![]() The ultimate in hands-on surgical assisting skills training...
The Expert Way
Surgical SkillLabThe Expert Way
Finally, get rid of your retractor, get your hands in the wound, and start assisting for real.
Don’t get me wrong. You may still have to hold a retractor from time to time. It just shouldn’t be the limit of your value and contribution. The Surgical SkillLab is part of the Surgical Assistant Program but you can also take it by itself to gain new skills or improve on skills you have. A lot of people take the lab because they learned how to assist on-the-job and now they want undo bad habits and learn the right way – the way experts do it. But even if you’ve never assisted before, you can easily learn the ‘expert way’ from the beginning instead of starting at entry-level.
I know… all you do is hold retractors, suction, and cut suture. Your hospital doesn’t call that first assisting. In fact, it’s in your job description, right? Let me assure you. If there is no official first assistant and you are standing right across from your surgeon holding a retractor or whatever, YOU ARE THE FIRST ASSISTANT! It doesn’t matter what they call it at your hospital. You need training for this position and you owe it to yourself to complete the Surgical Assistant Program. That would be the ideal but, at the very least, do yourself a favor and take this 6 day lab.
A study in the New England Journal of Medicine showed exactly what it takes to reach mastery or expertise. With the right kind of hands-on training, YOU can first assist in surgery like experts do. That’s why we have the Surgical SkillLab, The Expert Way. But is 6 days enough time? You’ve likely known more than one person who has worked in surgery for many years, even surgeons, who you wouldn’t consider to be experts. So how can you get on the expert way? You have to do just 3 things:
Here's what you get... The 6 day agenda is listed to the right. But just listing skills you are about to learn doesn’t begin to do justice to what the training experience is going to do for your career and your life. You get:
But you also get:
The power of role playing. Role playing as a teaching method doesn’t show up on a list of subjects covered or skills you acquire in a workshop. What is the significance of role playing? Learning skills in a vacuum by boring repetition leaves a lot to be desired. Have you ever done that? Not much fun and it’s hard to keep motivated when you’re just droning on and on. You also don’t fully get ‘why’ you are learning a skill, why you have to do it a certain way, and under what circumstances you would use a skill. Practicing a skill at a desk by yourself is quite different from performing the same skill with your surgeon or deep in a cavity. However, when you role play a skill in a realistic surgical simulation, you learn ‘in context,’ not in a vacuum. You get to learn and apply skills in actual real-life situations. You’re never left on your own to figure out where or when to use your skills. You may have to modify your technique in order to use it in different situations. So without role playing, imagine being in your Operating Room and literally having to figure out how to modify it during a case. If you watch your surgeon, you might get some hints but not enough. Have you ever tried to figure out how a magician does his tricks? You think you have it but missed one little thing the magician did and you can’t make it work. Do you want that to happen when you’re working on your patient and your surgeon is watching you make a mess of it? Would you feel more comfortable if you could figure out the real-life application piece of the puzzle before you get to surgery? When you do, you begin to look like and perform like an expert after just 6 days of hands-on training. Have you ever taken some hands-on training where you get to perform surgical procedures or techniques? Maybe a pig lab? Let’s say you were learning how to do a Lap Chole. Here’s how it usually goes. You get to do a part of the procedure, but then others on your team also want to do some it. So, just as you were starting to have some fun, you have to hand the instruments over to someone else. A key part of the ACESA process is to have you perform one surgery as the surgeon so you are learning and applying surgical techniques and skills in context, in real-life situations. You get one full procedure from incision to closure without having someone else take over. Not only do you learn surgical technique, you also learn what you as a surgeon want from an assistant. You put yourself in your surgeon’s shoes and get some amazing insights you couldn’t get any other way.
After being the surgeon, you get to perform another full surgery as the assistant. You get to utilize all of your new insights to improve your assisting. Then you learn some great assisting techniques to make your case go smoothly. Isn’t that your job? (and of course to make the surgeon look good). So you get to perform 2 full surgeries each surgery day. You actually perform 8 surgeries all together. That is a lot of concentrated, focused experience. You also get 2 full days of basic and advanced suturing and tying. An expert gives you feedback, helps you fine-tune your skills, and gives you the benefit of his years of experience so you can apply them expertly in the simulations and when you get back to your hospital.
6 day success formula. Did your Mom ever drill into your head, ‘Practice, Practice, Practice?’ Guess what? She was right! Practice is a big secret to success in all areas of life, whether you are playing a piano or assisting in surgery. Practice is only one of the secrets that make the ACESA lab work so well and there are so many others. Correct practice is really a 3 part success secret:
Dan Bump, founder of ACESA, is the architect of the 6 day model of hands-on training as a fast-track to expertise. As a 30 year veteran of the Operating Room, Dan has been around and he knows the skills you need to make you perform like an expert – the right skills. He is a ‘right skills’ expert himself and he knows exactly how to teach them to you and then coach you to apply them the expert way yourself. Dan has been teaching assisting and surgical techniques for over 20 years now and his experience proves that for the majority of students, 6 days with an expert is the sweet spot. He’s seen it time and time again. There may even be some students who are struggling at first. But 6 days and 8 surgeries later they are applying their skills well, their confidence has soared, and they are not at all worried about having to go back to their hospitals and performing their skills on patients in front of their surgeons. In fact, they often comment how they can’t wait to start. If the lab was only 5 days, the results wouldn’t be nearly as spectacular. Dan has noticed a big difference in his students’ abilities between day 5 and day 6. Everything seems to gel on that 6th day. We haven’t done a study but there just has to a correlation between the best way for human beings to learn skills and the 6 day model.
Anatomy is your job! You’ve certainly had your fill of anatomy classes before you came to this lab. But when you are handing the instruments, you aren’t really working with the anatomy. You didn’t have to identify the anatomy, you didn’t have to alter anatomy with surgical technique, and you didn’t have to worry about keeping your surgeon out of trouble. When you think about it, anatomy is like a language. If you don’t use it… you lose it! As the assistant, ANATOMY IS YOUR JOB! But even if you remembered everything from your anatomy classes, it isn’t enough. You have to start looking at anatomy in a completely different way. You have a different perspective when anatomy is your job. You can’t even correctly perform the simulated surgeries without advanced anatomical knowledge with the right perspective. So you get the precise anatomical knowledge you need for this procedure before you are expected to operate. Even more important, these classes teach you what you need to learn from your study of anatomy to get the right perspective. Since anatomy is your job, you never want to stop learning. You’ll get the questions to keep in mind as you study surgical anatomy. Some of these questions include:
With these questions in mind as you study, the right information will literally pop out from the page and you’ll get the benefit of the advanced anatomy you need to be the best assistant you can be.
Do no harm! Know your patient. You also learn about your patient at the lab. Depending on the patient’s condition, you may have to alter your technique somewhat for a more safe and effective procedure. Here is a list of some questions you’ll answer:
You are a better assistant with this kind of patient awareness. You also have a better rapport with your surgeons because they know your concerns for the patient match theirs.
Should your instructor be a freelance Surgical Assistant? If your instructor is or has been a highly successful freelance Surgical Assistant, he can be a substantial resource and give you a big head start if you decide someday to start your own assisting business. Dan Bump has not only been successful himself (see About Dan Bump), he has mentored many of his students to business success. “But I’m not interested in self-employment.” Well you could have a very good instructor who wasn’t ever freelance. But if your instructor was a highly successful self-employed Surgical Assistant, that’s about as close to proof as you can get that the instructor has the highest level of skills out there. They had to be that good to compete successfully for surgeons who have many other assistants to choose from.
Teaching methods and style really matter. You know it’s true. Your instructor could be very good in surgery but be a lousy instructor. It can be hard to find someone with both. Dan Bump’s students love his humorous, patient, and effective teaching style. And the ACESA teaching methods such as ‘learning in context’ are all proven to work. Students just can’t say enough about it. Read some of the student comments to the right and at the end of this page. You’ll be amazed! Why is patience so important? You’ve seen residents try to learn while a surgeon is yelling at them. You can imagine how hard that would be for you. One area where an instructor could become frustrated, perhaps even angry at a student, is when the student is told several times how to do something and they just don’t catch on. It feels like they aren’t trying hard enough or they aren’t listening to you. What Dan knows and anyone he teaches to be an ACESA instructor knows is everyone learns differently. So Dan has an assortment of different ways to explain concepts and how to perform a skill. When he finds someone who can’t get it, Dan goes through all his explanations until he gets to the one that resonates with the student. It always works – always. That knowledge keeps Dan patient. He never gets too frustrated or angry. His students love it and they always do well.
Your hands-on training changes your clinicals. On paper the ACESA Clinical Internship looks a lot like other programs you could have taken. But your extensive hands-on training in the expert way changes your clinicals into a higher-learning experience. Imagine you are first assisting on a bowel resection. The anastomosis is done but the surgeon wants to over-sew the staple line. So he asks for a silk stitch and places a Lembert, pops off the needle, and says to go ahead and tie it. Your heart beat quickens. It feels like your palms are starting to sweat and you could swear the surgeon is put off because you are hesitating. You worry what he might be thinking when he sees your hand shaking. The surgeon already has another stitch in his hand just waiting for you to finish… but you haven’t even started yet. So you start tying and you finally get the first throw in. It was a little sloppy and you’re praying the surgeon didn’t notice. You put the second throw in, pull it down tight, and… it breaks… You look at the surgeon, half way expecting to be kicked out of the room. This is the stuff of nightmares. The surgeon goes ahead and places another stitch and you really think you are going to get it right this time. You are about ready to start tying when you hear the surgeon say, “Here, I’ll do it myself.” This is how opportunities are lost in the Operating Room – sometimes forever. This is how, if you get to first assist again, you are stuck just holding retractors. Now imagine it this way. See yourself first assisting on that same bowel resection and it’s time for you to tie. You are going to one-hand tie because you’ve noticed the surgeon ties that way. You’ve worked out the logistics of one-handed tying ahead of time because you know if you wait until its time to tie and then start thinking about how you are going to do it, it’ll seem like you are hesitating and you’re not comfortable with tying. So when the surgeon says to tie, you move smoothly right into it like you were born one-hand tying. You don’t break the stitch because you were taught at the ACESA lab the secret of tying silk without ever once breaking it. You notice before you were done tying, the surgeon had already started placing the next stitch. Without breaking the rhythm of surgery, you continue tying and the surgeon continues to place the stitches. When the procedure is finished, the surgeon asks if you’d be OK closing while he writes orders. He shakes your hand, breaks scrub and leaves the closure to your care. That’s how opportunity is created in the Operating Room. If you are well prepared for your clinicals by the Surgical SkillLab, then your clinicals are very different. Your surgeons quickly discover they aren’t going to have to teach you the basics or even much of the advanced stuff. The only thing left is their secrets and tricks-of-the-trade. But you aren’t in the Program, you are just taking the lab to improve on your skills and learn some new things. You may not be starting a clinical internship but you can expect your experience to be very similar when you go back to your OR. You’ll increase your surgeons’ trust in your abilities and you will gain increasing opportunities rather than getting them shut down.
You get expert secrets and tricks-of-the-trade. Only the Surgical SkillLab, The Expert Way gives you the 6 ACESA secrets that make you perform the expert way even if you never assisted before. Use these secrets during your clinical internship and, not only will you pass the program with flying colors, you'll be unbeatable!
Are you starting to see how ACESA training goes above and beyond and can make an incredible difference in your career?
Call 1-888-221-5992 for details.
Lifetime Access for Skills Mastery!
Master ALL the skills from the Lab or you can retake it at now extra charge, as many times as you like, for a lifetime, until you are 100% satisfied! Surgical skills are so important to your success. In fact, skill level is directly connected to success level. The more expertly you apply your skills the more success you can expect – more opportunities, more income, more of everything that comes with a highly successful career. Knowing this connection makes us responsible for assuring, to the best of our ability, that each and every one of our students masters ALL of the surgical skills. That’s why we have the 6 day lab instead of leaving all of your skills training up to your surgeons. That same sense of responsibility prompted us to introduce the Lifetime Access For Skills Mastery program. It’s included with the Surgical SkillLab, The Expert Way at no extra charge. With this program you get lifetime access to the 6 day lab - retake the lab as many times as you like, until you are thoroughly convinced you received the full value of training and that you have fully mastered the skills. It’s our way of assuring that ACESA grads are the most skilled and most successful Surgical Assistants in the country!
Here's a hint of more success-building benefits you only get from ACESA. They are going to make you a superstar in surgery and in life.
“Tying ‘Dan Bump’ style changed my life forever professionally!" -Donald Hill, RN Are you starting to see the power you receive to master skills and control your own destiny? You can literally turn your current surgery job into your dream career with an income you never thought possible unless you went to medical school.
Call 1-888-221-5992 for details. "OK, I'm ready to get started.What will it cost me?"
Call 1-888-221-5992 for details.
Seats in each lab are limited to 15 to assure plenty of one-on-one coaching. Obviously, they fill up fast. Call now to reserve your seat.
Call 1-888-221-5992 and ask for Sarah. She’ll help you if you still have questions, have problems enrolling online, or if you want to reserve a seat before the Lab at your preferred date and location fills up.
Please contact us with any questions you may have. Our friendly and experienced staff is happy to help. 1-888-221-5992
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ACESA, Inc. Phone: 1-888-221-5992 Fax: 1-303-221-4747 4950 S. Yosemite St., F2 #343 Greenwood Village, Colorado 80111
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Covidien, W.L. Gore & Associates, Inc., and Ansell Occupational Healthcare are proud to provide surgical materials to ACESA to greatly enhance formal Surgical Assistant training for OR Nurses, Surgical Techs, and other qualified surgical professionals. Covidien also provides suture profiles and a knot tying manual for download from their website(click on the logo above). © American Center for Excellence in Surgical Assisting,
Inc. 2006
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