SURGERY 7015HO - Minimal Invasive Surgery Clinical Practice II

Teaching Hospitals - Quadmester 3 - 2021

The course will provide comprehensive clinical training to a high level of competency in the practice of minimally invasive surgical techniques. Using knowledge gained in Clinical Practice I, students will gain increasing experience in the performance of minimally invasive surgical techniques. Students will learn to identify and treat problems, as well as improve their techniques by self evaluation of recorded material. They will create instructional DVDs describing operative techniques based on their work during the year.

  • General Course Information
    Course Details
    Course Code SURGERY 7015HO
    Course Minimal Invasive Surgery Clinical Practice II
    Coordinating Unit Surgical Specialties
    Term Quadmester 3
    Level Postgraduate Coursework
    Location/s Teaching Hospitals
    Units 3
    Available for Study Abroad and Exchange N
    Prerequisites SURGERY 7014HO
    Restrictions Available to M.Minimally Invasive Surgery students only
    Course Description The course will provide comprehensive clinical training to a high level of competency in the practice of minimally invasive surgical techniques. Using knowledge gained in Clinical Practice I, students will gain increasing experience in the performance of minimally invasive surgical techniques. Students will learn to identify and treat problems, as well as improve their techniques by self evaluation of recorded material. They will create instructional DVDs describing operative techniques based on their work during the year.
    Course Staff

    Course Coordinator: Peter Hewett

    Additional Academic Staff:

    Name Phone Email Location
    Mr (Chrys) Indran Chrysantha Sri Lal Hensman MBBS (Hons) FRACS 03 9760 2777 chris.hensman@adelaide.edu.au Melbourne
    Mr Alex Karatassas MBBS, FRACS 08  8222 6750 alex.karatassas@adelaide.edu.au The Queen Elizabeth Hospital
    Dr Dinesh TrehanMBBS, MS (Gen.Surg), DNB (Gen.Surg)FRACGP, FRACS 08  8182 9000 dinesh.trehan@adelaide.edu.au Royal Adelaide Hospital
    Dr. Santosh Antony 0lakkengil, MBBS, DNB (Gen.Surg.), M.MinInvSu.(Aus), FIAGES 08 8123 6826 santosh.olakkengil@adelaide.edu.au Royal Adelaide Hospital
    Administrative Contact

    Name Phone Email Location
    Ms Sally Lauder 08 8222 7024 sally.lauder@health.sa.gov.au The Queen Elizabeth Hospital
    Course Timetable

    The full timetable of all activities for this course can be accessed from Course Planner.

  • Learning Outcomes
    Course Learning Outcomes
    On successful completion of this course students will be able to:

    1 Demonstrate proficiency in use of equipment and instrumentation used in minimally invasive surgery.
    2 Identify and treat problems that arise during minimally invasive surgery.
    3 Understand how to improve techniques by self-evaluation of recorded operative cases.
    4 Demonstrate how to produce an instructional DVD on a minimally invasive surgery procedure.
    5 Assimilate complex surgical techniques by creating an instructional DVD based on work during the year.
    6 Demonstrate a range of aspects in minimally invasive surgery after attending the surgical skills workshop.
    University Graduate Attributes

    No information currently available.

  • Learning & Teaching Activities
    Learning & Teaching Modes

    With increasing experience students will, under supervision, perform minimally invasive surgical cases. At the end of Term/Quadmester 3 students will have created an instructional DVD on a minimally invasive surgical procedure.

    As with Clinical Practice I, Clinical Practice II will be delivered via the approved clinical position that each student will hold in a surgical unit of a hospital. They will be working with a clinical mentor (a surgical consultant) who will be supervising their surgical experience. The assessment of this skill acquisition will also be based on the Royal Australasian College of Surgeons' (RACS) practical logbook assessment and performance. The logbook data will be recorded to allow assessment of the experience of the student in minimally invasive surgery. Total operative experience is also required to be recorded and a formal assessment of this experience is undertaken at the completion of each six-month period by the student’s mentor.

    All mentors supervising the students in their geographical locality are required to be Fellows of the Royal Australasian College of Surgeons (RACS) or Fellows of the Royal Australian and New Zealand College of Obstetrics and Gynaecology (RANZCOG). Students of the Master of Minimally Invasive Surgery, in their locality, will receive ongoing specialty medical training which is attained under the auspices of these Colleges and is delivered by appropriately trained and accredited Fellows. All Fellows are required to participate in their own Continuing Professional Development programs and fulfil requirements in all aspects of surgical practice including supervision of other surgeons. They are required to submit a recording of their Continuing Professional Development on an annual basis, with additional random auditing taking place each year. So whilst some mentors will not have specific University oversight, by the nature of their position all Fellows are required to fulfil the Colleges’ standards and clinical governance which will thus be enforced within the University of Adelaide and the individuals.

    Workload

    The information below is provided as a guide to assist students in engaging appropriately with the course requirements.

    Type No of sessions Duration of sessions (hrs) Total hours
    Practicals 10 4 40
    Exam 1 1 1
    Clinical Workshop 3 6 18
    Updating log book 10 2 20
    Debrief with mentor 10 2 20
    Weekly reading/study 10 2 20
    Operative preparation 10 2 20
    Test preparation 10 2 20
    Exam preparation 1 5 5
    Total workload per term 164
    Learning Activities Summary

    Term 3

    Week Topic Lecture
    1 Clinical role in hospital Clinical practice supervision will be delivered via the approved clinical position that each student will hold in a surgical unit of a hospital. 
    2 Clinical role in hospital Clinical practice supervision will be delivered via the approved clinical position that each student will hold in a surgical unit of a hospital. 
    3 Clinical role in hospital Clinical practice supervision will be delivered via the approved clinical position that each student will hold in a surgical unit of a hospital. 
    4 Clinical role in hospital Clinical practice supervision will be delivered via the approved clinical position that each student will hold in a surgical unit of a hospital. 
    5 Clinical role in hospital Clinical practice supervision will be delivered via the approved clinical position that each student will hold in a surgical unit of a hospital. 
    6 Clinical role in hospital Clinical practice supervision will be delivered via the approved clinical position that each student will hold in a surgical unit of a hospital. 
    7 Clinical role in hospital Clinical practice supervision will be delivered via the approved clinical position that each student will hold in a surgical unit of a hospital. 
    8 Clinical role in hospital Clinical practice supervision will be delivered via the approved clinical position that each student will hold in a surgical unit of a hospital. 
    9 Clinical role in hospital Clinical practice supervision will be delivered via the approved clinical position that each student will hold in a surgical unit of a hospital. 
    10 Surgical Skills Workshop A variety of aspects in minimally invasive surgery will be taught under full supervision.
    •    Students will become familiar with laparoscopic techniques such as bowel resection, cholecystectomy, fundoplication and splenectomy.
    •    Single incision laparoscopic surgical techniques.
    •    Fundamentals of the laparoscopic surgery program.
    •    Laparoscopic suturing workshop.
    •    High and low fidelity surgical simulators.
    •    Techniques to learn and teach in minimally invasive surgery.
    •    Models and methods of virtual trainers

     

    Specific Course Requirements
    In order to be eligible for this program, applicants must meet the following requirements:

    Professional requirements:
    •    Students must be an experienced surgeon who has completed, or be within 1 year of completing, the FRACS, FRACOG (or equivalent).
    •    Students should have a surgical fellowship or consultant position with a major interest in minimally invasive surgery.

    Visa requirements:
    •    Permanent residency or citizenship - to be a domestic applicant
    •    or hold a Temporary Business (Long Stay) Visa (Subclass 457) – to be an International applicant.
    •    Students must be a resident in Australia.

    Work placement:
    Students should have a surgical fellowship or consultant position with a major interest in minimally invasive surgery. This surgical position is not automatically offered with the Master of Minimally Invasive Surgery and students are personally responsible for obtaining a suitable position.  Job dates should coincide with the University of Adelaide quadmester dates.
    Small Group Discovery Experience
    Surgical skills workshop weekend
  • Assessment

    The University's policy on Assessment for Coursework Programs is based on the following four principles:

    1. Assessment must encourage and reinforce learning.
    2. Assessment must enable robust and fair judgements about student performance.
    3. Assessment practices must be fair and equitable to students and give them the opportunity to demonstrate what they have learned.
    4. Assessment must maintain academic standards.

    Assessment Summary
    Assessment Task Assessment Type Weighting Learning outcome(s) being addressed
    Surgical skills weekend Summative 60% 1-6
    DVD production Summative 20% 1-6
    Mentor instruction and feedback Participation 10% 1-6
    RACS logbook Summative
    non-graded pass
    10% 1-6
    Assessment Related Requirements
    Attendance at the Clinical Immersion workshop is compulsory.
    Assessment Detail
    Assessment is via the student’s performance at the surgical skills weekend where they will be marked on their knowledge, dexterity on laparoscopic techniques such as manipulation, dissection and suturing, Single incision laparoscopic surgical techniques and procedures such as bowel resection, SILS cholecystectomy, fundoplication, splenectomyincisional hernia repair and intracorporeal bowel anastomosis. The tasks that require competencies to be established will be listed before the weekend such as their use of high and low fidelity surgical simulators and virtual trainers. There will also be a formal assessment of their simulation skills in a virtual operation environment at the workshop.

    The student’s draft DVD progress will be formally assessed for content and innovation. The DVD should be between 5 and 15 minutes in duration and content should be a teaching or descriptive DVD based on an aspect of minimally invasive surgery. The DVD must be produced by the student. Assessment will be on topic, content, production and presentation.  

    Assessment will also be via the student’s logbook and ongoing supervision and assessment by their clinical mentor.
    Submission
    •    All submissions relating to tutorials will be delivered online via Colloquy’s online system.
    •    Examination location and date will be communicated by Program Coordinator and/or Program Administrator.
    •    Exam result turnaround time will be a maximum of 14 days.
    •    Any queries relating to classroom contribution can be discussed directly with ProgramCoordinator.
    •    Students should refer to the University’s Academic Honesty and Assessment Obligations for Coursework Students Policy & Coursework Students: Academic Dishonesty Procedures for information regarding written submissions
    •    Students should contact the Program Coordinator if:

    o    They are unable to complete their tutorial obligations;
    o    They are unable to attend an examination;
    o    They are unable to attend the surgical skills workshop;
    o    They are unable to meet any deadlines that are set during the course.
    Course Grading

    Grades for your performance in this course will be awarded in accordance with the following scheme:

    M10 (Coursework Mark Scheme)
    Grade Mark Description
    FNS   Fail No Submission
    F 1-49 Fail
    P 50-64 Pass
    C 65-74 Credit
    D 75-84 Distinction
    HD 85-100 High Distinction
    CN   Continuing
    NFE   No Formal Examination
    RP   Result Pending

    Further details of the grades/results can be obtained from Examinations.

    Grade Descriptors are available which provide a general guide to the standard of work that is expected at each grade level. More information at Assessment for Coursework Programs.

    Final results for this course will be made available through Access Adelaide.

  • Student Feedback

    The University places a high priority on approaches to learning and teaching that enhance the student experience. Feedback is sought from students in a variety of ways including on-going engagement with staff, the use of online discussion boards and the use of Student Experience of Learning and Teaching (SELT) surveys as well as GOS surveys and Program reviews.

    SELTs are an important source of information to inform individual teaching practice, decisions about teaching duties, and course and program curriculum design. They enable the University to assess how effectively its learning environments and teaching practices facilitate student engagement and learning outcomes. Under the current SELT Policy (http://www.adelaide.edu.au/policies/101/) course SELTs are mandated and must be conducted at the conclusion of each term/semester/trimester for every course offering. Feedback on issues raised through course SELT surveys is made available to enrolled students through various resources (e.g. MyUni). In addition aggregated course SELT data is available.

  • Student Support
    Academic:                     

    Professor Peter Hewett                 
    Program Coordinator                 
    The Queen Elizabeth Hospital            
    Email:  peter.hewett@health.sa.gov.au         
    Phone:  08 8222 6248                 

    Professor Guy Maddern
    Program Director
    Head of Discipline, Surgery
    The Queen Elizabeth Hospital
    Email:  guy.maddern@adelaide.edu.au
    Phone:  08 8222 8492 (Departmental Secretary)


    Administrative:

    Sally Lauder
    Program Administrator
    The Queen Elizabeth Hospital
    Email:  sally.lauder@health.sa.gov.au
    Phone:  08 8222 7024
  • Policies & Guidelines
  • Fraud Awareness

    Students are reminded that in order to maintain the academic integrity of all programs and courses, the university has a zero-tolerance approach to students offering money or significant value goods or services to any staff member who is involved in their teaching or assessment. Students offering lecturers or tutors or professional staff anything more than a small token of appreciation is totally unacceptable, in any circumstances. Staff members are obliged to report all such incidents to their supervisor/manager, who will refer them for action under the university's student’s disciplinary procedures.

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