About this event
- 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
Agenda
Day one 14 November 2019
Registration, tea and coffee
Welcome
Location, location, location
Estate & Facility requirements for performing Minor Surgery, including CQC regulations
Your equipment and how to use it
Training on the standard Minor Surgery surgical equipment and how to use it
Needles and sutures
Training on the various suture sizes, materials and properties for minor surgery
Planning your procedure
Assessing patients suitability for Minor Surgery on the NHS, deciding what size, location and depth to place the incisions
The ellipse
How to measure and draw the surgical ellipse
Be prepared
Anticipating problems and complications, and taking appropriate consent
Skin deep
Anatomy of the skin, and how this relates to which sutures to use
Tea and coffee break
Comfortably numb
Measuring up and administration of location anaesthetic, including ring block and field block
Excising an ellipse
How to excise the surgical ellipse
Tying the knot
Training on simple interrupted suture technique
Nuggets
Training on skin cleaning, shaving patient, how to use the assistant and when to take sutures out
Lunch
Deep dermal sutures
Training on deep dermal suture technique
Vertical mattress sutures
Training on vertical mattress suture technique
Horizontal mattress sutures
Training on horizontal mattress suture technique
Epidermal cyst excision
Identifying and excising an epidermal ellipse
Open floor question and answer session
Tea and coffee break
The small matter of the contract
Training on NHS contract for providing Minor surgery
Lipomata excision
How to identify and excise a lipoma
Close of day
Day two 15 November 2019
Registration, tea and coffee
Welcome back
Workshop rotation 1
Upper limb joint injection training
Workshop rotation 2
Lower limb Joint injection training
Tea and coffee break
Workshop rotation 3
Subcuticular suture training
Lunch
Haemostasis
How to achieve haemostasis including use of diathermy
IGTN technique
How to treat and excise an ingrown toenail
Cryotherapy
How to do cryotherapy, and when is it indicated
Punch biopsy
How to take punch biopsy
Snip/shave/curette
How to excise lesions using the snip, shave and curettage techniques
The pigmented lesion
How to identify lesion type, and how now to miss skin cancer
Completion of evaluation forms
Close of course
Location
Royal Society of Medicine, 1 Wimpole St, Marylebone, London, W1G 0AE, United Kingdom