Minor surgery course

Date and time Thu 14 Nov 2019 from 8:45am to 15 Nov 2019 at 4:30pm
Location Royal Society of Medicine
Organised by General Practice with Primary Healthcare

This course teaches the practice of minor skin surgery techniques, including a range of joint injections and non-surgical techniques as set out in the GMS contract for primary care minor surgery.

At the end of the course, you will take home improved practical skills and be aware of medico-legal and contractual obligations required of those practising minor skin surgery. You will be able to apply evidence based practice in the detection and management of common skin lesions including melanoma. And most importantly, you will be able to apply these skills to improve the provision of minor skin surgery in primary care.

This course complies with the new NHS England DOPS (Direct Observation of Practical Skills) requirements for minor surgery training. You will be assessed against Level 2 competencies and certification will be provided at the end of the course.

Topics include:

Adept preparation for skin biopsy
Understand and administer effective local anaesthetic
Perform a range of suturing techniques and know when each is applicable
Perform a range of excisions including epidermal cysts and know how to manage abbesses
Preparation for joint injections
Elbow, hand and wrist injections

Day one 14 November 2019

8:45am

Registration, tea and coffee

9:15am

Welcome

9:30am

Location, location, location

Estate & Facility requirements for performing Minor Surgery, including CQC regulations

9:45am

Your equipment and how to use it

Training on the standard Minor Surgery surgical equipment and how to use it

10:00am

Needles and sutures

Training on the various suture sizes, materials and properties for minor surgery

10:10am

Planning your procedure

Assessing patients suitability for Minor Surgery on the NHS, deciding what size, location and depth to place the incisions

10:20am

The ellipse

How to measure and draw the surgical ellipse

10:35am

Be prepared

Anticipating problems and complications, and taking appropriate consent

10:45am

Skin deep

Anatomy of the skin, and how this relates to which sutures to use

11:00am

Tea and coffee break

11:15am

Comfortably numb

Measuring up and administration of location anaesthetic, including ring block and field block

11:45am

Excising an ellipse

How to excise the surgical ellipse

12:00pm

Tying the knot

Training on simple interrupted suture technique

12:15pm

Nuggets

Training on skin cleaning, shaving patient, how to use the assistant and when to take sutures out

12:30pm

Lunch

1:30pm

Deep dermal sutures

Training on deep dermal suture technique

2:00pm

Vertical mattress sutures

Training on vertical mattress suture technique

2:15pm

Horizontal mattress sutures

Training on horizontal mattress suture technique

2:30pm

Epidermal cyst excision

Identifying and excising an epidermal ellipse

2:55pm

Open floor question and answer session

3:00pm

Tea and coffee break

3:15pm

The small matter of the contract

Training on NHS contract for providing Minor surgery

3:45pm

Lipomata excision

How to identify and excise a lipoma

4:05pm

Close of day

Day two 15 November 2019

8:45am

Registration, tea and coffee

9:00am

Welcome back

9:15am

Workshop rotation 1

Upper limb joint injection training

10:15am

Workshop rotation 2

Lower limb Joint injection training

11:15am

Tea and coffee break

11:30am

Workshop rotation 3

Subcuticular suture training

12:30pm

Lunch

1:30pm

Haemostasis

How to achieve haemostasis including use of diathermy

1:50am

IGTN technique

How to treat and excise an ingrown toenail

2:10pm

Cryotherapy

How to do cryotherapy, and when is it indicated

2:30pm

Punch biopsy

How to take punch biopsy

2:45pm

Snip/shave/curette

How to excise lesions using the snip, shave and curettage techniques

3:00pm

The pigmented lesion

How to identify lesion type, and how now to miss skin cancer

3:45am

Completion of evaluation forms

3:50pm

Close of course

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