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LACS + DERM 2021
Live Advanced Course in Suturing 2021
  • January 20-21, 2021
  • Franklin, TN
  • Earn 30.0 contact hours!
  • Earn 10.0 pharmacology contact hours!
  • Content counts toward 15 of 30 hours required for ENP certification under AANP option 2.

Four Course Options

OSC Core


  • Online Course Access Forever
  • 15.0 Total CE Credits
  • Mp3 Course Audio
  • Mp4 Course Video (1080p)
  • Course Workbook
OSC Core Deluxe


  • Online Course Access Forever
  • 15.0 Total CE Credits
  • Mp3 Course Audio
  • Mp4 Course Video (1080p)
  • Course Workbook
  • PLUS
  • Practice Suture Kit:
    • (8) Practice sutures (various line and needle sizes)
    • (1) Skin stapler (35 wide staples)
    • (1) Skin staple remover
    • (1) Laceration tray
    • Heavy-duty kit container
OSC Nomad


  • Entire Course on USB Thumb Drive
  • PLUS
  • Online Course Access Forever
  • 15.0 Total CE Credits
  • Mp3 Course Audio
  • Mp4 Course Video (1080p)
  • Course Workbook
OSC Nomad Deluxe


  • Entire Course on USB Thumb Drive
  • PLUS
  • Online Course Access Forever
  • 15.0 Total CE Credits
  • Mp3 Course Audio
  • Mp4 Course Video (1080p)
  • Course Workbook
  • PLUS
  • Practice Suture Kit:
    • (8) Practice sutures (various line and needle sizes)
    • (1) Skin stapler (35 wide staples)
    • (1) Skin staple remover
    • (1) Laceration tray
    • Heavy-duty kit container

80% of Advanced Practice Providers receive minimal training in suturing and wound repair. 

OSC bridges this gap between training and practice.

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

What Your Peers Are Saying

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.

Really great course.

– Wes Smith, FNP-BC

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

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

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

I flew through the course. Loved it.

– Bethany H.

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

Everything I never knew I needed to know. Wow!

– Melanie Thomas, NP

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
Patton Graham Np

OSC Expert Faculty

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.

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.

Also Consider our New Pocketbook - WhiteCoat Suture Manual

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

Learn More

NEW: The Skin Course!

The Skin Course (15.0 CME / 10.0 Pharmacology)

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

Click here to Learn More or Register


Registered Nurse Practitioners and Physician Assistants

April 01, 2020

March 31, 2022

15 hours

15.0 CME/CE (including 2.0 pharmacology for Nurse Practitioners) 

Jointly provided by Postgraduate Institute for Medicine and WhiteCoat Education Group, LLC.

Joint Accreditation Statement 

In support of improving patient care, this activity has been planned and implemented by the Postgraduate Institute for Medicine and WhiteCoat Education Group.  Postgraduate Institute for Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Continuing Nursing Education

The maximum number of hours awarded for this Continuing Nursing Education activity is 15.0 contact hours.  Designated for 2.0 contact hours of pharmacotherapy credit for Advance Practice Registered Nurses.

Continuing Physician Assistants Education

aapa category 1 creditThe Postgraduate Institute for Medicine has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 15.0 AAPA Category 1 CME credits. Approval is valid until March 31, 2022. PAs should only claim credit commensurate with the extent of their participation.

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