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 |
|---|---|---|
| 09:30 am – 10:30am | Laparoscopic skills development exercises | Introduction to Laparoscopic Surgery |
| 10:30 am – 01:00 pm | Hands on training | 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. |
| 01:00 pm – 01:30 pm | Break | Lunch break |
| 01:30 pm – 03:00 pm | Laparoscopic skill development exercises | Demonstration of Laparoscopic Instruments Design (Part I): including Veress needle, Hassons cannula, port access instruments, dissecting instruments, various graspers and scissors. |
| 03:00 pm – 04:30 pm | Lecture / PPT / Video presentation | Introduction of Minimal Access Surgery including Robotics, HALS, NOTES, TEM and SILS. |
Day 2
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 10:30am | Laparoscopic skill development exercises | Demonstration of correct handling of Laparoscopic Camera / Light source cable, focusing and white balance. |
| 10:30 am – 01:00 pm | Hands on training | 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. |
| 01:00 pm – 01:30 pm | Break | Lunch break |
| 01:30 pm – 03:00 pm | Laparoscopic surgery practical guidelines | Demonstration of Laparoscopic Instruments Design (Part II): Principle of disinfection and sterilization of reusable dissecting and access instruments, non-electrical instrument including harmonic probes for laparoscopic surgeons. Demonstration of port closure instruments and various uterine manipulators. |
| 03:00 pm – 04:30 pm | Lecture / PPT / Video presentation | Discussion on importance of learning three pillars of safety in Laparoscopy Surgery, Ergonomics, Task Analysis and Engineering. |
Day 3
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 10:30am | Laparoscopic skill development exercises | Lecture on Laparoscopic Suturing and Knotting Technique. |
| 10:30 am – 01:00 pm | Hands on training | Practice of extracorporeal Roeder’s, Meltzer’s knot for free structures followed by practice of laparoscopic extracorporeal knot over appendix and fallopian tube. |
| 01:00 pm – 01:30 pm | Break | Lunch break |
| 01:30 pm – 03:00 pm | Laparoscopic skill development exercises | 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. Demonstration of laparoscopic extracorporeal Square knot for fundoplication, burch suspension, myoma, partial nephrectomy, rectal prolapse and vault closure |
| 03:00 pm – 04:30 pm | Lecture / PPT / Video presentation | Demonstration of Optical instruments used in minimal access surgery including telescopes with different diameters, different visual axes and different numbers of rods and 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). |
Day 4
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 10:30am | Laparoscopic skill development exercises | Hand-on practice of laparoscopic square knot and laparoscopic Intracorporeal Surgeon’s knot used for tuboplasty, bowel anastomosis, vault closure, enterotomy repair, bladder injury and pyeloplasty. |
| 10:30 am – 01:00 pm | Hands on training | Practice in OT setting on Veress Needle / Hasson cannula insufflation & port placement. |
| 01:00 pm – 01:30 pm | Break | Lunch break |
| 01:30 pm – 03:00 pm | Laparoscopic skill development exercises | Hand-on practice of laparoscopic square knot and laparoscopic Intracorporeal Surgeon’s knot used for tuboplasty, bowel anastomosis, vault closure, enterotomy repair, bladder injury and pyeloplasty. |
| 03:00 pm – 04:30 pm | Lecture / PPT / Video presentation | Laparoscopic Insufflator & Quadro – manometric Principles of Microprocessor – Controlled Digital Insufflator in the OT setting. |
Day 5
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 10:30am | Laparoscopic skill development exercises | Hand on training on Intracorporeal Surgeon’s knot with Choreographic movements without swording of instruments. |
| 10:30 am – 01:00 pm | Hands on training | Practice in OT setting on laparoscopic dissection with energy sources. |
| 01:00 pm – 01:30 pm | Break | Lunch break |
| 01:30 pm – 03:00 pm | Laparoscopic skills development exercisess | Revision practice of laparoscopic extracorporeal and Intracorporeal suturing / knotting. |
| 03:00 pm – 04:30 pm | Lecture / PPT / Video presentation | Laparoscopic Dissection Techniques with leaning of principles of Radio Frequency generator – harmonic scalpel, LigasureTM , Plasma-SectTM, and Argon beamer and Laser. Various complications and its prevention of energy sources including burn injuries, direct and capacitative coupling. |
Day 6
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 10:30am | Laparoscopic skills development exercisess | Baseball Diamond Principle of Laparoscopic Ports Positioning to understand the placement of the ports during various laparoscopic procedures to achieve the best ergonomics for safe and easy task performance. |
| 10:30 am – 01:00 pm | Hands on training | Practice in OT setting on Laparoscopic Cholecystectomy / Laparoscopic Appendicectomy / Laparoscopic Hernia Repair / TEP / TAPP / Diagnostic Laparoscopy / Tubal Sterilization / Salpingectomy / Salpingo-oophorectomy Ovarian Cystectomy. |
| 01:00 pm – 01:30 pm | MCQ Pattern Exam on basics of laparoscopy | |
| 01:30 pm – 03:00 pm | Convocation of CMAS Batch | Certification ceremony of CMAS batch and farewell lunch. |
Day 7
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 10:30am | Laparoscopic skill development exercises | Laparoscopic Intracorporeal Surgeon’s Knot with Ipsilateral Port Position. |
| 10:30 am – 01:00 pm | Training in OT Setting | For Surgeons : Laparoscopic Cholecystectomy
Simple / Difficult For Gynecologists : Laparoscopic Tubal Sterilization, Salpingectomy, Salpingo-oophorectomy. |
| 01:00 pm – 01:30 pm | Break | Lunch Break |
| 01:30 pm – 03:00 pm | Laparoscopic skill development exercise | Laparoscopic Intracorporeal Surgeon’s Knot with Ipsilateral Port Position. |
| 03:00 pm – 04:30 pm | Lecture / PPT / Video presentation | For Surgeons : Safe Laparoscopic Cholecystectomy. For Gynecologists : Ectopic Pregnancy its Diagnosis and Management. |
Day 8
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 10:30am | Laparoscopic skill development exercises | Laparoscopic Intracorporeal tumble Square Knot for Tissues under tension like for gastric preformation, crural approximation, burch suspension etc. |
| 10:30 am – 01:00 pm | Training in OT Setting | For Surgeons : Laparoscopic Appendectomy For Gynecologists : Laparoscopic Ovarian Cystectomy, Ovarian Drilling, Operations one Endometriotic and Dermoid Cyst. |
| 01:00 pm – 01:30 pm | Break | Lunch break |
| 01:30 pm – 03:00 pm | Laparoscopic skill development exercises | Laparoscopic extracorporeal Weston Knot with Ipsilateral Port Position. |
| 03:00 pm – 04:30 pm | Lecture / PPT / Video presentation | For Surgeons : Laparoscopic Appendectomy For Gynecologists : Adenexal masses / Ovarian cysts |
Day 9
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 10:30am | Laparoscopic skill development exercises | Laparoscopic Intracorporeal Continuous Suturing with start and ending with Aberdeen knot. |
| 10:30 am – 01:00 pm | Training in OT Setting | For Surgeons : TEP / TAPP repair in Inguinal Hernia. For Gynecologists : Laparoscopic managements of Endometrioma. |
| 01:00 pm – 01:30 pm | Break | Lunch break |
| 01:30 pm – 03:00 pm | Laparoscopic skill development exercises | For Surgeons / For Gynecologists : Laparoscopic Ventral Hernia Repair with IPOM Technique in the lab setting. |
| 03:00 pm – 04:30 pm | Lecture / PPT / Video presentation | For Surgeons : Laparoscopic Inguinal Hernia repair For Gynecologists : Pelvic Anatomy |
Day 10
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 10:30am | Laparoscopic skill development exercises | Laparoscopic Anastomosis Techniques practice in the dry lab. |
| 10:30 am – 01:00 pm | Training in OT Setting | For Surgeons : Laparoscopic IPOM / IPOM Plus repair of ventral / incisional hernia For Gynecologists : LAVH / TLH |
| 01:00 pm – 01:30 pm | Break | Lunch break |
| 01:30 pm – 03:00 pm | Laparoscopic skill development exercises | Learning Laparoscopic Tissue retrieval and Port closure techniques. |
| 03:00 pm – 04:30 pm | Lecture / PPT / Video presentation | For Surgeons : Laparoscopic IPOM repair of ventral /
incisional hernia. For Gynecologists : LAVH / TLH |
Day 11
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 10:30am | Laparoscopic skill development exercises | Learning Software for Movie Making and Video Editing used in Editing of Laparoscopic procedures. |
| 10:30 am – 01:00 pm | Training in OT Setting | For Surgeons : Laser Pilonidal Sinus, MIPH / Laser
Haemorrhoidoplasty For Gynecologists : Laparoscopic Myomectomy. |
| 01:00 pm – 01:30 pm | Break | Lunch break |
| 01:30 pm – 03:00 pm | Laparoscopic skill development exercises guidelines | Preparing and submitting one edited video of laparoscopic procedure of Surgeon’s choice. |
| 03:00 pm – 04:30 pm | Lecture / PPT / Video presentation | For Surgeons : MIPH and Laser Haemorrhoidoplasty For Gynecologists : Laparoscopic Myomectomy. |
Day 12
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 11:00am | Objective Skills Clinical Examination (OSCE) and MCQ Pattern examination for award of FMAS | |
| 11:00 am – 01:00 pm | Lecture/PPT/Video presentation | For Surgeons / For Gynecologists : Prevention of Mistakes and Errors in Laparoscopic Surgery. |
| 01:00 pm – 02:00 pm | Convocation of FMAS Batch | Certification ceremony of FMAS batch and farewell lunch |
Day 13
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 01:30pm | Training in OT setting | Trainee is part of surgical team as cameraperson, assistant or surgeon under supervision st assistant or 2nd assistant |
| 01:30 pm – 02:00 pm | Break | Lunch Break |
| 02:00 pm – 04:00 pm | PPT | Surgeons :Laparoscopic repair of Duodenal
perforation Gynaecologist : Colposcopy and current trends in diagnosis and management of Ca. Cervix |
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 |
| 02:00 pm – 04:00 pm | Video Dissection Class | Both for Surgeons and Gynaecologists Evaluation of Task Analysis, Performance Analysis and Cognitive Analysis. |
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 assistant or 2nd assistant |
| 01:30 pm – 02:00 pm | Break | Lunch Break |
| 02:00 pm – 04:00 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 assistant or 2nd assistant |
| 01:30 pm – 02:00 pm | Break | Lunch Break |
| 02:00 pm – 04:00 pm | Video Dissection Class | Both for Surgeons and Gynaecologists Evaluation of Task Analysis, Performance Analysis and Cognitive Analysis |
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 assistant or 2nd assistant |
| 01:30 pm – 02:00 pm | Break | Lunch Break |
| 02:00 pm – 04:00 pm | Video Dissection Class | 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 assistant or 2nd assistant |
| 01:30 pm – 02:00 pm | Break | Lunch Break |
| 02:00 pm – 04:00 pm | Video Dissection Class | Both for Surgeons and Gynaecologists Evaluation of Task Analysis, Performance Analysis and Cognitive Analysis. |
Day 19
| Time | Activity Type | Activity Details | |
|---|---|---|---|
| 09:30 am – 11:30am | Surgeon : PPT/ Lecture | 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 – 01:30pm | Surgeon : PPT/ Lecture | 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 medias | |
Day 21
| Time | Activity Type | Activity Details |
|---|---|---|
| 09:30 am – 01:30pm | Surgeon : PPT/ Lecture | 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 | 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 | Both for Surgeons and Gynaecologists 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 – 04:00 pm | PPT | Surgeons : AWR for giant hernias Gynaecologist:Laparoscopic Radical Hystrectomy |
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 – 04:00 pm | Convocation | Certificate Ceremony with Gala Lunch |