Educational value of telementoring for a simulation-based fundamental use of surgical energy™ (FUSE) curriculum: a randomized controlled trial in surgical ... View Full Text


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Article Info

DATE

2020-05-04

AUTHORS

Maria S. Altieri, Heather Carmichael, Edward Jones, Thomas Robinson, Aurora Pryor, Amin Madani

ABSTRACT

IntroductionThe SAGES Fundamental Use of Surgical Energy (FUSE) program accompanied by a bench-top simulation has shown to improve knowledge of the safe use of energy devices. However, there are significant barriers and costs associated with delivering an effective structured simulation curriculum to a widespread international audience. The purpose of this study was to evaluate if bench-top simulation FUSE curriculum through telementoring is as effective as a live-in house proctor for electrosurgical training.MethodsA two-armed multi-institutional randomized controlled trial was designed, including a 1-h didactic electrosurgery course (FUSE curriculum), followed by a structured 1-h bench-top simulation training session. For the simulation, participants were randomized to either a live proctor who delivered the course on-site (LIVE group), or a proctor from a remote location using videoconferencing platform (TELEM group). Pre- and post-curriculum (immediate and 6 months) knowledge and self-perceived comfort and competence were assessed. Data are expressed as median [interquartile range], *p < 0.05.ResultsSixty-five (35 LIVE; 30 TELEM) surgical trainees from three institutions participated. Baseline characteristics were similar. Total score on the exam improved from 47% [40–54] to 78% [71–84]* amongst all participants, with similar immediate post-curriculum scores in the LIVE group compared to the TELEM group (77% [69–83] vs 80% [75–85]). At 6 months, performance on the exam declined significantly for both groups, but remained similar between the two (LIVE: 59% [51–71] vs TELEM: 71% [57–77]). Participants in both groups reported feeling greater comfort and competence post-curriculum (immediate and at 6 months) compared to baseline, with no difference between the two groups.ConclusionA bench-top simulation FUSE course delivered via a telementoring platform seems to improve surgical trainees’ knowledge and comfort in the safe use of electrosurgical devices as effectively as when it is delivered by a live proctor, despite long-term decay for both methods. More... »

PAGES

3650-3655

References to SciGraph publications

  • 2019-01-07. White paper: technology for surgical telementoring—SAGES Project 6 Technology Working Group in SURGICAL ENDOSCOPY
  • 2008-12-06. A model for longitudinal mentoring and telementoring of laparoscopic colon surgery in SURGICAL ENDOSCOPY
  • 1996-02. Telementoring of laparoscopic procedures in SURGICAL ENDOSCOPY
  • 2007-02-06. Remote telepresence surgery: the Canadian experience in SURGICAL ENDOSCOPY
  • 2013-04-23. Common uses and cited complications of energy in surgery in SURGICAL ENDOSCOPY
  • 2012-04-27. Effect of monopolar radiofrequency energy on pacemaker function in SURGICAL ENDOSCOPY
  • 2010-09-25. Trends and results of the first 5 years of Fundamentals of Laparoscopic Surgery (FLS) certification testing in SURGICAL ENDOSCOPY
  • 2014-05-02. Impact of a hands-on component on learning in the Fundamental Use of Surgical Energy™ (FUSE) curriculum: a randomized-controlled trial in surgical trainees in SURGICAL ENDOSCOPY
  • 2013-03-20. Telementoring: A Multi-institutional Experience with the Introduction of a Novel Surgical Approach for Adrenalectomy in ANNALS OF SURGICAL ONCOLOGY
  • 2014-06-18. Fundamental Use of Surgical Energy™ (FUSE): a curriculum on surgical energy-based devices in SURGICAL ENDOSCOPY
  • 2012-04-27. Surgeons don’t know what they don’t know about the safe use of energy in surgery in SURGICAL ENDOSCOPY
  • 2015-06-20. Structured simulation improves learning of the Fundamental Use of Surgical Energy™ curriculum: a multicenter randomized controlled trial in SURGICAL ENDOSCOPY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00464-020-07609-1

    DOI

    http://dx.doi.org/10.1007/s00464-020-07609-1

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1127351017

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/32367446


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