Survey-based analysis of fundamental tasks for effective use of electrosurgical instruments
Background Despite widespread use of electrosurgical instruments, there are no widely accepted tasks for training and evaluation of technical skills. The purpose of this study is to propose a set of tasks and report experts’ evaluations of the proposed tasks for validity, technical skills versus kno...
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| Veröffentlicht in: | Surgical endoscopy 2014-04, Vol.28 (4), p.1166-1172 |
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| creator | Allen, Brian F. Jones, Daniel B. Schwaitzberg, Steven D. Suvranu, De |
| description | Background
Despite widespread use of electrosurgical instruments, there are no widely accepted tasks for training and evaluation of technical skills. The purpose of this study is to propose a set of tasks and report experts’ evaluations of the proposed tasks for validity, technical skills versus knowledge requirements, and utility for future privileging curricula.
Methods
A set of seven hands-on tasks involving electrical energy were identified based on the fundamental use of surgical energy (FUSE) curriculum of the Society of American Gastrointestinal and Endoscopic Surgeons. A web-based survey was developed based on the seven identified tasks, with seven questions asked for each task. These questions rated candidate tasks on their suitability for validation studies, the role of manual skills, and the appropriateness of including the task in privileging curricula. Members of the FUSE committee were sent the web-based survey, and responses were recorded.
Results
Of the 27 members of the FUSE committee, 16 responded to the survey. A total of 775 Likert-style responses were recorded and quantified to a 1–5 range. Overall, responses within task–question pairs had a mean standard deviation of 0.83, suggesting general agreement. Tasks requiring bi-manual dexterity scored higher than single-handed tasks on a combined, four-question Likert-scale index for task validation (
p
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| doi_str_mv | 10.1007/s00464-013-3301-0 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3976716</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1513058299</sourcerecordid><originalsourceid>FETCH-LOGICAL-c470t-faa9bfd640af2471628172e54a2818275215effce101523970748fe5b69221483</originalsourceid><addsrcrecordid>eNp1kU1v1DAQhi0EokvhB3CpInHhYjr-yselEqoorVSpB-DEwfJmx0vabNJ64pX233fSLVVB6sm25pn3Hc8rxEcFXxRAdUwAtrQSlJHGgJLwSiyUNVpqrerXYgGNAamrxh6Id0TXwHij3FtxoK12xpVmIX7_yGmLO7kMhKsiDKHfUUfFGIuYh1XY4DCFvpgC3VARx1RgjNhO3RaLTDhj2PM7jZTTumsZ7QaaUp776L14E0NP-OHxPBS_zr79PD2Xl1ffL06_XsrWVjDJGEKzjKvSQojaVqrUtao0Ohv4UuvKaeXYtkUFymnTVFDZOqJblg3_09bmUJzsdW_zcoOrlr1T6P1t6jYh7fwYOv9vZej--PW49axVsh8LfH4USONdRpr8pqMW-z4MOGbyyikDrtZNw-in_9DrMSde2wPFa-eJZ0rtqZY3Qwnj0zAK_Byd30fnOTo_R-eBe46e_-Kp429WDOg9QFwa1pieWb-oeg8BnaSq</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1512181829</pqid></control><display><type>article</type><title>Survey-based analysis of fundamental tasks for effective use of electrosurgical instruments</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Allen, Brian F. ; Jones, Daniel B. ; Schwaitzberg, Steven D. ; Suvranu, De</creator><creatorcontrib>Allen, Brian F. ; Jones, Daniel B. ; Schwaitzberg, Steven D. ; Suvranu, De</creatorcontrib><description>Background
Despite widespread use of electrosurgical instruments, there are no widely accepted tasks for training and evaluation of technical skills. The purpose of this study is to propose a set of tasks and report experts’ evaluations of the proposed tasks for validity, technical skills versus knowledge requirements, and utility for future privileging curricula.
Methods
A set of seven hands-on tasks involving electrical energy were identified based on the fundamental use of surgical energy (FUSE) curriculum of the Society of American Gastrointestinal and Endoscopic Surgeons. A web-based survey was developed based on the seven identified tasks, with seven questions asked for each task. These questions rated candidate tasks on their suitability for validation studies, the role of manual skills, and the appropriateness of including the task in privileging curricula. Members of the FUSE committee were sent the web-based survey, and responses were recorded.
Results
Of the 27 members of the FUSE committee, 16 responded to the survey. A total of 775 Likert-style responses were recorded and quantified to a 1–5 range. Overall, responses within task–question pairs had a mean standard deviation of 0.83, suggesting general agreement. Tasks requiring bi-manual dexterity scored higher than single-handed tasks on a combined, four-question Likert-scale index for task validation (
p
< 0.0001), and a two-question index for manual skills (
p
< 0.0001).
Conclusions
Survey responses indicated general agreement that the identified tasks represent important technical skills and are consistent with actions in the operating room. Bimanual tasks were favored for validation purposes over single-handed tasks. The traction and monopolar dissection and monopolar coaptation tasks had the highest agreement with validation-oriented questions (97 and 87 %, respectively).</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-013-3301-0</identifier><identifier>PMID: 24253563</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Abdominal Surgery ; Clinical Competence - standards ; Core curriculum ; Curriculum ; Data Interpretation, Statistical ; Digestive System Surgical Procedures - education ; Digestive System Surgical Procedures - methods ; Education, Medical, Continuing ; Electrosurgery - education ; Electrosurgery - instrumentation ; Endoscopy ; Endoscopy, Digestive System - education ; Endoscopy, Digestive System - methods ; Energy ; Gastroenterology ; Gynecology ; Hepatology ; Humans ; Laparoscopy ; Medicine ; Medicine & Public Health ; Proctology ; Skills ; Surgeons ; Surgery ; Surveys and Questionnaires ; Virtual reality</subject><ispartof>Surgical endoscopy, 2014-04, Vol.28 (4), p.1166-1172</ispartof><rights>Springer Science+Business Media New York 2013</rights><rights>Springer Science+Business Media New York 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-faa9bfd640af2471628172e54a2818275215effce101523970748fe5b69221483</citedby><cites>FETCH-LOGICAL-c470t-faa9bfd640af2471628172e54a2818275215effce101523970748fe5b69221483</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-013-3301-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-013-3301-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24253563$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Allen, Brian F.</creatorcontrib><creatorcontrib>Jones, Daniel B.</creatorcontrib><creatorcontrib>Schwaitzberg, Steven D.</creatorcontrib><creatorcontrib>Suvranu, De</creatorcontrib><title>Survey-based analysis of fundamental tasks for effective use of electrosurgical instruments</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Background
Despite widespread use of electrosurgical instruments, there are no widely accepted tasks for training and evaluation of technical skills. The purpose of this study is to propose a set of tasks and report experts’ evaluations of the proposed tasks for validity, technical skills versus knowledge requirements, and utility for future privileging curricula.
Methods
A set of seven hands-on tasks involving electrical energy were identified based on the fundamental use of surgical energy (FUSE) curriculum of the Society of American Gastrointestinal and Endoscopic Surgeons. A web-based survey was developed based on the seven identified tasks, with seven questions asked for each task. These questions rated candidate tasks on their suitability for validation studies, the role of manual skills, and the appropriateness of including the task in privileging curricula. Members of the FUSE committee were sent the web-based survey, and responses were recorded.
Results
Of the 27 members of the FUSE committee, 16 responded to the survey. A total of 775 Likert-style responses were recorded and quantified to a 1–5 range. Overall, responses within task–question pairs had a mean standard deviation of 0.83, suggesting general agreement. Tasks requiring bi-manual dexterity scored higher than single-handed tasks on a combined, four-question Likert-scale index for task validation (
p
< 0.0001), and a two-question index for manual skills (
p
< 0.0001).
Conclusions
Survey responses indicated general agreement that the identified tasks represent important technical skills and are consistent with actions in the operating room. Bimanual tasks were favored for validation purposes over single-handed tasks. The traction and monopolar dissection and monopolar coaptation tasks had the highest agreement with validation-oriented questions (97 and 87 %, respectively).</description><subject>Abdominal Surgery</subject><subject>Clinical Competence - standards</subject><subject>Core curriculum</subject><subject>Curriculum</subject><subject>Data Interpretation, Statistical</subject><subject>Digestive System Surgical Procedures - education</subject><subject>Digestive System Surgical Procedures - methods</subject><subject>Education, Medical, Continuing</subject><subject>Electrosurgery - education</subject><subject>Electrosurgery - instrumentation</subject><subject>Endoscopy</subject><subject>Endoscopy, Digestive System - education</subject><subject>Endoscopy, Digestive System - methods</subject><subject>Energy</subject><subject>Gastroenterology</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Proctology</subject><subject>Skills</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Surveys and Questionnaires</subject><subject>Virtual reality</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kU1v1DAQhi0EokvhB3CpInHhYjr-yselEqoorVSpB-DEwfJmx0vabNJ64pX233fSLVVB6sm25pn3Hc8rxEcFXxRAdUwAtrQSlJHGgJLwSiyUNVpqrerXYgGNAamrxh6Id0TXwHij3FtxoK12xpVmIX7_yGmLO7kMhKsiDKHfUUfFGIuYh1XY4DCFvpgC3VARx1RgjNhO3RaLTDhj2PM7jZTTumsZ7QaaUp776L14E0NP-OHxPBS_zr79PD2Xl1ffL06_XsrWVjDJGEKzjKvSQojaVqrUtao0Ohv4UuvKaeXYtkUFymnTVFDZOqJblg3_09bmUJzsdW_zcoOrlr1T6P1t6jYh7fwYOv9vZej--PW49axVsh8LfH4USONdRpr8pqMW-z4MOGbyyikDrtZNw-in_9DrMSde2wPFa-eJZ0rtqZY3Qwnj0zAK_Byd30fnOTo_R-eBe46e_-Kp429WDOg9QFwa1pieWb-oeg8BnaSq</recordid><startdate>20140401</startdate><enddate>20140401</enddate><creator>Allen, Brian F.</creator><creator>Jones, Daniel B.</creator><creator>Schwaitzberg, Steven D.</creator><creator>Suvranu, De</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20140401</creationdate><title>Survey-based analysis of fundamental tasks for effective use of electrosurgical instruments</title><author>Allen, Brian F. ; Jones, Daniel B. ; Schwaitzberg, Steven D. ; Suvranu, De</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-faa9bfd640af2471628172e54a2818275215effce101523970748fe5b69221483</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Abdominal Surgery</topic><topic>Clinical Competence - standards</topic><topic>Core curriculum</topic><topic>Curriculum</topic><topic>Data Interpretation, Statistical</topic><topic>Digestive System Surgical Procedures - education</topic><topic>Digestive System Surgical Procedures - methods</topic><topic>Education, Medical, Continuing</topic><topic>Electrosurgery - education</topic><topic>Electrosurgery - instrumentation</topic><topic>Endoscopy</topic><topic>Endoscopy, Digestive System - education</topic><topic>Endoscopy, Digestive System - methods</topic><topic>Energy</topic><topic>Gastroenterology</topic><topic>Gynecology</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Proctology</topic><topic>Skills</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Surveys and Questionnaires</topic><topic>Virtual reality</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Allen, Brian F.</creatorcontrib><creatorcontrib>Jones, Daniel B.</creatorcontrib><creatorcontrib>Schwaitzberg, Steven D.</creatorcontrib><creatorcontrib>Suvranu, De</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Allen, Brian F.</au><au>Jones, Daniel B.</au><au>Schwaitzberg, Steven D.</au><au>Suvranu, De</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Survey-based analysis of fundamental tasks for effective use of electrosurgical instruments</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2014-04-01</date><risdate>2014</risdate><volume>28</volume><issue>4</issue><spage>1166</spage><epage>1172</epage><pages>1166-1172</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><abstract>Background
Despite widespread use of electrosurgical instruments, there are no widely accepted tasks for training and evaluation of technical skills. The purpose of this study is to propose a set of tasks and report experts’ evaluations of the proposed tasks for validity, technical skills versus knowledge requirements, and utility for future privileging curricula.
Methods
A set of seven hands-on tasks involving electrical energy were identified based on the fundamental use of surgical energy (FUSE) curriculum of the Society of American Gastrointestinal and Endoscopic Surgeons. A web-based survey was developed based on the seven identified tasks, with seven questions asked for each task. These questions rated candidate tasks on their suitability for validation studies, the role of manual skills, and the appropriateness of including the task in privileging curricula. Members of the FUSE committee were sent the web-based survey, and responses were recorded.
Results
Of the 27 members of the FUSE committee, 16 responded to the survey. A total of 775 Likert-style responses were recorded and quantified to a 1–5 range. Overall, responses within task–question pairs had a mean standard deviation of 0.83, suggesting general agreement. Tasks requiring bi-manual dexterity scored higher than single-handed tasks on a combined, four-question Likert-scale index for task validation (
p
< 0.0001), and a two-question index for manual skills (
p
< 0.0001).
Conclusions
Survey responses indicated general agreement that the identified tasks represent important technical skills and are consistent with actions in the operating room. Bimanual tasks were favored for validation purposes over single-handed tasks. The traction and monopolar dissection and monopolar coaptation tasks had the highest agreement with validation-oriented questions (97 and 87 %, respectively).</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>24253563</pmid><doi>10.1007/s00464-013-3301-0</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0930-2794 |
| ispartof | Surgical endoscopy, 2014-04, Vol.28 (4), p.1166-1172 |
| issn | 0930-2794 1432-2218 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3976716 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Abdominal Surgery Clinical Competence - standards Core curriculum Curriculum Data Interpretation, Statistical Digestive System Surgical Procedures - education Digestive System Surgical Procedures - methods Education, Medical, Continuing Electrosurgery - education Electrosurgery - instrumentation Endoscopy Endoscopy, Digestive System - education Endoscopy, Digestive System - methods Energy Gastroenterology Gynecology Hepatology Humans Laparoscopy Medicine Medicine & Public Health Proctology Skills Surgeons Surgery Surveys and Questionnaires Virtual reality |
| title | Survey-based analysis of fundamental tasks for effective use of electrosurgical instruments |
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