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首页> 外文期刊>Surgical Endoscopy >Rationale for the fundamental use of surgical Energy? (FUSE) curriculum assessment: focus on safety.
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Rationale for the fundamental use of surgical Energy? (FUSE) curriculum assessment: focus on safety.

机译：基本的手术能量使用理由？ （FUSE）课程评估：关注安全性。

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Almost all surgical procedures involve the use of devices that apply energy to tissue. Adverse events can occur if the devices are not used appropriately. The SAGES' Fundamental Use of Surgical Energy? (FUSE) program will include a curriculum and certification examination to address this safety issue. The aim of this study was to determine the self-perceived knowledge of practicing surgeons related to energy-based devices and identify areas to emphasize in the assessment component of FUSE.Psychometric experts led the test development process. During a 2-day retreat, a multidisciplinary group defined 63 test objectives assessing the knowledge and skills required to use energy-based surgical instruments safely (job task analysis). A survey was sent to a sample of 103 SAGES leaders and others in the test target audience to determine the number of items to use for the certification examination. Participants rated each objective for frequency, relevance, and importance on a 1-7 scale with the means used to create a weighted scale. The survey also included five self-assessment questions.Fifty surveys were completed; only 28 % of respondents considered themselves "experts." The most common source of knowledge was "industry sales representative or course" (42 %). The highest weighted topic was "Prevention of Adverse Events with Electrosurgery." The highest-rated objectives (>6 out of 7) were "Identify various mechanisms whereby electrosurgical injuries may occur," "Identify patient protection measures for setup and settings for the electrosurgical unit," and "Identify circumstances, mechanisms, and prevention of dispersive electrodes-related injury."Although basic and advanced energy-based devices are commonly used, training has been largely dependent upon industry representatives or industry-sponsored courses. Few surgeons consider themselves experts in the mechanisms of action and the appropriate and safe use of energy-based surgical devices. Competencies that emphasize electrosurgical safety were viewed as most important for the FUSE certification examination.
机译：几乎所有外科手术都涉及使用向组织施加能量的装置。如果未正确使用设备，则可能发生不良事件。 SAGES对外科手术能量的根本利用？ （FUSE）计划将包括课程和认证考试，以解决此安全问题。这项研究的目的是确定与基于能量的设备相关的执业医师的自我认知知识，并确定在FUSE评估组件中要强调的领域。心理测量学专家领导了测试开发过程。在为期2天的务虚会中，一个多学科小组确定了63个测试目标，以评估安全使用基于能量的手术器械（工作任务分析）所需的知识和技能。已对103位SAGES领导者和测试目标受众中的其他人进行了抽样调查，以确定用于认证考试的项目数量。参与者使用创建加权量表的方法以1-7量表对频率，相关性和重要性的每个目标进行了评分。该调查还包括五个自我评估问题。只有28％的受访者认为自己是“专家”。最常见的知识来源是“行业销售代表或课程”（42％）。权重最高的主题是“预防电外科不良事件”。评分最高的目标（> 7分中的6分以上）是“确定可能发生电外科损伤的各种机制”，“确定用于电外科单元设置和设置的患者保护措施”和“确定情况，机制以及预防分散与电极有关的伤害。”尽管通常使用基本的和先进的基于能量的设备，但是培训很大程度上取决于行业代表或行业赞助的课程。很少有外科医生认为自己是作用机理以及基于能量的手术设备的适当和安全使用的专家。对于FUSE认证检查，强调电外科安全性的能力被认为是最重要的。

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