OB/GYN PGY-3

Description

The aim of this course is to allow residents/fellows and medical students as well as attending physicians to acquire basic level skills in laparoscopic gynecology including hands-on simulation-based training of essential OB-GYN procedures, needed to acquire the skills and core competencies for OB-GYN PGY-3 training.

The course components include:

  1. FLS Training
  2. Suturing
  3. Ectopic Pregnancy & Oophorectomy

FLS Training

Tasks include peg transfer, pattern cutting and placement of ligating loop.

Suturing and Knot Tying

Learn and practice basic suturing techniques for all fields of laparoscopic surgery: Needle loading and needle insertion techniques, knot tying techniques such as half knot, square knot, and ligature knot and practice performing interrupted and continuous suture. Tasks are illustrated by instructional videos.

Ectopic Pregnancy & Oophorectomy

Experience a range of patient pathologies and various techniques and surgical instruments. Included are a variety of complications and emergency situations such as bleeding at the implantation site, a ruptured fallopian tube and a blood-filled abdominal cavity.

Objectives
  • To become accustomed to the fulcrum effect, laparoscopic depth perception and eye hand coordination.
  • To practice coordinated hand movements.
  • To accurately and efficiently grasp objects and transfer them to designated areas.
  • To train on the use of laparoscopic scissors for cutting.
  • To become familiarized with the method of placing a ligating loop.
  • To learn and practice needle loading and needle insertion techniques.
  • To perform interrupted and continuous suture.
  • To become familiarized with different knot tying techniques such as half knot, square knot, and ligature and surgeon`s knot.
  • Practice fundamental GYN procedures: Ectopic pregnancy and salpingo-oophorectomy.
  • Gain experience with various techniques and surgical instruments.
  • Learn to avoid and control complications and emergency situations such as bleeding at the implantation site, a ruptured fallopian tube and a blood-filled abdominal cavity.
Specialties

Obstetrics and Gynecology

Target Audience

OB/GYN PGY-3

Assumptions

It is recommended to include a cognitive skills module at the beginning of the training program. No previous procedural or technical knowledge is required.

Suggested Time Length

18 hours

Authors

The Laparoscopic Basic Skills and Essential Gynecology Modules were created in collaboration with:

  • Amir Szold, MD, Medical Director, Assia Medical Group, Assuta Hospital, Tel Aviv, Israel.
  • Eric Jelovsek, M.D. , Assistant Professor of Surgery, Cleveland Clinic Lerner College of Medicine, Case Western Reserve University.
  • Jonathon Solnik, MD, Director, Minimally Invasive Gynecologic Surgery, Assistant Residency Program Director, Dept OB/Gyn, Cedars-Sinai Medical Center, Assistant Clinical Professor, Dept OB/Gyn, The David Geffen School of Medicine at UCLA.
  • 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
  • Prof. Goldenberg Mordechai, Roy Mashiach, MD, Minimally Invasive Gynecologic Surgery, Sheba Medical Center at Tel Hashomer.
  • Yaron Munz, MD, Senior Surgeon, Dept. of General Surgery, Rabin Medical Center, Golda Campus – Hasharon. Director of Surgical Simulation, The Israel Centre for Medical Simulation, Sheba Medical Centre, Tel Hashomer.