Drill Down - A Guide to Drilling Bone[edit | edit source]
Overview of the ETALO Bone Drilling Simulator Model
ETALO is an acronym meaning Education To Advance Limb Saving Options for Open Fractures and Chronic Osteomyelitis. The simulator idea was developed to mitigate the need for skills in areas where there are few surgeons that can recognize and manage orthopedic problems that can otherwise be solved by a simple drilling of bone to drain pus or place half pins to manage an open fracture while waiting for more specialized care.
This simulator model allows for trainees to build up their psychomotor skills required for drilling bone and placing of half pins. It also has a self assessment tool that allows the learner to gauge their improving skill with regards to drilling of bone. we have also incorporated an element of trainees working in teams to assess each other or a mentor and trainee assessment.
The contents of the simulator training will supplement the core knowledge in the above mentioned fields of orthopedics but do not substitute the indications and rationale of bone drilling and its need in other fields of medicine.
This simulator was developed to aid in the training of medical students from all aspects of the medical world, medical officers stationed in rural parts of the world with no access to advanced training and non orthopedic practitioners who are faced with the need to drill to save a limb like in the cases of acute and chronic osteomyelitis or open fractures.
The simulator is presented in a 3 part format that includes
- Building your own simulator
- Practicing with your own simulator with the aid of videos and computer aided design videos
- Self and group assessment
Syllabus[edit | edit source]
Getting Started[edit | edit source]
Trainees will be required to build their own simulator models with locally sourced materials as per our recommendations. They will be required to follow a set of videos to help them in building the simulator and a rubrics assessment form will be used in evaluating the level of skill gained during the assessment.
Phase 1 Knowledge Review[edit | edit source]
- Core Knowledge and Competencies - Open fractures
- Core Knowledge and Competencies - Osteomyelitis
- External fixation of bone
Phase 2 Simulator Build[edit | edit source]
- Overview of Building a Bone Simulator
- Building a Simple Bone Simulator
- Building a Complex Bone Simulator