Shoulder Instability

Successful participants will demonstrate the background knowledge and practical skills required to undertake arthroscopic and open labral rep...

Surgeon

Course details

Register

Course duration:

10-12 months

Course fee:

€1500 for Full ESSKA Members or €2000 for others

Assessment & awards:

Part I - online theory assessment

Part II - in-person surgical skills assessment

Part III - clinical reasoning case study assessment

Introduction

About this course

Shoulder Instability Module Structure

  1. Theory component (online theory study and multiple-choice assessment)
  2. In-person surgical skills course (surgical skills assessment)
  3. Clinical reasoning (reflection on using techniques in practice, case study presentation)

Once registered, participants are expected to complete the module within 10-12 months unless additional time is requested due to special circumstances (e.g. due to illness or maternity/paternity leave).

It is anticipated that participants will spend approximately 50 hours (potentially 50 CPE - Continuous Professional Development hours) reading, reflecting, practicing and undertaking assessment associated with this Module.

The Shoulder Instability module addresses the following Core Competencies from the ESSKA Core Curriculum:

GLENOHUMERAL INSTABILITY

D1 Arthroscopic anterior repair (labrum, capsule)

D2 Open anterior repair (labrum, capsule)

D3 Arthroscopic anterior augmentation procedures

D4 Arthroscopic posterior repair (labrum, capsule)

D5 Open posterior repair (labrum, capsule)

D6 Arthroscopic remplissage

D7 Arthroscopic coracoid transfer procedure

D8 Open coracoid transfer procedure

D9 Arthroscopic bone graft procedure (anterior, posterior)

D10 Open bone graft procedure (anterior, posterior)

D11 Arthroscopic McLaughlin procedure

D12 Open McLaughlin procedure

 

What to expect

Part 1 is the theory learning and assessment stage.

To help with this, there is a Preparatory Materials tile, this contains a summary booklet designed by the faculty, and three compilation 'books' - Part I 'Perioperative', Part II 'Postoperative', Part III 'Future Perspectives'. You should try to read or view all materials as they formed the basis for the multiple-choice questions used in the assessment. 

Assessment attempts are time locked, they will only be open during specific assessment windows.

  • The first attempt window will be from 7-20 September 2024.
  • The second attempt window will be from 21-27 September 2024.
  • The third and final attempt window will be from 28 September - 4 October 2024.

Everyone will get a maximum of 3 attempts at the exam. Each attempt must be completed within the specific attempt window (so if you take and fail attempt 1, you must wait for the attempt 2 window to open).

It will be a 50 question, multiple choice format, you will have 60 minutes to complete the exam.

You need to take the exam in one sitting, so please ensure you will not be disturbed for 60 minutes. You will not be able to pause the exam, flag any questions, or go back to any questions. You also cannot save your progress.

As mentioned above, the questions have been prepared from the preparatory materials section, but, we encourage you to browse the ESSKA Academy website for any additional resources you might find helpful, and to draw upon Shoulder Instability science and your own surgical experience.

The pass grade for the exam is 74%

If you do not achieve 74% in attempt 1, then you can try again with attempt 2, then attempt 3 if you need it. If you are unable to pass any of the attempts then you will be allowed to continue with the module, but you will not receive the ESSKA certification at the end of it.

If you miss an attempt window, you cannot get that back, it is marked as a 0%.

 

Part 2 is the in-person Surgical Skills Assessment event

This will take place at the Arthrex ArthroLab, in Munich, Germany from 22-23 October 2024.

In this tile you will find a copy of the surgical skills assessment criteria, including the expectations for minimum acceptable standards. You will see there are 8 sections you will be assessed on, with a pass grade of 3 out of 5 required in each in order to successfully complete this stage of the module.

You are also required to bring with you 1-2 complex or interesting case studies for discussion in the non-lab sessions.

 

Part 3 is the reflective practice component. 

For this part it is required that participants produce a video of a Shoulder Instability case (8 to 10 min length) including:

  • Pre-op clinical examination, X-rays, MRI figures e.t.c.
  • Demonstration of basic surgical steps of the procedure performed by the participants 
  • Post-op clinical examination and post-op imaging (X-rays)

You may produce a supporting presentation or PDF to accompany your video.

It is vital that participants gain permission from patients for their case studies, this needs to be evidenced in the presentation. All patient data needs to be anonymized. Any video commentary needs to be in English.

This will then be assessed by a member of the faculty, who will be assessing your clinical reasoning and your application of knowledge and techniques.

In this step, it is important for participants to display reflective practice, including the techniques and theory they have covered during the module so far, therefore it is expected that the case studies/videos are new, as opposed to older cases you may have recorded in the past.

You will be put in contact with your faculty assessor closer to the time. It will be down to each participant to liaise with their faculty assessor to organize their own meeting time.

Chair
Manos

Emmanouil Brilakis

Professor

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