Impact of a hands-on component on learning in the Fundamental Use of Surgical Energy™ (FUSE) curriculum: a randomized-controlled trial in surgical trainees

Madani, Amin; Watanabe, Yusuke; Vassiliou, Melina C.; Fuchshuber, Pascal; Jones, Daniel B.; Schwaitzberg, Steven D.; Fried, Gerald M.; Feldman, Liane S.

doi:10.1007/s00464-014-3544-4

Cited by 36 publications

(30 citation statements)

References 25 publications

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“…This goal-directed, hands-on training session has been shown to improve learning and retention of key knowledge points in surgical trainees three months after the session. 38 It also includes a novel virtual reality-based simulation station. 39 The FUSE curriculum was designed to provide surgeons with the knowledge …”

Section: Fundamental Use Of Surgical Energy (Fuse): An Essential Educmentioning

confidence: 99%

Fundamental Use of Surgical Energy (FUSE): An Essential Educational Program for Operating Room Safety

Jones

Munro

Feldman

et al. 2017

TPJ

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Operating room (OR) safety has become a major concern in patient safety since the 1990s. Improvement of team communication and behavior is a popular target for safety programming at the institutional level. Despite these efforts, essential safety gaps remain in the OR and procedure rooms. A prime example is the use of energy-based devices in ORs and procedural areas. The lack of fundamental understanding of energy device function, design, and application contributes to avoidable injury and harm at a rate of approximately 1 to 2 per 1000 patients in the US. Hundreds of OR fires occur each year in the US, some causing severe injury and even death. Most of these fires are associated with the use of energy-based surgical devices.In response to this safety issue, the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) developed the Fundamental Use of Surgical Energy (FUSE) program. This program includes a standardized curriculum targeted to surgeons, other physicians, and allied health care professionals and a psychometrically designed and validated certification test. A successful FUSE certification documents acquisition of the basic knowledge needed to safely use energy-based devices in the OR. By design FUSE fills a void in the curriculum and competency assessment for surgeons and other procedural specialists in the use of energy-based devices in patients.

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Section: Fundamental Use Of Surgical Energy (Fuse): An Essential Educmentioning

confidence: 99%

Fundamental Use of Surgical Energy (FUSE): An Essential Educational Program for Operating Room Safety

Jones

Munro

Feldman

et al. 2017

TPJ

View full text Add to dashboard Cite

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“…While there are numerous studies aimed at improving surgeons understanding of surgical devices via implementing education tools (McColl, Karmali et al 2009, Feldman, Brunt et al 2013, Madani, Watanabe et al 2014, little to no research has been carried out that assists engineers in early identification of specific design variables that are potentially detrimental to the device's or user's performance in the surgical setting. A multidisciplinary approach to MIS is required in order to implement improved systems, methods, tools, and instruction in order to mitigate errors and prevent patient harm (Cuschieri 2006).…”

Section: Discussionmentioning

confidence: 99%

“…Adverse events have been shown to be attributed to both user error as well as device-related errors. Therefore, continuous training and education for surgeons and device design improvements by manufacturers are imperative (Zingg, McQuinn et al 2009, Madani, Watanabe et al 2014, Wang 2015, Watanabe, Kurashima et al 2016.…”

Section: Clinical Knowledge Gapmentioning

confidence: 99%

“…In contrast, the tissue sealer reports were more difficult to interpret due to the lack of consistency in failure terminology and overall lack of standardized terminology to clearly describe the cause of failure. The discrepancy may be attributed to the knowledge gap in users' understanding of electrosurgical outcomes overall as mentioned in multiple knowledge gap studies and discussed previously in Section1.2.2.1 (Feldman, Fuchshuber et al 2012, Feldman, Brunt et al 2013, Madani, Watanabe et al 2014, Watanabe, Kurashima et al 2016). It is not always possible to decipher whether a failure was caused by the user or device malfunction.…”

Section: Manufacturer Narratives and Event Descriptionsmentioning

confidence: 99%

“…It is not always possible to decipher whether a failure was caused by the user or device malfunction. A standardized curriculum, such as the FUSE program, must be well implemented for physicians and residents in response to technological advancements of surgical instrumentation to fill the knowledge gap and prevent adverse operative outcomes (Chekan, Whelan et al 2013, Feldman, Brunt et al 2013, Madani, Watanabe et al 2014). …”

Section: Manufacturer Narratives and Event Descriptionsmentioning

confidence: 99%

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A novel approach to assess minimally invasive surgical device failure utilizing adverse event outcome severity and design complexity.

Riggs¹

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Tracheotomy care simulation training program for inpatient providers

Tiu

Meyer

Mayerhoff

et al. 2022

Laryngoscope Investig Oto

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Objectives Tracheotomy complications can be life‐threatening. Many of these complications may be avoided with proper education of health care providers. Unfortunately, access to high‐quality tracheotomy care curricula is limited. We developed a program to address this gap in tracheotomy care education for inpatient providers. This study aimed to assess the efficacy of this training program in improving trainee knowledge and comfort with tracheotomy care. Methods The curriculum includes asynchronous online modules coupled with a self‐directed hands‐on simulation activity using a low‐cost tracheotomy care task trainer. The program was offered to inpatient providers including medical students, residents, medical assistants, nurses, and respiratory therapists. Efficacy of the training was assessed using pre‐training and post‐training surveys of learner comfort, knowledge, and qualitative feedback. Results Data was collected on 41 participants. After completing the program, participants exhibited significantly improved comfort in performing tracheotomy care activities and 15% improvement in knowledge scores, with large effect sizes respectively and greater gains among those with little prior tracheotomy care experience. Conclusion This study has demonstrated that completion of this integrated online and hands‐on tracheotomy simulation curriculum training increases comfort and knowledge, especially for less‐experienced learners. This training addresses an important gap in tracheotomy care education among health care professionals with low levels of tracheotomy care experience and ultimately aims to improve patient safety and quality of care. This curriculum is easily transferrable as it requires only access to the online modules and low‐cost simulation materials and could be used in other hospitals, long‐term care facilities, outpatient clinics, and home settings. Level of evidence 4.

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Impact of a hands-on component on learning in the Fundamental Use of Surgical Energy™ (FUSE) curriculum: a randomized-controlled trial in surgical trainees

Abstract: A FUSE-based curriculum improved surgical trainees' knowledge and comfort in the safe use of electrosurgical devices. The addition of a structured interactive bench-top simulation component further improved learning and retention at 3 months.

Cited by 36 publications

References 25 publications

Fundamental Use of Surgical Energy (FUSE): An Essential Educational Program for Operating Room Safety

Fundamental Use of Surgical Energy (FUSE): An Essential Educational Program for Operating Room Safety

A novel approach to assess minimally invasive surgical device failure utilizing adverse event outcome severity and design complexity.

Tracheotomy care simulation training program for inpatient providers

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