Evidence map›Paper›PMID 26139486›Full record

Trial reportSurgical endoscopy2016

Long-term knowledge retention following simulation-based training for electrosurgical safety: 1-year follow-up of a randomized controlled trial.

Amin Madani, Yusuke Watanabe, Melina C Vassiliou, Pascal Fuchshuber, Daniel B Jones, Steven D Schwaitzberg, Gerald M Fried, Liane S Feldman

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Surgical endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Amin MadaniDepartment of Surgery, McGill University, Montreal, QC, H3G 1A4, Canada. amin.madani@mail.mcgill.ca.
Yusuke WatanabeDepartment of Surgery, McGill University, Montreal, QC, H3G 1A4, Canada. ywatanabe328@gmail.com.
Melina C VassiliouDepartment of Surgery, McGill University, Montreal, QC, H3G 1A4, Canada. melina.vassiliou@mcgill.ca.
Pascal FuchshuberThe Permanente Medical Group, Kaiser Medical Center, Walnut Creek, CA, USA. pascal.fuchshuber@kp.org.
Daniel B JonesDepartment of Surgery, Beth Israel Deaconess Medical Center, Boston, MA, USA. djones1@bidmc.harvard.edu.
Steven D SchwaitzbergDepartment of Surgery, Cambridge Health Alliance, Cambridge, MA, USA. sschwaitzberg@challiance.org.
Gerald M FriedDepartment of Surgery, McGill University, Montreal, QC, H3G 1A4, Canada. gerald.fried@mcgill.ca.
Liane S FeldmanDepartment of Surgery, McGill University, Montreal, QC, H3G 1A4, Canada. liane.feldman@mcgill.ca.

Funding

Development and validation of a virtual airway skill trainer (VAST)R01HL119248 · NHLBI · RENSSELAER POLYTECHNIC INSTITUTE · PI DE, SUVRANU · 2014 to 2017
$2.9M
Development and Validation of a Virtual Electrosurgical Skill Trainer (VEST)R01EB014305 · NIBIB · RENSSELAER POLYTECHNIC INSTITUTE · PI CAO, CAROLINE GL, DE, SUVRANU · 2012 to 2016
$2.5M
Realistic Techniques for Virtual SurgeryR21EB003547 · NIBIB · RENSSELAER POLYTECHNIC INSTITUTE · PI DE, SUVRANU · 2004 to 2005
$347k
6 · The paper itself

Abstract

backgroundDespite the value of simulation for surgical training, it is unclear whether acquired competencies persist long term. A prior randomized trial showed that structured simulation improves knowledge of the safe use of electrosurgery (ES) amongst trainees up to 3 months after the curriculum (Madani et al. in Surg Endosc 28(10):2772-2782, 2014). We now analyse long-term knowledge retention. This study estimates the effects of a structured simulation-based curriculum to teach the safe use of ES on knowledge after 1 year.

methodsTrainees previously participated in a 1-h didactic ES course, followed by randomization into one of two groups: an unstructured hands-on session where trainees used ES devices (control group) or a goal-directed hands-on training session (Sim group). Knowledge of pre- and post-curriculum (immediate, 3 months and 1 year) and knowledge of ES safety were assessed using different multiple-choice examinations. Data are expressed as median (interquartile range), *p < 0.05.

resultsFifty-nine trainees participated (30 control group; 29 Sim group). Despite equal baseline examination scores, Sim group demonstrated higher scores compared to control immediately (89% [83; 94] vs. 83% [71; 86]*), 3 months (77% [69; 90] vs. 60% [51; 80]*) and 1 year after curriculum (70% [61; 74] vs. 60% [31; 71]*). One-year score remained significantly greater compared to baseline in the Sim group (70% [61; 74] vs. 49% [43; 57]*), but was similar to baseline in the control group (60% [31; 71] vs. 45% [34; 52]).

conclusionsAfter ES simulation training, retention of competencies persists longer when the hands-on component is designed to reinforce specific learning objectives in a structured curriculum. Despite routine clinical use of ES devices, knowledge degrades overtime, suggesting the need for ongoing formal educational activities to reinforce curricular objectives.

Indexed as

Clinical CompetenceRetention, PsychologySimulation TrainingCurriculumElectrosurgeryFemaleFollow-Up StudiesHumansInternship and ResidencyMaleMiddle AgedProspective StudiesCurriculumEducationElectrosurgeryEnergyFUSESimulation

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.