Technical+Skills

Technical skills learning will be based on the psychomotor skills learning process described in the ATLS instructor's manual. This process is based on educational theory in the psychomotor domain by Simpson (1966) and Dave (1970) and is reviewed in this article:



The steps are:
 * 1) Conceptualization
 * 2) Visualization
 * 3) Verbalization
 * 4) Guided Practice
 * 5) Feedback
 * 6) Skill Mastery
 * 7) Autonomy

Technical skills learning should be prepared for by completing steps 1-3 at home prior to the skills sessions. Some resources for this will be provided below. Steps 4 and 5 will occur in the simulation center during skills labs. Steps 6 and 7 occur throughout a career in EM and are not the objective of the skills labs.

The 2-year repeating curriculum is as follows:

July 2016: Airway lab Conceptualization: Pediatric Airway Screencast Visualization: Pediatric Intubation POV LMA Insertion Verbalization: BVM PEMOSATS, LMA PEMOSATS

Aug 2016: Direct Laryngoscopy/Bougie PEMOSATS [|Preparation for Intubation PEMOSATS] [|Direct Laryngoscopy PEMOSATS]

Sep 2016: IO PEMOSATS Conceptualization: [|Roberts and Hedges "Intraosseous Infusion" Chapter] Visualization: Pediatric IO Placement POV Video Verbalization: [|IO Placement PEMOSATS]

Oct 2016 : Video Laryngoscopy: Glidescope and CMAC/fiberoptic PEMOSATS Conceptualization: Roberts and Hedges VL Chapter Visualization: Glidescope 4-Step Technique C-MAC Intubation POV Video Dr. Gallagher's Fiberoptic Intubation Youtube Video Fiberoptic intubation with split screen Flip-flop maneuver close-up ETT position check with fiberoptic Verbalization: Glidescope PEMOSATS

Nov 2016: Ultrasound #1 (Cardiac, Lung and eFAST, bladder) Conceptualization/Visualization: [|Sonosite M-Turbo Knobology Videos] (4 videos totaling 20 minutes that review how to use our Sonosite machine) Pulmonary, Cardiac, and eFAST videos from [|5minsono.com] TTE Standard Views from University of Toronto (3-D Animation to help you visualize views - focus on parasternal long axis, parasternal short axis at LV mid level, apical four-chamber, and subcostal four chamber) Vi Dinh's eFAST screencast

Dec 2016: Faculty House, Suture Skills lab Conceptualization: Visualization: [|ALiEM Wound Closure Video Series] <span style="background-color: #ffffff; font-family: Arial; font-size: 14.6667px; vertical-align: baseline;">Verbalization:

Jan 2017: CVL microskills lab, Central Line PEMOSATS <span style="background-color: #ffffff; font-family: Arial; font-size: 14.6667px; vertical-align: baseline;">Conceptualization: [|emcrit.org CVL Microskills] <span style="background-color: #ffffff; font-family: Arial; font-size: 14.6667px; vertical-align: baseline;">Visualization: <span style="background-color: #ffffff; font-family: Arial; font-size: 14.6667px; vertical-align: baseline;">Microskills POV Video [|emcrit.org Full Sterile Preparation video] <span style="background-color: #ffffff; font-family: Arial; font-size: 14.6667px; vertical-align: baseline;">Verbalization: [|CVL Microskills Checklist]

Feb 2017: Airway Drills in EM Residency Lounge <span style="background-color: #ffffff; font-family: Arial; font-size: 14.6667px; vertical-align: baseline;">Conceptualization: <span style="background-color: #ffffff; font-family: Arial; font-size: 14.6667px; vertical-align: baseline;">Visualization: <span style="background-color: #ffffff; font-family: Arial; font-size: 14.6667px; vertical-align: baseline;">Verbalization:

Mar 2017: Ophtho skills lab (Slit Lamp, panoptic, FB removal, Morgan lens irrigation, ph check, fluorescein stain) <span style="background-color: #ffffff; font-family: Arial; font-size: 14.6667px; vertical-align: baseline;">Conceptualization: Roberts and Hedges Ophthalmologic procedures chapter <span style="background-color: #ffffff; font-family: Arial; font-size: 14.6667px; vertical-align: baseline;">Visualization: Using a slit lamp Removing an ocular foreign body: Video 1 and Video 2 Using a panoptic Using a tonopen <span style="background-color: #ffffff; font-family: Arial; font-size: 14.6667px; vertical-align: baseline;">Verbalization:

Apr 2017: Inter-disciplinary Simulation cases <span style="background-color: #ffffff; font-family: Arial; font-size: 14.6667px; vertical-align: baseline;">Conceptualization: <span style="background-color: #ffffff; font-family: Arial; font-size: 14.6667px; vertical-align: baseline;">Visualization: <span style="background-color: #ffffff; font-family: Arial; font-size: 14.6667px; vertical-align: baseline;">Verbalization:

May 2017: Team leadership (TEAMSTEPPS and CRM) animated lecture <span style="background-color: #ffffff; font-family: Arial; font-size: 14.6667px; vertical-align: baseline;">Conceptualization: <span style="background-color: #ffffff; font-family: Arial; font-size: 14.6667px; vertical-align: baseline;">Visualization: Youtube video: The Ideal Pediatric Resuscitation <span style="background-color: #ffffff; font-family: Arial; font-size: 14.6667px; vertical-align: baseline;">Verbalization:

June 2017: Faculty House, Ortho reductions, compartment check with stryker and splinting <span style="background-color: #ffffff; font-family: Arial; font-size: 14.6667px; vertical-align: baseline;">Conceptualization: <span style="background-color: #ffffff; font-family: Arial; font-size: 14.6667px; vertical-align: baseline;">Visualization: <span style="background-color: #ffffff; font-family: Arial; font-size: 14.6667px; vertical-align: baseline;">Verbalization:

July 2017: None

Aug 2017: Airway Lab,Direct Laryngoscopy/Bougie PEMOSATS Conceptualization: Pediatric Airway Screencast Visualization: Pediatric Intubation POV LMA Insertion Verbalization: BVM PEMOSATS, LMA PEMOSATS [|Preparation for Intubation PEMOSATS] [|Direct Laryngoscopy PEMOSATS]

Sep 2017: CVL microskills lab and Central Line PEMOSATS [|CVL microskills list]

Oct 2017: Pericardiocentesis PEMOSATS Conceptualization: Roberts and Hedges Chapter Visualization: NEJM video Ultrasound Podcast Verbalization:

Nov 2017: None

Dec 2017: Faculty House, Suture skills lab

Jan 2018: Traditional Chest Tube/Seldinger Chest Tube/needle thoracostomy Conceptualization: Roberts and Hedges Chapter Visualization: Trauma Professional's Blog EM:RAP HD Verbalization: PEMOSATS

Feb 2018: Emergency vaginal delivery Conceptualization/Visualization: Roberts and Hedges Emergency Childbirth Chapter [] [] [] [] [] [] Verbalization: PEMOSATS

Mar 2018: Ultrasound #2 (Procedural:MSK [tendon, reduction]/soft tissue [abscess, nec fasc, water bath]/LP) in EM Lounge

https://www.youtube.com/watch?v=uyFfdXwYzeg https://www.youtube.com/watch?v=ndnZxAcNjdg http://5minsono.com/nf/ http://5minsono.com/nf_5ss/ http://5minsono.com/softtissue/ http://5minsono.com/softtissue5ss/

Apr 2018: Team Leadership May 2018: Interdisciplinary sim June 2018: Faculty House, Foreign body lab

other: emergency/complicated delivery, respiratory therapy, medication administration, airway drills

Games for first Wed: Dental Bowl (Dental splinting and PTA drainage), Cardiac Bowl, Ortho Bowl, Ophtho Bow