背景:电外科并发症的发生率为0.1-2.1%。十多年前,SAGES开创了一个结构良好的教育计划(FUSE),旨在教授如何安全使用电外科。这激发了全球类似培训计划的发展。尽管如此,外科医生之间的知识差距仍然存在,可能是因为缺乏判断力。
目的:调查影响电外科安全专业水平的因素及其与外科医生和外科住院医师自我评估得分的相关性。
方法:我们进行了一项由15个问题组成的在线调查,这些问题可以按主题分为5个部分。我们分析了客观得分与自我评估得分的相关性,专业经验,过去参与培训计划,在教学医院工作.
结果:共有145名专家参加了调查,包括来自俄罗斯的111名普通外科医生和34名s年手术住院医师,白俄罗斯,乌克兰,还有Kirgizia.只有9名(8.1%)外科医生得分“优秀”,“32(28.8%)得分”良好,“和56(50.4%)得分”公平。在参与这项研究的所有外科住院医师中,只有1人(2.9%)得分“优秀”,“9(26.5%)得分”良好,“和11(32.4%)得分”公平。“14名外科医生(12.6%)和13名(38.2%)居民的测试失败。受训者和外科医生之间的差异具有统计学意义。我们的多变量逻辑模型确定了3个重要的因素,在测试中成功的表现:过去的培训安全使用的电外科,专业经验,在教学医院工作.在所有研究参与者中,那些没有接受过安全使用电外科培训的人,非教学外科医生对他们的能力最现实。
结论:我们发现外科医生在电外科安全知识方面存在惊人的差距。教职员工和经验丰富的外科医生得分更高,但是过去的培训是提高电外科安全性知识的最重要因素。
The rate of electrosurgery complications is 0.1-2.1%. More than 10 years ago, SAGES pioneered a well-structured educational program (FUSE) aimed to teach about the safe use of electrosurgery. This inspired the development of similar training programs around the globe. Still, the knowledge gap persists among surgeons, possibly due to the lack of judgment.
To investigate factors affecting the level of expertise in electrosurgical safety and their correlation with self-assessment scores among surgeons and surgical residents.
We conducted an online survey consisting of 15 questions that could be thematically broken down into 5 blocks. We analyzed how the objective scores were correlated with the self-assessment scores, professional experience, past participation in training programs, and work at a teaching hospital.
A total of 145 specialists took part in the survey, including 111 general surgeons and 34 s-year surgical residents from Russia, Belarus, Ukraine, and Kirgizia. Only 9 (8.1%) surgeons scored \"excellent,\" 32 (28.8%) scored \"good,\" and 56 (50.4%) scored \"fair.\" Of all surgical residents participating in the study, only 1 (2.9%) scored \"excellent,\" 9 (26.5%) scored \"good,\" and 11 (32.4%) scored \"fair.\" The test was failed by 14 surgeons (12.6%) and 13 (38.2%) residents. The difference between the trainees and the surgeons was statistically significant. Our multivariate logistic model identified 3 significant factors predisposing to successful performance on the test: past training in the safe use of electrosurgery, professional experience, and work at a teaching hospital. Of all study participants, those with no past training in the safe use of electrosurgery, and non-teaching surgeons were the most realistic about their competencies.
We have identified alarming gaps in the knowledge of electrosurgical safety among surgeons. Faculty staff and experienced surgeons scored higher, but past training was the most influential factor in improving knowledge of electrosurgical safety.