College of Physicians & Surgeons Pakistan
WHO Collaborating Centre for Research & Training
In Educational Development of Health Personnel
Workshop on Primary Surgical Skills
For Trainees in Surgery
& Allied Specialties
Rationale
Tremendous increase in the number of
trainees
Training received by the candidate
is varied depending on the venue of
training
Aims
To familiarize the surgical trainee with the required
knowledge and skills for performing basic surgical
procedures in order to standardize the training and
improve their competence in performing the desired
skills.
OBJECTIVES
College of Physicians & Surgeons Pakistan has decided to impart knowledge of
basic surgical skill to trainees of FCPS II in the Surgical & Allied discipline during first
year of residency. This mandatory workshop is of Three days duration. At the end of
the workshop, the participants will have the "awareness" and "skills" of the:
1. Basic operation room protocols and asepsis.
2. Surgical instruments handling.
3. Tying different types of knots.
4. Sutures, needles and suturing technique.
5. Handling of common problems in trauma & Tubular structures anastomosis
(gut, vessel, ureter, bladder and trachea on simulated and animal tissue).
6. Common Diagnostic procedures.
7. Introduction to Endoscopic surgery ( Laparoscopy)
Format: There will be no lecture programme. At the beginning of each session screen
demonstration of the procedure will be made followed by hands on practice,
supervised by a group of facilitators.
Session
Time
DAY ONE
Topic / Skill
Technique / Type
Theater Ethics
1. Scrubbing
2. Hands mopping
Single towel method
Double towel method
3. Gowning
4. Gloving
Closed method
Open method
Assisted method
Instrument Handling
Surgical blades and BP Putting the blades on the
handles
BP handle and taking
them off
2. Scissors
Disposal of sharp objects
3. Dissecting tissue
forceps
1.
Session Two
10:00 am
to
11:00 am
4.
Artery forceps
5.
Needle holder
6.
Intestinal clamps
Screen Demonstration followed by "Hands on" practice
Session One
08:30 am
to
10:00 am
DAY ONE
Session
Time
Topic / Skill
Technique / Type
Double handed reef knot.
Single handed reef knot.
Session Three
11:00 am
to
01:00 pm
Surgeons knot
Knotting
Aberdeen knot
Slip knot
Instrument tied knot
Session Four
01:00 pm
to
01:15 pm
Introduction to sutures and needles
Suturing Technique
Interrupted
Continuous
Vertical mattress
Horizontal mattress
Subcuticular
Screen demonstration Followed by "Hands
Knot tying at depth
DAY TWO
Trauma
Session
Session One
Time
8:30 am
to
10:30 am
Skill / Procedure
Type
Wound Debridement
Irrigation & excision of
dead tissues
Tendon Repair
Approximation & use of
non absorbable suture
Tubular Structure Repair & Anastomosis
Intestine
Session Three
11:30
to
12:30pm
Vessels
Session Four
12:30
to
01:15 pm
Bladder
Session Five
01:15
to
02: 00 pm
Ureter
End to side Gut
Anastomosis
Artreiotomy closure
Vein patch graft
Double layer continuous
repair
Oblique anastomosis
Screen Demonstration followed by "H
Session Two
10:30 am
to
11:30 pm
End to End extra
mucosal Anastomosis
DAY THREE
Diagnostic modalities & emergency
Sessionprocedures
Time
Skill / Procedure
Session
One
08:30 am
to
10:00 am
Session
Two
10:00 am to
11:30 am
Station I/II
Station III/IV
Station V/VI
Basic Life Support
On simulating
object
How to take biopsy
a) Needle Biopsy (Direct / Indirect)
Fine Needle Aspiration
Trucut
b) Punch Biopsy (Direct / Indirect)
Session
Three
Type
Station VII
Station VIII
c) Open Biopsy
Superficial lesion
Deep Lesion
11:30 am
to
1:00 noon
Common Emergency Procedures
Venous cut down
Tracheostomy
Practice on
Simulating
Objects & on
Endo-trainer
in rotation
On simulating
objects in
Continue
rotation
DAY THREE
Session
Session
Four
Time
1:00 pm
to
2:00 pm
Session Time
Concluding
session
02:00
to
02:15
Skill / Procedure
Type
Introduction to Endo Surgery
Laparoscopic Surgery
Use of long handle instrument
Hands Eye Coordination
Screen Demonstration
and practice on Endotrainer
Procedure
Workshop evaluation & Certificates
distribution
