![]() ![]() 1,12-14 Potential benefits of SFEEA as compared with hand-sewn anastomosis include reduced procedure time, decreased tissue trauma, decreased intraoperative contamination, consistency and repeatability of the anastomosis, and preservation of blood supply. They will then work with faculty who will be able to sign-off on their technical performance for each of those milestones.Studies have been conducted to evaluate the technique and outcome of SFEEA in veterinary medicine. They will be required to perform 10 cases as bed side assistant to show proficiency in docking and instrument changes. Residents will have access to a video library of cases that have been broken up into procedural milestones to prepare for supervised patient cases. Senior residents will continue to refine their skills during wet lab simulations for those listed procedures as well as for colorectal and laparoscopic foregut. During the residents' PGY 2 year they are able to have dry lab practice with robots utilizing the abdominal, inguinal hernia, anastomosis, suturing and tying models as well as wet lab robotic simulations for gall bladder, ventral hernia & inguinal hernia. They will then need to pass the required online virtual reality simulations. Orientation begins during the residents' PGY 1 year where they are given access to online learning modules. Northwestern has created it's own Robotics surgery curriculum for all General Surgery Residents. Further opportunities for practicing endoscopic skills are offered during the residents' senior years through simulations and faculty supervised patient encounters. During their PGY 3 year, residents are required to complete the SAGES FES certification exam. Residents are then required to complete virtual reality modules and an advanced endoscopy simulation during their PGY 1&2 years. Orientation and access to the SAGES online curriculum material is also given during the PGY 1 year. During residents' senior years they are offered numerous simulated opportunities to refine their skills, as well as supervised evaluation by faculty during patient encounters.įES certification is required for all General Surgery residents. During their PGY 2 year, residents will also register and complete the SAGES FLS certification exam. Residents are then required to complete any online requirements, dry lab simulations, and basic & advanced Verification of Proficiency examination during their PGY 1&2 years. Orientation and access to the SAGES online curriculum material is given during the PGY 1 year. Areas that are covered in this curriculum includes but are not limited to: trauma laparotomy, colorectal endoscopy, ventral and inguinal hernia repair, kidney transplantation, foregut repair, and vascular repair.įLS certification is required for all General Surgery and Thoracic Surgery residents. Most of the skills are taught in three parts which include open hands-on techniques, laparoscopic or endoscopic techniques, and robotic techniques. Our Senior Skills curriculum covers surgical procedural based simulations, where residents work in groups with faculty to complete a full simulated procedure. Our Mid-Level Skills curriculum covers more advanced surgical simulations that include endoscopy, laparotomy, ultrasound led biopsy, hand-sewn & stapled anastomosis, vascular Anastomosis, and tissue graft. These basic surgical & ICU skills include but are not limited to: suturing, biopsy and wound closure, central line placement, arterial line placement, foley catheter placement, chest tube placement, c ricothyrotomy, FAST, ATLS, laparoscopy, and laparotomy.Īlso during the PGY 1 year, residents complete an ICU Preparedness Course where they have in-depth simulations and lectures covering: sepsis & shock, bronchoscopy & tracheostomy management, ventilators, arrhythmias & PAC utilization, neurogenic shock & neurologic dysfunction, hepatic failure & hepato-renal syndrome, and renal failure. Following the introductions during the Boot Camp, PGY 1 residents continue to refine their skills in the Intern Skills curriculum before being tested for verification of proficiency. These introductory days cover basic surgical and ICU skills that first year residents would have opportunities to then complete on patients under supervision. Northwestern's Surgical Technical Skills training begins with a two day Boot Camp during the new resident orientation week. ![]()
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