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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 9.5 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


OSC is one of the most popular suture training courses in the country.  OSC is offered online and live (in-person), and is high-yield and up-to-date.  It also plays nice with your CE budget.  OSC Live is offered multiple times throughout the year, and OSC Core is offered 24/7/365.  Accreditation is through AANP, program ID 18033095.

Designed for NPs, PAs, and Primary Care Physicians.  OSC is an advanced, intensive suture training course and wound repair training course created and presented by an Emergency Department NP delivering the core wound repair knowledge base.  

Much more than just techniques.  Participants will learn practice pearls from an experienced ED provider – a culmination of years of experience.


Frequently Asked Questions (answers, really)

Access to OSC never expires once you register for a course

 OSC is 100% online access, 24/7/365

 Course content is accessible for life, even after you earn CE credit

 OSC course videos can be watched in any sequence and playback is fully controllable by you (pause, rewind, fast-forward)

Courses are accessed using the single-sign on portal at the top of this page, and your sign-in credentials are the email address and password you registered with when you purchased the course

Our technology has been tested and shown to work well with the latest versions of Chrome and Internet Explorer.  After logging in, on the upper-right hand side of the page, a picture of an owl should appear next to the words, “Start Learning”.  If you aren’t seeing this, please try accessing the course using a different browser.

 WhiteCoat Education Group, LLC. and values your personal information

 Information you provide to register for or access a course is closely guarded and never given out

OSC Accreditation

Aapa Category 1 Credit


April 1, 2019 – March 31, 2020


Nurse Practitioners and Nurses: Both the American Nurses Credentialing Center (ANCC) and the American Academy of Nurse Practitioners (AANP) accept AAPA Category 1 credit.


March 31, 2018 – March 31, 2019

9.5 including 1.0 pharmacology hours

All OSC course versions include:

  • Hours of didactic and instructional digital video and audio content
  • 50 page e-workbook
  • 10 interactive case studies
  • 11 hands-on practice modules
  • Access to the course director via email to ask any and all questions

Sample Lectures

Here’s a sample lecture on eyelid and ear lacerations:

Here’s a sample lecture on the interrupted cruciate technique:

Here’s a sample lecture on proper knot tying:


I’ve taken live suture training courses before.  I did NOT learn as much with those as I learned with OSC.  What a phenomenal course.  Basically everything you need to know for wounds is in the course.  Yes, it’s online.  However, you get out of it what you put into it; and you can get a lot out of it.

– Cynthia Garner, DNP, 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.

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

Full 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

Four Course Options

online suture course portable

only $179

The original suture training course, accessible completely online, and accredited for 9.5 CE credits including 1.0 pharmacology credit.  Course progress is managed through the online learning management system incorporated into our website.  The course includes all core curriculum (listed above) and 11 hands-on practice modules that can be completed using your own supplies, or supplies purchased from the OSC store.  These modules support the core course content, and are designed to help you physically master each closure technique.  Participants who successfully complete the course will receive a CE certificate indicating their earned credits.

only $199

The original suture training course accredited for 9.5 CE credits including 1.0 pharmacology credit, accessible via USB course drive and online.  Take it anywhere!  As always, the course includes 11 hands-on practice modules that can be completed using your own supplies, or supplies purchased from the OSC store.  These modules support the core course content, and are designed to help you physically master each closure technique.  Participants who successfully complete the course will receive a CE certificate indicating their earned credits.

only $259

Includes the original OSC Core online access PLUS a deluxe practice suture kit to maximize your learning with the 11 hands-on practice modules.

only $279

OSC NOMAD can be turned into a deluxe, all-in-one suture training course when you purchase OSC NOMAD Deluxe, which includes everything you’ll need to physically practice your new suture skills.

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 and see essentially everything there is to know about wound repair.

Accredited CE.  The OSC Suture Training Course is approved for 9.5 contact hour(s) of continuing education (which includes 1.0 hours of pharmacology) by the American Association of Nurse Practitioners. Activity ID 18033095.  This activity was planned in accordance with AANP CE Standards and Policies.  The OSC Suture Training Course is approved for 9.5 category 2 contact hours by the American Academy of Physician Assistants.

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.

patton grahamOSC Expert Faculty

Patton D. 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.

Other Courses Offered by WhiteCoat Education Group

Dermatology Training Course for NPs and PAs


  • When to cut
  • How to cut
  • When to treat with antibiotics

Hands-On Modules

  • Incision and drainage practice
  • Ultrasound assessment of abscesses
  • Biopsies
    • Punch
    • Skin tag and mole removal
    • Basic pathology


  • Measles
  • Scarlet Fever
  • Rubella
  • Filatow-Dukes
  • Erythema Infectiosum
  • Roseola Infantum
  • Shingles
  • Chicken Pox
  • Molloscum Contagiosum
  • Hand-Foot-Mouth
  • Impetigo
  • Felon
  • Paronychia
  • General Cutaneous Abscesses
  • Herpetic Whitlow
  • Folliculitis
  • Axillary (hidradenitis)
  • Pilonidal abscess versus cyst
  • Acne
  • Peritonsillar abscess
  • Neck abscess
  • Bartholin cyst versus abscess
  • Peraspinal abscess
  • Dental abscess
  • Breast abscess
  • Parotitis
  • Easiest Rash Algorithm Ever
  • Pediatrics
    • Scarlet Fever
    • Reyes
    • Kawasaki
  • Eczema
    • Dishidrosis
    • Discoid
    • Food allergy related
  • Psoriasis
    • Plaque
    • Systemic
  • Pytiriasis Rosea
  • The Tineas
  • Intertrigo
  • Lympangitis
  • Erysipelas
  • Rhus dermatitis (poison ivy)
  • Ganglion cyst
  • Sebaceous cyst
  • Baker’s cyst
  • Pilar cyst

Dermatology Training Course for NPs and PAs

Join Patton Graham, NP-C in Nashville, TN for ARC Live, a totally awesome live training course for abscess incision and drainage, training using ultrasound for abscess assessment, and biopsy excision training.  Total session time for this continuing education conference is 12 hours, with 8 session hours on day 1, and 4 session hours on day 2, providing you with either an early departure or some additional free time in Nashville.

  • Accredited CE – 12.0 contact hours including 2.0 pharmacology hours*
  • Course supplies (I&D Kit, abscess practice analogue with FAKE PUS)
  • Access to on-site ultrasound machine for hands-on training
  • Event T-shirt
Ultrasound Abscess Assessment

Hands-On Modules

Incision and Drainage Training

Participants will learn the proper technique for incision and drainage of an abscess, whether or not to pack, and definitive treatment including antibiotic appropriateness.

Ultrasound Training

With ARC Live, participants will get hands-on practice in the art of ultrasound assessment of abscesses and soft tissue disorders.  Participants will learn how to differentiate an abscess with fluctuance from simple cellulitis and answer that all important question of “Should I cut?”.

Biopsy Excision Training

Participants will learn the proper technique for biopsy and excision of skin tags, moles, and cystic lesions using punch and scalpel techniques.

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