Training with a proficiency-based virtual reality simulator in combination with the specific guidelines set forth by American College of Surgeons/Association of Program Directors in Surgery Surgical Skills Curriculum for Residents Phase 2: Advanced Procedures creates an optimal learning environment for participants.

This curriculum aims to provide the participant with the essential education materials and simulation assignments needed to acquire the skills and core competencies in those procedures deemed essential to the general surgeon. The curriculum adheres to the objectives outlined by ACS/APDS and their corresponding training modules. When applicable, the use of Simbionix simulations is incorporated within the modules to provide skills training.

  • To gain knowledge of the following procedures from the ACS/APDS Phase 2 curriculum using video-based didactic learning:
    • Laparoscopic Ventral Hernia Repair
    • Open Colon Resection, Lap Right Colon Resection
    • Laparoscopic Sigmoid Resection
    • Open Right Colon Resection
    • Laparoscopic/Open Bile Duct Exploration
    • Laparoscopic Ventral/Incisional Hernia Repair (Porcine Model)
    • Laparoscopic Appendectomy
    • Laparoscopic Nissen Fundoplication
    • Sentinal Node Biopsy & Axillary Lymph Node Dissection
    • Open Inguinal/Femoral Hernia Repair
    • Laparoscopic Inguinal Hernia Repair
    • Laparoscopic/Open Splenectomy
    • Laparoscopic/Open Cholecystectomy
    • Gastric Resection & Peptic Ulcer Disease
    • Parathyroidectomy/Thyroidectomy
  • To acquire and practice the skills required to perform the following procedures from the ACS/APDS Phase 2 curriculum in an inanimate setting on simulated operative cases:
    • Laparoscopic Ventral/Incisional Hernia Repair
    • Laparoscopic Sigmoid Resection
    • Laparoscopic Appendectomy
    • Laparoscopic Cholecystectomy
    • Gastric Bypass procedure

General Surgery

Target Audience

Residency programs and residents interested in using Simbionix simulations while following the ACS/APDS Surgical Skills Curriculum for Residents to acquire the knowledge and skills necessary to perform the core set of procedures for a general surgeon.


Participants have a fundamental set of medical knowledge including basic anatomy and familiarization with basic instrumentation for open and laparoscopic procedures.

Basic Skills and Tasks
Possessing core skills and the ability to perform basic tasks is essential before mastering the procedural skills. To get the most from the curriculum, participants are expected to have to have successfully completed the ACS/APDS Surgical Skills Curriculum for Residents Phase 1: Basic/Core Skills and Tasks modules.

Suggested Time Length

Each module varies depending on the laboratory component but range from one to three hours. Didactic materials should take no longer than one hour to review with supplemental materials available for deeper study and review.


This curriculum strictly adheres to the advanced skills and procedures modules outlined in ACS/APDS Surgical Skills Curriculum for Residents Phase 2: Advanced Procedures defined by the National Simulation Curriculum Committee sponsored by the American College of Surgeons and the Association of Program Directors in Surgery. When possible, Simbionix has utilized other recognized experts to provide supplemental materials in their areas of expertise for each module:

George Crawford, MD. The Crawford Clinic, Anniston, AL.
Philippe Topart, MD. Clinique de l’Anjou, Angers, France. (SAGES, ASBMS)
Guillaume Becouarn, MD. Clinique de l’Anjou, Angers, France.