Cargando…
Needs Assessment for Electrosurgery Training of Residents and Faculty in Obstetrics and Gynecology
BACKGROUND AND OBJECTIVES: Effective application of electrosurgical techniques requires knowledge of energy sources and electric circuits to produce desired tissue effects. A lack of electrosurgery knowledge may negatively affect patient outcomes and safety. Our objective was to survey obstetrics-gy...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Society of Laparoendoscopic Surgeons
2014
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4154422/ https://www.ncbi.nlm.nih.gov/pubmed/25392632 http://dx.doi.org/10.4293/JSLS.2014.00293 |
_version_ | 1782333417036185600 |
---|---|
author | Hur, Hye-Chun Green, Isabel Modest, Anna Merport Milad, Magdy Huang, Edwin Ricciotti, Hope |
author_facet | Hur, Hye-Chun Green, Isabel Modest, Anna Merport Milad, Magdy Huang, Edwin Ricciotti, Hope |
author_sort | Hur, Hye-Chun |
collection | PubMed |
description | BACKGROUND AND OBJECTIVES: Effective application of electrosurgical techniques requires knowledge of energy sources and electric circuits to produce desired tissue effects. A lack of electrosurgery knowledge may negatively affect patient outcomes and safety. Our objective was to survey obstetrics-gynecology trainees and faculty to assess their basic knowledge of electrosurgery concepts as a needs assessment for formal electrosurgery training. METHODS: We performed an observational study with a sample of convenience at 2 academic hospitals (Beth Israel Deaconess Medical Center and Mount Auburn Hospital). Grand rounds dedicated to electrosurgery teaching were conducted at each department of obstetrics and gynecology, where a short electrosurgery multiple-choice examination was administered to attendees. RESULTS: The face validity of the test content was obtained from a gynecologic electrosurgery specialist. Forty-four individuals completed the examination. Test scores were analyzed by level of training to investigate whether scores positively correlated with more advanced career stages. The median test score was 45.5% among all participants (interquartile range, 36.4%–54.5%). Senior residents scored the highest (median score, 54.5%), followed by attendings (median score, 45.5%), junior residents and fellows (median score in both groups, 36.4%), and medical students (median score, 27.3%). CONCLUSION: Although surgeons have used electrosurgery for nearly a century, it remains poorly understood by most obstetrician-gynecologists. Senior residents, attendings, junior residents, and medical students all show a general deficiency in electrosurgery comprehension. This study suggests that there is a need for formal electrosurgery training. A standardized electrosurgery curriculum with a workshop component demonstrating clinically useful concepts essential for safe surgical practice is advised. |
format | Online Article Text |
id | pubmed-4154422 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Society of Laparoendoscopic Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-41544222014-09-08 Needs Assessment for Electrosurgery Training of Residents and Faculty in Obstetrics and Gynecology Hur, Hye-Chun Green, Isabel Modest, Anna Merport Milad, Magdy Huang, Edwin Ricciotti, Hope JSLS Scientific Papers BACKGROUND AND OBJECTIVES: Effective application of electrosurgical techniques requires knowledge of energy sources and electric circuits to produce desired tissue effects. A lack of electrosurgery knowledge may negatively affect patient outcomes and safety. Our objective was to survey obstetrics-gynecology trainees and faculty to assess their basic knowledge of electrosurgery concepts as a needs assessment for formal electrosurgery training. METHODS: We performed an observational study with a sample of convenience at 2 academic hospitals (Beth Israel Deaconess Medical Center and Mount Auburn Hospital). Grand rounds dedicated to electrosurgery teaching were conducted at each department of obstetrics and gynecology, where a short electrosurgery multiple-choice examination was administered to attendees. RESULTS: The face validity of the test content was obtained from a gynecologic electrosurgery specialist. Forty-four individuals completed the examination. Test scores were analyzed by level of training to investigate whether scores positively correlated with more advanced career stages. The median test score was 45.5% among all participants (interquartile range, 36.4%–54.5%). Senior residents scored the highest (median score, 54.5%), followed by attendings (median score, 45.5%), junior residents and fellows (median score in both groups, 36.4%), and medical students (median score, 27.3%). CONCLUSION: Although surgeons have used electrosurgery for nearly a century, it remains poorly understood by most obstetrician-gynecologists. Senior residents, attendings, junior residents, and medical students all show a general deficiency in electrosurgery comprehension. This study suggests that there is a need for formal electrosurgery training. A standardized electrosurgery curriculum with a workshop component demonstrating clinically useful concepts essential for safe surgical practice is advised. Society of Laparoendoscopic Surgeons 2014 /pmc/articles/PMC4154422/ /pubmed/25392632 http://dx.doi.org/10.4293/JSLS.2014.00293 Text en © 2014 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/us/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way. |
spellingShingle | Scientific Papers Hur, Hye-Chun Green, Isabel Modest, Anna Merport Milad, Magdy Huang, Edwin Ricciotti, Hope Needs Assessment for Electrosurgery Training of Residents and Faculty in Obstetrics and Gynecology |
title | Needs Assessment for Electrosurgery Training of Residents and Faculty in Obstetrics and Gynecology |
title_full | Needs Assessment for Electrosurgery Training of Residents and Faculty in Obstetrics and Gynecology |
title_fullStr | Needs Assessment for Electrosurgery Training of Residents and Faculty in Obstetrics and Gynecology |
title_full_unstemmed | Needs Assessment for Electrosurgery Training of Residents and Faculty in Obstetrics and Gynecology |
title_short | Needs Assessment for Electrosurgery Training of Residents and Faculty in Obstetrics and Gynecology |
title_sort | needs assessment for electrosurgery training of residents and faculty in obstetrics and gynecology |
topic | Scientific Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4154422/ https://www.ncbi.nlm.nih.gov/pubmed/25392632 http://dx.doi.org/10.4293/JSLS.2014.00293 |
work_keys_str_mv | AT hurhyechun needsassessmentforelectrosurgerytrainingofresidentsandfacultyinobstetricsandgynecology AT greenisabel needsassessmentforelectrosurgerytrainingofresidentsandfacultyinobstetricsandgynecology AT modestannamerport needsassessmentforelectrosurgerytrainingofresidentsandfacultyinobstetricsandgynecology AT miladmagdy needsassessmentforelectrosurgerytrainingofresidentsandfacultyinobstetricsandgynecology AT huangedwin needsassessmentforelectrosurgerytrainingofresidentsandfacultyinobstetricsandgynecology AT ricciottihope needsassessmentforelectrosurgerytrainingofresidentsandfacultyinobstetricsandgynecology |