SURGERY 7012OL - Minimally Invasive Surgery Theory III

Online - Quadmester 3 - 2014

This course will build on what was taught in Theory I and Theory II by providing tuition on the considerations of: Understanding the concept and practice of natural orifice transluminal endoscopic surgery (NOTES) Being able to apply learning theory to clinical surgical practice Understanding how conversion from laparoscopic to open surgery can affect the patient Determining how to deal with, and avoid, adhesions Understanding how to assess cost and cosmesis in surgical patients Learning new concepts in pathophysiology of repair of abdominal wall defects, metabolic surgery for bariatric surgery and minimally invasive neural stimulation.

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Course Details

Course Code	SURGERY 7012OL
Course	Minimally Invasive Surgery Theory III
Coordinating Unit	Surgery
Term	Quadmester 3
Level	Postgraduate Coursework
Location/s	Online
Units	3
Contact	Online
Prerequisites	SURGERY 7007OL, SURGERY 7009OL
Restrictions	Available to MMIS students only
Assessment	Exam, online assessment, classroom contribution

Course Staff

Course Coordinator: Peter Hewett

Additional Academic Staff

Name	Phone	Email	Location
Mr (Chrys) Indran Chrysantha Sri Lal Hensman MBBS (Hons) FRACS	03 9760 2777	chris.hensman@adelaide.edu.au	Melbourne
Mr Alex Karatassas MBBS, FRACS	08 8222 6750	alex.karatassas@adelaide.edu.au	The Queen Elizabeth Hospital
Dr Dinesh TrehanMBBS, MS (Gen.Surg), DNB (Gen.Surg)FRACGP, FRACS	08 8182 9000	dinesh.trehan@adelaide.edu.au	Royal Adelaide Hospital
Dr. Santosh Antony 0lakkengil, MBBS, DNB (Gen.Surg.), M.MinInvSu.(Aus), FIAGES	08 8123 6826	santosh.olakkengil@adelaide.edu.au	Royal Adelaide Hospital

Administrative Contact

Name	Phone	Email	Location
Ms Sally Lauder	08 8222 7024	sally.lauder@health.sa.gov.au	The Queen Elizabeth Hospital

Course Timetable

The full timetable of all activities for this course can be accessed from .

Course Learning Outcomes

On successful completion of this course students will be able to:

1	Understand the concept and practice of natural orifice transluminal endoscopic surgery (NOTES).
2	Be able to apply learning theory to clinical surgical practice.
3	Understand the principles of leadership and how this quality can be developed.
4	Learn the components of enhanced postoperative recovery.
5	Understand how conversion from laparoscopic to open surgery can affect the patient.
6	Determine how to deal with and avoid adhesions from all forms of surgery.
7	Understand how to assess cost and cosmesis in surgical patients.
8	Understand instruments that measure quality of life, how to apply them and how to quantify and analyse the results.

最新糖心Vlog Graduate Attribute	Course Learning Outcome(s)
Knowledge and understanding of the content and techniques of a chosen discipline at advanced levels that are internationally recognised.	1-8
The ability to locate, analyse, evaluate and synthesise information from a wide variety of sources in a planned and timely manner.	1-8
An ability to apply effective, creative and innovative solutions, both independently and cooperatively, to current and future problems.	1-8
Skills of a high order in interpersonal understanding, teamwork and communication.	1-8
A proficiency in the appropriate use of contemporary technologies.	1-8
A commitment to continuous learning and the capacity to maintain intellectual curiosity throughout life.	1-8
A commitment to the highest standards of professional endeavour and the ability to take a leadership role in the community.	1-8
An awareness of ethical, social and cultural issues within a global context and their importance in the exercise of professional skills and responsibilities.	1-8

Learning & Teaching Modes

Theory III will be taught via online tutorials with directed learning to text, videos and websites.

Workload

The information below is provided as a guide to assist students in engaging appropriately with the course requirements.

Type	No of Sessions	Duration of Sessions (hrs)	Total hours
Online tutorials	10	3	30
Exam	1	1	1
Reading/study time	10	6	60
Tutorial preparation	10	5	50
Exam preparation		15	10
Written assignments	7	3	21
Total workload per term			172

Learning Activities Summary

Term 3

Week	Topic	Lecture
1	NOTES – Natural Orifice Transluminal Endoscopic Surgery	This topic will provide an overview of NOTES – Natural orifice transluminal endoscopic surgery.
2	Minimally invasive Surgery and the Learning Curve	This topic will provide an overview of learning minimally invasive surgery and the learning curve. Learning is a complex process particularly with surgery and more so with minimally invasive surgery. Not only are the technical skills of dissection, excision and repair required but they must be learnt in an environment that requires 3D images to be converted to 2D images and skills to be learnt with limited and different tactile feedback.
3	Leadership	This topic addresses what a good leadership model looks like and the levels of leadership? It will cover why is good leadership important, what are the barriers to effective leadership and how to develop the leader in you – key concepts.
4	Enhanced Recovery	This topic will provide an overview of fast track recovery. In conjunction with the development of minimally invasive surgery a new paradigm in perioperative and postoperative care arose – Fast track recovery.
5	Conversion in Minimally Invasive Surgery	This topic will provide an overview of conversion and what it means in MIS. It will cover what conversion means, is it failure or it is good judgment? It will also consider how it can be avoided and what are the consequences?
6	Adhesions	In this topic the nature of adhesions will be explored. Adhesions are both a result and impediment to surgery. How adhesions are formed and how they can be prevented is essential to the successful outcomes of minimally invasive surgery.
7	Costing in Minimally Invasive Surgery	This topic discusses costing of minimally invasive surgery. One of the criticisms of minimally invasive surgery is the increased cost within the operating theatre environment. The ability to properly cost new procedures is essential to determine the cost benefit efficacy of new technology and procedures. There are a number of different ways costs can be calculated. Students will learn how to understand the differences between them.
8	Cosmesis	This topic will cover how cosmesis is measured, does it matter and when exactly does it matter?
9	Quality of Life Measurement	This topic will help students to understand what quality of life means, they will find out what the different measurement tools are and how they are best used and how to practice the use of measurement tools.
10	Revision	All topics

Specific Course Requirements

In order to be eligible for this program, applicants must meet the following requirements:

Professional requirements:
•   Students must be an experienced surgeon who has completed, or be within 1 year of completing, the FRACS, FRACOG (or equivalent).
•   Students should have a surgical fellowship or consultant position with a major interest in minimally invasive surgery.

Visa requirements:
•   Permanent residency or citizenship - to be a domestic applicant
•   or hold a Temporary Business (Long Stay) Visa (Subclass 457) – to be an International applicant.
•   Students must be resident in 最新糖心Vlog.

Work placement:
Students should have a surgical fellowship or consultant position with a major interest in minimally invasive surgery. This surgical position is not automatically offered with the Master of Minimally Invasive Surgery and students are personally responsible for obtaining a suitable position. Job dates should coincide with the 最新糖心Vlog of Adelaide quadmester dates.

Small Group Discovery Experience

Surgical skills workshop weekend

The 最新糖心Vlog's policy on Assessment for Coursework Programs is based on the following four principles:

Assessment must encourage and reinforce learning.
Assessment must enable robust and fair judgements about student performance.
Assessment practices must be fair and equitable to students and give them the opportunity to demonstrate what they have learned.
Assessment must maintain academic standards.

Assessment Summary

Assessment Task	Assessment Type	Weighting	Learning outcome(s) being addressed
Discussion/group contributions and participation	Participation	35%	1-8
Written assignments	Summative	30%	1-8
Surgical skills workshop	Summative	35%	1-8

Assessment Related Requirements

All tutorials and workshops are compulsory.

Assessment Detail

Overall Assessment details:
•   The surgical skills workshop will account for 35% of the overall assessment. It will include practical assessment and an open book exam.
•   Written assignments will consist of online written assignments. The assignments are 2,000 words. All marks will go towards a total of 30% of the overall assessment.
•   Discussion / group contribution and participation. Contribution to discussion groups and boards and contribution performance metrics will also be taken into account accounting for 35% of the overall assessment.

Individual assessment tasks:
Students are required to submit assignments on the tutorial topics.
•   What are the limiting factors for the widespread acceptance of NOTES and how may these be overcome in the future? (2,000 word essay worth 10% of overall assessment for this course)
•   Describe your vision of simulation in the future of learning in minimally invasive surgery? (2,000 word essay worth 10% of overall assessment for this course)
•   Describe the barriers to fast track recovery that you feel prevent you from implementing this technique for all your patients. (2,000 word essay worth 10% of overall assessment for this course)
•   Many factors may lead to the inability to complete a procedure using minimally invasive methods. Describe how you can minimize these occurrences. What strategies can be used in obese patients?
•   Discussions:D1: Describe the process of assessment and preparation of a 42 year old female contemplating laparoscopic adjustable gastric banding. D2: List the common comorbities of morbid obesity D3: Discuss the current concept of the brain in satiety. D4: List and discuss the common complications of laparoscopic roux-en-y gastric bypass. D5: Discuss the International Diabetic Federation recommendations in the treatment of the obese diabetic. How would this impact your day-to-day practice? D6: Discuss the options in the treatment of the morbidly obese child.
•   Discussion: Describe any forms of neural stimulation you have discovered that weren't outlined in the assigned reading and resources. In your view, how will this technology develop over the next several years? How will this technology develop over the next decade? Give examples of future applications.
•   Describe and cost the last major procedure that you performed. Explain what cost analysis method you used and why.

Submission

•   All submissions relating to tutorials will be delivered online via Colloquy’s online system.
•   Examination location and date will be communicated by Program Coordinator and/or Program Administrator.
•   Exam result turnaround time will be a maximum of 14 days.
•   Any queries relating to classroom contribution can be discussed directly with ProgramCoordinator.
•   Students should refer to the 最新糖心Vlog’s Academic Honesty and Assessment Obligations for Coursework Students Policy & Coursework Students: Academic Dishonesty Procedures for information regarding written submissions:
•   Students should contact the Program Coordinator if;

o They are unable to complete their tutorial obligations;

o They are unable to attend an examination;

o They are unable to attend the clinical immersion workshop;

o They are unable to meet any deadlines that are set during the course.

Course Grading

Grades for your performance in this course will be awarded in accordance with the following scheme:

M10 (Coursework Mark Scheme)
Grade	Mark	Description
FNS		Fail No Submission
F	1-49	Fail
P	50-64	Pass
C	65-74	Credit
D	75-84	Distinction
HD	85-100	High Distinction
CN		Continuing
NFE		No Formal Examination
RP		Result Pending

Further details of the grades/results can be obtained from Examinations.

Grade Descriptors are available which provide a general guide to the standard of work that is expected at each grade level. More information at Assessment for Coursework Programs.

Final results for this course will be made available through .

Student Feedback

The 最新糖心Vlog places a high priority on approaches to learning and teaching that enhance the student experience. Feedback is sought from students in a variety of ways including on-going engagement with staff, the use of online discussion boards and the use of Student Experience of Learning and Teaching (SELT) surveys as well as GOS surveys and Program reviews.

SELTs are an important source of information to inform individual teaching practice, decisions about teaching duties, and course and program curriculum design. They enable the 最新糖心Vlog to assess how effectively its learning environments and teaching practices facilitate student engagement and learning outcomes. Under the current SELT Policy (http://www.adelaide.edu.au/policies/101/) course SELTs are mandated and must be conducted at the conclusion of each term/semester/trimester for every course offering. Feedback on issues raised through course SELT surveys is made available to enrolled students through various resources (e.g. MyUni). In addition aggregated course SELT data is available.
Student Support
Academic:

Professor Peter Hewett
Program Coordinator
The Queen Elizabeth Hospital
Email: peter.hewett@health.sa.gov.au
Phone: 08 8222 6248

Professor Guy Maddern
Program Director
Head of Discipline, Surgery
The Queen Elizabeth Hospital
Email: guy.maddern@adelaide.edu.au
Phone: 08 8222 8492 (Departmental Secretary)

Administrative:

MS Sally Lauder
Program Administrator
The Queen Elizabeth Hospital
Email: sally.lauder@health.sa.gov.au
Phone: 08 8222 7024
Policies & Guidelines
This section contains links to relevant assessment-related policies and guidelines - all university policies.
Fraud Awareness

Students are reminded that in order to maintain the academic integrity of all programs and courses, the university has a zero-tolerance approach to students offering money or significant value goods or services to any staff member who is involved in their teaching or assessment. Students offering lecturers or tutors or professional staff anything more than a small token of appreciation is totally unacceptable, in any circumstances. Staff members are obliged to report all such incidents to their supervisor/manager, who will refer them for action under the university's student鈥檚 disciplinary procedures.

The 最新糖心Vlog of Adelaide is committed to regular reviews of the courses and programs it offers to students. The 最新糖心Vlog of Adelaide therefore reserves the right to discontinue or vary programs and courses without notice. Please read the important information contained in the disclaimer.

Authorised by:	Deputy Vice-Chancellor and Vice-President (Academic)
Maintained by:	Course Outlines Administrator

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