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Impact of the fundamental use of surgical energy certification on surgeons’ behavior and awareness of safe use of energy devices: a cross-sectional survey research

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Abstract

Background

The Fundamental Use of Surgical Energy (FUSE) program was established to educate surgeons and trainees to promote awareness and behaviors for the safe use of surgical energy devices. Despite its implementation, the impact of FUSE certification on surgeons’ behavior and safety awareness regarding practice of energy devices remains unclear. This study aimed to identify the perceived impact of FUSE certification on surgeons’ behavior and awareness regarding the safe use of surgical energy devices.

Methods

We performed a descriptive cross-sectional survey study, using non probabilistic purposive sampling, and distributed 22-item web-based questionnaires among all 59 FUSE-certified surgeons in Japan, excluding operating room nurses and medical students. The questionnaire items covered demographics, surgical techniques using various energy devices, changes in behavior and safety awareness, communication with colleagues about surgical energy devices, and educational activities related to energy devices.

Results

Fifty-seven participants completed the questionnaire (response rate 96.6%). Most surgeons (91.3%) could apply material learned from the FUSE program in practice, especially material related to monopolar electrosurgery. Fifty-six surgeons (98.3%) reported increased awareness of surgical safety, and 35 (61.5%) reported increased communication with operating room personnel about the safe use of energy devices. Moreover, 56 participants (98.3%) indicated a need for systematic education in surgical energy, with participants recommending fellows (94.7% of participants specified that fellows should participate in further education), residents (75.4%), and attending surgeons (63.2%) as the target recipients of this training.

Conclusions

After FUSE certification, not only did surgeons’ knowledge increase, but their energy-related surgical techniques in practice also improved. Furthermore, FUSE-certified surgeons felt that they were more aware of surgical-energy safety and were dedicated to its promotion.

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Acknowledgements

The authors thank all FUSE-certified personnel in Japan and, especially, the participants in this study. This study would not have been possible without the generosity of all participants.

Funding

The authors report no funding for this study.

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Author notes

  1. Elif Bilgic

    Present address: Department of Pediatrics, McMaster University, Hamilton, Canada

Authors and Affiliations

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

    Akihiro Kondo

  2. Department of Surgery, Sassa General Hospital, Nishitokyo, Japan

    Yuichi Nishihara

  3. Clinical Research and Medical Innovation Center, Institute of Health Science Innovation for Medical Care, Hokkaido University Hospital, Sapporo, Japan

    Miho Sato & Yusuke Watanabe

  4. Department of Experimental Surgery, McGill University, Montreal, Canada

    Elif Bilgic

  5. Center for Medical Device Development, Institute of Health Science Innovation for Medical Care, Hokkaido University Hospital, Sapporo, Japan

    Yusuke Watanabe

  6. Department of Gastroenterological Surgery II, Faculty of Medicine, Hokkaido University, Kita 14 Nishi 7 Kita-ku, Sapporo, 060-8638, Japan

    Yusuke Watanabe

Authors
  1. Akihiro Kondo
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  2. Yuichi Nishihara
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  3. Miho Sato
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Corresponding author

Correspondence to Yusuke Watanabe.

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Disclosure

Dr. Yusuke Watanabe received honoraria from Medtronic, Johnson & Johnson, Olympus, ConMed, and AMCO outside the submitted study. Dr. Akihiro Kondo, Dr. Yuichi Nishihara, Ms. Elif Bilgic, and Ms. Miho Sato have no conflicts of interest or financial ties to disclose.

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Kondo, A., Nishihara, Y., Sato, M. et al. Impact of the fundamental use of surgical energy certification on surgeons’ behavior and awareness of safe use of energy devices: a cross-sectional survey research. Surg Endosc 37, 241–247 (2023). https://doi.org/10.1007/s00464-022-09468-4

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  • DOI: https://doi.org/10.1007/s00464-022-09468-4

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