Simulation-based ureteroscopy skills training curriculum with integration of technical and non-technical skills: a randomised controlled trial

Shahid, Shahab; Aydın, Abdullatif; McIlhenny, Craig; Khan, Shahid; Raza, Syed Johar; Sahai, Amit; Brewin, James; Bello, Fernando; Kneebone, Roger; Khan, Muhammad Shamim; Dasgupta, Prokar; Ahmed, Kamran

doi:10.1007/s00464-014-3996-6

Cited by 54 publications

(39 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The course received positive qualitative feedback and the NTS of the experienced urologists were significantly better than those of trainees, upon a NoTECHS scale (see Assessment methods), but did not demonstrate transfer of skills to OR. The results of this study were further supported by Brunckhorst et al [17], where novices who were taught ureteroscopy and NTS within an FIDS environment outperformed those taught using didactic methods, with the former group gaining significantly higher NoTSS scores. The "igloo" is, therefore, a viable alternative for NTS courses where an OR is not available.…”

Section: Full Immersion/distributed Simulationsupporting

confidence: 82%

Non-technical skills: a review of training and evaluation in urology

et al. 2019

Self Cite

View full text Add to dashboard Cite

Purpose With non-technical skills (NTS) deficits being recognised as a major cause for error in surgery, there is an increasing interest in their training and evaluation. A growing number of training courses are emerging and some NTS curricula have also been created. Many different training methods are described in the literature but there is still uncertainty with regards to their optimum combination within a curriculum. Methods A literature review of the electronic database Medline was performed. All articles published before December 2018 were screened by abstract and included if deemed relevant by the author. The included articles' reference lists were also screened for further relevant studies. Results Simulation training is accepted as the most effective way to train NTS. Within simulation training, it is shown that the 'igloo' full immersion/distributed simulation environment is appropriate for teaching NTS in urological scenarios where a designated operating room or space is not available. The use of multiple settings, for example wards and clinics as well as the operating room, is advantageous, as is training in an interprofessional team. Classroom teaching also plays a role in NTS training as an adjunct to simulation, with evidence that it improves some parameters of NTS. All levels, including qualified surgeons, benefit from NTS training; however, adaptation to both trainee level and specialty is important. Although less time consuming, training juniors and seniors together mainly benefits juniors, and training NTS at the same time as technical skills detracts from the quality of teaching. Debriefing is an important part of training and should be well structured; there are many debriefing models in existence, allowing for choice of method based on examiner preference and participant demographic. Furthermore, examiners should be well briefed in their task and trained in NTS assessment. Conclusion To move forward, studies should combine tried and tested learning techniques into a curriculum covering all training levels, which should then be validated and followed up long term to ensure a positive impact on patient safety.

show abstract

Section: Full Immersion/distributed Simulationsupporting

confidence: 82%

Non-technical skills: a review of training and evaluation in urology

et al. 2019

Self Cite

View full text Add to dashboard Cite

show abstract

“…NOTSS is commonly used within simulation‐based education: as a separate didactic element, as a coaching/debriefing tool or, more fundamentally, to inform scenario and curriculum design. There are advocates of using distinct exercises to develop non‐technical skills in parallel to existing technical skills learning, or of a fully integrated training programme. Simulation interventions have included both ‘normal’ operative and crisis situations.…”

Section: Discussionmentioning

confidence: 99%

“…There are advocates of using distinct exercises to develop non‐technical skills in parallel to existing technical skills learning, or of a fully integrated training programme. Simulation interventions have included both ‘normal’ operative and crisis situations. Surgical training has commonly focused on aspects similar to the NOTSS categories, and these new results suggest that training should also map to the situation awareness, decision‐making, communication and teamwork, and leadership domains.…”

Section: Discussionmentioning

confidence: 99%

Construct and criterion validity testing of the Non-Technical Skills for Surgeons (NOTSS) behaviour assessment tool using videos of simulated operations

Yule

Gupta

Gazarian

et al. 2018

British Journal of Surgery

View full text Add to dashboard Cite

show abstract

“…29,30 A number of VR curricula have also been developed and validated, 31 , such as for photoselective vaporization of the prostate 32 and ureteroscopy. 33,34 Similarly, increasing numbers of bench-top models have been extensively validated including the Uro-Scopic Trainer 35-37 and the Bristol TURP Trainer. 38 Animal models and live animal simulation may be utilized when permitted by ethics and proven to be safe.…”

Section: Discussionmentioning

confidence: 99%

“…Full-immersion simulation 39 for nontechnical skills training has also been demonstrated and validated in transurethral resection of the prostate 40 and ureteroscopy training. 33,34 However, despite having a higher degree of face validity and being ranked superior, the use of FFCs is often limited by availability. Thus, it is often recommended as the final step in simulation-based training or only for high-fidelity procedural training 41 (Fig.…”

Section: Discussionmentioning

confidence: 99%