Drill 1 – Dexterity Skills
Task A: Ring to Vertical Peg Transfer
Objective: Transfer 8 rings onto a vertical peg
Performance Scoring:
Time to complete task
Total number of errors
Dropped ring, missed attempt
Instrument withdrawn/removed from trainer
Task B-Bead to String Transfer
Objective: Transfer 8 beads onto a string, alternating colors
Performance Scoring:
Time to complete task
Total number of errors
Dropped bead, missed attempt
Instrument withdrawn/removed from trainer
Bead colors do not alternate
Drill 2 – Running the Bowel
Task 3: Running the Bowel
Objective: Run the bowel from the Ligament of Treitz to the ileocecal valve, noting any abnormalities
Performance Scoring:
Time to complete task
Errors Reversed direction
Missed markers/abnormalities (2 markers- 1 pink, 1 white; 1 Meckel’s-looped segment with knot)
Instruments removed/withdrawn from the trainer
Drill 3 – Laparoscopic Suturing
Task 4-Laparoscopic Suturing
Objective: Place 4 interrupted sutures, each secured with 4 knots (throws) (intracorporeal tying)
Performance Scoring:
Time to complete task
Errors Misplaced suture (target mark missed)
Poor tissue approximation/”air knot” Instruments removed/withdrawn from the trainer
Drill 4 – Thoracoscopic Suturing
Task A: TEF Suturing
Objective: Place 2 interrupted sutures for an esophageal anastomosis (intracorporeal tying under tension), each secured with 4 knots (throws) (intracorporeal tying)
Performance Scoring:
Time to complete task
Errors Misplaced suture (target mark missed)
Poor tissue approximation/”air knot” Instruments removed/withdrawn from the trainer
Task B: CDH Suturing
Objective: Place 2 interrupted sutures for repair of diaphragmatic hernia (intracorporeal tying under tension), each secured with 4 knots (throws) (intracorporeal tying)
Performance Scoring:
Time to complete task
Errors Misplaced suture (target mark missed)
Poor tissue approximation/”air knot” Instruments removed/withdrawn from the trainer
