We have a recently renovated the Surgical Skills Center located on the main surgical floor just down the hall from the Surgical Resident Resource Room. This facility provides materials, machines and space for laparoscopic, endoscopic and open surgical skills training. We are currently fundraising to purchase a stand-alone robotic trainer for resident and attending use and expect delivery within the year.
The general surgery simulation curriculum includes:
- Our new intern boot camp is an extensive training camp provided over 2.5 days during new employee orientation and prior to clinical rotations for all new interns and PGY2 prelims. It includes training and verification of necessary surgical skills (chest tubes, central lines, arterial lines, small bore feeding tube placement, drain management, suturing/knot tying skills, foley catheter placement). OR orientation includes open/closed gowning and gloving, scrubbing, prepping and draping and OR safety. Additionally, extensive time is spent with the rising chief residents to learn the job functions necessary to function as a junior resident including calling/performing consults, pre-op/post-op checks, handoffs, informed consent, bedside procedures, discharges and opioid management.
- The PGY1 simulation curriculum includes modules on the virtual reality 3D Med Lap Mentor, the virtual reality 3D Med GI Bronch Mentor, the FLS box trainers, a “true life” laparoscopic tower and online didactic modules. All interns are provided 40 hours of protected time in the first 3 months of internship to work independently and develop fundamental skills in laparoscopy, upper and lower endoscopy and bronchoscopy.
- The PGY2 simulation curriculum includes the Fundamentals of Surgical Energy certificate as well as an advanced laparoscopic skills module.
- Ad hoc simulation modules are developed based on resident interest or need (i.e. laparoscopic common bile duct exploration, laparoscopic handsewn anastomosis, etc.)
- Group skills sessions are held during protected time for critical skills (i.e. handsewn small bowel anastomosis, ED thoracotomy, cricothyroidotomy/tracheostomy, vascular anastomosis)
- In-services/skills sessions with industry partners provide access and opportunity to learn about materials- staplers, rib plating, endostitch, energy devices, hemostatics.
- All residents train for and pass the Fundamentals of Laparoscopic Surgery exam as required by the American Board of Surgery.
- All residents train for and pass the Fundamentals of Endoscopic Surgery exam as required by the American Board of Surgery. Our GI/Bronch Mentor is the same machine on which the exam is administered and the Endoscopic Fundamental Skills module allows practice on modules that closely simulate the exam.
- With the recent closing of our local animal lab, we are now developing a curriculum using perfused cadaveric tissues and anticipate being the first program in the country to be able to offer this opportunity for trauma and advanced laparoscopic training.