Kolegium Bedah Indonesia Basic Laparascopic Coordination Skills StandardLab Session: B

B06

Kolegium Bedah Indonesia, PBEI and Johnson & Johnson Medical Indonesia

(* Developed by Surgery Department, Kariadi Hospital in collaboration with Lap101-Johnson & Johnson as part of the Curriculum of BSS2 Approved by Kolegium Bedah Indonesia April 24, 2009, Bali)

Dry Lab Training Standard for Surgical Interns in Indonesia

The following 8 Standard Laparoscopic Skills exercise has been reviewed and approved by the Commission for Laparoscopic Curriculum chartered by the Kolegium Bedah Indonesia on April 25, 2009 in Bali as the Standard Dry Lab Training in Basic Laparoscopy of the Surgical Interns.

The candidate must be able to complete ALL exercises in the maximum time allocated.

A 100% PASS in all 8 exercises as examined by appointed Kolegium instructors is required for the candidate to proceed to the Animal Lab Exercise.

_____________ _______________Dr. Nurhayat Prof. AryonoCommission Chairman President, Kolegium

Bedah Indonesia.

Objective of Basic Coordination Skills Workshop

Demonstrate three-dimensional spatial perception from a two-dimensional video image.

Operate with both the dominant and nondominant hand and coordinate the use of both hands.

Demonstrate basic laparoscopic skills before entering the operating room.

Distinguish between different tactile inputs. Work with reversed hand-eye axis (mirror image).

Remarks by Dr. Andy Maleachy

April 2009: Kariadi Hospital, Semarang

Materials Needed: 2 Petri Dish and Small Balls One grasper

Activity: Segment A: With dominant hand,

move 10 balls from right to left. Segment B: With non-dominant

hand, move 10 balls from left to right

Error Definition: Dropped balls outside of petri

dish Inappropriate hand used

Time for Completion: For both segments,120 seconds

#1: Basic Grasper Exercise

Materials Needed: 10 thumb tac on soft board 10 soft rubber rings Two graspers

Activity: Segment A: Pick up one ring with

dominant hand, transfer to non-dominant hand, place in thumb tacks. Repeat 5 times.

Segment B: Pick up one ring with non-dominant hand, transfer to dominant hand, place in thumb tacks. Repeat 5 times.

Error Definition: Ring dropped Inappropriate hand used Appropriate transfer not completed

Time for Completion: For both segments, 240 seconds

#2: Two hand transfer

Materials Needed: 16 golf tees and balls One grasper

Activity: Segment A: Use dominant

hand to move 4 balls to high tees and 4 balls to lower tees.

Segment B: Use non-dominant hand to move 4 balls to high tees and 4 balls to lower tees.

Error Definition: Knocking down tees Dropped ball.

Time for Completion: For both segments, 300

seconds

#3: Placement of Balls on Tees

Materials Needed: Small rings Two upright metal pole

Activity: Segment A: Using dominant

hand, place 5 rings stacked into first pole.

Segment B:Using non-dominant hand, place 5 rings stacked into second pole.

Error Definition: Dropping the rings outside

the pole Time for Completion: For both segments, 300

seconds

#4: Stacking Rings thru Nails

Materials Needed: Three rings Metal wire shaped

Activity: Starting with the larger rings,

with a grasper in the dominant hand, move the rings one at a time, to the other end. Repeat until all 3 rings are moved.

Error Definition: Dropping the ring Did not reach other end

Time for Completion: 120 seconds

#5: Single Handed Ring transfer

Materials Needed: 2 Rings Metal wired shaped in 3-

dimension Activity: Starting with the larger rings,

with a grasper in the dominant hand, and another grasper in non-dominant hand, move the rings one at a time, to the other end. Repeat until all 2 rings are moved.

Error Definition: Dropping the ring Did not reach other end

Time for Completion: 120 seconds

#6: Two handed Ring transfer

Materials Needed: A small size rubber or silicon

tubing with 5 markings equally spaced

Activity: Using a scissor in the

dominant hand, and a grasper in the non dominant hand, cut the tubing at the marked area in 5 pieces.

Error Definition: Cutting in unmarked area Dropping the tubing

Time for Completion: 120 secs

#7: Scissor exercise

Materials Needed: A rope 9 rings with different heights Graspers

Activity: Using two graspers, pass the

rope thru the 9 rings. Error Definition: Fail to pass thru rings Dropping the rope

Time for Completion: 300 secs

#8: Rope thru 9 rings

Laparoscopic Dry Lab Test Sign-off For Resident Training

NAME:____________________________

AFFILIATION: ______________________

Task Pass/Fail Time Required Time Referee Signature

#1: Basic Grasper Exercise REQUIRED 120

#2: Two hand transfer REQUIRED 240

#3: Placement of balls on Tee REQUIRED 300

#4: Stacking rings thru Nails REQUIRED 300

#5: Single Handed Ring Transfer REQUIRED 120

#6: Two handed ring transfer REQUIRED 120

#7: Scissor Exercise REQUIRED 120

#8: Rope thru 9 rings REQUIRED 300

Note: Designated referees will be available to time and sign off. Passing all required exercises is a requirement to proceed to the animal stage of the training.

Presented by:

April 2009: Kariadi Hospital, Semarang

Kolegium Bedah Indonesia Basic Laparascopic Coordination Skills StandardLab Session: BDry Lab Training Standard for Surgical Interns in IndonesiaObjective of Basic Coordination Skills WorkshopRemarks by Dr. Andy Maleachy#1: Basic Grasper Exercise#2: Two hand transfer#3: Placement of Balls on Tees#4: Stacking Rings thru Nails#5: Single Handed Ring transfer#6: Two handed Ring transfer#7: Scissor exercise#8: Rope thru 9 ringsLaparoscopic Dry Lab Test Sign-off For Resident TrainingPresented by:

Kolegium Bedah Indonesia Basic Laparascopic Coordination Skills StandardLab Session: B

B06

Kolegium Bedah Indonesia, PBEI and Johnson & Johnson Medical Indonesia

(* Developed by Surgery Department, Kariadi Hospital in collaboration with Lap101-Johnson & Johnson as part of the Curriculum of BSS2 Approved by Kolegium Bedah Indonesia April 24, 2009, Bali)

Dry Lab Training Standard for Surgical Interns in Indonesia

The following 8 Standard Laparoscopic Skills exercise has been reviewed and approved by the Commission for Laparoscopic Curriculum chartered by the Kolegium Bedah Indonesia on April 25, 2009 in Bali as the Standard Dry Lab Training in Basic Laparoscopy of the Surgical Interns.The candidate must be able to complete ALL exercises in the maximum time allocated.A 100% PASS in all 8 exercises as examined by appointed Kolegium instructors is required for the candidate to proceed to the Animal Lab Exercise.

_____________ _______________Dr. NurhayatProf. AryonoCommission ChairmanPresident, Kolegium Bedah Indonesia.

Objective of Basic Coordination Skills Workshop

Demonstrate three-dimensional spatial perception from a two-dimensional video image.Operate with both the dominant and nondominant hand and coordinate the use of both hands.Demonstrate basic laparoscopic skills before entering the operating room.Distinguish between different tactile inputs.Work with reversed hand-eye axis (mirror image).

Remarks by Dr. Andy Maleachy

April 2009: Kariadi Hospital, Semarang

Materials Needed:2 Petri Dish and Small BallsOne grasperActivity:Segment A: With dominant hand, move 10 balls from right to left.Segment B: With non-dominant hand, move 10 balls from left to rightError Definition:Dropped balls outside of petri dishInappropriate hand usedTime for Completion:For both segments,120 seconds

#1: Basic Grasper Exercise

Materials Needed:10 thumb tac on soft board10 soft rubber ringsTwo graspersActivity:Segment A: Pick up one ring with dominant hand, transfer to non-dominant hand, place in thumb tacks. Repeat 5 times.Segment B: Pick up one ring with non-dominant hand, transfer to dominant hand, place in thumb tacks. Repeat 5 times.Error Definition:Ring droppedInappropriate hand usedAppropriate transfer not completedTime for Completion:For both segments, 240 seconds

#2: Two hand transfer

Materials Needed:16 golf tees and balls One grasperActivity:Segment A: Use dominant hand to move 4 balls to high tees and 4 balls to lower tees.Segment B: Use non-dominant hand to move 4 balls to high tees and 4 balls to lower tees. Error Definition:Knocking down teesDropped ball.Time for Completion:For both segments, 300 seconds

#3: Placement of Balls on Tees

Materials Needed:Small ringsTwo upright metal poleActivity:Segment A: Using dominant hand, place 5 rings stacked into first pole.Segment B:Using non-dominant hand, place 5 rings stacked into second pole.Error Definition:Dropping the rings outside the poleTime for Completion:For both segments, 300 seconds

#4: Stacking Rings thru Nails

Materials Needed:Three ringsMetal wire shapedActivity:Starting with the larger rings, with a grasper in the dominant hand, move the rings one at a time, to the other end. Repeat until all 3 rings are moved.Error Definition:Dropping the ringDid not reach other endTime for Completion:120 seconds

#5: Single Handed Ring transfer

Materials Needed:2 Rings Metal wired shaped in 3-dimensionActivity:Starting with the larger rings, with a grasper in the dominant hand, and another grasper in non-dominant hand, move the rings one at a time, to the other end. Repeat until all 2 rings are moved.Error Definition:Dropping the ringDid not reach other endTime for Completion:120 seconds

#6: Two handed Ring transfer

Materials Needed:A small size rubber or silicon tubing with 5 markings equally spaced Activity:Using a scissor in the dominant hand, and a grasper in the non dominant hand, cut the tubing at the marked area in 5 pieces.Error Definition:Cutting in unmarked areaDropping the tubingTime for Completion:120 secs

#7: Scissor exercise

Materials Needed:A rope9 rings with different heightsGraspersActivity:Using two graspers, pass the rope thru the 9 rings.Error Definition:Fail to pass thru ringsDropping the ropeTime for Completion:300 secs

#8: Rope thru 9 rings

Laparoscopic Dry Lab Test Sign-off For Resident Training

Note: Designated referees will be available to time and sign off. Passing all required exercises is a requirement to proceed to the animal stage of the training.

Sheet1

NAME:____________________________

AFFILIATION: ______________________

TaskPass/FailTimeRequired TimeReferee SignatureReferee Signature

#1: Basic Grasper ExerciseREQUIRED120

#2: Two hand transferREQUIRED240

#3: Placement of balls on TeeREQUIRED300

#4: Stacking rings thru NailsREQUIRED300

#5: Single Handed Ring TransferREQUIRED120

#6: Two handed ring transferREQUIRED120

#7: Scissor ExerciseREQUIRED120

#8: Rope thru 9 ringsREQUIRED300

Sheet2

Sheet3

Presented by:

April 2009: Kariadi Hospital, Semarang