Surgical Skills Lab
The Surgical Skills Lab, located on the third floor of Ascension Via Christi St. Francis, is a cornerstone of hands-on training in our General Surgery Residency program. Our lab is the only American College of Surgeons (ACS) focused-level Accredited Education Institute (AEI) in the state and supports the progressive technical development of residents at all levels.
Skills lab sessions are typically on Thursday afternoons. While PGY-1 and PGY-2 residents are the primary participants, advanced-level labs tailored for PGY-3 to PGY-5 residents are also scheduled regularly.
Each session includes:
-
- Pre-lab goals and objectives distributed to participants
- Post-lab evaluations and debriefings by both residents and instructors

- Continuous refinement of content to meet educational needs and maintain compliance with ACS accreditation standards as a Focused-Level Accredited Education Institute (AEI)
The lab is accessible to residents 24-hours a day and features advanced simulation tools that support a wide range of skill-building activities:
- DaVinci Robotic surgery trainer offers residents unlimited access to build proficiency in robotic surgery and refine their robotic skills.
- GI MENTOR Simulator allows residents to practice both upper and lower endoscopy in preparation for FES testing.
- LAP MENTOR Simulator provides advanced suturing exercises and simulated procedures such as: cholecystectomy, Sigmoid colon resection, and Nissen Fundoplication.
- ATLAS (Advanced Training in Laparoscopic Suturing) is a challenging station designed to push upper-level residents to further refine laparoscopic suturing skills.
- Fundamentals of Laparoscopic Surgery (FLS) Trainers are used to prepare residents for FLS testing and enhance laparoscopic skills.
- Central Line Man is used for teaching and practicing central venous access techniques.
Certification Training
The Skills Lab supports on-site training and testing for two American Board of Surgery (ABS) required certifications:
- Fundamentals of Laparoscopic Surgery (FLS):
Includes written and manual skills exams; the manual skills component is proctored remotely in the lab. - Fundamentals of Endoscopic Surgery (FES):
Residents complete written exams and use the GI MENTOR simulator to meet testing requirements provided by SAGES.
Teaching & Outreach
The lab also plays a key role in the surgical education of medical students at all levels:
- MS-4 Boot Camp is a focused preparation course for students entering surgery or surgical specialties.
- MS-3 students on their Surgical Clerkship receive an introduction to the Surgical Skills Lab during week 1 where they practice fundamental surgical techniques and procedures.
- Surgical Interest Group (SIG) sessions provide first- and second-year medical students with early exposure to surgical skills and hands-on experience in the lab, fostering their interest in surgery before clerkships begin.
The following is a list of some of our skills sessions:
- Knot-tying

- Suturing
- Instrument Identification
- Emergent Chest Procedure after Coronary Bypass
- Cricothyroidotomy
- FAST Exam in Trauma
- Chest X-Ray Interpretation
- Chest Tubes Instruction using the Full-size Manikin
- Introduction to Ventilator & Ventilator Management
- CT review of Head, Neck, Chest and Abdomen
- Ultrasound - Basic Physics
- Ultrasound - Application (Head, Neck, Chest and Abdomen)
- Sono guided Central Line Access
- EGD and Surgical Drains
- AV Fistulas
- Colonoscopy
- Wound Vacs
- Vascular Anastomosis
- Surgeon as a Communicator
- Chronic Wounds, Wound Care and Hyperbaric Oxygen Therapy
- Introduction to Critical Care and SICU
- Breast Ultrasound

- Introduction to FLS
- Introduction to FES
- ATLAS
- Extracorporeal & Intracorporeal Suturing
- VATS (Video Assisted Thoracoscopy)
- Common Bile Duct Exploration via Cystic Duct
- Robotic simulator
- Vascular Anastomosis
- Vascular Stents
- Pig Lab Heart Dissection
- EVAR Simulation
- REBOA Simulation
- Echocardiography in Critical Care