General Surgery PGY-1


This curriculum aims to provide the participant with the essential simulation assignments needed to acquire the skills and core competencies for General Surgery PGY-1 training.

The course components include:

  1. Basic Laparoscopic Skills Training
  2. Basic Laparoscopic Skills – Demonstration of Proficiency
  3. Appendectomy Procedural Tasks
  4. Appendectomy Guided Technique
  5. Appendectomy Complete Procedure

Basic Skills Proficiency-Based Training

Training within a proficiency-based virtual reality curriculum may reduce errors during real surgical procedures. The basic skills training within this curriculum is based on Development of a Virtual Reality Training Curriculum for Laparoscopic Cholecystectomy (Darzi et al. British Journal of Surgery 2009; 96: 1086–1093). The aim of the training curriculum is for an individual to acquire skills and reach a predetermined level of proficiency before progressing to more challenging cases.


Acquire skills and knowledge of key components of the Appendectomy procedure: Exposure of the appendix; division of the mesoappendix and appendix; specimen retrieval and control of hemostasis.

  • To practice and acquire competence in basic laparoscopic skills: Camera manipulation; Eye-hand coordination; Clipping and grasping; Two-handed maneuvers.
  • To practice the skills and techniques essential for the laparoscopic appendectomy procedure in a simulated environment.
  • To practice appendectomy complete procedure in an unrestricted environment.

General Surgery

Target Audience

General Surgery PGY-1


No previous procedural or technical knowledge is required.

Suggested Time Length

12 hours


The Basic Skills and Appendectomy modules were developed in collaboration with:

  • Amir Szold, MD, Medical Director, Assia Medical Group, Assuta Hospital, Tel Aviv, Israel.
  • Emile Rijcken, MD, Staff Surgeon, Department of General and Visceral Surgery, Muenster University Hospital, Germany.
  • Jeffrey L. Ponsky, M.D., Oliver H. Payne Professor and Chairman, Department of Surgery, CWRU School of Medicine, Surgeon in Chief, University Hospitals, Case Medical Center, Cleveland, Ohio.
  • Jeffrey M. Marks, M.D., FACS, FASGE, Professor of Surgery, Director of Surgical Endoscopy, Program Director, Case Surgery University Hospitals, Case Medical Center, Cleveland, Ohio.
  • Rajesh Aggarwal MD PhD MA FRCS, Instructor in Gastrointestinal Surgery, University of Pennsylvania.