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From FUSE to a hands-on electrosurgery course using a cadaveric model.
Francesca Moller1, Úrsula Figueroa2, Mariana Miguieles2
1Orthopedics Department, Pontificia Universidad Católica de Chile, Diagonal Paraguay 362, 3rd Floor, Santiago, Chile.
Surgical Endoscopy
|July 11, 2024
Summary
A new training course significantly improved surgical residents' electrosurgery skills, reducing errors and achieving proficiency comparable to experienced surgeons. This structured education enhances patient safety by promoting the safe use of energy-based devices.
Area of Science:
- Surgical Education
- Medical Simulation
- Energy-Based Devices
Background:
- Contemporary surgical practice relies heavily on energy-based devices.
- A significant gap exists in comprehensive resident education regarding the safe and effective use of these tools.
Purpose of the Study:
- To develop and evaluate an innovative training course for surgical residents focused on electrosurgery.
- To enhance basic electrosurgery knowledge and promote safe device utilization among trainees.
Main Methods:
- A simulated training course was designed for first-year general surgery and orthopedic residents.
- The curriculum included online theoretical sessions and in-person practical training using cadaveric models.
- Trainee performance was assessed using Objective Structured Assessment of Technical Skill (OSATS), Specific Rating Scale (SRS), and Surgical Energy-based Devices Scale (SEBS), with third-year residents serving as a control group.
Main Results:
- First-year residents demonstrated significant improvements in OSATS, SRS, and SEBS scores post-training.
- The incidence of skin burns related to electro-scalpel use decreased dramatically after training.
- Trained novices achieved performance levels comparable to third-year residents in SRS and SEBS, and showed significant improvement in OSATS.
Conclusions:
- Structured electrosurgery education is crucial for surgical trainees.
- Implementing such courses equips first-year residents with skills equivalent to those of third-year residents.
- This educational approach can reduce complications from energy device misuse, thereby improving patient safety.
