Simulation and Training Laboratory
In 1998, the UT Southwestern Medical Center for Minimally Invasive Surgery established one of the best (and earliest) skills labs in the United States. The Simulation and Training Laboratory is housed in the medical school building and contains a wide variety of heavily utilized simulation equipment within its 1,500-square-feet. In June 2006 the Center became accredited through the American College of Surgeons as a Regional Education Institute.
The Center for Minimally Invasive Surgery offers educational and training programs for students, residents, nurses, practicing physicians, and other allied-health professionals. The core of its mission is to provide the most up-to-date education and training in minimally invasive surgical techniques. Numerous modalities, including didactic lectures, computer-based tutorials, laparoscopic and virtual reality simulators, bench models, live surgery videoconferencing, and hands-on practice on operative models, are used to facilitate teaching knowledge, judgment, and technical skill components. Much of this teaching is conducted in the Simulation and Training Laboratory, as well as other center and campus facilities.
Simulators include a six-station Karl Storz Videotrainer (equipped with the five "Southwestern" stations, as well as FLS models and Common Bile Duct Exploration models), three MIST VR Systems, TEP Inguinal Hernia models, a Simbionix UroMentor and GIMentor, a B&K Ultrasound Machine and Sono Phantoms, and stereotactic breast biopsy equipment.
Numerous ongoing training courses are routinely offered and are supervised by the center's education coordinator, Kristine Gilberg-Fisher, R.N., and Seifu Tesfay, R.N., M.S., and faculty from several departments.
Skills Lab Curricula Video Tutorials
Open Knot Tying and Suturing Curriculum
Real Player is required to view the training videos. If you do not have Real Player click here to download your free copy.
- Task 1: Palm Needle Driver
- Task 2: Knot-tying, No Tension, 2-handed
- Task 3: Knot-tying, No Tension, 1-handed
- Task 4: Knot-tying, Under Tension, 2-handed, Surgeon's Knot
- Task 5: Knot-tying, Under Tension, 2-handed, Slip Knot
- Task 6: Knot-tying, Under Tension, 1-handed, Slip Knot
- Task 7: Suturing, Interrupted, Simple
- Task 8: Suturing, Interrupted, Horizontal Mattress
- Task 9: Suturing, Interrupted, Vertical Mattress
- Task 10: Suturing, Running, Simple
- Task 11: Suturing, Running, Subcuticular
- Task 12: Suturing, Interrupted, Subcuticular
Southwestern Videotrainer Skills Tutorials
- Task 1: Bean Drop
- Task 2: Running String
- Task 3: Checkerboard
- Task 4: Block Move
- Task 5: Suture Foam (Instrumentation)
- Task 5: Suture Foam (Task and Errors)
Skills Lab Curricula And Supporting Materials
Surgery Residents
General Open Knot-Tying and Suturing:
- Curriculum
- Score sheets
- Video Tutorials (above)
- Pre Test Questionnaire
- Post Test Questionnaire
- References - Scott DJ, Goova MT, Tesfay ST. A Cost-effective proficiency-based knot-tying and suturing curriculum for residency programs. J Surg Res, 141:7-15, 2007.Goova MT, Hollet LA, Tesfay ST, Gala RB, Puzziferri N, Kehdy FJ, Scott DJ. Implementation, construct validity, and benefit of a proficiency-based knot-tying and suturing curriculum. J Surg Education (in press)
Trauma/Critical care:
- Surgical Airway
- Basic Ventilator Management
- Advanced Ventilator Management
- Ultrasound for Central Line Placement
- Ultrasound in the ICU
- Ultrasound for Trauma FAST
- Swann Ganz Catheter/Hemodynamic Monitoring
- ATOM: Advanced Trauma Operative Management
- TEC: Trauma Exposure Course
- Tracheostomy & PEG Tube Insertion
- Basic Echocardiography
Breast:
- Curricula
- Scoresheets
- Percutaneous Breast Biopsy
- Ultrasound Guided Breast Biopsy
- Breast Cryoablation
Vascular:
Laparoscopic:
- Lap I Basic Laparoscopic Skills: Southwestern Stations
- Lap II Basic & Advanced Laparoscopic Skills: FLS
- Fundamentals of Laparoscopic Surgery (FLS) Ongoing Training
- Laparoscopic Common Bile Duct Exploration (LCBDE)
- Laparoscopic Cholecystectomy and Appendectomy
- Laparoscopic Port Insertion
- Laparoscopic Energy Sources
- Laparoscopic Inguinal Hernia Repair
- SAGES Top 14
- Curriculum
- References
- SAGES Biliary Grand Rounds
- Robotic Training:
Endoscopic:
Team Training:
3rd Year Medical Students and PA Students
- Open Knot-tying and Suturing (Introduction)
- Foley Catheter Insertion
- Breast Exam
- References
MS3 Skills Poster Presentation :
Naylor RA, Hollett LA, Mitchell IC, Bowling MW, Ma A, Dineen SP, Bruns BR, Scott DJ. Can medical students achieve skills proficiency through simulation training? Surgical Education Week, Association for Surgical Education, Toronto, Canada, Apr. 15-19, 2008.
4th Year Medical Students (Preparation for Surgical Internship Course)
- Open Knot-Tying and Suturing
- Lap II Basic & Advanced Laparoscopic Skills: FLS
Department Of Gynecology
Gynecology Residents
- Open Knot-tying and Suturing
- Lap II Basic & Advanced Laparoscopic Skills: FLS
- Basic Laparoscopic and Open Cadaver Course
- Team Training: Laparoscopic Patient Safety, Communication, and Leadership (joint curriculum with Departments of Surgery, Gynecology, Anesthesia, and Nursing)
3rd Year Medical Students and PA Students
- Lap I Basic Laparoscopic Skills (Introduction)
Department Of Urology
- UroMentor: Cystoscopy, Uretersocopy, & Percutaneous Nephrostomy
- LapMentor: Laparoscopic Skills
Department Of Anesthesia
- Team Training: Laparoscopic Patient Safety, Communication, and Leadership (joint curriculum with Departments of Surgery, Gynecology, Anesthesia, and Nursing)