Hand surgery is very much a psychomotor dominant specialty requiring the need for predictable, reliable and cost effective means of transferring and developing surgical skills. The need for a high quality simulations model to acquire skills is important in skill training.In this paper we identified real world problems of skill gaps in hand surgery and used the theories of instructional design (ID) to analyse the instructional needs in the problems and then generated solutions using the principles of ID. Based on the individual needs of the learners and entry behavior and characteristics, the framework developed instructional activities and materials and used the concept of the flipped classroom, allowing for effective and efficient transfer of information and skills allowing for adequate feedback and assessment to achieve the stated objectives of the instructions. It included generation of appropriate tools to evaluate the effectiveness of the whole ID framework.This paper shows that the use of the Instructional Design models like ADDIE and Gagne's nine events and the use of open educational resources hosted on an open learning management system is a useful strategy in designing surgical skill workshops and is a reliable and predictable tool in producing learning programs for surgeons in a cost effective manner.