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For Physician Assistants

Watch Physician Assistant FLS Course

Laparoscopic First Assist Course

This course is designed to help Physician Assistants (PA) develop their laparoscopic skills so they can better assist surgeons on their cases. The course will be built upon the 5 FLS (Fundamentals of Laparoscopic Surgery) tasks with the understanding and benchmark times adjusted for the skill level of a PA. The ultimate goal is to get PAs comfortable with translating a 3-D world into a 2-D image and comfortably navigating around during the case. The course is designed to be done over the course of a few weeks in 20 to 30 minute increments of time, 4 to 5 days a week.

Task

Allowable Errors

Proficiency Time (seconds)

Number of Repetitions Required

1

Peg Transfer

No drops outside field of view

48

2 consecutive +
10 nonconsecutive

2

Pattern Cut

All cuts within 2 mm of line

98

2 consecutive

3

Ligating Loop

Up to 1 mm accuracy error
No knot insecurity

53

2 consecutive

4

Extracorporeal Suturing

Up to 1 mm accuracy or gap error
No knot insecurity
No model avulsion

136

2 consecutive

5

Intracorporeal Suturing

112

2 consecutive +
10 nonconsecutive