The goal of the simulation center and the cadaver lab is to allow residents to hone and supplement their arthroscopic and open surgical skills through all stages of residency. The curriculum is organized in a step ladder approach; starting with the basics of soft tissue handling, and progressing to advanced reconstruction/fracture techniques. The simulation center/cadaver labs will allow staff to test residents on their dexterity and knowledge of basic procedures.
PGY-1 residents will work at the simulation center on basic soft tissue handling, knot tying techniques, arthroscopic knots, simulated joint aspiration, and also simulated arthroscopy of the knee and shoulder. The residents will demonstrate proper knot tying techniques and aspiration techniques. The goal is to spend at least 5 hours of total arthroscopic time. The resident will use different modules to improve their triangulation skills, and must be demonstrated through improved module times in both the knee and shoulder. Knot tying and joint aspiration modules will be graded as pass or fail by a staff physician.
PGY-2 and PGY-3 residents will work on cadaver labs and be evaluated on the following procedures: 1)diagnostic arthroscopy of the knee and shoulder with proper portal placement 2)Arthroscopic shoulder subacromial decompression and distal clavicle excision 3)Arthroscopic meniscal debridement. Grading will be either a pass or fail by a staff physician.
PGY-4 and PGY 5 residents will also work on cadaver labs and will be evaluated on the following milestones: 1) Arthroscopic ACL reconstruction 2) Arthroscopic and Open rotator cuff repair 3) Arthroscopic Bankart 4) Arthroscopic and open meniscal repair 5) Carpal Tunnel release 6) Ankle Arthroscopy.
Tripler maintains an anatomy laboratory in the morgue facility. Cadavers are available for dissection at regular intervals for academic sessions, as well as almost any time to prepare for surgical procedures. Residents will participate in cadaver dissections and demonstrations with colleagues several times during each academic year. Cadaver dissection is encouraged prior to a planned surgical procedure in an area with which you are unfamiliar or inexperienced.
Because the anatomy lab is shared with the forensic morgue, security precautions are a high priority. Access may be gained to the morgue from hospital security any time (call 6770 or page 5521). The morgue must be secured when the resident is absent (including for a short break, or going to see a patient). Leaving the morgue and its contents unlocked may lead to loss, or legal compromise of forensic specimens, and change the outcome of court cases; and the physician may be held responsible.