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The Online Suture Course

20 Contact Hours (AAPA, ANCC, AANP)
10 Pharmacology Hours (ANCC, AANP)

The Online Suture Course (20.0 Contact Hours, 10.0 Pharmacology Hours) is an online, asynchronous laceration and wound repair course with 20.0 total AAPA and ANCC contact hours, including 10.0 ANCC pharmacology hours (ANCC contact hours are accepted by the AANP).

Entirely online and asynchronous. Course participants receive training in 13 closure methods through 34 modules, 10 case studies, 3 anesthesia methods, and the A.C.E. F.A.S.T. Closure Method™. Includes downloadable MP3 and MP4 course audio and video, as well as a digital course workbook.

You will learn how to properly assess, treat, and follow-up on laceration presentations.

  • Begin with the end in mind – think cosmetic outcome, infection potential, likelihood for dehiscence
  • Know when to ask – you’ll exit the course knowing when and why you should consult surgical or orthopedic services for certain wound presentations
  • Slam dunk that closure – with 13 closure techniques and 3 anesthesia methods in your toolchest, plus medicolegal charting nuggets and too many tips-of-the-trade to count, your wound closure game will hit the next level

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 20.0 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, including 10.0 pharmacology contact hours.

Learn from an experienced clinician.  With years of experience, 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.  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.

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

13 Closure Methods

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

  • Steri-Strips
  • 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
  • Left-handed 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

More Courses

The Skin Course

15 Contact Hours (AAPA, ANCC, AANP)
10 Pharmacology Hours (ANCC, AANP)

The Skin Course now features a new module covering the pitfalls and nuances of basic facial and minor plastic surgery!

dishydrotic-eczema tinea-unguium chicken-pox PeritonsilarAbsess hfmd

NEWLY Expanded and Revised Starting at $259

The Skin Course is a complete, high-yield dermatology course for Registered Nurse Practitioners and Physician Assistants. You will exit the course with enhanced understanding of the variety of skin disorders that often present in clinics and emergency departments; a firm foundation for diagnosing these conditions; a clear path to treating these conditions; understanding of when referral or consultation should be made; and familiarity with treatment measures including ultrasound assessment, anesthesia delivery, and procedural intervention. The Skin Course is proudly partnering with Pathology Student to bring more than just a basic understanding of dermatopathology to nurse practitioners and physician assistants.  With The Skin Course and Pathology Student, course participants will gain access to a select and cultivated resource for clinical decision making written by Kristine Krafts, M.D., a board certified pathologist who also has completed fellowships in hematopathology and molecular pathology.  Kristine is the real deal and she has brought her universe of knowledge to bear for The Skin Course students, along with Patton Graham, author and presenter of The Skin Course.

Joints, Points, & Blocks

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joint injections



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  • Lateral Epicondyle
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Nerve Blocks

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WhiteCoat Education Group


We provide high-yield, up-to-date continuing medical education for Nurse Practitioners and Physician Associates / Assistants in the areas of emergency medicine, acute care, dermatology, and internal medicine.


Launched in 2017, OSC has remained part of the core curriculum for many graduate schools and offers more overall value and information than any other learn-to-suture course on the market.


A dermatology course like no other.  81 topics including burns, cancer, acne, etc. as well as incision and drainage training, a down-and-dirty for ultrasound evaluation of soft tissue presentations, and skin biopsy training.


Our third course to date brings bedside intervention to the next level and teaches injections of 10 joints, 13 nerve blocks (including dental blocks), trigger point injections, and dry needling.

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