“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

AANP & ANCC


The Core Course
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™.
The course is available by itself, or bundled with some extras. All course bundles include downloadable MP3 and MP4 course audio and video, as well as a digital course workbook.
Choose How You Want to Take the Course
COURSE OPTIONS
OSC CORE AND NOMAD
OSC Core (20 Contact Hours, 10 Pharmacology Hours) is the backbone of our suturing course. It is the course in its entirety in an online, asynchronous format. OSC Core offers 20 total AAPA and ANCC contact hours, including 10 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 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.




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
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
Local Infiltration
Digital Block
Field Block
This course provides 20 of 30 contact hours required by the AAENP under Option 1 for the ENP certification exam.
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.

Learn multiple techniques for simple and complex closures

Discussion of Medicolegal Implications and Pitfalls

An Entire Module on Pediatric Lacerations

Extensive Anesthesia and Pharmacology Discussion