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Most Advanced Practice Providers receive minimal training in suturing and wound repair. 

Online Suture Course bridges this gap between training and practice.

Course Options


OSC Core (15.0 Contact Hours, 2.0 Pharmacology Hours) is the backbone of our suturing course.  It is the course in its entirety in an online, asynchronous format.  OSC Core offers 15.0 total AAPA and ANCC contact hours, including 2.0 ANCC pharmacology hours.  ANCC contact hours are accepted by the AANP.  With OSC Core, course participants receive training in 11 closure methods through 34 modules and 10 case studies, covering 3 anesthesia methods as well as the A.C.E. F.A.S.T. Closure Method™.  All course versions include downloadable MP3 and MP4 course audio and video, as well as a digital course workbook.

OSC NOMAD contains OSC Core and also puts all of the course content on a USB drive, useful for internet-challenging geographic areas, travel, or simply as a personal copy of the content.

For either Core or NOMAD, the word Deluxe indicates that it comes with a practice kit for learning suturing techniques.  This kit includes 8 various size sutures, a laceration tray, a skin stapler and staple remover, and a kit box.  The kit does not contain any practice medium due to our belief that skin-on chicken thighs, bananas, or pig feet offer a much better human skin analogue than ballistic gel and other inorganic mediums.

OSC Core $229

Full Course, Online Asynchronous Forever Access

OSC Core Deluxe $299

Full Course, Online Asynchronous Forever Access
PLUS a Deluxe Practice Kit


Full Course, Online Asynchronous Forever Access
PLUS the Entire Course on USB

OSC NOMAD Deluxe $319

Full Course, Online Asynchronous Forever Access
PLUS the Entire Course on USB
PLUS a Deluxe Practice Kit

  • Fully asynchronous
  • NO expiration or due date for completion
  • 100% online
  • The Online Suture Course  &  The Skin Course
  • Both the Online Suture Course and The Skin Course
  • All digital course resources
  • Deluxe practice suture kit
  • 30-minute zoom session with the instructor
  • 30.0 AAPA \ ANCC Accredited Contact Hours
  • 10.0 ANCC Accredited Pharmacology Hours

11 Closure Methods

You will learn the proper way to perform the following closure techniques:

Skin Adhesive
Skin Stapling
Simple Interrupted
Simple Continuous
Horizontal Mattress
Vertical Mattress
Interrupted Cruciate
Corner Stitch
Running Locking
Dog Ear Deformity Correction
Multi-Layer Closure

10 Exciting Case Studies

Anti-coagulated geriatric versus rusty attic nail
Histrionic 4-year old chin versus floor
Hunter versus his own finger
Dizzied middle-age ear versus night-stand
Heavy-weight walker’s knee versus the track
Inebriated toe versus some rocks
Strapping lad’s lower leg versus the farm
Pediatric scalp versus coffee table
Middle-aged scalp (and c-spine) versus the dangers of living by yourself in middle age
Living room dancer’s buttocks versus (again) coffee table

3 Anesthesia Approaches

Local Infiltration
Digital Block
Field Block

ENP Credit Hours

This course provides 15.0 of 30 contact hours required by the AAENP under Option 1 for the ENP certification exam.

A.C.E. F.A.S.T. Closure Method

Learn to ace your closures every time through the A.C.E. F.A.S.T. Closure Method.  This method, developed by OSC creator Patton Graham, will improve your throughput times, bolster your medicolegal defensibility, enhance your charting, and fortify your patient outcomes.

34 Learning Modules

  • When and When Not to Close
  • The A.C.E. F.A.S.T. Closure® Method
  • Proper Anesthesia Delivery
  • Proper Wound Cleansing
  • Proper Wound Examination
  • Foreign Body Removal
  • Antibiotic Appropriateness
  • When to Seek Surgical Consultation
  • Current Tetanus Guidelines
  • Closure Basics Including Line and Needle Selection
  • Proper Knot Tying
  • Left-handed suturing
  • Repair of Torso Lacerations
  • Repair of Extremity Lacerations
  • Repair of Head and Neck Lacerations
  • Repair of Scalp Lacerations
  • Repair of Eyelid Lacerations
  • Repair of Ear Lacerations
  • Repair of Lip Lacerations
  • Repair of Nailbed Lacerations
  • Repair of Flap Lacerations
  • Repair of Buccal Lacerations
  • Repair of Tongue Lacerations
  • Repair of Joint Capsule Lacerations
  • Nail Trephination
  • Dog Ear Deformity Correction
  • Undermining
  • Multi-layer Suturing
  • SPECIAL TOPIC: Treatment of Animal Bites
  • SPECIAL TOPIC: Treatment of Open Fractures
  • SPECIAL TOPIC: Pediatric Lacerations
  • SPECIAL TOPIC: Lacerations in the Anticoagulated Patient
  • SPECIAL TOPIC: Managing Poorly Healing Lacerations
  • SPECIAL TOPIC: C-spine Management and Imaging Related to Traumatic Head and Neck Lacerations
  • BONUS: Appropriate Follow-up Care
  • BONUS: Medicolegal Tips and Nuggets

“Patton’s teaching style is alert, positive, and to the point.  I’m looking forward to the other courses he comes up with.”

Nora Vince, NP-C

“Really great course.”

Wes Smith, FNP-BC

“I’m an ED doc for 21 years now. I did not expect this course to teach me anything. I was wrong. Maybe that says something about me … maybe it says something about the course. I recommend it.”

J. D. C.

“Finally, a suture course worth the effort, money, time, all of it. I will be reviewing my notes from this course daily, as I practice in an emergency department and close a lot of lacerations.”

Bill Crandall, FNP

Rating: 10

“School rotations included some surgical technique and I remembered some of it. What I learned from this course has improved my practice, and I’m grateful.”

John Birch, PA-C

Rating: 10

“Everything I never knew I needed to know. Wow!”

Melany Thomas, NP

Rating: 9.5

“I loved every minute of this course. Patton is extremely easy to follow, he has passion – I wish he taught other procedures. I will tell everybody about this course!”

Cindy McCall, MSN, RN, FNP-BC

Rating: 10

“We will recommend this course to our next round of students. Totally gets it right. Well put together and the value was completely there. Evidence based practice through-and-through.”

Carson Smith-Weathers, ENP, MHA

Rating: 10

Upcoming Live Courses

FEBRUARY 24-25, 2022

WHERE: In-Person  OR  Live Webinar

WHAT: The Whole Course  OR  Suture Course  OR  Dermatology Course

  • Ultrasound Training – evaluation of soft tissue abnormalities
  • Suture Training – 11 closure techniques
  • Biopsy training
  • Anesthesia Training – 3 anesthesia approaches
  • Learn incision and drainage
  • 33 topics in suturing
  • 81 topics in dermatology

The entire original Online Suture Course and The Skin Course, taught LIVE!


Accredited CE – 30.0 contact hours including 12.0 pharmacology hours
Course Supplies (laceration tray, sutures, scalpel, skin stapler, staple remover, punch biopsy, skin analogues both days)
Event T-Shirt
Lifetime Course Access
Workbook – Full Color Digital Course PowerPoint
WhiteCoat Suture Manual – Our fully illustrated pocket-book for suturing


Day 1: Live Advanced Course in Suturing (Suturing component)
8:00am – 5:00pm CST

Day 2: The Skin Course (Dermatology component)
8:00am – 5:00pm CST


Drury Plaza Hotel

1874 West McEwen Drive
Franklin, TN 37067

Patton Graham, NP-C, EMT

Patton is a family and emergency nurse practitioner.  He is a member of the American Academy of Emergency Nurse Practitioners and the American Academy of Nurse Practitioners.  He earned his B.S. (sociology) in 2005 from the University of North Alabama, his A.S. (nursing) in 2012 from Columbia State Community College, and his M.S. (nursing) in 2015 from Tennessee State University.  He completed his emergency nurse residency in 2012 at Saint Thomas Midtown Hospital in Nashville, TN.

Patton practices in both emergency departments and acute care clinics.  Patton has taught at the collegiate level and has also taught suture training courses, wound repair, and procedural processes in a variety of clinical settings.

WhiteCoat Suture Manual

The ultimate suturing manual

The WhiteCoat Suture Manual is the ultimate resource for laceration closure and management covering 13 closure techniques and 33 topics.  An excellent stand-alone clinical resource, or as a study aid for the Online Suture Course.

Addresses all the questions you (should) have, including:

When should you consult an orthopedist or surgeon?
How do you properly assess a joint’s involvement in a laceration?
When should you refrain from closing a wound?
How do you close an ear laceration?
What technique is best for closing deep extremity wounds?
Are antibiotics appropriate for every wound?
How long do sutures stay in place in a given body region?


  • Helpful section tabs bring you right where you want to be quickly
  • Case studies integrate guidelines with practice
  • Featuring the A.C.E. F.A.S.T. Closure Method
  • Closure instruction by body system
  • Pages: 168
  • Size: Lab-coat ready, pocket size (4.25″ x 6.0″)
  • Shipping: Free

the skin course


Dermatology Course for Registered Nurse Practitioners and Physician Assistants

  • Complete, High-Yield Dermatology Course for NPs and PAs
  • 15.0 AAPA / ANCC Contact Hours
  • 10.0 ANCC Pharmacology Hours
  • 81 Topics
  • Incision and Drainage Training
  • Ultrasound Training
  • Biopsy Training
  • AANP Accredited CE: 15.0 contact hours including 10.0 pharmacology hours

OSC Group Practice and Facility Plan

Do you have a practice of 2 or more providers?  We would love to be part of your core training program for current and future providers.

Depending on how many providers are in your practice / facility, OSC can be incorporated into your training program at a significantly discounted rate, from 20-45% off the current list price per provider.

Our program can help you (and your practice) learn more techniques for wound evaluation and treatment.  More importantly, you can better manage complex lacerations, sending fewer to a “higher-level-of-care”, and retaining associated revenue.

To inquire about these substantial discounts, and to find out more about our plans, please email [email protected]


With an average rating of 4.3 / 5 as reported by over 3,200 course participants, OSC is a proven source for high-yield continuing medical education.

Learn multiple techniques for simple and complex closures

  • Steri-strips
  • Skin Adhesive
  • Staples
  • Simple Interrupted
  • Simple Continuous
  • Horizontal Mattress
  • Vertical Mattress
  • Interrupted Cruciate
  • Corner Stitch
  • Running Locking
  • Dog Ear Deformity Correction
  • Multi-layer Closure

Discussion of Medicolegal Implications and Pitfalls

  • Defensive charting tips
  • What to verbalize to your patients (or their parents)
  • Essential discharge instructions
  • Avoiding common pitfalls that could result in lawsuit
  • Discussion of the most important way to avoid being sued

An Entire Module on Pediatric Lacerations

  • Dealing with kids and their parents
  • Building rapport with your pediatric patient
  • Pediatric analgesia tips
  • Pediatric moderate sedation procedures
  • Pediatric case studies

Extensive Anesthesia and Pharmacology Discussion

  • Local infiltration
  • Digital blocks
  • Field blocks
  • Moderate sedation with ketamine and midazolam
  • Amide family (the “caines”) anesthetics

More Reasons to Buy the Course

Regardless of your level of experience with wound closure and care, OSC will enhance your skill set in the areas of suturing, stapling, gluing, and managing simple to complex lacerations.  You will learn when to seek surgical consultation, how to deal with animal bites, when not to close a wound, and much more.

Online access makes learning and earning much easier.  OSC is a fully online, asynchronous suture training course.  This puts you in the driver’s seat for deciding when and where to enrich your practice.  It also puts the captain’s hat squarely on your brow for deciding at what pace you earn CME credit.

High-definition video makes learning very real-to-life.  Using state-of-the-art, high-definition video technology, OSC brings you right to the heart of the wound and guides you through repairs every step of the way.  You will learn, with crystal clarity, how to repair lacerations using simple interrupted, interrupted cruciate, running-locking, vertical mattress, and many more techniques.  You will learn how to tie knots correctly.  You will learn essentially everything there is to know about wound repair.

Accredited CE.  The OSC Suture Training Course is approved for 15.0 contact hour(s) of continuing education by the American Academy of Physician Assistants.  The American Association of Nurse Practitioners and the American Nurses Credentialing Association both accept AAPA CME credit hours.

Learn from an experienced family and emergency nurse practitioner.  With years of experience as an emergency department provider, as well as collegiate level teaching experience, Patton is able to quickly explain, demonstrate, and prepare you to emulate simple and complex techniques, as well as fully enhance your current level of practice and understanding.  He’s also a real person and makes learning fun.

Not a bare-bones essentials course.  OSC will bring you to the front of your field in suture repair.  OSC is a head-to-toe suture training course and will fully enhance your practice of wound closure.

Your charting will never be the same.  OSC is full of high-yield MEDICOLEGAL NUGGETS and advises you on what to chart, and when to chart it.  Your clinical documentation will improve.  Your patient outcomes will improve.  And, your foundation for medicolegal defense will be enhanced.

Learn suturing through the A.C.E. F.A.S.T. Closure® method.  Developed by Patton Graham, NP-C, the A.C.E. F.A.S.T. Closure® method will help you ace your closures every time.  This method-approach to wound closure will surprise you at how easy it is to both remember and implement.

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Save 20%

Save 20% off of all course options (even the September 2021 LIVE event) using coupon code SAVE20