Timetable of Diploma in Minimal Access Surgery - DMAS
Timetable of Diploma in Minimal Access Surgery - DMAS
Training will be conducted from Monday to Saturday except Sundays. So, the total effective training days for DMAS will be 4 Weeks.
Training will also not be held on National Holidays – Republic Day, Independence Day, Gandhi Jayanti, Holi & Diwali, which will be covered in additional working day.
Day 1
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:00 am – 10:00am | Registration | Registration & Distribution of Study Material |
| 10:00am - 10:15am | Break | Tea/Coffee Break |
| 10:15am- 01:00pm | Lecture/PPT /Video Presentation | Introduction of Minimal Access Surgery including NOTES, SILS, HALS, Robotic and VRPS. |
| 01:00pm- 01:30pm | Break | Lunch break |
| 01:30pm- 04:30pm | Laparoscopic skill development exercises | Demonstration of Laparoscopic Instruments Design (Part I):
Access instrument including Veress needle, Hassons
cannula, Ports and Reducers. Dissecting instruments,
various graspers and scissors.
Basic Laparoscopy Skills with Top Gun Drill Laparoscopic hands-on exercise to learn bimanual hand & eye coordination, ambidexterity and depth perception using instruments in both hands. |
Day 2
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:00am - 11:30am | Training in OT Setting | Observation of OT cases and Learning of closed access technique with veress needle, including safety tests. |
| 11:30am - 11:45am | Break | Tea / Coffee Break |
| 11:45am- 01:30pm | Lecture/PPT /Video Presentation | Access Techniques in Laparoscopic Surgery Principles of sterilization and disinfection of Laparoscopic instruments. |
| 01:30pm- 02:00pm | Break | Lunch break |
| 02:30pm- 04:30pm | Laparoscopic skill development exercises | Demonstration of Laparoscopic Instruments Design (Part II):
including needle holders, Clip applicator, Hemo Lock.
Instruments used with RF energy sources, Harmonic &
ligasure. Special instruments like uterine manipulator, liver
retractor etc. Basic Laparoscopy Skills with Top Gun Drill hands-on exercise to learn bimanual hand & eye coordination, ambidexterity and depth perception using instruments in both hands. |
Day 3
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:00am - 11:30am | Training in OT Setting | Observation of OT cases and Learning of Primary/Optical port insertion. |
| 11:30am - 11:45am | Break | Tea / Coffee Break |
| 11:45am- 01:30pm | Lecture/PPT/ Video Presentation | Importance of Ergonomics, Task Analysis and Engineering in
Laparoscopic Surgery. Demonstration of Optical instruments used in minimal access surgery including telescopes with different diameters, different visual axes and different numbers of rod lenses. Different types of cameras, including single-chip and three-chip camera. Differences between Standard Definition and High Definition cameras. Various types of Standard Definition and High Definition monitors. Various types of light source like Halogen, Xenon and LED and demonstration of types of light source cables (fiber-optic and gel cables) , 3D Laparoscopy. |
| 01:30pm- 02:00pm | Break | Lunch break |
| 02:00pm- 04:30pm | Laparoscopic skill development exercises | Lecture on Laparoscopic Suturing and Knotting Technique.
Demonstration of correct handling of Laparoscopic Camera /
Light source cable, focusing and white balance. Demonstration of extracorporeal Roeder's, Meltzer's knot for free structures followed by practice of laparoscopic extracorporeal knot over appendix and fallopian tube. Hands-on practice of laparoscopic extracorporeal Meltzers knot for continuous vascular and avascular structures like cystic duct, cystic artery, splenic artery, renal artery or uterine artery |
Day 4
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:00am - 11:30am | Training in OT Setting | Observation of OT cases and Learning of Open Access techniques with Hasson Cannula and Secondary port placement under vision. |
| 11:30am - 11:45am | Break | Tea / Coffee Break |
| 11:45am- 01:30pm | Lecture/PPT/ Video Presentation | Laparoscopic Insufflator & Quadrao- manometric Principles of Microprocessor - Controlled Digital Insufflator in the OT setting. Understanding, pneumoperitoneum pressure, gas flow rates and volume of gas used. Detection and Prevention of Gas Leaks and avoiding complications. ETC02 monitoring and measures to control ETC02. Gas embolism and its management including Durant's manoeuvre. |
| 01:30pm- 02:00pm | Break | Lunch break |
| 02:00pm- 04:30pm | Laparoscopic skill development exercises | Demonstration of laparoscopic extracorporeal Square Knot
for fundoplication, burch suspension, myomectomy, partial
nephrectomy, rectal prolapse and vault closure Hand-on practice of laparoscopic square knot. Demonstration of Intracorporeal Surgeon's knot used for tuboplasty, bowel anastomosis, vault closure, enterotomy Supervisor repair, bladder injury and pyeloplasty. |
Day 5
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:00am - 11:30am | Training in OT Setting | Observation of OT cases and Learning insufflator settings and ETC02 monitoring. |
| 11:30am - 11:45am | Break | Tea / Coffee Break |
| 11:45am- 01:30pm | Lecture/PPT/ Video Presentation | Energy Sources in Laparoscopic Surgery (Part I) Electro Surgical generator and RF monopolar and bipolar current. Understanding burn injuries, caused by insulation failure, direct coupling, capacitative coupling, direct thermal spread. Prevention of burn injuries. |
| 01:30pm- 02:00pm | Break | Lunch break |
| 02:00pm- 04:30pm | Laparoscopic skill development exercises | Hand on training of Intracorporeal Surgeon's knot with
Choreographic movements without swording of instruments. Revision practice of laparoscopic extracorporeal and Intracorporeal suturing / knotting. |
Day 6
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:00am - 11:30am | Training in OT Setting | Observation of OT cases and setting of electro surgical generator, Harmonic and ligasure. |
| 11:30am - 11:45am | Break | Tea / Coffee Break |
| 11:45am- 01:30pm | Lecture / PPT / Video Presentation | Energy sources in Laparoscopic Surgery (Part II) Demonstration of Harmonic Scalpel and principles of conversion of mechanical energy (vibration) to thermal energy. Safe manipulation of harmonic probe. Discussion on advanced energy sources like Thunder beat (Hybrid energy source), Ligasure, Argon beamer, plasma kinetic energy (Bipolar resectoscope) and lasers. |
| 01:30pm- 02:00pm | Break | Lunch break |
| 02:00pm- 04:30pm | Laparoscopic skill development exercises | Practice in OT setting of laparoscopic dissection with energy sources, including Harmonic, Ligasure and L - hook with cutting monopolar current. |
Day 7
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:00am - 11:30am | Training in OT Setting | Observation of OTcases |
| 11:30am - 11:45am | Break | Tea / Coffee Break |
| 11:45am- 01:30pm | Lecture/PPT/ Video Presentation | Baseball Diamond Principle of Laparoscopic Ports Positioning for various laparoscopic procedure. How to ensure that Laproscopic Instrument behave like type 1 Lever & how to achieve ideal manipulation azimuth and elevation angle. |
| 01:30pm- 02:00pm | Break | Lunch break |
| 02:00pm- 04:30pm | Laparoscopic skill development exercises | Demonstration of baseball diamond principle of ports placement. Pros & cons of contralateral/ipsilateral port position. Learning how to avoid mirror image and swording port position. Learning port placement in common cutting area for bilateral Surgery. Demonstration and hands on training of port closure and tissue retrieval tectniques. |
Day 8
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:00am-01:00am | Training in OT Setting | For Surgeons : Laparoscopic Cholecystectomy Simple/
Difficult. For Gynaecologists : Laparoscopic Tubal Sterilization, Salpingectomy, Salpingo-oophorectomy. |
| 01:00pm- 01:30pm | Break | Lunch break |
| 01:30am- 03:30pm | Laparoscopic skill development exercises | Hands on training of Laparoscopic Intracorporeal Surgeon's Knot with Ipsilateral Port Position. |
| 03:30pm- 04:30pm | Lecture/PPT/ Video Presentation | For Surgeons : Safe Laparoscopic Cholecystectomy. For Gynaecologists : Ectopic Pregnancy its Diagnosis and Management. |
Day 9
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:00am-01:00am | Training in OT Setting | For Surgeons : Laparoscopic Appendectomy For Gynaecologists : Laparoscopic Ovarian Cystectomy, Ovarian Drilling, Operations on Endometriotic and Dermoid Cysts. |
| 01:00pm-01:30pm | Break | Lunch break |
| 01:30am-03:30pm | Laparoscopic skill development exercises | Laparoscopic approximation techniques (anastomosis) for Tubal recanalization, Pyeloplasty, CBD Injury, Ureteric Injury. |
| 03:30pm-04:30pm | Lecture/PPT/Video Presentation | For Surgeons : Laparoscopic Appendectomy For Gynaecologists : Adenexal masses/Ovarian cysts |
Day 10
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:00am-01:00am | Training in OT Setting | For Surgeons : TEP/TAPP repair in Inguinal Hernia. For Gynaecologists : Laparoscopic management of Endometrioma. |
| 01:00pm-01:30pm | Break | Lunch break |
| 01:30am-03:30pm | Laparoscopic skill development exercises | Hands on training on Laparoscopic Extracorporeal Weston Knot with Ipsilateral and contralateral Port Position. |
| 03:30pm-04:30pm | Lecture/PPT/Video Presentation | For Surgeons : Laparoscopic Inguinal Hernia repair TAPP For Gynaecologists : Pelvic Anatomy |
Day 11
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:00am-01:00am | Training in OT Setting | For Surgeons : Laparoscopic IPOM/IPOM Plus repair of ventral/incisional hernia For Gynaecologists : LAVH/TLH |
| 01:00pm-01:30pm | Break | Lunch break |
| 01:30am-03:30pm | Laparoscopic skill development exercises | Hands on training on Laparoscopic Intracorporeal Continuous Suturing with start and ending with Aberdeen Knot. |
| 03:30pm-04:30pm | Lecture/PPT/Video Presentation | For Surgeons : Laparoscopic Inguinal Hernia repair TEP For Gynaecologists : LAVH/TLH |
Day 12
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:00am-01:00am | Training in OT Setting | For Surgeons : Laser Pilonidal Sinus, MIPH Laser Haemorrhoidoplasty. For Gynaecologists : Laparoscopic Myomectomy |
| 01:00pm-01:30pm | Break | Lunch break |
| 01:30am-03:30pm | Laparoscopic skill development exercises | Prevention of Mistakes and Errors in Laparoscopic Surgery
MCQ Pattern Exam |
| 03:30pm-04:30pm | Lecture/PPT/Video Presentation | For Surgeons : MIPH and Laser Haemorrhoidoplasty. For Gynaecologists : Laparoscopic Myomectomy FMAS-Certification Ceremony |
Day 13
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 01:30pm | Training in OT setting | Trainee is part of surgical team as cameraperson, 1st or 2nd assistant |
| 01:30 pm – 02:00 pm | Break | Lunch Break |
| 02:00 pm – 03:30 pm | Laproscopic skill Development exercises | Suturing Knotting / Lab exercises
|
03:30 pm – 04:30 pm | PPT | Surgeons :Laparoscopic repair of Duodenal Ulcer
perforation Gynecologists : Laparoscopic Sacarocolpopexy |
Day 14
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 01:30pm | Training in OT setting | Trainee is part of surgical team as cameraperson, 1st assistant or 2nd assistant |
| 01:30 pm – 02:00 pm | Break | Lunch Break |
| 02:30 pm – 03:30 pm | Laparoscopic Skill Development | Suturing Knotting /Lab Exercises |
| 03:30 pm – 04:30 pm | PPT | Surgeons: Laparoscopic ventral/Incisional Hernia Repair Evaluation of different Techniques like IPOM ,TAR ,ETEP, TRAM Gynecologists : Laparoscopic Cervical Cerclage |
Day 15
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 01:30pm | Training in OT setting | Trainee is part of surgical team as cameraperson, 1st or 2nd assistant |
| 01:30 pm – 02:00 pm | Break | Lunch Break | 02:30 pm – 03:30 pm | Laparoscopic Skill development | Suturing Knotting / Lab Exercises |
| 03:30 pm – 04:30 pm | PPT | Surgeons :Laparoscopic CBD exploration Gynaecologist : Management of the Stress urinary Incontinence |
Day 16
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 01:30pm | Training in OT setting | Trainee is part of surgical team as cameraperson, 1st or 2nd assistant |
| 01:30 pm – 02:00 pm | Break | Lunch Break | 02:30 pm – 03:30 pm | Laparoscopic Skill development | Suturing Knotting /Lab exercises |
| 03:30 pm – 04:30 pm | Video Editing Class | Both for Surgeons and Gynaecologists software learning for video editing and movie making |
Day 17
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 01:30pm | Training in OT setting | Trainee is part of surgical team as cameraperson, 1st or 2nd assistant |
| 01:30 pm – 02:00 pm | Break | Lunch Break | 02:30 pm – 03:00 pm | Laparoscopic skill development | Suturing Knotting / Lab exercises |
| 03:30 pm – 04:30 pm | PPT | Surgeons :Laparoscopic Fundoplication for GERD Gynaecologist : Colposcopy and Current trends in Diagnosis and management of Ca. Cervix |
Day 18
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 01:30pm | Training in OT setting | Trainee is part of surgical team as cameraperson, 1st or 2nd assistant |
| 01:30 pm – 02:00 pm | Break | Lunch Break | 02:30 pm – 03:30 pm | Laparoscopic skill Development | Suturing Knotting / Lab exercises |
| 03:30 pm – 04:30 pm | Video Editing Class | Both for Surgeons and Gynaecologistssoftware learning for video editing and movie making |
Day 19
| Time | Activity Type | Activity Details | |
|---|---|---|---|
| 09:30 am – 11:30am | Surgeon : PPT/ Lecture/ Endoscopy/ Lap Pediatric Surgery | History of Endoscopy,Basic design of endoscopes, endoscopic accessories,electropsurgical units, lasers and APC, maintenance of scopes,and staff protection, | |
| Gynaecologist : Traning in OT | Trainee is part of the operating team as cameraperson/assistant or surgeon under supervision in live cases | ||
| 11:30 am – 12:00 pm | Tea Break | ||
| 12:00 pm – 02:00 pm | Surgeon | Hands on training on the endoscopy endotrainers/ hands on as cameraperson /assistant or surgeon under supervision in live laparoscopy cases | |
| Gynaecologist | Demonstration of diagnostic and operative hysteroscopy instruments | ||
| 2:00 pm – 02:30 pm | Lunch Break | | |
| 2:30 pm – 04:30 pm | Surgeon : Training in OT | Hands on as assistant or surgeon under supervision in live Endoscopy cases | |
| Gynaecologist – PPT / Lecture | Overview of Diagnostic And Operative Hysteroscopy |
Day 20
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 11:30am | Surgeon : PPT/ Lecture Endoscopy/ Lap.Urologic Surgery | Indications of diagnostic and therapeutic endoscopy, patient assessment and preparation, sedation in endoscopy,technique of upper GI endoscopy, normal upper GI endoscopy, common pathologies seen in UGI endoscopy and therapeutic interventions in UGI endoscopy |
| Gynaecologist : Traning in OT | Trainee is part of the operating team as cameraperson/assistant or surgeon under supervision in live cases | |
| 11:30 am – 12:00 pm | Tea Break | |
| 12:00 pm – 02:00 pm | Surgeon | Hands on training on the endoscopy endotrainers/ hands on as cameraperson /assistant or surgeon under supervision in live laparoscopy cases |
| Gynaecologist | Hands on training on hystro- laproscopy for Tubal Blockage & Chromopertubation & Removal of lost IUD | |
| 02:00Pm-2:30 pm | Lunch Break | |
| 2:30 am – 04:30 pm | Surgeon : Training in OT | Hands on as assistant or surgeon under supervision in live Endoscopy cases |
| Gynaecologist – PPT / Lecture | Discussion on distension media, and distension system. Safety concerns for usage of different distension media | |
Day 21
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 11:30am | Surgeon : PPT/ Lecture Endoscopy /Lap Pediatric Surgery/ | History of colonoscopy. Indications/contraindications and limitations of colonoscopy. Patient preparation and medication. Colonoscope design, insertion and handling. Common pathologies seen in colonoscopy, Therapeutic interventions in colonoscopy. |
| Gynaecologist : Traning in OT | Trainee is part of the operating team as cameraperson/assistant or surgeon under supervision in live cases | |
| 11:30 am – 12:00 pm | Tea Break | |
| 12:00 pm – 02:00 pm | Surgeon | Hands on training on the endoscopy endotrainers/ hands on as cameraperson /assistant or surgeon under supervision in live laparoscopy cases |
| Gynaecologist | Hands on training in operative hysteroscopy using resectoscope with radiofrequency current and practice, hysteroscopic polypectomy, hysteroscopic septoplasty, hysteroscopic TCRE i.e. trans cervical resection of endometrium and hysteroscopic myomectomy | |
| 2:00 am – 2:30 pm | Lunch Break | |
| 2:30 pm – 4:30 pm | Surgeon : Training in OT | Hands on as assistant or surgeon under supervision in live Endoscopy cases |
| Gynaecologist – PPT / Lecture | Hysteroscopic myomectomy | |
Day 22
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 11:30am | Surgeon : PPT/ Lecture/Endoscopy / Lap.Urologic Surgery | ERCP scope design. Indications of ERCP. ERCP accessories including guidewires,cannulas,balloon catheters,sphinterotomes, stone retrieval baskets,lithotripters and stents, Limitations and complications of ERCP |
| Gynaecologist : Traning in OT | Trainee is part of the operating team as cameraperson/assistant or surgeon under supervision in live cases | |
| 11:30 pm – 12:00 pm | Tea Break | |
| 12:00 pm – 02:00 pm | Surgeon | Hands on training on the endoscopy endotrainers/ hands on as cameraperson /assistant or surgeon under supervision in live laparoscopy cases |
| Gynaecologist | Hands on training in operative hysteroscopy using resectoscope with radiofrequency current and practice, hysteroscopic polypectomy, hysteroscopic septoplasty, hysteroscopic TCRE i.e. trans cervical resection of endometrium and hysteroscopic myomectomy |
|
| 02:00 pm – 2:30 pm | Lunch Break | |
| 2:30 pm – 4:30 pm | Surgeon: Training in OT | Hands on as assistant or surgeon under supervision in live Endoscopy cases |
| Gynaecologist – PPT / Lecture | Complications of hysteroscopy and their prevention |
Day 23
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 01:30pm | Training in OT setting | Trainee is part of surgical team as cameraperson, 1st assistant or 2nd assistant |
| 01:30 pm – 02:00 pm | Break | Lunch Break | 02:00 pm – 03:30 pm | Laparoscopic Skill development | Suturing Knotting / Lab Exercises |
| 02:00 pm – 04:00 pm | PPT | Surgeons : Laparoscopic Sleeve Gastrectomy / Gastric Bypass Surgery Gynaecologist : Internal iliac Ligation |
Day 24
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 01:30pm | Training in OT setting | Trainee is part of surgical team as cameraperson, 1st assistant or 2nd assistant |
| 01:30 pm – 02:00 pm | Break | Lunch Break | 02:00 pm – 03:30 pm | Laparoscopic Skill Development | Suturing Knotting / Lab Exercises |
| 03:30 pm – 04:30 pm | Convocation for DMAS Batch | OSCE/ MCQ Examination Certificate Ceremony |