PCACSPenn Center for Advanced Clinical Simulation

Integrated Surgical Skills

Curriculum

Surgical Knowledge

Manual Skills

Medical Students Surgical Residents Auxiliary Personnel Staff Members

PCACS

PCACS: Penn Center for Advanced Clinical Simulation

ResidentsSurgical Skills

Curriculum

Medical StudentsSurgical Skills

Curriculum

…Surgical Skills

Curriculum

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

July August September October November December January February March April May June

PGY 4/3 PGY 4/3 PGY 4/3 PGY 4/3 PGY 4/3 PGY 4/3 PGY 4/3 PGY 4/3 PGY 4/3 PGY 4/3 PGY 4/3 PGY 4/3

PGY 2 PGY 2 PGY 2 PGY 2 PGY 2 PGY 2 PGY 2 PGY 2 PGY 2 PGY 2 PGY 2 PGY 2

PGY 1 PGY 1 PGY 1 PGY 1 PGY 1 PGY 1 PGY 1 PGY 1 PGY 1 PGY 1 PGY 1 PGY 1

Team Members: 3 to 4 Residents:

One PGY 3 /Lab ResOne PGY 2Two PGY 1

Integrated Surgical Skills

Curriculum

  Morning Session Afternoon Session

Monday Colonoscopy HUP/Mahmoud Skills Center

Tuesday Skills Center Skills Center

Wednesday Skills Center Colonoscopy Presby/Maron

Thursday Skills Center Skills Center

Friday Colonoscopy Presby/Ross Skills Center

Saturday CALL CALL

Sunday CALL CALL

Weekly Schedule

Week 1 Schedule

WEEK1 Surgical Field

Monday General Surgery

Tuesday Trauma

Wednesday SCC

Thursday GI Surgery

Friday GI Surgery

Concepts

Skills Drill

Interaction with The Clinical Expert

Self Directed Learning

Team Based Skills

Each Day

Day 1 General Surgery

Session 7: Group Dynamic Training Clinical Scenarioseg. SCARED Session. Stanford Course on Active Resuscitation Evaluation Decision Making

Concepts Session 1: Introduction to Surgical Tools and InstrumentsSession 2: Aseptic and Sterile TechniquesSession 3: Suture Material and Handling

Session 4: Knot Tying TechniquesSkills Drill

Interaction With the Clinical Expert

Session 5: Video Interaction with Surgeon eg. Excissional Biopsy

Self Directed Learning Session 6: Self Directed Practice Session

Team Based Skills

Day 2 Trauma

Session 7: Group Dynamic Training Clinical Scenarios(eg. Trauma Scenario Review c Trauma Surgeon)

Concepts Session 1: Brief Review ATLS ConceptsSession 2: Airway Management, Line Placement, ..Session 3: Thoracotomy, Tube thoracostomy, ..

Session 4: Chest Tube Placement (Trauma Man) Trachs & Cricothyroid, (Trauma Man) Central Line Placement (SimLab/TraumaMan)

Skills Drill

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

Group Dynamic Training

Day 3 SCC

Concepts Session 1: Understanding VentilatorsSession 2: Understanding Hemodynamic Monitoring

Session 3: Central Line Placement , Intubation SkillsSkills Drill

Interaction With the Clinical Expert

Session 4: Case Scenario review with Surgical Critical Care Expert

Self Directed Learning Session 5: Self Directed Practice Session/SimMan

Group Dynamic Training Session 6: Review of Different Clinical Scenarios c SimMan(Section I)

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.

Day 4 GI Surgery

Concepts

Session 2: Stapling InstrumentationSession 3: Suture and Skin stapling

Session 1: Instrument Tie, Hand TieTwo Hand Tie – Square KnotTwo Hand Tie – Surgeon’s Square KnotTow Hand Tie – Slip KnotOne Hand Tie -- Slip Knot

Skills Drill

Interaction With the Clinical Expert

Session 4: Video Interaction with the ExpertFascia/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)

Day 5 GI Surgery

ConceptsSession 1: Stapling InstrumentationSession 2: Anastomosis in GI Tract

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

Self Directed LearningSession 6: Self Directed Practice Session

Group Dynamic TrainingSession 7: Expert procedure task analysisExpert definition of most common errors for each step of procedureDescription of error prevention strategies and error rescue strategies

Week 2 Schedule

WEEK2 Surgical Field

Monday Plastic & Recosntr

Tuesday Vascular

Wednesday Basic Lap

Thursday Vascular II

Friday Advanced Lap

Concepts

Skills Drill

Interaction with The Clinical Expert

Self Directed Learning

Team Based Skills

Each Day

Day 1 Plastic & Reconstructive

Concepts Session 1: Scientific Basis of Wound Closure TechniquesSession 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

Interaction With the Clinical Expert

Session 5: Video Interaction with Clinical Surgeon Performing Plastic Procedure/ Flap

Self Directed Learning Session 6: Self Directed Practice Session

Group Dynamic TrainingSession 7: Expert procedure task analysis, Expert definition of most common errors for each step of procedureDescription of error prevention strategies and error rescue strategies

Day 2 Vascular Surgery

Concepts Session 1: Anatomy Review for Vascular AccessSession 2: Concepts of Vascular Anastomosis

Session 3: Practical Session Vascular Anastomosis (I)Skills Drill

Interaction With the Clinical Expert

Session 4: Video Interaction with Clinical Surgeon Expert Performing Vascular Anastomosis

Self Directed Learning Session 5: Self Directed Practice Session

Group Dynamic TrainingSession 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

Day 3 Basic Laparoscopy

ConceptsSession 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

Skills Drill

Interaction With the Clinical Expert

Session 3: Video Interaction with Clinical Surgeon Expert Performing Lap Chole

Self Directed LearningSession 4: Self Directed Practice Session

Group Dynamic Training Session 5: Expert procedure task analysis, Expert definition of most common errors for each step of procedureDescription of error prevention strategies and error rescue strategies

Day 4 Vascular Surgery II

ConceptsSession 1: Anatomical Consideration for Vascular IncisionsSession 2: Concepts of Endovascular Techniques

Session 3: Practical Session Vascular Anastomosis (II)Skills Drill

Interaction With the Clinical Expert

Session 5: Video Interaction with Clinical Surgeon Expert Performing Central Vascular Procedure/AAA

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 procedureDescription of error prevention strategies and error rescue strategies

Day 5 Intermediate LaparoscopyConcepts

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

Interaction With the Clinical Expert Session 3: Video Interaction with Clinical Surgeon

Expert Performing Lap Band/ Gastric BypassSelf 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 procedureDescription of error prevention strategies and error rescue strategies

Session 2: Laparoscopic suturing and knot tyingTumbled 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

Week 3 Schedule

WEEK3 Surgical Field

Monday Thoracic

Tuesday Thoracic

Wednesday Colorectal

Thursday Colorectal

Friday Endocrine

Concepts

Skills Drill

Interaction with The Clinical Expert

Self Directed Learning

Team Based Skills

Each Day

Day 1 Thoracic Surgery

ConceptsSession 1: Anatomical Consideration for Thoracic SurgerySession 2: Thoracic Surgical Techniques

Session 3: Animal Lab LobectomySkills Drill

Interaction With the Clinical Expert

Session 4: Video Interaction with Clinical Surgeon Expert Performing Lobectomy/Thoracic Procedure

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 procedureDescription of error prevention strategies and error rescue strategies

Day 2 Thoracic Surgery

ConceptsSession 1: Anatomical Consideration for Thoracic SurgerySession 2: Concepts of VATS

Session 3: Animal Lab VATSSkills Drill

Interaction With the Clinical Expert

Session 5: Video Interaction with Clinical Surgeon Expert Performing VATS Procedure

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 procedureDescription of error prevention strategies and error rescue strategies

Session 4: Animal Lab Nissen

Day 3 Colorectal Surgery

ConceptsSession 1: Anatomical Consideration Colorectal SurgerySession 2: Concepts of Bowel Anastomosis in Colorectal

Session 3: Practical Session Bowel AnastomosisSkills Drill

Interaction With the Clinical Expert

Session 4: Video Interaction with Clinical Surgeon Expert Performing Colon Surgery

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 procedureDescription of error prevention strategies and error rescue strategies

Day 4 Colorectal Surgery

ConceptsSession 1: Anatomical Consideration for Colon SurgerySession 2: Concepts of Laparoscopic Colon Surgery

Session 3: Animal Lab Laparosocopic Right ColectomySkills Drill

Interaction With the Clinical Expert

Session 5: Video Interaction with Clinical Surgeon Expert Performing Lap Colectomy

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 procedureDescription of error prevention strategies and error rescue strategies

Day 5 Endocrine Surgery

ConceptsSession 1: Anatomical Consideration for Endocrine/OncologySession 2: Concepts of Lap Adrenalectomy

Session 3: Practical Session Advanced LaparoscopySkills Drill

Interaction With the Clinical Expert

Session 5: Video Interaction with Clinical Surgeon Expert Performing Thyroid/Adrenal Procedure

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 procedureDescription of error prevention strategies and error rescue strategies

Week 4 Schedule

WEEK4 Surgical Field

Monday Surgical Oncology

Tuesday Breast Surgery

Wednesday Transplant

Thursday Pediatric

Friday OSAT

Concepts

Skills Drill

Interaction with The Clinical Expert

Self Directed Learning

Team Based Skills

Each Day

Day 1 Surgical Oncology

ConceptsSession 1: Anatomical Consideration for Endocrine/OncologySession 2: Concepts of Thyroidectomy/Sarcoma/Melanoma

Session 3: Practical Session Advanced LaparoscopySkills Drill

Interaction With the Clinical Expert

Session 4: Video Interaction with Clinical Surgeon Expert Performing Thyroid/Sarcoma/Melanoma

Self Directed Learning Session 5: Self Directed Practice Session, Allgoritmus for Sarcoma, Thyroid Mass, Melanoma

Group Dynamic Training Session 6: Expert procedure task analysis, Expert definition of most common errors for each step of procedureDescription of error prevention strategies and error rescue strategies

Day 2 Breast Surgery

ConceptsSession 1: Anatomical Consepts in Breast SurgerySession 2: Anatomical Concepts of Axillary LN DissectionSentinel LN Biposy

Session 3: Practical SessionLumpectomy, Sentinel LN Biopsy, Mastectomy

Skills Drill

Interaction With the Clinical Expert

Session 4: Video Interaction with Clinical Surgeon Expert Performing Lumbectomy, Sentinel LN Dissection,

Self Directed Learning Session 5: Self Directed Practice Session, Allgoritmus for Breast Mass

Group Dynamic Training Session 6: Expert procedure task analysis, Expert definition of most common errors for each step of procedureDescription of error prevention strategies and error rescue strategies

Day 3 Transplant Surgery

ConceptsSession 1: Anatomical Consepts in Liver ResectionsSession 2: Anatomical Concepts of Kidney, Liver Txpl

Session 3: Practical SessionLiver Resection in Wet Lab (Animal)

Skills Drill

Interaction With the Clinical Expert

Session 4: Video Interaction with Clinical Surgeon Expert Performing Hepatic Lobecotmy, Txpl…

Self Directed Learning Session 5: Self Directed Practice Session, Algorithms for Transplant Rejection

Group Dynamic Training Session 6: Expert procedure task analysis, Expert definition of most common errors for each step of procedureDescription of error prevention strategies and error rescue strategies

Day 4 Pediatric Surgery

ConceptsSession 1: Anatomical Aspects of common Pediatric ProceduresSession 2: Surgical Techniques in Pediatric surgery

Session 3: Review of common pediatric procedures withInclusion 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, …)

Self Directed Learning Session 5: Self Directed Practice Session, Algorithms for Pediatric Case Presentations

Group Dynamic Training Session 6: Expert procedure task analysis, Expert definition of most common errors for each step of procedureDescription of error prevention strategies and error rescue strategies

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)

Course Topics PGY 1&2 Week 1

Week Day Topic Year Training Session Type MaterialWeek 1 Day 1 General PGY 1 & 2 Surgical Tools and Instrumentation Dry Lab Projector/ComputerWeek 1 Day 1 General PGY 1 & 2 Aseptic and Sterile Techniques Dry Lab Projector/ComputerWeek 1 Day 1 General PGY 1 & 2 Suture Material and Handling Dry Lab Projector/ComputerWeek 1 Day 1 General PGY 1 & 2 Knot Tying Techniques Benck Work Pig Feet & Knot BoxesWeek 1 Day 1 General Group Clinical Case (Video Interaction) Conference Room Video InteractionWeek 1 Day 1 General PGY 1 & 2 Self Directed Practice Session Benck Work Pig Feet & Knot BoxesWeek 1 Day 1 General Group SCARED Virtual Patient Room zWeek 1 Day 2 Trauma PGY 1 & 2 Review ATLS Concepts Dry Lab Projector/ComputerWeek 1 Day 2 Trauma PGY 1 & 2 Airway Management Dry Lab Projector/ComputerWeek 1 Day 2 Trauma PGY 1 & 2 FAST Dry Lab Projector/ComputerWeek 1 Day 2 Trauma PGY 1 & 2 Tskill: Chest Tube Benck Work Trauma ManWeek 1 Day 2 Trauma PGY 1 & 2 Tskill: FAST/Wound Mngmt Benck Work Trauma ManWeek 1 Day 2 Trauma PGY 1 & 2 Tskill: Trach/Cricothyroif Benck Work Trauma ManWeek 1 Day 2 Trauma PGY 1 & 2 Tskill: Venous Access Benck Work Trauma ManWeek 1 Day 2 Trauma Group Clinical Case (Video Interaction) Conference Room Video InteractionWeek 1 Day 2 Trauma PGY 1 & 2 Self Directed Practice Session Benck Work Trauma ManWeek 1 Day 2 Trauma Group Trauma Scenarios Virtual Trauma Bay Z

Week Day Topic Year Training Session Type MaterialWeek 1 Day 3 SCC PGY 1 & 2 Understanding Ventilators Dry Lab Projector/ComputerWeek 1 Day 3 SCC PGY 1 & 2 Understanding Hemodynamic Monit Dry Lab Projector/ComputerWeek 1 Day 3 SCC PGY 1 & 2 SC Skill: Central Line Placement Benck Work Sim Man/Trauma ManWeek 1 Day 3 SCC PGY 1 & 2 SC Skill: IV Access Benck Work Sim Man/Trauma ManWeek 1 Day 3 SCC PGY 1 & 2 SC Skill: Airway Management Benck Work Sim Man/Trauma ManWeek 1 Day 3 SCC PGY 1 & 2 SC Skill: Intubation Benck Work Sim Man/Trauma ManWeek 1 Day 3 SCC Group Clinical Case (Video Interaction) Conference Room Video InteractionWeek 1 Day 3 SCC PGY 1 & 2 Self Directed Practice Session Benck Work Sim Man/Trauma ManWeek 1 Day 3 SCC Group Critical Care Scenarios Vritual ICU Visicu SessionWeek 1 Day 4 GI Surgery PGY 1 & 2 Instrument Tie Dry Lab Projector/ComputerWeek 1 Day 4 GI Surgery PGY 1 & 2 Two Hand Tie Square Knot Dry Lab Projector/ComputerWeek 1 Day 4 GI Surgery PGY 1 & 2 Two Hand Tie Surgeon's Sqaure Knot Dry Lab Projector/ComputerWeek 1 Day 4 GI Surgery PGY 1 & 2 Two Hand Tie Slip Knot Dry Lab Projector/ComputerWeek 1 Day 4 GI Surgery PGY 1 & 2 One Hand Tie Slip Knot Dry Lab Projector/ComputerWeek 1 Day 4 GI Surgery PGY 1 & 2 Stapling Instrumentation Dry Lab Projector/ComputerWeek 1 Day 4 GI Surgery PGY 1 & 2 Knot Tying Techniques Benck Work Pig Feet & Knot BoxesWeek 1 Day 4 GI Surgery Group Clinical Case (Video Interaction) Conference Room Video Interaction

Course Topics PGY 1&2 Week 1

Week Day Topic Year Training Session Type MaterialWeek 1 Day 5 GI Surgery PGY 1 & 2 Stapling Instrumentation Dry Lab Projector/ComputerWeek 1 Day 5 GI Surgery PGY 1 & 2 Anastomosis in GI Tract Dry Lab Projector/ComputerWeek 1 Day 5 GI Surgery PGY 1 & 2 Inanimate Lab: Basic Ligation Benck Work Foam and Live OrgansWeek 1 Day 5 GI Surgery PGY 1 & 2 Inanimate Lab: Wedge Resection Benck Work Foam and Live OrgansWeek 1 Day 5 GI Surgery PGY 1 & 2 Inanimate Lab: End-to-End Benck Work Foam and Live OrgansWeek 1 Day 5 GI Surgery PGY 1 & 2 Inanimate Lab: Bilroth II Benck Work Foam and Live OrgansWeek 1 Day 5 GI Surgery PGY 1 & 2 Inanimate Lab: Low Anterios Benck Work Foam and Live OrgansWeek 1 Day 5 GI Surgery PGY 1 & 2 Inanimate Lab: Bowel Anastomosis Benck Work Foam and Live OrgansWeek 1 Day 5 GI Surgery Group Clinical Case (Video Interaction) Conference Room Video InteractionWeek 1 Day 5 GI Surgery PGY 1 & 2 Self Directed Practice Session Benck Work Foam and Live OrgansWeek 1 Day 5 GI Surgery Group Expert Procedure Task Analysis Conference Room Video InteractionWeek 1 Day 5 GI Surgery Group Expert Definition of Common Errors Conference Room Video InteractionWeek 1 Day 5 GI Surgery Group Expert Error Prevention Strategies Conference Room Video Interaction

Course Topics PGY 1&2 Week 1

Course Topics PGY 1&2 Week 2

Week 2 Day 1 Plast&Recon PGY 1 & 2 Scientific Basis of Wound Closure Dry Lab Projector/Computer

Week 2 Day 1 Plast&Recon PGY 1 & 2Concepts of Flaps and Tension Free Recon Dry Lab Projector/Computer

Week 2 Day 1 Plast&Recon PGY 1 & 2Excision of benign Skin Lesion/Wound Closure Benck Work Limbs&Things

Week 2 Day 1 Plast&Recon PGY 1 & 2 Excision of Hand Ganglion Benck Work Limbs&Things

Week 2 Day 1 Plast&Recon PGY 1 & 2 Repair of Hand Extensor Tendon Benck Work Limbs&Things

Week 2 Day 1 Plast&Recon Group Clinical Case (Video Interaction) Conference Room Video Interaction

Week 2 Day 1 Plast&Recon PGY 1 & 2 Self Directed Practice Session Benck Work Limbs&Things

Week 2 Day 1 Plast&Recon Group Expert Procedure Task Analysis Conference Room Video Interaction

Week 2 Day 1 Plast&Recon Group Expert Definition of Common Errors Conference Room Video Interaction

Week 2 Day 1 Plast&Recon Group Expert Error Prevention Strategies Conference Room Video Interaction

Week 2 Day 2 Vascular PGY 1 & 2 Surgical Anatomy for Access Dry Lab Projector/Computer

Week 2 Day 2 Vascular PGY 1 & 2 Concepts of Vascular Anastomosis Dry Lab Projector/Computer

Week 2 Day 2 Vascular PGY 1 & 2Practical Session Vascular Anastomosis Benck Work

Vascular Model/Limbs and Things

Week 2 Day 2 Vascular Group Clinical Case (Video Interaction) Conference Room Video Interaction

Week 2 Day 2 Vascular PGY 1 & 2 Self Directed Practice Session Benck WorkVascular Model/Limbs and Things

Week 2 Day 2 Vascular Group Expert Procedure Task Analysis Conference Room Video Interaction

Week 2 Day 2 Vascular Group Expert Definition of Common Errors Conference Room Video Interaction

Week 2 Day 2 Vascular Group Expert Error Prevention Strategies Conference Room Video Interaction

Course Topics PGY 1&2 Week 2Week 2 Day 3 Vascular PGY 1 & 2 Surgical Anatomy for Vascular Surgery Dry Lab Projector/ComputerWeek 2 Day 3 Vascular PGY 1 & 2 Concepts of Endovascular Techniques Dry Lab Projector/ComputerWeek 2 Day 3 Vascular PGY 1 & 2 Practical Session Vascular Anastomosis Benck Work Vascular Model/Limbs and ThingsWeek 2 Day 3 Vascular Group Clinical Case (Video Interaction) Conference Room Video InteractionWeek 2 Day 3 Vascular PGY 1 & 2 Self Directed Practice Session Benck Work Vascular Model/Limbs and ThingsWeek 2 Day 3 Vascular Group Expert Procedure Task Analysis Conference Room Video InteractionWeek 2 Day 3 Vascular Group Expert Definition of Common Errors Conference Room Video InteractionWeek 2 Day 3 Vascular Group Expert Error Prevention Strategies Conference Room Video InteractionWeek 2 Day 4 Laparoscopy PGY 1 & 2 Key Skills in Laparoscopic Surgery Dry Lab Projector/ComputerWeek 2 Day 4 Laparoscopy PGY 1 & 2 Port Placement Dry Lab Projector/ComputerWeek 2 Day 4 Laparoscopy PGY 1 & 2 Camera and Scope Manipulation Dry Lab Projector/ComputerWeek 2 Day 4 Laparoscopy PGY 1 & 2 Abdominal Access and Insufflation Dry Lab Projector/ComputerWeek 2 Day 4 Laparoscopy PGY 1 & 2 Ergonomics Dry Lab Projector/ComputerWeek 2 Day 4 Laparoscopy PGY 1 & 2 Sharp and Blunt Dissection Benck Work Haptica/SimManWeek 2 Day 4 Laparoscopy PGY 1 & 2 Clip Application/Electrocautry Benck Work Haptica/SimManWeek 2 Day 4 Laparoscopy PGY 1 & 2 Looping Benck Work Haptica/SimManWeek 2 Day 4 Laparoscopy PGY 1 & 2 Tissue Extraction Port Site Closure Benck Work Haptica/SimManWeek 2 Day 4 Laparoscopy Group Clinical Case (Video Interaction) Conference Room Video InteractionWeek 2 Day 4 Laparoscopy PGY 1 & 2 Self Directed Practice Session Benck Work Haptica/SimManWeek 2 Day 4 Laparoscopy Group Expert Procedure Task Analysis Conference Room Video InteractionWeek 2 Day 4 Laparoscopy Group Expert Definition of Common Errors Conference Room Video InteractionWeek 2 Day 4 Laparoscopy Group Expert Error Prevention Strategies Conference Room Video Interaction

Course Topics PGY 1&2 Week 2

Week 2 Day 5 Interm Lapsco PGY 1 & 2Techniques to Overcome Visual Demands Dry Lab Projector/Computer

Week 2 Day 5 Interm Lapsco PGY 1 & 2 Effective Equip and Instrumnt Dry Lab Projector/Computer

Week 2 Day 5 Interm Lapsco PGY 1 & 2 Lap Energised Dissection Dry Lab Projector/Computer

Week 2 Day 5 Interm Lapsco PGY 1 & 2 Lap Suturing and Knot Tying Benck Work Haptica/SimMan

Week 2 Day 5 Interm Lapsco PGY 1 & 2 Tumbled Square Knot Benck Work Haptica/SimMan

Week 2 Day 5 Interm Lapsco PGY 1 & 2 Pick up and Endoscopic Needle Benck Work Haptica/SimMan

Week 2 Day 5 Interm Lapsco PGY 1 & 2 Surgeon's Knot Laparoscopic Benck Work Haptica/SimMan

Week 2 Day 5 Interm Lapsco PGY 1 & 2 Bite Placement and Knot Tying Benck Work Haptica/SimMan

Week 2 Day 5 Interm Lapsco PGY 1 & 2 Lap Tissue Approximation Benck Work Haptica/SimMan

Week 2 Day 5 Interm Lapsco Group Clinical Case (Video Interaction) Conference Room Video Interaction

Week 2 Day 5 Interm Lapsco PGY 1 & 2 Self Directed Practice Session Benck Work Haptica/SimMan

Week 2 Day 5 Interm Lapsco Group Expert Procedure Task Analysis Conference Room Video Interaction

Week 2 Day 5 Interm Lapsco Group Expert Definition of Common Errors Conference Room Video Interaction

Week 2 Day 5 Interm Lapsco Group Expert Error Prevention Strategies Conference Room Video Interaction

Week 3 Day 1 Thoracic PGY 1 & 2Surgical Anatomy for Thoracic

Surgery Dry Lab Projector/Computer

Week 3 Day 1 Thoracic PGY 1 & 2 Thoracic Surgical Techniques Dry Lab Projector/Computer

Week 3 Day 1 Thoracic PGY 1 & 2 Animal Lab Lobectomy Benck Work Pig Organs

Week 3 Day 1 Thoracic Group Clinical Case (Video Interaction) Conference Room Video Interaction

Week 3 Day 1 Thoracic PGY 1 & 2 Animal Lab Real Time Animal Lab Animal x 1

Week 3 Day 1 Thoracic Group Expert Procedure Task Analysis Conference Room Video Interaction

Week 3 Day 1 Thoracic Group Expert Definition of Common Errors Conference Room Video Interaction

Week 3 Day 1 Thoracic Group Expert Error Prevention Strategies Conference Room Video Interaction

Week 3 Day 2 Thoracic PGY 1 & 2Surgical Anatomy for Thoracic

Surgery (II) Dry Lab Projector/Computer

Week 3 Day 2 Thoracic PGY 1 & 2 Concepts of VATS Dry Lab Projector/Computer

Week 3 Day 2 Thoracic PGY 1 & 2 Animal Lab Nissen / VATS Benck Work Pig Organs

Week 3 Day 2 Thoracic Group Clinical Case (Video Interaction) Conference Room Video Interaction

Week 3 Day 2 Thoracic PGY 1 & 2 Animal Lab Real Time Animal Lab Animal x 1

Week 3 Day 2 Thoracic Group Expert Procedure Task Analysis Conference Room Video Interaction

Week 3 Day 2 Thoracic Group Expert Definition of Common Errors Conference Room Video Interaction

Week 3 Day 2 Thoracic Group Expert Error Prevention Strategies Conference Room Video Interaction

Course Topics PGY 1&2 Week 3

Course Topics PGY 1&2 Week 3

Week 3 Day 3 Colorectal PGY 1 & 2 Anatomical Principles for Colon Surgery Dry Lab Projector/Computer

Week 3 Day 3 Colorectal PGY 1 & 2 Concepts of Colorectal Anastomosis Dry Lab Projector/Computer

Week 3 Day 3 Colorectal PGY 1 & 2 Practical Session Bowel Anastomosis Benck Work Pig Organs

Week 3 Day 3 Colorectal Group Clinical Case (Video Interaction)Conference Room Video Interaction

Week 3 Day 3 Colorectal PGY 1 & 2 Animal Lab Real Time Colon Animal Lab Animal x 1

Week 3 Day 3 Colorectal Group Expert Procedure Task AnalysisConference Room Video Interaction

Week 3 Day 3 Colorectal Group Expert Definition of Common ErrorsConference Room Video Interaction

Week 3 Day 3 Colorectal Group Expert Error Prevention StrategiesConference Room Video Interaction

Week 3 Day 4 Colorectal PGY 1 & 2 Anatomical Principles for Lap Colon Dry Lab Projector/Computer

Week 3 Day 4 Colorectal PGY 1 & 2 Concepts of Lap Colorectal Surgery Dry Lab Projector/Computer

Week 3 Day 4 Colorectal PGY 1 & 2 Practical Session Lap Colectomy Benck Work Haptica/SimMan

Week 3 Day 4 Colorectal Group Clinical Case (Video Interaction)Conference Room Video Interaction

Week 3 Day 4 Colorectal PGY 1 & 2 Animal Lab Real Time Lap Colon Animal Lab Animal x 1

Week 3 Day 4 Colorectal Group Expert Procedure Task AnalysisConference Room Video Interaction

Week 3 Day 4 Colorectal Group Expert Definition of Common ErrorsConference Room Video Interaction

Week 3 Day 4 Colorectal Group Expert Error Prevention StrategiesConference Room Video Interaction

Course Topics PGY 1&2 Week 3

Week 3 Day 5 Endocrine PGY 1 & 2Anatomical Principles for Endocrine/Oncology Dry Lab Projector/Computer

Week 3 Day 5 Endocrine PGY 1 & 2 Concepts of Lap Adrenalectomy Dry Lab Projector/Computer

Week 3 Day 5 Endocrine PGY 1 & 2 Practical Session Lap Adrenalectomy Benck Work Haptica/SimMan

Week 3 Day 5 Endocrine Group Clinical Case (Video Interaction)Conference Room Video Interaction

Week 3 Day 5 Endocrine PGY 1 & 2 Animal Lab Real Time Lap Adrenal Animal Lab Animal x 1

Week 3 Day 5 Endocrine Group Expert Procedure Task AnalysisConference Room Video Interaction

Week 3 Day 5 Endocrine Group Expert Definition of Common ErrorsConference Room Video Interaction

Week 3 Day 5 Endocrine Group Expert Error Prevention StrategiesConference Room Video Interaction

Course Topics PGY 1&2 Week 4

Day 1 Surg Onc PGY 1 & 2 Surgical Anatomy for Surgical Onc Dry Lab Projector/Computer

Day 1 Surg Onc PGY 1 & 2Techniques of Thyroidectomy/Sarcoma/Melanoma Dry Lab Projector/Computer

Day 1 Surg Onc PGY 1 & 2 Practical Session Advanced Laparoscopy Benck Work Haptica/SimMan

Day 1 Surg Onc Group Clinical Case (Video Interaction) Conference Room Video Interaction

Day 1 Surg Onc PGY 1 & 2 Animal Lab Real Time Thyroidectomy Animal Lab Animal x 1

Day 1 Surg Onc Group Expert Procedure Task Analysis Conference Room Video Interaction

Day 1 Surg Onc Group Expert Definition of Common Errors Conference Room Video Interaction

Day 1 Surg Onc Group Expert Error Prevention Strategies Conference Room Video Interaction

Day 2Breast Surgery PGY 1 & 2 Anatomical Concepts Breast/ALN Dry Lab Projector/Computer

Day 2Breast Surgery PGY 1 & 2 Surgical Techniques for Breast/ALN Dry Lab Projector/Computer

Day 2Breast Surgery PGY 1 & 2 Practical Session ALN/Sentinel LN/Masr Benck Work Limbs&Things

Day 2Breast Surgery Group Clinical Case (Video Interaction) Conference Room Video Interaction

Day 2Breast Surgery PGY 1 & 2 Algorithms of Clinical Presentation Computer Lab Computer Lab

Day 2Breast Surgery Group Expert Procedure Task Analysis Conference Room Video Interaction

Day 2Breast Surgery Group Expert Definition of Common Errors Conference Room Video Interaction

Day 2Breast Surgery Group Expert Error Prevention Strategies Conference Room Video Interaction

Course Topics PGY 1&2 Week 4

Day 3 Transplant Srg PGY 1 & 2 Anatomy for the TXPL Surgeon Dry Lab Projector/Computer

Day 3 Transplant Srg PGY 1 & 2 Procedures for Liver/Kidney/Panc Dry Lab Projector/Computer

Day 3 Transplant Srg PGY 1 & 2 Practical Session Liver&Panc&Kidney Benck Work Pig Organs

Day 3 Transplant Srg Group Clinical Case (Video Interaction) Conference Room Video Interaction

Day 3 Transplant Srg PGY 1 & 2 Algorithms of Clinical Presentation Computer Lab Computer Lab

Day 3 Transplant Srg Group Expert Procedure Task Analysis Conference Room Video Interaction

Day 3 Transplant Srg Group Expert Definition of Common Errors Conference Room Video Interaction

Day 3 Transplant Srg Group Expert Error Prevention Strategies Conference Room Video Interaction

Day 4 Pediatric Surg PGY 1 & 2 Anatomical Principles for Pediatric Surgery Dry Lab Projector/Computer

Day 4 Pediatric Surg PGY 1 & 2 Surgical Procedures in Pediatrics Dry Lab Projector/Computer

Day 4 Pediatric Surg PGY 1 & 2 Practical Session Hernia Benck Work Limbs&Things

Day 4 Pediatric Surg Group Clinical Case (Video Interaction) Conference Room Video Interaction

Day 4 Pediatric Surg PGY 1 & 2 Self Directed Practice Session Benck Work Limbs&Things

Day 4 Pediatric Surg Group Expert Procedure Task Analysis Conference Room Video Interaction

Day 4 Pediatric Surg Group Expert Definition of Common Errors Conference Room Video Interaction

Day 4 Pediatric Surg Group Expert Error Prevention Strategies Conference Room Video Interaction

Course Topics PGY 1&2 Week 4

Day 5 Skills Assessm Group Formal Content Testing of Subjects Paper&Pencil

Day 5 Skills Assessm GroupObjective Structures Assessment of Technical Skills OSATS Haptica/SimMan

Day 5 Skills Assessm Group Imperial College Surgical Assessment Device ICSAD Haptica/SimMan

Day 5 Skills Assessm Group Multiple Objective Measures of Skills MOMS Virtual OR

Day 5 Skills Assessm Group Intraoperative Critical Event Management ICEMAN Virtual OR

Course Topics PGY 3 Week 1

Day 1 General PGY 3 Colonoscopy/Endoscopy Clinical Case Endoscopy Suit

Day 1 General PGY 3 Colonoscopy/Endoscopy Clinical Case Endoscopy Suit

Day 1 General PGY 3 Colonoscopy/Endoscopy Clinical Case Endoscopy Suit

Day 1 General PGY 3 Colonoscopy/Endoscopy Clinical Case Endoscopy Suit

Day 1 General Group Clinical Case (Video Interaction) Conference Room Video Interaction

Day 1 General PGY 3 Self Directed Practice Session Benck Work Haptica/SimMan

Day 1 Leader Ship Group SCARED Virtual Patient Room

Day 2 Trauma PGY 3 Review ATLS Concepts Dry Lab Projector/Computer

Day 2 Trauma PGY 3 Airway Management Dry Lab Projector/Computer

Day 2 Trauma PGY 3 FAST Dry Lab Projector/Computer

Day 2 Trauma PGY 3 Tskill: Chest Tube Benck Work Trauma Man

Day 2 Trauma PGY 3 Tskill: FAST/Wound Mngmt Benck Work Trauma Man

Day 2 Trauma PGY 3 Tskill: Trach/Cricothyroif Benck Work Trauma Man

Day 2 Trauma PGY 3 Tskill: Venous Access Benck Work Trauma Man

Day 2 Trauma Group Clinical Case (Video Interaction) Conference Room Video Interaction

Day 2 Trauma PGY 3 Self Directed Practice Session Benck Work Trauma ManDay 2 Leader Ship Group Trauma Scenarios Virtual Trauma Bay

Course Topics PGY 3 Week 1

Day 3 SCC PGY 3 Understanding Ventilators Dry Lab Projector/Computer

Day 3 SCC PGY 3 Understanding Hemodynamic Monit Dry Lab Projector/Computer

Day 3 SCC PGY 3 SC Skill: Central Line Placement Benck Work Sim Man/Trauma Man

Day 3 SCC PGY 3 SC Skill: IV Access Benck Work Sim Man/Trauma Man

Day 3 SCC PGY 3 SC Skill: Airway Management Benck Work Sim Man/Trauma Man

Day 3 SCC PGY 3 SC Skill: Intubation Benck Work Sim Man/Trauma Man

Day 3 SCC Group Clinical Case (Video Interaction) Conference Room Video Interaction

Day 3 General PGY 3 Colonoscopy/Endoscopy Clinical Case Endoscopy Suit

Day 3 General PGY 3 Colonoscopy/Endoscopy Clinical Case Endoscopy Suit

Day 4 GI Surgery PGY 3 Instrument Tie Dry Lab Projector/Computer

Day 4 GI Surgery PGY 3 Two Hand Tie Square Knot Dry Lab Projector/Computer

Day 4 GI Surgery PGY 3 Two Hand Tie Surgeon's Sqaure Knot Dry Lab Projector/Computer

Day 4 GI Surgery PGY 3 Two Hand Tie Slip Knot Dry Lab Projector/Computer

Day 4 GI Surgery PGY 3 One Hand Tie Slip Knot Dry Lab Projector/Computer

Day 4 GI Surgery PGY 3 Stapling Instrumentation Dry Lab Projector/Computer

Day 4 GI Surgery PGY 3 Knot Tying Techniques Benck Work Pig Feet & Knot Boxes

Day 4 GI Surgery Group Clinical Case (Video Interaction) Conference Room Video Interaction

Day 4 GI Surgery PGY 3 Self Directed Practice Session Benck Work Haptica/SimMan

Day 4 Leader Ship Group Clinical Practice Sessions Virtual Patient Room Sim Man/Trauma Man

Course Topics PGY 3 Week 1

Day 5 General PGY 3 Colonoscopy/Endoscopy Clinical Case Endoscopy Suit

Day 5 General PGY 3 Colonoscopy/Endoscopy Clinical Case Endoscopy Suit

Day 5 General PGY 3 Colonoscopy/Endoscopy Clinical Case Endoscopy Suit

Day 5 General PGY 3 Colonoscopy/Endoscopy Clinical Case Endoscopy Suit

Day 5 General PGY 3 Colonoscopy/Endoscopy Clinical Case Endoscopy Suit

Day 5 General PGY 3 Colonoscopy/Endoscopy Clinical Case Endoscopy Suit

Day 5 General PGY 3 Colonoscopy/Endoscopy Clinical Case Endoscopy Suit

Day 5 General PGY 3 Colonoscopy/Endoscopy Clinical Case Endoscopy Suit

Day 5 GI Surgery Group Clinical Case (Video Interaction) Conference Room Video Interaction

Day 5 GI Surgery PGY 3 Self Directed Practice Session Benck Work Foam and Live Organs

Day 5 GI Surgery Group Expert Procedure Task Analysis Conference Room Video Interaction

Day 5 GI Surgery Group Expert Definition of Common Errors Conference Room Video Interaction

Day 5 GI Surgery Group Expert Error Prevention Strategies Conference Room Video Interaction

Course Topics PGY 3 Week 2

Day 1 General PGY 3 Colonoscopy/Endoscopy Clinical Case Endoscopy Suit

Day 1 General PGY 3 Colonoscopy/Endoscopy Clinical Case Endoscopy Suit

Day 1 General PGY 3 Colonoscopy/Endoscopy Clinical Case Endoscopy Suit

Day 1 General PGY 3 Colonoscopy/Endoscopy Clinical Case Endoscopy Suit

Day 1 General PGY 3 Colonoscopy/Endoscopy Clinical Case Endoscopy Suit

Day 1 Plast&Recon Group Clinical Case (Video Interaction) Conference Room Video Interaction

Day 1 Plast&Recon PGY 3 Self Directed Practice Session Benck Work Limbs&Things

Day 1 Plast&Recon Group Expert Procedure Task Analysis Conference Room Video Interaction

Day 1 Plast&Recon Group Expert Definition of Common Errors Conference Room Video Interaction

Day 1 Plast&Recon Group Expert Error Prevention Strategies Conference Room Video Interaction

Day 2 Vascular PGY 3 Surgical Anatomy for Access Dry Lab Projector/Computer

Day 2 Vascular PGY 3 Concepts of Vascular Anastomosis Dry Lab Projector/Computer

Day 2 Vascular PGY 3 Practical Session Vascular Anastomosis Benck WorkVascular Model/Limbs and Things

Day 2 Vascular Group Clinical Case (Video Interaction) Conference Room Video Interaction

Day 2 Vascular PGY 3 Self Directed Practice Session Benck WorkVascular Model/Limbs and Things

Day 2 Vascular Group Expert Procedure Task Analysis Conference Room Video Interaction

Day 2 Vascular Group Expert Definition of Common Errors Conference Room Video Interaction

Day 2 Vascular Group Expert Error Prevention Strategies Conference Room Video Interaction

Course Topics PGY 3 Week 2

Day 4 Vascular PGY 3 Surgical Anatomy for Vascular Surgery Dry Lab Projector/ComputerDay 4 Vascular PGY 3 Concepts of Endovascular Techniques Dry Lab Projector/ComputerDay 4 Vascular PGY 3 Practical Session Vascular Anastomosis Benck Work Vascular Model/L&TDay 4 Vascular Group Clinical Case (Video Interaction) Conference Room Video InteractionDay 4 Vascular PGY 3 Self Directed Practice Session Benck Work Vascular Model/L&TDay 4 Vascular Group Expert Procedure Task Analysis Conference Room Video InteractionDay 4 Vascular Group Expert Definition of Common Errors Conference Room Video InteractionDay 4 Vascular Group Expert Error Prevention Strategies Conference Room Video InteractionDay 3 Laparoscopy PGY 3 Colonoscopy/Endoscopy Clinical Case Endoscopy SuitDay 3 Laparoscopy PGY 3 Colonoscopy/Endoscopy Clinical Case Endoscopy SuitDay 3 Laparoscopy PGY 3 Colonoscopy/Endoscopy Clinical Case Endoscopy SuitDay 3 Laparoscopy PGY 3 Colonoscopy/Endoscopy Clinical Case Endoscopy SuitDay 3 Laparoscopy PGY 3 Colonoscopy/Endoscopy Clinical Case Endoscopy SuitDay 3 Laparoscopy PGY 3 Colonoscopy/Endoscopy Clinical Case Endoscopy SuitDay 3 Laparoscopy PGY 3 Colonoscopy/Endoscopy Clinical Case Endoscopy SuitDay 3 Laparoscopy PGY 3 Colonoscopy/Endoscopy Clinical Case Endoscopy SuitDay 3 Laparoscopy PGY 3 Colonoscopy/Endoscopy Clinical Case Endoscopy SuitDay 3 Laparoscopy Group Clinical Case (Video Interaction) Conference Room Video InteractionDay 3 Laparoscopy PGY 3 Self Directed Practice Session Benck Work Haptica/LapSimDay 3 Laparoscopy Group Expert Procedure Task Analysis Conference Room Video InteractionDay 3 Laparoscopy Group Expert Definition of Common Errors Conference Room Video InteractionDay 3 Laparoscopy Group Expert Error Prevention Strategies Conference Room Video Interaction

Course Topics PGY 3 Week 2

Day 5 Interm Lapsco PGY 3 Techniques to Overcome Visual Demands Dry Lab Projector/Computer

Day 5 Interm Lapsco PGY 3 Effective Equip and Instrumnt Dry Lab Projector/Computer

Day 5 Interm Lapsco PGY 3 Lap Energised Dissection Dry Lab Projector/Computer

Day 5 Interm Lapsco PGY 3 Lap Suturing and Knot Tying Benck Work Haptica/LapSim

Day 5 Interm Lapsco PGY 3 Tumbled Square Knot Benck Work Haptica/LapSim

Day 5 Interm Lapsco PGY 3 Pick up and Endoscopic Needle Benck Work Haptica/LapSim

Day 5 Interm Lapsco PGY 3 Surgeon's Knot Laparoscopic Benck Work Haptica/LapSim

Day 5 Interm Lapsco PGY 3 Bite Placement and Knot Tying Benck Work Haptica/LapSim

Day 5 Interm Lapsco PGY 3 Lap Tissue Approximation Benck Work Haptica/LapSim

Day 5 Interm Lapsco Group Clinical Case (Video Interaction)Conference Room Video Interaction

Day 5 Interm Lapsco PGY 3 Self Directed Practice Session Benck Work Haptica/SimMan

Day 5 Interm Lapsco Group Expert Procedure Task AnalysisConference Room Video Interaction

Day 5 Interm Lapsco Group Expert Definition of Common ErrorsConference Room Video Interaction

Day 5 Interm Lapsco Group Expert Error Prevention StrategiesConference Room Video Interaction

Course Topics PGY 3 Week 3

Day 1 Thoracic PGY 3 Surgical Anatomy for Thoracic Surgery Dry Lab Projector/Computer

Day 1 Thoracic PGY 3 Thoracic Surgical Techniques Dry Lab Projector/Computer

Day 1 Thoracic PGY 3 Animal Lab Lobectomy Benck Work Pig Organs

Day 1 Thoracic Group Clinical Case (Video Interaction) Conference Room Video Interaction

Day 1 Thoracic PGY 3 Animal Lab Real Time Animal Lab Animal x 1

Day 1 Thoracic Group Expert Procedure Task Analysis Conference Room Video Interaction

Day 1 Thoracic Group Expert Definition of Common Errors Conference Room Video Interaction

Day 1 Thoracic Group Expert Error Prevention Strategies Conference Room Video Interaction

Day 2 Thoracic PGY 3 Surgical Anatomy for Thoracic Surgery (II) Dry Lab Projector/Computer

Day 2 Thoracic PGY 3 Concepts of VATS Dry Lab Projector/Computer

Day 2 Thoracic PGY 3 Animal Lab Nissen / VATS Benck Work Pig Organs

Day 2 Thoracic Group Clinical Case (Video Interaction) Conference Room Video Interaction

Day 2 Thoracic PGY 3 Animal Lab Real Time Animal Lab Animal x 1

Day 2 Thoracic Group Expert Procedure Task Analysis Conference Room Video Interaction

Day 2 Thoracic Group Expert Definition of Common Errors Conference Room Video Interaction

Day 2 Thoracic Group Expert Error Prevention Strategies Conference Room Video Interaction

Course Topics PGY 3 Week 3

Day 3 Colorectal PGY 3 Anatomical Principles for Colon Surgery Dry Lab Projector/Computer

Day 3 Colorectal PGY 3 Concepts of Colorectal Anastomosis Dry Lab Projector/Computer

Day 3 Colorectal PGY 3 Practical Session Bowel Anastomosis Benck Work Pig Organs

Day 3 Colorectal Group Clinical Case (Video Interaction) Conference Room Video Interaction

Day 3 Colorectal PGY 3 Animal Lab Real Time Colon Animal Lab Animal x 1

Day 3 Colorectal Group Expert Procedure Task Analysis Conference Room Video Interaction

Day 3 Colorectal Group Expert Definition of Common Errors Conference Room Video Interaction

Day 3 Colorectal Group Expert Error Prevention Strategies Conference Room Video Interaction

Day 4 Colorectal PGY 3 Anatomical Principles for Lap Colon Dry Lab Projector/Computer

Day 4 Colorectal PGY 3 Concepts of Lap Colorectal Surgery Dry Lab Projector/Computer

Day 4 Colorectal PGY 3 Practical Session Lap Colectomy Benck Work Haptica/SimMan

Day 4 Colorectal Group Clinical Case (Video Interaction) Conference Room Video Interaction

Day 4 Colorectal PGY 3 Animal Lab Real Time Lap Colon Animal Lab Animal x 1

Day 4 Colorectal Group Expert Procedure Task Analysis Conference Room Video Interaction

Day 4 Colorectal Group Expert Definition of Common Errors Conference Room Video Interaction

Day 4 Colorectal Group Expert Error Prevention Strategies Conference Room Video Interaction

Course Topics PGY 3 Week 3

Day 5 Endocrine PGY 3 Anatomical Principles for Endocrine/Oncology Dry Lab Projector/Computer

Day 5 Endocrine PGY 3 Concepts of Lap Adrenalectomy Dry Lab Projector/Computer

Day 5 Endocrine PGY 3 Practical Session Lap Adrenalectomy Benck Work Haptica/SimMan

Day 5 Endocrine Group Clinical Case (Video Interaction) Conference Room Video Interaction

Day 5 Endocrine PGY 3 Animal Lab Real Time Lap Adrenal Animal Lab Animal x 1

Day 5 Endocrine Group Expert Procedure Task Analysis Conference Room Video Interaction

Day 5 Endocrine Group Expert Definition of Common Errors Conference Room Video Interaction

Day 5 Endocrine Group Expert Error Prevention Strategies Conference Room Video Interaction

Course Topics PGY 3 Week 4

Day 1 Surg Onc PGY 3 Surgical Anatomy for Surgical Onc Dry Lab Projector/Computer

Day 1 Surg Onc PGY 3 Techniques of Thyroidectomy/Sarcoma/Melanoma Dry Lab Projector/Computer

Day 1 Surg Onc PGY 3 Practical Session Advanced Laparoscopy Benck Work Haptica/SimMan

Day 1 Surg Onc Group Clinical Case (Video Interaction) Conference Room Video Interaction

Day 1 Surg Onc PGY 3 Animal Lab Real Time Thyroidectomy Animal Lab Animal x 1

Day 1 Surg Onc Group Expert Procedure Task Analysis Conference Room Video Interaction

Day 1 Surg Onc Group Expert Definition of Common Errors Conference Room Video Interaction

Day 1 Surg Onc Group Expert Error Prevention Strategies Conference Room Video Interaction

Day 2 Breast Surgery PGY 3 Anatomical Concepts Breast/ALN Dry Lab Projector/Computer

Day 2 Breast Surgery PGY 3 Surgical Techniques for Breast/ALN Dry Lab Projector/Computer

Day 2 Breast Surgery PGY 3 Practical Session ALN/Sentinel LN/Masr Benck Work Limbs&Things

Day 2 Breast Surgery Group Clinical Case (Video Interaction) Conference Room Video Interaction

Day 2 Breast Surgery PGY 3 Algorithms of Clinical Presentation Computer Lab Computer Lab

Day 2 Breast Surgery Group Expert Procedure Task Analysis Conference Room Video Interaction

Day 2 Breast Surgery Group Expert Definition of Common Errors Conference Room Video Interaction

Day 2 Breast Surgery Group Expert Error Prevention Strategies Conference Room Video Interaction

Course Topics PGY 3 Week 4

Day 3 Transplant Srg PGY 3 Anatomy for the TXPL Surgeon Dry Lab Projector/Computer

Day 3 Transplant Srg PGY 3 Procedures for Liver/Kidney/Panc Dry Lab Projector/Computer

Day 3 Transplant Srg PGY 3 Practical Session Liver&Panc&Kidney Benck Work Pig Organs

Day 3 Transplant Srg Group Clinical Case (Video Interaction) Conference Room Video Interaction

Day 3 Transplant Srg PGY 3 Algorithms of Clinical Presentation Computer Lab Computer Lab

Day 3 Transplant Srg Group Expert Procedure Task Analysis Conference Room Video Interaction

Day 3 Transplant Srg Group Expert Definition of Common Errors Conference Room Video Interaction

Day 3 Transplant Srg Group Expert Error Prevention Strategies Conference Room Video Interaction

Day 4 Pediatric Surg PGY 3 Anatomical Principles for Pediatric Surgery Dry Lab Projector/Computer

Day 4 Pediatric Surg PGY 3 Surgical Procedures in Pediatrics Dry Lab Projector/Computer

Day 4 Pediatric Surg PGY 3 Practical Session Hernia Benck Work Limbs&Things

Day 4 Pediatric Surg Group Clinical Case (Video Interaction) Conference Room Video Interaction

Day 4 Pediatric Surg PGY 3 Self Directed Practice Session Benck Work Limbs&Things

Day 4 Pediatric Surg Group Expert Procedure Task Analysis Conference Room Video Interaction

Day 4 Pediatric Surg Group Expert Definition of Common Errors Conference Room Video Interaction

Day 4 Pediatric Surg Group Expert Error Prevention Strategies Conference Room Video Interaction

Course Topics PGY 3 Week 4

Day 5 Skills Assessm Group Formal Content Testing of Subjects Paper&Pencil

Day 5 Skills Assessm GroupObjective Structures Assessment of Technical Skills OSATS Haptica/SimMan

Day 5 Skills Assessm Group Imperial College Surgical Assessment Device ICSAD Haptica/SimMan

Day 5 Skills Assessm Group Multiple Objective Measures of Skills MOMS Virtual OR

Day 5 Skills Assessm Group Intraoperative Critical Event Management ICEMAN Virtual OR

Manufacturer model purpose Features Notes

FLSFLS lap trainer box

Laparoscopic skills training

comes with validated course/CD rom

$1500 per trainer box/ can bundle with CDs/ CDs can be purchased separately approx $100 per CD and $350 per training voucher

Haptica ProMISLaparoscopic skills training

hybrid mechanical/virtual, tracks performance metrics  

ImmersionEndoscopy Accutouch

upper/lower endoscopy, bronchoscopy

Haptic feedback, patient sensitivity feedback, tracks performance metrics  

Laerdal SimMANcrisis management, codes physiologic responses  

Limbs and Things

Ultrasound subclavian trainer  

has blood in vessels, but no pulse.  

Limbs and Things

Open inguinal hernia model

Hernia training (Inguinal w/ mesh placement)

Has CD ROM for self training

$388.61 for set with CD ROM (P# 60427), $155.41 for 2-pack replacement blocks (P# 60399)

Limbs and Things Gall bladders

Laparoscopic skills training

four options with differen anatomy

cost: 45 pounds per, can be used in standard lap trainer boxes

Limbs and Things skin pads suturing/biopsies

various sebaceous cyst pads, minor skin procedure pads, bowel, vessels cost 22 pounds to 40 pounds per

Limbs and Things

central line trainer central line placement    

Training Tools

METIHuman Patient

SimulatorCrisis management,

codes Physiologic responses  

METI SimSurgeryLaparoscopic skills

training  Produced by Norwegian

comp/Marketing by Meti

Simbionix GI Mentor upper/lower endoscopyHaptic feedback, expandable

w/ new modules  

Simbionix LAP MentorLaparoscopic skills

training

haptic option, expandable w/ new modules, tracks trainee performance  

Simulab CentralLineMan central line placement

Anatomic landmarks, U/S compatible, pulsitile artery

$1340 per, $435 per replaceable tissue set (many many uses from each tissue set)

Simulab TraumaMan

cricothyroidotomy, chest tube, pericardiocentesis, DPL, IV cutdown  

$23K to purchase or approx $8K per year for lease of 2

Simulab LapTrainerLaparoscopic skills

training

displays camera output on pc, many available plastic inserts for training

$1795 per with lap chole ($595) and lap nissen ($725) add-ons available

Simulab knot Tying boardlap or open suture

practice replaceable parts $65 per, replacement parts?

Simulab Hernia Model

Hernia training (Ventral, direct and indirect mesh placement)

"realistic vessel, testicle and cord structures with lifelike synthetic tissue" $1395 per

Training Tools

SimulabCadaveric structure holder

open surgical skills training

to hold tissue during wet tissue labs

$55 per, reuseable, no replacement parts

Simulab Simulated skin/bowel suturing/biopsies various $20-$75 per

Simulab Lap chole model Lap chole various$595 per with $50 per replaceable gall bladder

Surgical Science LapSIM

Laparoscopic skills training

haptic feedback (immersion tech), tracks performance metrics  

ACS US Course/FAST

Intuitive DaVinci Trainer

Mass Casualty Exercise

Crisis Resource Mgmt SimMan ?

VA HPSHuman Patient Simulator

Training Tools

Floor Plan: Skills Center: University Of Toronto Skills Center

Skills Center : University Of Toronto Skills Center

Prep / Storage Room Lab Area

Skills Center : Web Resources

Skills Center : Web Resources/Video Libraries

Endovascular

Skills Center : Web Resources/Video Libraries