College of Physicians & Surgeons Pakistan

WHO Collaborating Centre for Research & Training

In Educational Development of Health Personnel

Workshop on Primary Surgical Skills

For Trainees in Surgery
& Allied Specialties

Rationale

Tremendous increase in the number of

trainees
Training received by the candidate
is varied depending on the venue of
training

Aims
To familiarize the surgical trainee with the required
knowledge and skills for performing basic surgical
procedures in order to standardize the training and
improve their competence in performing the desired
skills.

OBJECTIVES
College of Physicians & Surgeons Pakistan has decided to impart knowledge of
basic surgical skill to trainees of FCPS II in the Surgical & Allied discipline during first
year of residency. This mandatory workshop is of Three days duration. At the end of
the workshop, the participants will have the "awareness" and "skills" of the:
1. Basic operation room protocols and asepsis.
2. Surgical instruments handling.
3. Tying different types of knots.
4. Sutures, needles and suturing technique.
5. Handling of common problems in trauma & Tubular structures anastomosis
(gut, vessel, ureter, bladder and trachea on simulated and animal tissue).
6. Common Diagnostic procedures.
7. Introduction to Endoscopic surgery ( Laparoscopy)

Format: There will be no lecture programme. At the beginning of each session screen
demonstration of the procedure will be made followed by hands on practice,
supervised by a group of facilitators.

Session

Time

DAY ONE
Topic / Skill

Technique / Type

Theater Ethics
1. Scrubbing
2. Hands mopping

Single towel method

Double towel method

3. Gowning
4. Gloving

Closed method
Open method
Assisted method

Instrument Handling
Surgical blades and BP Putting the blades on the
handles
BP handle and taking
them off
2. Scissors
Disposal of sharp objects
3. Dissecting tissue
forceps
1.

Session Two

10:00 am
to
11:00 am

4.

Artery forceps

5.

Needle holder

6.

Intestinal clamps

Screen Demonstration followed by "Hands on" practice

Session One

08:30 am
to
10:00 am

DAY ONE
Session

Time

Topic / Skill

Technique / Type
Double handed reef knot.
Single handed reef knot.

Session Three

11:00 am
to
01:00 pm

Surgeons knot

Knotting

Aberdeen knot
Slip knot
Instrument tied knot

Session Four

01:00 pm
to
01:15 pm

Introduction to sutures and needles

Suturing Technique

Interrupted
Continuous
Vertical mattress
Horizontal mattress
Subcuticular

Screen demonstration Followed by "Hands

Knot tying at depth

DAY TWO
Trauma

Session
Session One

Time
8:30 am
to
10:30 am

Skill / Procedure

Type

Wound Debridement

Irrigation & excision of

dead tissues

Tendon Repair

Approximation & use of

non absorbable suture

Tubular Structure Repair & Anastomosis

Intestine

Session Three

11:30
to
12:30pm

Vessels

Session Four

12:30
to
01:15 pm

Bladder

Session Five

01:15
to
02: 00 pm

Ureter

End to side Gut

Anastomosis
Artreiotomy closure
Vein patch graft
Double layer continuous
repair
Oblique anastomosis

Screen Demonstration followed by "H

Session Two

10:30 am
to
11:30 pm

End to End extra

mucosal Anastomosis

DAY THREE
Diagnostic modalities & emergency
Sessionprocedures
Time
Skill / Procedure
Session
One

08:30 am
to
10:00 am

Session
Two

10:00 am to
11:30 am
Station I/II
Station III/IV
Station V/VI

Basic Life Support

On simulating
object

How to take biopsy

a) Needle Biopsy (Direct / Indirect)
Fine Needle Aspiration
Trucut
b) Punch Biopsy (Direct / Indirect)

Session
Three

Type

Station VII
Station VIII

c) Open Biopsy
Superficial lesion
Deep Lesion

11:30 am
to
1:00 noon

Common Emergency Procedures

Venous cut down

Tracheostomy

Practice on
Simulating
Objects & on
Endo-trainer
in rotation

On simulating
objects in
Continue
rotation

DAY THREE
Session
Session
Four

Time
1:00 pm
to
2:00 pm

Session Time
Concluding
session

02:00
to
02:15

Skill / Procedure

Type

Introduction to Endo Surgery

Laparoscopic Surgery
Use of long handle instrument
Hands Eye Coordination

Screen Demonstration
and practice on Endotrainer

Procedure
Workshop evaluation & Certificates
distribution