Structured simulation improves learning of the Fundamental Use of Surgical Energy™ curriculum: a multicenter randomized controlled trial

Amin Madani; Yusuke Watanabe; Nicole Townsend; Philip H. Pucher; Thomas N. Robinson; Patricia E. Egerszegi; Jaisa Olasky; Sharon L. Bachman; Chan W. Park; Nalin Amin; David T. Tang; Erika Haase; Davide Bardana; Daniel B. Jones; Melina Vassiliou; Gerald M. Fried; Liane S. Feldman

doi:10.1007/s00464-015-4260-4

Structured simulation improves learning of the Fundamental Use of Surgical Energy™ curriculum: a multicenter randomized controlled trial

Amin Madani, Yusuke Watanabe, Nicole Townsend, Philip H. Pucher, Thomas N. Robinson, Patricia E. Egerszegi, Jaisa Olasky, Sharon L. Bachman, Chan W. Park, Nalin Amin, David T. Tang, Erika Haase, Davide Bardana, Daniel B. Jones, Melina Vassiliou, Gerald M. Fried, Liane S. Feldman

Research output: Contribution to journal › Article › peer-review

13 Citations (Scopus)

Abstract

Background: Energy devices can result in devastating complications to patients. Yet, they remain poorly understood by trainees and surgeons. A single-institution pilot study suggested that structured simulation improves knowledge of the safe use of electrosurgery (ES) among trainees (Madani et al. in Surg Endosc 28(10):2772–2782, 2014). The purpose of this study was to estimate the extent to which the addition of this structured bench-top simulation improves ES knowledge across multiple surgical training programs. Methods: Trainees from 11 residency programs in Canada, the USA and UK participated in a 1-h didactic ES course, based on SAGES’ Fundamental Use of Surgical Energy™ (FUSE) curriculum. They were then randomized to one of two groups: an unstructured hands-on session where trainees used ES devices (control group) or a goal-directed hands-on training session (Sim group). Pre- and post-curriculum (immediately and 3 months after) knowledge of the safe use of ES was assessed using separate examinations. Data are expressed as mean (SD) and N (%), *p < 0.05. Results: A total of 289 (145 control; 144 Sim) trainees participated, with 186 (96 control; 90 Sim) completing the 3-month assessment. Baseline characteristics were similar between the two groups. Total score on the examination improved from 46 % (10) to 84 % (10)* for the entire cohort, with higher post-curriculum scores in the Sim group compared with controls [86 % (9) vs. 83 % (10)*]. All scores declined after 3 months, but remained higher in the Sim group [72 % (18) vs. 64 % (15)*]. Independent predictors of 3-month score included pre-curriculum score and participation in a goal-directed simulation. Conclusions: This multi-institutional study confirms that a 2-h curriculum based on the FUSE program improves surgical trainees’ knowledge in the safe use of ES devices across training programs with various geographic locations and resident volumes. The addition of a structured interactive bench-top simulation component further improved learning.

Original language	English
Pages (from-to)	684-691
Number of pages	8
Journal	Surgical endoscopy
Volume	30
Issue number	2
DOIs	https://doi.org/10.1007/s00464-015-4260-4
Publication status	Published - 01-02-2016
Externally published	Yes

All Science Journal Classification (ASJC) codes

Surgery

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10.1007/s00464-015-4260-4

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Madani, A., Watanabe, Y., Townsend, N., Pucher, P. H., Robinson, T. N., Egerszegi, P. E., Olasky, J., Bachman, S. L., Park, C. W., Amin, N., Tang, D. T., Haase, E., Bardana, D., Jones, D. B., Vassiliou, M., Fried, G. M., & Feldman, L. S. (2016). Structured simulation improves learning of the Fundamental Use of Surgical Energy™ curriculum: a multicenter randomized controlled trial. Surgical endoscopy, 30(2), 684-691. https://doi.org/10.1007/s00464-015-4260-4

@article{80793d9e0898445a953d97743aa2feca,

title = "Structured simulation improves learning of the Fundamental Use of Surgical Energy{\texttrademark} curriculum: a multicenter randomized controlled trial",

abstract = "Background: Energy devices can result in devastating complications to patients. Yet, they remain poorly understood by trainees and surgeons. A single-institution pilot study suggested that structured simulation improves knowledge of the safe use of electrosurgery (ES) among trainees (Madani et al. in Surg Endosc 28(10):2772–2782, 2014). The purpose of this study was to estimate the extent to which the addition of this structured bench-top simulation improves ES knowledge across multiple surgical training programs. Methods: Trainees from 11 residency programs in Canada, the USA and UK participated in a 1-h didactic ES course, based on SAGES{\textquoteright} Fundamental Use of Surgical Energy{\texttrademark} (FUSE) curriculum. They were then randomized to one of two groups: an unstructured hands-on session where trainees used ES devices (control group) or a goal-directed hands-on training session (Sim group). Pre- and post-curriculum (immediately and 3 months after) knowledge of the safe use of ES was assessed using separate examinations. Data are expressed as mean (SD) and N (%), *p < 0.05. Results: A total of 289 (145 control; 144 Sim) trainees participated, with 186 (96 control; 90 Sim) completing the 3-month assessment. Baseline characteristics were similar between the two groups. Total score on the examination improved from 46 % (10) to 84 % (10)* for the entire cohort, with higher post-curriculum scores in the Sim group compared with controls [86 % (9) vs. 83 % (10)*]. All scores declined after 3 months, but remained higher in the Sim group [72 % (18) vs. 64 % (15)*]. Independent predictors of 3-month score included pre-curriculum score and participation in a goal-directed simulation. Conclusions: This multi-institutional study confirms that a 2-h curriculum based on the FUSE program improves surgical trainees{\textquoteright} knowledge in the safe use of ES devices across training programs with various geographic locations and resident volumes. The addition of a structured interactive bench-top simulation component further improved learning.",

keywords = "Curriculum, Education, Electrosurgery, Energy device, FUSE, Simulation",

author = "Amin Madani and Yusuke Watanabe and Nicole Townsend and Pucher, {Philip H.} and Robinson, {Thomas N.} and Egerszegi, {Patricia E.} and Jaisa Olasky and Bachman, {Sharon L.} and Park, {Chan W.} and Nalin Amin and Tang, {David T.} and Erika Haase and Davide Bardana and Jones, {Daniel B.} and Melina Vassiliou and Fried, {Gerald M.} and Feldman, {Liane S.}",

note = "Publisher Copyright: {\textcopyright} 2015, Springer Science+Business Media New York.",

year = "2016",

month = feb,

day = "1",

doi = "10.1007/s00464-015-4260-4",

language = "English",

volume = "30",

pages = "684--691",

journal = "Surgical endoscopy",

issn = "0930-2794",

publisher = "Springer",

number = "2",

}

Madani, A, Watanabe, Y, Townsend, N, Pucher, PH, Robinson, TN, Egerszegi, PE, Olasky, J, Bachman, SL, Park, CW, Amin, N, Tang, DT, Haase, E, Bardana, D, Jones, DB, Vassiliou, M, Fried, GM & Feldman, LS 2016, 'Structured simulation improves learning of the Fundamental Use of Surgical Energy™ curriculum: a multicenter randomized controlled trial', Surgical endoscopy, vol. 30, no. 2, pp. 684-691. https://doi.org/10.1007/s00464-015-4260-4

TY - JOUR

T1 - Structured simulation improves learning of the Fundamental Use of Surgical Energy™ curriculum

T2 - a multicenter randomized controlled trial

AU - Madani, Amin

AU - Watanabe, Yusuke

AU - Townsend, Nicole

AU - Pucher, Philip H.

AU - Robinson, Thomas N.

AU - Egerszegi, Patricia E.

AU - Olasky, Jaisa

AU - Bachman, Sharon L.

AU - Park, Chan W.

AU - Amin, Nalin

AU - Tang, David T.

AU - Haase, Erika

AU - Bardana, Davide

AU - Jones, Daniel B.

AU - Vassiliou, Melina

AU - Fried, Gerald M.

AU - Feldman, Liane S.

PY - 2016/2/1

Y1 - 2016/2/1

N2 - Background: Energy devices can result in devastating complications to patients. Yet, they remain poorly understood by trainees and surgeons. A single-institution pilot study suggested that structured simulation improves knowledge of the safe use of electrosurgery (ES) among trainees (Madani et al. in Surg Endosc 28(10):2772–2782, 2014). The purpose of this study was to estimate the extent to which the addition of this structured bench-top simulation improves ES knowledge across multiple surgical training programs. Methods: Trainees from 11 residency programs in Canada, the USA and UK participated in a 1-h didactic ES course, based on SAGES’ Fundamental Use of Surgical Energy™ (FUSE) curriculum. They were then randomized to one of two groups: an unstructured hands-on session where trainees used ES devices (control group) or a goal-directed hands-on training session (Sim group). Pre- and post-curriculum (immediately and 3 months after) knowledge of the safe use of ES was assessed using separate examinations. Data are expressed as mean (SD) and N (%), *p < 0.05. Results: A total of 289 (145 control; 144 Sim) trainees participated, with 186 (96 control; 90 Sim) completing the 3-month assessment. Baseline characteristics were similar between the two groups. Total score on the examination improved from 46 % (10) to 84 % (10)* for the entire cohort, with higher post-curriculum scores in the Sim group compared with controls [86 % (9) vs. 83 % (10)*]. All scores declined after 3 months, but remained higher in the Sim group [72 % (18) vs. 64 % (15)*]. Independent predictors of 3-month score included pre-curriculum score and participation in a goal-directed simulation. Conclusions: This multi-institutional study confirms that a 2-h curriculum based on the FUSE program improves surgical trainees’ knowledge in the safe use of ES devices across training programs with various geographic locations and resident volumes. The addition of a structured interactive bench-top simulation component further improved learning.

AB - Background: Energy devices can result in devastating complications to patients. Yet, they remain poorly understood by trainees and surgeons. A single-institution pilot study suggested that structured simulation improves knowledge of the safe use of electrosurgery (ES) among trainees (Madani et al. in Surg Endosc 28(10):2772–2782, 2014). The purpose of this study was to estimate the extent to which the addition of this structured bench-top simulation improves ES knowledge across multiple surgical training programs. Methods: Trainees from 11 residency programs in Canada, the USA and UK participated in a 1-h didactic ES course, based on SAGES’ Fundamental Use of Surgical Energy™ (FUSE) curriculum. They were then randomized to one of two groups: an unstructured hands-on session where trainees used ES devices (control group) or a goal-directed hands-on training session (Sim group). Pre- and post-curriculum (immediately and 3 months after) knowledge of the safe use of ES was assessed using separate examinations. Data are expressed as mean (SD) and N (%), *p < 0.05. Results: A total of 289 (145 control; 144 Sim) trainees participated, with 186 (96 control; 90 Sim) completing the 3-month assessment. Baseline characteristics were similar between the two groups. Total score on the examination improved from 46 % (10) to 84 % (10)* for the entire cohort, with higher post-curriculum scores in the Sim group compared with controls [86 % (9) vs. 83 % (10)*]. All scores declined after 3 months, but remained higher in the Sim group [72 % (18) vs. 64 % (15)*]. Independent predictors of 3-month score included pre-curriculum score and participation in a goal-directed simulation. Conclusions: This multi-institutional study confirms that a 2-h curriculum based on the FUSE program improves surgical trainees’ knowledge in the safe use of ES devices across training programs with various geographic locations and resident volumes. The addition of a structured interactive bench-top simulation component further improved learning.

KW - Curriculum

KW - Education

KW - Electrosurgery

KW - Energy device

KW - FUSE

KW - Simulation

UR - http://www.scopus.com/inward/record.url?scp=84957850722&partnerID=8YFLogxK

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U2 - 10.1007/s00464-015-4260-4

DO - 10.1007/s00464-015-4260-4

M3 - Article

C2 - 26091997

AN - SCOPUS:84957850722

SN - 0930-2794

VL - 30

SP - 684

EP - 691

JO - Surgical endoscopy

JF - Surgical endoscopy

IS - 2

ER -

Structured simulation improves learning of the Fundamental Use of Surgical Energy™ curriculum: a multicenter randomized controlled trial

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