Proficient until proven unproficient? Exploring attitudes and perceptions of medical specialists on proficiency, proficiency requirements and proficiency tests for electrosurgery

Article type: Research Article

Authors: Maat, Laura^a | Porte, Petra J.^a; | Verweij, Lisanne M.^a | Wagner, Cordula^{a; b}

Affiliations: [a] The Netherlands Institute for Health Services Research (NIVEL), Otterstraat 118-124, Utrecht, The Netherlands | [b] Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Van der Boechorststraat 7, Amsterdam, The Netherlands

Correspondence: [*] Address for correspondence: Petra Porte, NIVEL, Otterstraat 118-124, 3513CR Utrecht, The Netherlands. E-mail: [email protected]

Abstract: BACKGROUND:The correct and safe use of electrosurgery requires medical specialists to be proficient. Minimum proficiency requirements and proficiency tests are a manner to structurally assure proficiency. The objective of this study is to explore attitudes and perceptions of medical specialists on proficiency, proficiency requirements and proficiency tests for the safe use of electrosurgery. METHODS:A qualitative study among medical specialists using semi-structured interviews. RESULTS:The participants recognized that the use of electrosurgery poses risks to the safety of patients and perioperative staff. According to some participants, increased awareness on the risks of electrosurgery is required. Most medical specialists however thought that proficiency of users of electrosurgery is sufficiently assured. Medical specialists stated to support proficiency requirements when they are endorsed by their scientific association. Proficiency tests encountered much resistance. Medical specialists argued that electrosurgery should not be tested as a single device but should be embedded in a larger entity, for example in a broader course or proficiency test. CONCLUSIONS:When assuring proficiency of users of electrosurgery, the positive attitude towards proficiency requirements and the more negative attitude towards proficiency tests should be taken into account.

Keywords: Proficiency, competency, requirements, tests, medical specialists, electrosurgery

DOI: 10.3233/JRS-191034

Journal: International Journal of Risk & Safety in Medicine, vol. 31, no. 4, pp. 209-219, 2020