Technical Skills ndash; Session 1.ppt

Technical Skills – Session 1 Prep date:Wednesday August 6th 2008 Instruction/practice date: August 13th, 2008 Fontbonne Rm 3, St. Joseph Hospital McMaster University Important Details PGY1s, need to know where Fontbonne 3 is Come in greens Practice knot tying before you come – we want to see slick, quick knots PGY2s, will be paired with PGY1s (same pairings as before) for help/supervision. Important Details PGY 2s – January presenters (you will be identified and reminded soon): Need your topics by Sept 5th If you don’t have a topic, let us know Goals and Objectives PGYI/II To learn: One handed and two handed ties Instrument ties Suturing technique Basic stitches Simple Running Subcuticular Simple Flap construction Goals and Objectives PGYI All residents: practice suturing and tying on turkey skin Tasks: Single straight incision, wavy incision Simple interrupted, running and subcuticular Circle anastomosis Simple interrupted sutures Z-Plasty, V-Y advancement, Limberg Simple interrupted Ortho and Plastics residents Practice stitching tendons on Pig Hocks advice-teaching from PGYIIs Goals and Objectives PGYII To practice suturing and tying To teach and supervise PGYIs To try more difficult suturing tasks Goals and Objectives PGYII All residents: Practice suturing and tying on turkey skin Complex shape Z-plasty V-Y advancement flap Limberg Flap Plastics/Urology/Gen Surg Vascular anastomosis if time permits Orthopaedics/Plastics Tendon anastomosis Session Stations Basic knot-tying station Practice your one and two-handed ties Turkey Skin Suturing on a simple surface Can use this for the Flap sessions Sheep Lung Model for thick tissue (thanks to John Evans) Practice deep sutures, follow the curve, don’t “hork” Pig Hocks Tendon suturing and thick skin suturing Evaluation You will be evaluated by: How well you tie knots. Ensure that an evaluator observes you tying slick, quick one and two-handed knots How well you suture Technique (holding the instrument, trajec