Timetable of Fellowship Course in Minimal Access Surgery - FMAS
Timetable of Fellowship in Minimal Access Surgery - FMAS
Training will be conducted from Monday to Saturday except Sundays. So, the total effective training days for FMAS will be 12 days.
Training will also not be held on National Holidays – Republic Day, Independence Day, Gandhi Jayanti, Holi & Diwali, which will be covered in additional working day.
Day 1
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 10:30am | Laparoscopic surgery practical guidelines | Introduction to Laparoscopic Surgery |
| 10:30 am – 01:00 pm | Hands on training | Basic Laparoscopy Skills with Top Gun Drill Laparoscopic hands-on exercise to learn bimanual hand & eye coordination, ambidexterity and depth perception using instruments in both hands. |
| 01:00 pm – 01:30 pm | Break | Lunch break |
| 01:30 pm – 03:00 pm | Laparoscopic surgery practical guidelines | Demonstration of Laparoscopic Instruments Design (Part I): including Veress needle, Hassons cannula, port access instruments, dissecting instruments, various graspers and scissors. |
| 03:00 pm – 04:30 pm | Lecture / PPT / Video presentation | Introduction of Minimal Access Surgery including Robotics, HALS, NOTES, TEM and SILS. |
Day 2
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 10:30am | Laparoscopic surgery practical guidelines | Demonstration of correct handling of Laparoscopic Camera / Light source cable, focusing and white balance. |
| 10:30 am – 01:00 pm | Hands on training | Basic Laparoscopy Skills with Top Gun Drill hands-on exercise to learn bimanual hand & eye coordination, ambidexterity and depth perception using instruments in both hands. |
| 01:00 pm – 01:30 pm | Break | Lunch break |
| 01:30 pm – 03:00 pm | Laparoscopic surgery practical guidelines | Demonstration of Laparoscopic Instruments Design (Part II): Principle of disinfection and sterilization of reusable dissecting and access instruments, non-electrical instrument including harmonic probes for laparoscopic surgeons. Demonstration of port closure instruments and various uterine manipulators. |
| 03:00 pm – 04:30 pm | Lecture / PPT / Video presentation | Discussion on importance of learning three pillars of safety in Laparoscopy Surgery, Ergonomics, Task Analysis and Engineering. |
Day 3
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 10:30am | Laparoscopic surgery practical guidelines | Lecture on Laparoscopic Suturing and Knotting Technique. |
| 10:30 am – 01:00 pm | Hands on training | Practice of extracorporeal Roeder’s, Meltzer’s knot for free structures followed by practice of laparoscopic extracorporeal knot over appendix and fallopian tube. |
| 01:00 pm – 01:30 pm | Break | Lunch break |
| 01:30 pm – 03:00 pm | Laparoscopic surgery practical guidelines | Hands-on practice of laparoscopic extracorporeal Meltzers knot for continuous vascular and avascular structures like cystic duct, cystic artery, splenic artery, renal artery or uterine artery. Demonstration of laparoscopic extracorporeal Square knot for fundoplication, burch suspension, myoma, partial nephrectomy, rectal prolapse and vault closure |
| 03:00 pm – 04:30 pm | Lecture / PPT / Video presentation | Demonstration of Optical instruments used in minimal access surgery including telescopes with different diameters, different visual axes and different numbers of rods and lenses. Different types of cameras, including single-chip and three-chip camera. Differences between Standard Definition and High Definition cameras. Various types of Standard Definition and High Definition monitors. Various types of light source like Halogen, Xenon and LED and demonstration of types of light source cables (fiber-optic and gel cables). |
Day 4
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 10:30am | Laparoscopic surgery practical guidelines | Hand-on practice of laparoscopic square knot and laparoscopic Intracorporeal Surgeon’s knot used for tuboplasty, bowel anastomosis, vault closure, enterotomy repair, bladder injury and pyeloplasty. |
| 10:30 am – 01:00 pm | Hands on training | Practice in OT setting on Veress Needle / Hasson cannula insufflation & port placement. |
| 01:00 pm – 01:30 pm | Break | Lunch break |
| 01:30 pm – 03:00 pm | Laparoscopic surgery practical guidelines | Hand-on practice of laparoscopic square knot and laparoscopic Intracorporeal Surgeon’s knot used for tuboplasty, bowel anastomosis, vault closure, enterotomy repair, bladder injury and pyeloplasty. |
| 03:00 pm – 04:30 pm | Lecture / PPT / Video presentation | Laparoscopic Insufflator & Quadro – manometric Principles of Microprocessor – Controlled Digital Insufflator in the OT setting. |
Day 5
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 10:30am | Laparoscopic surgery practical guidelines | Hand on training on Intracorporeal Surgeon’s knot with Choreographic movements without swording of instruments. |
| 10:30 am – 01:00 pm | Hands on training | Practice in OT setting on laparoscopic dissection with energy sources. |
| 01:00 pm – 01:30 pm | Break | Lunch break |
| 01:30 pm – 03:00 pm | Laparoscopic surgery practical guidelines | Revision practice of laparoscopic extracorporeal and Intracorporeal suturing / knotting. |
| 03:00 pm – 04:30 pm | Lecture / PPT / Video presentation | Laparoscopic Dissection Techniques with leaning of principles of Radio Frequency generator – harmonic scalpel, LigasureTM , Plasma-SectTM, and Argon beamer and Laser. Various complications and its prevention of energy sources including burn injuries, direct and capacitative coupling. |
Day 6
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 10:30am | Laparoscopic surgery practical guidelines | Baseball Diamond Principle of Laparoscopic Ports Positioning to understand the placement of the ports during various laparoscopic procedures to achieve the best ergonomics for safe and easy task performance. |
| 10:30 am – 01:00 pm | Hands on training | Practice in OT setting on Laparoscopic Cholecystectomy / Laparoscopic Appendicectomy / Laparoscopic Hernia Repair / TEP / TAPP / Diagnostic Laparoscopy / Tubal Sterilization / Salpingectomy / Salpingo-oophorectomy Ovarian Cystectomy. |
| 01:00 pm – 01:30 pm | MCQ Pattern Exam on basics of laparoscopy | |
| 01:30 pm – 03:00 pm | Convocation of CMAS | Certification ceremony of CMAS batch and farewell lunch. |
Day 7
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 10:30am | Laparoscopic surgery practical guidelines | Laparoscopic Intracorporeal Surgeon’s Knot with Ipsilateral Port Position. |
| 10:30 am – 01:00 pm | Training OT Setting | For Surgeons : Laparoscopic Cholecystectomy Simple / Difficult For Gynecologists : Laparoscopic Tubal Sterilization, Salpingectomy, Salpingo-oophorectomy. |
| 01:00 pm – 01:30 pm | Break | Lunch Break |
| 01:30 pm – 03:00 pm | Laparoscopic surgery practical guidelines | Laparoscopic Intracorporeal Surgeon’s Knot with Ipsilateral Port Position. |
| 03:00 pm – 04:30 pm | Lecture / PPT / Video presentation | For Surgeons : Safe Laparoscopic Cholecystectomy. For Gynecologists : Ectopic Pregnancy its Diagnosis and Management. |
Day 8
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 10:30am | Laparoscopic surgery practical guidelines | Laparoscopic Intracorporeal tumble Square Knot for Tissues under tension like for gastric preformation, crural approximation, burch suspension etc. |
| 10:30 am – 01:00 pm | Training OT Setting | For Surgeons : Laparoscopic Appendectomy For Gynecologists : Laparoscopic Ovarian Cystectomy, Ovarian Drilling, Operations one Endometriotic and Dermoid Cyst. |
| 01:00 pm – 01:30 pm | Break | Lunch break |
| 01:30 pm – 03:00 pm | Laparoscopic surgery practical guidelines | Laparoscopic extracorporeal Weston Knot with Ipsilateral Port Position. |
| 03:00 pm – 04:30 pm | Lecture / PPT / Video presentation | For Surgeons : Laparoscopic Appendectomy For Gynecologists : Adenexal masses / Ovarian cysts |
Day 9
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 10:30am | Laparoscopic surgery practical guidelines | Laparoscopic Intracorporeal Continuous Suturing with start and ending with Aberdeen knot. |
| 10:30 am – 01:00 pm | Training OT Setting | For Surgeons : TEP / TAPP repair in Inguinal Hernia. For Gynecologists : Laparoscopic managements of Endometrioma. |
| 01:00 pm – 01:30 pm | Break | Lunch break |
| 01:30 pm – 03:00 pm | Laparoscopic surgery practical guidelines | For Surgeons / For Gynecologists : Laparoscopic Ventral Hernia Repair with IPOM Technique in the lab setting. |
| 03:00 pm – 04:30 pm | Lecture / PPT / Video presentation | For Surgeons : Laparoscopic Inguinal Hernia repair For Gynecologists : Pelvic Anatomy |
Day 10
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 10:30am | Laparoscopic surgery practical guidelines | Laparoscopic Anastomosis Techniques practice in the dry lab. |
| 10:30 am – 01:00 pm | Training OT Setting | For Surgeons : Laparoscopic IPOM / IPOM Plus repair of ventral / incisional hernia For Gynecologists : LAVH / TLH |
| 01:00 pm – 01:30 pm | Break | Lunch break |
| 01:30 pm – 03:00 pm | Laparoscopic surgery practical guidelines | Learning Laparoscopic Tissue retrieval and Port closure techniques. |
| 03:00 pm – 04:30 pm | Lecture / PPT / Video presentation | For Surgeons : Laparoscopic IPOM repair of ventral /
incisional hernia. For Gynecologists : LAVH / TLH |
Day 11
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 10:30am | Laparoscopic surgery practical guidelines | Learning Software for Movie Making and Video Editing used in Editing of Laparoscopic procedures. |
| 10:30 am – 01:00 pm | Training OT Setting | For Surgeons : Laser Pilonidal Sinus, MIPH / Laser
Haemorrhoidoplasty For Gynecologists : Laparoscopic Myomectomy. |
| 01:00 pm – 01:30 pm | Break | Lunch break |
| 01:30 pm – 03:00 pm | Laparoscopic skill development exercises | Preparing and submitting one edited video of laparoscopic procedure of Surgeon’s choice. |
| 03:00 pm – 04:30 pm | Lecture / PPT / Video presentation | For Surgeons : MIPH and Laser Haemorrhoidoplasty For Gynecologists : Laparoscopic Myomectomy. |
Day 12
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 11:00am | Objective Skills Clinical Examination (OSCE) and MCQ Pattern examination for award of FMAS | |
| 11:00 am – 01:00 pm | Training OT Setting | For Surgeons / For Gynecologists : Prevention of Mistakes and Errors in Laparoscopic Surgery. |
| 01:00 pm – 02:00 pm | Convocation | Certification ceremony and farewell lunch |