Family Physicians see a variety of wounds in daily practice. Proper care and management should be addressed in an evidence-based manner and guidelines should be followed. This CME course is designed to help develop insight and "hands-on" skills to achieve the very best attainable wound care management and wound closure results for patients. The approach is to challenge and to encourage the attendees to expand their expertise in the management and closure of more difficult wounds and large tissue excisions. Although basic wound management and wound closure will be reviewed to assure that everyone has a similar platform to build from in the rest of the course, it is assumed that attendees will have basic knowledge and experience in suturing. Advanced topics will include tendon repair, "plasties" and advancement flaps, correction of common problems like dog ears, and skin grafting. Emergency physicians, General Surgeons, Family Physicians, Internists, Nurse Practitioners, Physicians Assistants, and other clinicians will find this skill training essential to develop their present abilities to a higher level.
By the end of this activity, the participant should be better able to:
Discuss with the patient what they can expect during and after the procedure and develop an appropriate informed consent process.
Review the pertinent factors to formulate and choose a plan for excision and closure before the procedure is undertaken.
Discuss the basic concepts in wound care including, anatomy of the skin, site preparation, wound healing principles, and appropriate handling of the skin.
Select the proper local anesthetics and appropriate suture for closure.
Practice basic and intermediate tendon repair, skin grafting, and advanced techniques including plasties, advancement flaps, dog ear repairs, etc., using animal models.
Develop an appropriate protocol for handling complications including dehisced wounds.
Assist other health professionals and be able to problem solve to deal with multiple skin surgical dilemmas both traumatic and elective.