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- Title
Fundamental Use of Surgical Energy (FUSE) certification: validation and predictors of success.
- Authors
Robinson, Thomas; Olasky, Jaisa; Young, Patricia; Feldman, Liane; Fuchshuber, Pascal; Jones, Stephanie; Madani, Amin; Brunt, Michael; Mikami, Dean; Jackson, Gretchen; Mischna, Jessica; Schwaitzberg, Steven; Jones, Daniel; Robinson, Thomas N; Feldman, Liane S; Fuchshuber, Pascal R; Jones, Stephanie B; Jackson, Gretchen P; Jones, Daniel B
- Abstract
<bold>Introduction: </bold>The Fundamental Use of Surgical Energy (FUSE) program includes a Web-based didactic curriculum and a high-stakes multiple-choice question examination with the goal to provide certification of knowledge on the safe use of surgical energy-based devices. The purpose of this study was (1) to set a passing score through a psychometrically sound process and (2) to determine what pretest factors predicted passing the FUSE examination.<bold>Methods: </bold>Beta-testing of multiple-choice questions on 62 topics of importance to the safe use of surgical energy-based devices was performed. Eligible test takers were physicians with a minimum of 1 year of surgical training who were recruited by FUSE task force members. A pretest survey collected baseline information.<bold>Results: </bold>A total of 227 individuals completed the FUSE beta-test, and 208 completed the pretest survey. The passing/cut score for the first test form of the FUSE multiple-choice examination was determined using the modified Angoff methodology and for the second test form was determined using a linear equating methodology. The overall passing rate across the two examination forms was 81.5%. Self-reported time studying the FUSE Web-based curriculum for a minimum of >2 h was associated with a passing examination score (p < 0.001). Performance was not different based on increased years of surgical practice (p = 0.363), self-reported expertise on one or more types of energy-based devices (p = 0.683), participation in the FUSE postgraduate course (p = 0.426), or having reviewed the FUSE manual (p = 0.428). Logistic regression found that studying the FUSE didactics for >2 h predicted a passing score (OR 3.61; 95% CI 1.44-9.05; p = 0.006) independent of the other baseline characteristics recorded.<bold>Conclusion(s): </bold>The development of the FUSE examination, including the passing score, followed a psychometrically sound process. Self-reported time studying the FUSE curriculum predicted a passing score independent of other pretest characteristics such as years in practice and self-reported expertise.
- Subjects
ELECTROSURGERY; ELECTROTHERAPEUTICS; SURGERY; SURGICAL equipment; MEDICAL equipment; CLINICAL competence; COMPARATIVE studies; CURRICULUM; EDUCATIONAL tests &; measurements; RESEARCH methodology; MEDICAL cooperation; PSYCHOMETRICS; RESEARCH; MEDICAL equipment safety measures; CERTIFICATION; EVALUATION research; EQUIPMENT &; supplies
- Publication
Surgical Endoscopy & Other Interventional Techniques, 2016, Vol 30, Issue 3, p916
- ISSN
1866-6817
- Publication type
journal article
- DOI
10.1007/s00464-015-4334-3