Obstetrics and gynaecology trainees' knowledge of electrosurgical equipment

Abstract

Electrosurgical energy is potentially dangerous but is a very useful surgical tool. A survey was planned to assess the knowledge of electrosurgery among obstetrics and gynaecology trainees in the Yorkshire Deanery (training region). Questionnaires were given to trainees attending the Modular training programme and were collected on the same day. A total of 71 questionnaires were collected, which represents 62% of the 113 trainees in Yorkshire region: 39 participants were registrars; 27 senior house officers (SHO); four senior SHOs, and one Clinical Fellow. A total of 52% of trainees had only MRCOG Part 1 and 36% of trainees had MRCOG Part 2; 53% of trainees had attended a Basic Surgical Skills course and 10% of trainees were not aware that the 'blue pedal' is used for coagulation (all were SHO except one Specialist Registrar, SpR). A total of 71% of trainees answered incorrectly that coagulating current provides an initial high voltage peak that quickly dissipates, while cutting current provides a constant high energy waveform. Trainees who had attended a Basic Surgical Skills (BSS) course did not demonstrate better knowledge. Knowledge of electrosurgery therefore was found to be poor among obstetrics and gynaecology trainees. Attending a BSS course did not seem to improve it significantly. This study outlines a training need. Perhaps a refresher course in electrosurgery and more focussed training might be useful for trainees with a particular interest in operative gynaecology, to acquire the necessary information and skills.

Development and Evaluation of an Interactive Simulation Module to Train the Use of an Electrosurgical Device

“…6,7 Small studies have shown deficiencies in knowledge on electrosurgery among residents and medical specialists. [8][9][10][11] Current education concerning equipment handling, including electrosurgery, is often organized in a traditional way, using lectures and demonstrations given on-site on an irregular basis. 12 Attending such training sessions is often not mandatory.…”

Effect of Basic Laparoscopic Skills Courses on Essential Knowledge of Equipment

“…For instance, several studies have indicated that specialists' and residents' knowledge of electrosurgical equipment is insufficient. [5][6][7][8] It is essential that surgeons have sufficient knowledge of the equipment they work with because they are often consulted by nurses in case of a problem; moreover, the surgeon is legally responsible for the result of the operation and the potential complications.…”