Akihiro Kondo1, Yuichi Nishihara2, Miho Sato3, Elif Bilgic4,5, Yusuke Watanabe6,7,8. 1. Department of Gastroenterological Surgery, Faculty of Medicine, Kagawa University, Takamatsu, Japan. 2. Department of Surgery, Sassa General Hospital, Nishitokyo, Japan. 3. Clinical Research and Medical Innovation Center, Institute of Health Science Innovation for Medical Care, Hokkaido University Hospital, Sapporo, Japan. 4. Department of Experimental Surgery, McGill University, Montreal, Canada. 5. Department of Pediatrics, McMaster University, Hamilton, Canada. 6. Clinical Research and Medical Innovation Center, Institute of Health Science Innovation for Medical Care, Hokkaido University Hospital, Sapporo, Japan. yusuke.watanabe@pop.med.hokudai.ac.jp. 7. Center for Medical Device Development, Institute of Health Science Innovation for Medical Care, Hokkaido University Hospital, Sapporo, Japan. yusuke.watanabe@pop.med.hokudai.ac.jp. 8. Department of Gastroenterological Surgery II, Faculty of Medicine, Hokkaido University, Kita 14 Nishi 7 Kita-ku, Sapporo, 060-8638, Japan. yusuke.watanabe@pop.med.hokudai.ac.jp.
Abstract
BACKGROUND: The Fundamental Use of Surgical Energy (FUSE) program was established to educate surgeons and trainees to promote awareness and behaviors for the safe use of surgical energy devices. Despite its implementation, the impact of FUSE certification on surgeons' behavior and safety awareness regarding practice of energy devices remains unclear. This study aimed to identify the perceived impact of FUSE certification on surgeons' behavior and awareness regarding the safe use of surgical energy devices. METHODS: We performed a descriptive cross-sectional survey study, using non probabilistic purposive sampling, and distributed 22-item web-based questionnaires among all 59 FUSE-certified surgeons in Japan, excluding operating room nurses and medical students. The questionnaire items covered demographics, surgical techniques using various energy devices, changes in behavior and safety awareness, communication with colleagues about surgical energy devices, and educational activities related to energy devices. RESULTS: Fifty-seven participants completed the questionnaire (response rate 96.6%). Most surgeons (91.3%) could apply material learned from the FUSE program in practice, especially material related to monopolar electrosurgery. Fifty-six surgeons (98.3%) reported increased awareness of surgical safety, and 35 (61.5%) reported increased communication with operating room personnel about the safe use of energy devices. Moreover, 56 participants (98.3%) indicated a need for systematic education in surgical energy, with participants recommending fellows (94.7% of participants specified that fellows should participate in further education), residents (75.4%), and attending surgeons (63.2%) as the target recipients of this training. Conclusions After FUSE certification, not only did surgeons' knowledge increase, but their energy-related surgical techniques in practice also improved. Furthermore, FUSE-certified surgeons felt that they were more aware of surgical-energy safety and were dedicated to its promotion.
BACKGROUND: The Fundamental Use of Surgical Energy (FUSE) program was established to educate surgeons and trainees to promote awareness and behaviors for the safe use of surgical energy devices. Despite its implementation, the impact of FUSE certification on surgeons' behavior and safety awareness regarding practice of energy devices remains unclear. This study aimed to identify the perceived impact of FUSE certification on surgeons' behavior and awareness regarding the safe use of surgical energy devices. METHODS: We performed a descriptive cross-sectional survey study, using non probabilistic purposive sampling, and distributed 22-item web-based questionnaires among all 59 FUSE-certified surgeons in Japan, excluding operating room nurses and medical students. The questionnaire items covered demographics, surgical techniques using various energy devices, changes in behavior and safety awareness, communication with colleagues about surgical energy devices, and educational activities related to energy devices. RESULTS: Fifty-seven participants completed the questionnaire (response rate 96.6%). Most surgeons (91.3%) could apply material learned from the FUSE program in practice, especially material related to monopolar electrosurgery. Fifty-six surgeons (98.3%) reported increased awareness of surgical safety, and 35 (61.5%) reported increased communication with operating room personnel about the safe use of energy devices. Moreover, 56 participants (98.3%) indicated a need for systematic education in surgical energy, with participants recommending fellows (94.7% of participants specified that fellows should participate in further education), residents (75.4%), and attending surgeons (63.2%) as the target recipients of this training. Conclusions After FUSE certification, not only did surgeons' knowledge increase, but their energy-related surgical techniques in practice also improved. Furthermore, FUSE-certified surgeons felt that they were more aware of surgical-energy safety and were dedicated to its promotion.
Authors: Liane S Feldman; Pascal Fuchshuber; Daniel B Jones; Jessica Mischna; Steven D Schwaitzberg Journal: Surg Endosc Date: 2012-04-27 Impact factor: 4.584
Authors: Amin Madani; Yusuke Watanabe; Melina C Vassiliou; Pascal Fuchshuber; Daniel B Jones; Steven D Schwaitzberg; Gerald M Fried; Liane S Feldman Journal: Surg Endosc Date: 2015-07-03 Impact factor: 4.584
Authors: Amin Madani; Yusuke Watanabe; Melina C Vassiliou; Pascal Fuchshuber; Daniel B Jones; Steven D Schwaitzberg; Gerald M Fried; Liane S Feldman Journal: Surg Endosc Date: 2014-05-02 Impact factor: 4.584
Authors: P Fuchshuber; S Schwaitzberg; D Jones; S B Jones; L Feldman; M Munro; T Robinson; G Purcell-Jackson; D Mikami; A Madani; M Brunt; B Dunkin; C Gugliemi; L Groah; R Lim; J Mischna; C R Voyles Journal: Surg Endosc Date: 2017-12-07 Impact factor: 4.584