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Discover the requirements and components of Fundamentals of Laparoscopic Surgery (FLS) certification, and gain ideas for implementing FLS into your residency training. Join us to explore different strategies for integrating FLS, discuss costs and supplies, and plan curriculum incorporating FLS.
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Jazzin' It Up: Ideas for Implementing FLS into your Residency Curriculum
Disclosures • Dr. Auguste is paid editor for Springer publishing • Dr.Page-Ramsey is a paid author for McGraw-Hill • Dr. Page-Ramsey is a paid clinical trainer for Merck • Drs. Auguste, Kaufman, and Page-Ramsey are oral board examiners for the American Board of Obstetrics and Gynecology (ABOG)
Objectives • Know the requirement for Fundamentals of Laparoscopic Surgery (FLS) certification for residents who desire board certification after 2020. • Know the required components for FLS certification. • Gain ideas for incorporating FLS certification into residency training.
SPR *NOT a requirement from CREOG nor ACGME
Why FLS? SPR
Task 1: Peg Transfer • Move all 6 from one side to the other and back • Must transfer the ring between hands each time • Maximum time is 300 seconds LK
Task 2: Precision Cutting • Cut circle out of gauze • Only have to cut top layer • Maximum time is 300 seconds LK
Task 3: Ligating Loop • Ligate appendage • Cut suture • Maximum time is 180 seconds LK
Task 4: Suture with Extracorporeal Knot • Place suture through dots • Tie 3 extracorporeal knots • Cut suture • Maximum time is 420 seconds LK
Task 5: Suture with Intracorporeal Knot • Place suture through dots • Tie 3 intracorporeal knots • Cut suture • Maximum time is 600 seconds LK
Breakout Session-begin worksheet What barriers have you identified? (assign groups) SPACE COST EQUIPMENT TIME TIMING KB
This slide will show the worksheet and QR code https://drive.google.com/open?id=1OHUqCCXbyqxgKiR3zsc09sq3-XOXM4Oy KB
Integration into UF Jacksonville Ob/Gyn Curriculum • PGY 2 (GYN and ONC rotations) and PGY 3* (UROGYN) • Staffed in classroom with 3 towers • ~3 hour sessions weekly • practice for the manual dexterity portion l • learn all five required skills • practice skills for time and accuracy • Creation of a study guide • Faculty determines the resident’s readiness for simulated timed tests using proctored exam with true FLS equipment and disposables (purchased one full set with cart). • If able to complete all skills accurately and in an appropriate time, will sign up for exam. • Nearest sites: Tampa; Miami, Atlanta, Charleston, Fort Gordon KB
MedStar Simulation Curriculum • Monthly simulation labs • Separate PGY 1 & 2 labs from PGY 3 &4 • Both GYN and OB stations • FLS practice is a monthly GYN station • FLS is a proctored station • FLS Wars between General Surgery and OBGYN • FLS Olympics within OBGYN • End of the year prizes for Gold, Silver, Bronze (Starbucks cards) TA
SUNY Upstate Medical University OBGYN Approach to FLS • NO FLS testing center within 4 hour radius-plan for current PGY 2 & 3 to be tested on site this July • Department Sim center- purchased 2 FLS boxes, practice on low tech boxes as well • PGY 2-3 sign up via Google Calendar for daily access to sim boxes, low tech are on L&D-Attg in Sim area supervises tasks • Additional time Sim Fridays-PGY 1-4 • MIS rotation (PGY-3), Research (3) , REI (3), Family Planning (2) rotation all with dedicated practice time-80 hrs LK
University of Texas Health Science Center at San Antonio Solution Dedicated time during the urogynecology rotation • Met w surgical education director • Determined 12-20 hours adequate for skills practice • Scheduled ½ day/week for 8 week block (32 hours) • Chose PGY-3 year because they already have basic skills Modules and Practice • Department purchased 2 trainers • 24 hr access via keycode lock • Training sheets w goals and times (faster than required) • Uninterrupted • Same equipment used in testing center Certified testing center last week of rotation SPR
Breakout Session • Curriculum Planning • Complete your worksheet • How can you implement a program at your institution? SPR
Breakout Session • Curriculum Planning (worksheet) • How much time? • When in your curriculum? • What equipment do you have? What do you need? • What space do you need? • What would be the cost for the equipment and materials? KB
Breakout Session • Curriculum Planning (worksheet) • How much time? • When in your curriculum? • What equipment do you have? What do you need? • What space do you need? • What would be the cost for the equipment and materials? SPR
Breakout Session • Curriculum Planning (worksheet) • How much time? • When in your curriculum? • What equipment do you have? What do you need? • What space do you need? • What would be the cost for the equipment and materials? TA
Breakout Session • Curriculum Planning (worksheet) • How much time? • When in your curriculum? • What equipment do you have? What do you need? • What space do you need? • What would be the cost for the equipment and materials? KB
Breakout Session • Curriculum Planning (worksheet) • How much time? • When in your curriculum? • What equipment do you have? What do you need? • What space do you need? • What would be the cost for the equipment and materials? TA
Questions? • Sarah M. Page-Ramsey, MD • University of Texas Health Science Center at San Antonio • pageramsey@uthscsa.edu • Leah Kaufman, MD • State University of New York – Upstate • kaufmale@upstate.edu Kelly Best, MD • University of Florida at Jacksonville • Kelly.best@jax.ufl.edu • Tamika Auguste, MD • MedStar Washington Hospital Center / Georgetown University • Tamika.c.auguste@medstar.net SPR