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SURGICAL SKILLS
Curriculum for Residents
ACS/APDS: SURGICAL SKILLS CURRICULUM FOR RESIDENTS
CONTENTS:
Asepsis and Instrument Identifcation: TraumaMan System
Knot tying: Basic Open Surgical Skills (BOSS)
Suturing: Basic Open Surgical Skills (BOSS)
Airway Management: TraumaMan System
Chest tube and Thoracentesis: TraumaMan System & Thoracentesis Model
Arterial and Venous Catheterization: CentraLineMan & FemoraLineMan
Laparotomy Opening and Closure: Laparotomy Model
Introduction to inguinal anatomy: Hernia Model
Hand sewn anastomosis: Laparotomy Model
Stapled anastomosis: Laparotomy Model
Laparoscopic/Open Bile Duct Exploration: CBDE Model
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MOD1: ASEPSIS & INSTRUMENT IDENTIFICATION
OBJECTIVES:
> Correct prepping and draping for
maintaining a sterile feld
STATIONS:
> Gowning and Gloving
> Prepping and Draping
> Instrument Identifcation and Handling
SIMULATOR NEEDED: TORSO MODEL
TraumaMan System (TPP10): This simulator can be used for teaching
students how to correctly prep and drape a patient to maintain a sterile feld
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MOD2: KNOT TYING
OBJECTIVES:
> Tie a series of 10:
two handed square knots
> Tie a series of 10:
two handed square knots at depth
> Tie a series of 10:
one handed square knots
> Tie a series of 10:
one handed square knots at depth
> Tie a series of 4:
instrument tied square knots
SIMULATOR NEEDED: KNOT TYING BOARD
Basic Open Surgical Skills (BOSS10): This trainer provides a fexible
platform for basic surgical skill development, including knot tying
Student Tissue Pack (BTP10): Includes Tissue Model, Complex Tissue
Model, Large Intestine, Tissue Suture Pad, and an Injectable Tissue Pad
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MOD3: SUTURING AND SUTURING TECHNIQUES
OBJECTIVES:
> Demonstrate a simple
interrupted stitch
> Demonstrate a simple running
stitch
> Demonstrate a running
subcuticular stitch
> Demonstrate vertical and
horizontal mattress stitches
STATIONS:
> Simple Interrupted and Running
Stitch
> Running Subcuticular Stitch
> Vertical Mattress Stitch
> Horizontal Mattress Stitch
SIMULATOR NEEDED: TISSUE MODELS
Basic Open Surgical Skills (BOSS10): This trainer provides a fexible
platform for basic surgical skill development, including suturing
Student Tissue Pack (BTP10): Includes Tissue Model, Complex Tissue
Model, Large Intestine, Tissue Suture Pad, and an Injectable Tissue Pad
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MOD7: AIRWAY MANAGEMENT
OBJECTIVES:
> Demonstrate the ability to perform
a cricothyroidotomy
> Demonstrate the ability to perform
the tracheostomy portion of a
percutaneous tracheostomy
STATIONS:
> Surgical Cricothyroidotomy
> Percutaneous Tracheostomy
SIMULATOR NEEDED: MANIKIN WITH AIRWAY SYSTEM
TraumaMan System (TPP10): This simulator includes a complete airway
system powered by a portable ventilator, provides an airway response to the
operative sites
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MOD8: CHEST TUBE AND THORACENTESIS
OBJECTIVES:
> Demonstrate the ability to place
a decompressive needle
> Demonstrate the ability to place
a chest tube
> Demonstrate the ability to
perform thoracentesis
STATIONS:
> Needle Decompression
> Chest Tube Insertion
> Thoracentesis
SIMULATOR NEEDED: TORSO MODEL
> TraumaMan System (TPP10): This simulator
includes an anatomically correct torso,
complete airway system - providing a platform
for performing chest tube insertion and needle
decompression
> Thoracentesis Model (THM10): This simulator provides a realistic
platform for performing thoracentesis
Thoracentesis Replaceable Tissue (THMT10)
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MOD9: ARTERIAL AND VENOUS CATHETERIZATION
OBJECTIVES:
> Identify the anatomic landmarks to
safely place arterial and central venous
catheters
> Develop an algorithm to maximize safety
in placement of arterial and central
venous lines
> Demonstrate a working knowledge to
the use of the Site Rite ultrasound
for the placement of central venous
catheters
SIMULATOR NEEDED: VASCULAR ACCESS TRAINERS
> CentraLineMan System (CLM20): This simulator can be
used for teaching students how to insert a central
venous line - both the jugular and subclavian approach
CentraLineMan Replaceable Tissue (CLMT20)
> RadiaLineMan System: Under Development
> FemoraLineMan System (FLM20): This simulator can be used for
teaching students how to insert a femoral arterial line
FemoraLineMan Replaceable Tissue (FLMT20)
STATIONS:
> Central Venous Line - Jugular Approach
> Central Venous Line - Subclavian
Approach
> Radial Arterial Line
> Femoral Arterial Line
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MOD12: LAPAROTOMY OPENING AND CLOSURE
OBJECTIVES:
> Demonstrate the ability to safely
make a midline incision, correctly
identifying all layers of the abdominal
wall, and preventing any injury to
intra-abdominal structures
> Demonstrate the ability to close the
abdominal wall in the midline in the
appropriate layered fashion
STATIONS:
> Midline Laparotomy Opening
> Midline Laparotomy Closure
(Interrupted Technique)
> Midline Laparotomy Closure
(Continuous Technique)
SIMULATOR NEEDED: LAPAROTOMY MODEL
Laparotomy Model (LPM10): This simulator includes a partial abdomen
with replaceable abdominal tissue cover that includes skin, subcutaneous
fat, fascia, preperitoneal fat, and peritoneum
Laparotomy Replaceable Tissue (LPMT10)
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MOD14: INTRODUCTION TO INGUINAL ANATOMY
OBJECTIVES:
> Identify pertinent external landmarks of
the inguinal region for use in
herniorrhaphy
> Identify the components of the inguinal
canal and spermatic cord
> Describe the etiology of groin hernias
by defning potential weak areas of the
inguinal and femoral regions
> Describe the anatomic basis for hernia
repair
STATIONS:
> Anatomy Dissection
> Anatomy Demonstration
SIMULATOR NEEDED: HERNIA MODEL
Hernia Model (HTM30): This simulator includes an anatomically correct
pelvis with necessary landmarks
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OBJECTIVES:
> Demonstrate a functional end-to-
end intestinal anastomosis using
sutures
> Perform side-to-side bypass
enteroenterostomy using sutures
MOD19: HAND SEWN ANASTOMOSIS
SIMULATOR NEEDED: LAPAROTOMY MODEL AND LARGE INTESTINE
Laparotomy Model (LPM10): This simulator includes a partial abdomen
with replaceable abdominal tissue cover that includes skin, subcutaneous
fat, fascia, preperitoneal fat, and peritoneum; and the Large Intestine is a
reinforced bowel section for anastomosis
Laparotomy Replaceable Tissue (LPMT10)
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OBJECTIVES:
> Demonstrate a functional end-to-end
intestinal anastomosis using enteric
staplers
> Perform side-to-side bypass
enteroenterostomy using stapler
technique
MOD20: STAPLED ANASTOMOSIS
SIMULATOR NEEDED: LAPAROTOMY MODEL AND LARGE INTESTINE
Laparotomy Model (LPM10): This simulator includes a partial abdomen
with replaceable abdominal tissue cover that includes skin, subcutaneous
fat, fascia, preperitoneal fat, and peritoneum; and the Large Intestine is a
reinforced bowel section for anastomosis
Laparotomy Replaceable Tissue (LPMT10)
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OBJECTIVES:
> Learn necessary steps for
laparoscopic and open common bile
duct explorations
> Become profcient wiht the specialized
laparoscopic equipment
> Perform laparoscopic and open
common bile duct exploration using
transcystic and choledochotomy
approaches
> Perform choledochoscopy
MOD5: COMMON BILE DUCT EXPLORATION (PHASE II)
SIMULATOR NEEDED: CBDE MODEL
CBDE Model (LCD10): This anatomically correct model includes a
soft tissue base with anatomical landmarks. It is ideal for practicing
laparoscopic transcystic common bile duct exploration
(LAPTC-CBDE), laparoscopic choledochotomy for common bile duct
exploration (LAP C-CBDE), or open CBDE.
CBDE Replaceable Tissue (LCD20)
1600 West Armory Way
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Seattle, Washington 98119
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P (206) 297-1260 (866) 400-1260 F (253) 681-7667 E info@simulab.com
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