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Hybrid Train-The-Trainer course for the Fundamental Use of Surgical Energy certificates improves self-confidence in knowledge of surgical energy and develops teaching skills: a feasibility study

  • 2023 SAGES Oral
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Abstract

Background

Several well-trained expert instructors who completed the “Train-The-Trainer (TTT)” course are required to disseminate the safe use of surgical energy devices, which can be learned through the Fundamental Use of Surgical Energy (FUSE) program. This study aimed to explore whether the hybrid FUSE TTT course is feasible and effective, which can improve teaching skills of surgical energy.

Methods

The hybrid TTT course, which was designed to train FUSE-certified personnel as instructors, comprised three virtual sessions spread over 5 h in total and a 1-day in-person training, followed by a 100-min FUSE electrosurgery hands-on workshop in practice as an instructor. The participants reported on self-confidence regarding knowledge of various energy devices or adverse events before, immediately after, and 6 months after the course. Participants and experienced FUSE instructors assessed the trainees’ presentation skills at the beginning of the in-person training and after the hands-on workshop. The primary outcomes were the feasibility and completion rate of the entire course.

Results

Seventeen participants completed the entire couse; most (94%) were satisfied with the course. Self-confidence in knowledge about various contents improved significantly: the fundamentals of electrosurgery (post, p < 0.001; 6 months, p = 0.01), mechanism and prevention of adverse events (post, p = 0.001; 6 months, p = 0.04), monopolar instruments (post, p = 0.002; 6 months, p = 0.01), bipolar instruments (post, p = 0.01; 6 months, p = 0.06), and integration with other medical devices (post, p = 0.006; 6 months, p = 0.02). The presentation skill index scores of self- and peer assessments improved after the in-person training (self-assessment [pre 44 vs. post 56, p < 0.001], peer assessment [pre 39 vs. post 68, p < 0.001]).

Conclusions

The hybrid TTT course can provide FUSE-certified personnel with an improved self-confidence concerning knowledge of surgical energy and improve their presentation skills with midterm retention. This can help build trainees’ self-confidence as instructors.

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Acknowledgements

We thank all FUSE-certified personnel in Japan and the study participants. This study would not have been possible without the generosity of the participants. We would also like to thank Medtronic, Johnson & Johnson, Olympus, Japan Medicalnext Co., Ltd., and AMCO, Inc. for renting us the electrosurgical units for the implementation of the course and study purpose.

Funding

This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

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Authors and Affiliations

  1. Department of Gastroenterological Surgery, Faculty of Medicine, Kagawa University, Takamatsu, Kagawa, Japan

    Akihiro Kondo

  2. Department of Obstetrics and Gynecology, Sapporo Medical University Hospital, Sapporo, Hokkaido, Japan

    Masato Tamate

  3. Department of Surgery, Sassa General Hospital, Nishitokyo, Tokyo, Japan

    Yuichi Nishihara

  4. Clinical Research and Medical Innovation Center, Institute of Health Science Innovation for Medical Care, Hokkaido University Hospital, Kita 14 Nishi 7, Kita-ku, Sapporo, Hokkaido, 060-8638, Japan

    Yusuke Watanabe

Authors
  1. Akihiro Kondo
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  4. Yusuke Watanabe
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Corresponding author

Correspondence to Yusuke Watanabe.

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Disclosures

Yusuke Watanabe received honoraria from Medtronic, Johnson & Johnson, Olympus, Japan Medicalnext Co., Ltd., and AMCO, Inc. outside the submitted study. Akihiro Kondo received honoraria from Medtronic, Johnson & Johnson, Terumo Corporation, KAKEN Pharmaceutical Co., Ltd., and AMCO, Inc. outside the submitted study. Masato Tamate received honoraria from Medtronic, Johnson & Johnson, AMCO, Inc., Terumo Corporation, KAKEN Pharmaceutical Co., Ltd., Takeda Pharmaceutical Co., Ltd., AstraZeneca K.K., Mochida Pharmaceutical Co., Ltd., and Daiichi Sankyo Co., Ltd. Yuichi Nishihara received honoraria from Medtronic.

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Kondo, A., Tamate, M., Nishihara, Y. et al. Hybrid Train-The-Trainer course for the Fundamental Use of Surgical Energy certificates improves self-confidence in knowledge of surgical energy and develops teaching skills: a feasibility study. Surg Endosc 38, 368–376 (2024). https://doi.org/10.1007/s00464-023-10422-1

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