errors for each step of procedure

Description of error prevention strategies and error rescue strategies

slide17
Day 4 Vascular Surgery II

Concepts

Session 1: Anatomical Consideration for Vascular Incisions

Session 2: Concepts of Endovascular Techniques

Skills Drill

Session 3: Practical Session Vascular Anastomosis (II)

Session 5: Video Interaction with Clinical Surgeon

Expert Performing Central Vascular Procedure/AAA

Interaction With the

Clinical Expert

Self Directed Learning

Session 6: Self Directed Practice Session

Group Dynamic Training

Session 7: Expert procedure task analysis,

Expert definition of most common errors for each step of procedure

Description of error prevention strategies and error rescue strategies

slide18
Day 5 Intermediate Laparoscopy

Concepts

Session 1: Techniques necessary to overcome the visual demands in laparoscopic surgery

- Effective equipment and instrument positioning using ergonomic principles

- Laparoscopic Energised Dissection

Skills Drill

Session 2: Laparoscopic suturing and knot tying

Tumbled square knot using laparoscopic instruments to safely ligate a vessel

Pick up an endoscopic needle and make a bite through tissue

Form a surgeon’s knot using laparoscopic needle holders

Demonstrate optimal bite placement and knot tying technique during

laparoscopic tissue approximation

Interaction With the

Clinical Expert

Session 3: Video Interaction with Clinical Surgeon

Expert Performing Lap Band/ Gastric Bypass

Self Directed Learning

Session 4: Self Directed Practice Session

Session 5: Expert procedure task analysis,

Expert definition of most common errors for each step of procedure

Description of error prevention strategies and error rescue strategies

Group Dynamic Training

slide19
Week 3 Schedule

Concepts

Skills Drill

Interaction with

The Clinical Expert

Each Day

Self Directed Learning

Team Based Skills

slide20
Day 1 Thoracic Surgery

Concepts

Session 1: Anatomical Consideration for Thoracic Surgery

Session 2: Thoracic Surgical Techniques

Skills Drill

Session 3: Animal Lab Lobectomy

Session 4: Video Interaction with Clinical Surgeon

Expert Performing Lobectomy/Thoracic Procedure

Interaction With the

Clinical Expert

Self Directed Learning

Session 5: Self Directed Practice Session

Group Dynamic Training

Session 6: Expert procedure task analysis,

Expert definition of most common errors for each step of procedure

Description of error prevention strategies and error rescue strategies

slide21
Day 2 Thoracic Surgery

Concepts

Session 1: Anatomical Consideration for Thoracic Surgery

Session 2: Concepts of VATS

Skills Drill

Session 3: Animal Lab VATS

Session 4: Animal Lab Nissen

Session 5: Video Interaction with Clinical Surgeon

Expert Performing VATS Procedure

Interaction With the

Clinical Expert

Self Directed Learning

Session 6: Self Directed Practice Session

Group Dynamic Training

Session 7: Expert procedure task analysis,

Expert definition of most common errors for each step of procedure

Description of error prevention strategies and error rescue strategies

slide22
Day 3 Colorectal Surgery

Concepts

Session 1: Anatomical Consideration Colorectal Surgery

Session 2: Concepts of Bowel Anastomosis in Colorectal

Skills Drill

Session 3: Practical Session Bowel Anastomosis

Session 4: Video Interaction with Clinical Surgeon

Expert Performing Colon Surgery

Interaction With the

Clinical Expert

Self Directed Learning

Session 5: Self Directed Practice Session

Group Dynamic Training

Session 6: Expert procedure task analysis,

Expert definition of most common errors for each step of procedure

Description of error prevention strategies and error rescue strategies

slide23
Day 4 Colorectal Surgery

Concepts

Session 1: Anatomical Consideration for Colon Surgery

Session 2: Concepts of Laparoscopic Colon Surgery

Skills Drill

Session 3: Animal Lab Laparosocopic Right Colectomy

Session 5: Video Interaction with Clinical Surgeon

Expert Performing Lap Colectomy

Interaction With the

Clinical Expert

Self Directed Learning

Session 6: Self Directed Practice Session

Group Dynamic Training

Session 7: Expert procedure task analysis,

Expert definition of most common errors for each step of procedure

Description of error prevention strategies and error rescue strategies

slide24
Day 5 Endocrine Surgery

Concepts

Session 1: Anatomical Consideration for Endocrine/Oncology

Session 2: Concepts of Lap Adrenalectomy

Skills Drill

Session 3: Practical Session Advanced Laparoscopy

Session 5: Video Interaction with Clinical Surgeon

Expert Performing Thyroid/Adrenal Procedure

Interaction With the

Clinical Expert

Self Directed Learning

Session 6: Self Directed Practice Session

Group Dynamic Training

Session 7: Expert procedure task analysis,

Expert definition of most common errors for each step of procedure

Description of error prevention strategies and error rescue strategies

slide25
Week 4 Schedule

Concepts

Skills Drill

Interaction with

The Clinical Expert

Each Day

Self Directed Learning

Team Based Skills

slide26
Day 1 Surgical Oncology

Concepts

Session 1: Anatomical Consideration for Endocrine/Oncology

Session 2: Concepts of Thyroidectomy/Sarcoma/Melanoma

Skills Drill

Session 3: Practical Session Advanced Laparoscopy

Session 4: Video Interaction with Clinical Surgeon

Expert Performing Thyroid/Sarcoma/Melanoma

Interaction With the

Clinical Expert

Session 5: Self Directed Practice Session, Allgoritmus

for Sarcoma, Thyroid Mass, Melanoma

Self Directed Learning

Group Dynamic Training

Session 6: Expert procedure task analysis,

Expert definition of most common errors for each step of procedure

Description of error prevention strategies and error rescue strategies

slide27
Day 2 Breast Surgery

Concepts

Session 1: Anatomical Consepts in Breast Surgery

Session 2: Anatomical Concepts of Axillary LN Dissection

Sentinel LN Biposy

Skills Drill

Session 3: Practical Session

Lumpectomy, Sentinel LN Biopsy, Mastectomy

Session 4: Video Interaction with Clinical Surgeon

Expert Performing Lumbectomy, Sentinel LN Dissection,

Interaction With the

Clinical Expert

Session 5: Self Directed Practice Session, Allgoritmus

for Breast Mass

Self Directed Learning

Group Dynamic Training

Session 6: Expert procedure task analysis,

Expert definition of most common errors for each step of procedure

Description of error prevention strategies and error rescue strategies

slide28
Day 3 Transplant Surgery

Session 1: Anatomical Consepts in Liver Resections

Session 2: Anatomical Concepts of Kidney, Liver Txpl

Concepts

Session 3: Practical Session

Liver Resection in Wet Lab (Animal)

Skills Drill

Interaction With the

Clinical Expert

Session 4: Video Interaction with Clinical Surgeon

Expert Performing Hepatic Lobecotmy, Txpl…

Session 5: Self Directed Practice Session, Algorithms

for Transplant Rejection

Self Directed Learning

Group Dynamic Training

Session 6: Expert procedure task analysis,

Expert definition of most common errors for each step of procedure

Description of error prevention strategies and error rescue strategies

slide29
Day 4 Pediatric Surgery

Session 1: Anatomical Aspects of common Pediatric Procedures

Session 2: Surgical Techniques in Pediatric surgery

Concepts

Session 3: Review of common pediatric procedures with

Inclusion of skills directed technical aspects

Skills Drill

Interaction With the

Clinical Expert

Session 4: Video Interaction with Clinical Surgeon

Expert Performing Pediatric Surgery

(Hernia, Pyloromyotomy, Volvulus, …)

Session 5: Self Directed Practice Session, Algorithms

for Pediatric Case Presentations

Self Directed Learning

Group Dynamic Training

Session 6: Expert procedure task analysis,

Expert definition of most common errors for each step of procedure

Description of error prevention strategies and error rescue strategies

slide30
Day 5 Objective Skills Assessment
  • Formal content testing of subjects
  • Objective Structured Assessment of Technical Skills (OSATS)
  • Imperial College Surgical Assessment Device (ICSAD)
  • Multiple Objective Measures of Skills (MOMS)
  • Intraoperative Critical Event Management (ICEMAN)
ad