Here it is in close up. Turn needle through tissue. Then either push through a bit, or pull through from the other side. Practice grabbing needle on other side so it is ready to go for the next bite. Economy of movement. Remember to turn through curvature of needle. 2/5

Simple things surg regs should practice #1. One-handed suturing. This has come in super handy for me in tricky situations when one hand is either retracting something, plugging a hole in a blood vx or just holding the thread. 1/5

Here's a simulated example of when it might be useful. Imagine closing a hole in a big vein. One hand follows with other hand doing all the stitching. Your assistant might have both their hands occupied with suction + retraction to give you vision etc. 3/5

When I was a junior reg I would slip up with simple things like suturing or tying. A boss once asked me if a pro golfer practices their putting ad nauseam for the short game set piece, then why aren't I working on my dexterity ad nauseam for my patients. 4/5

You can see here that you don't need much at home to work on these things. A bit of masking tape. A needle (don't even need a thread!). Needle holder. Regs you can thank me later when you use it to fix that hole in the portal vein or IVC.

I am delighted to see someone else focusing on basic skills @BBASS_skills - I would be delighted if you joined as a fellow Sensei - we have 3295 followers in 77 countries🙏🥋👊and live on @MedAllApp every Monday evening teaching the same🙏🥋👊

@BBASS_skills @MedAllApp Wow what a great initiative! Does it help that I too have a black belt? (1st dan shotokan, 3rd dan Taekwondo) 🥋 Monday evening which timezone?

I found it faster to push through the extra bit rather than an extra pull. This technique works great when you are following yourself on vascular anastomoses like renal transplantation. Love it!

@SaveMyVideo