Training Tools for Nontechnical Skills for Surgeons—A Systematic Review

Wood, Thomas Charles; Raison, Nicholas; Haldar, Shreya; Brunckhorst, Oliver; McIlhenny, Craig; Dasgupta, Prokar; Ahmed, Kamran

doi:10.1016/j.jsurg.2016.11.017

Cited by 85 publications

(44 citation statements)

References 86 publications

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Section: Evaluation and Assessmentmentioning

confidence: 99%

“…Wood et al [38] evaluated NTS training tools for both individual surgeons and teams and concluded that NoTSS was the best scale when evaluating an individual, but the NOTECHS was optimum for assessing teams. This highlights the need to remember the context of the simulation when deciding on an assessment tool [4,38]. Tools to assess individual NTS components were also discussed in the review, such as the 'RATE' tool for situational awareness training; these tools are useful if there is a need to train only one aspect of NTS, possibly useful for specialties such as robotic surgery due to their specific challenges [38].…”

Section: Evaluation and Assessmentmentioning

confidence: 99%

“…With this the variation in what is expected from debriefing can be addressed and standardised [44]. Assessment scales like NoTSS are also useful aids, either as an adjunct to discussion or selfreflection, giving the participant objective feedback to reflect on [38].…”

Section: Debriefingmentioning

confidence: 99%

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

et al. 2019

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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.

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Section: Evaluation and Assessmentmentioning

confidence: 99%

Section: Evaluation and Assessmentmentioning

confidence: 99%

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

et al. 2019

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“…• Ejecución del procedimiento El EM proporciona un adiestramiento observacional pasivo en el que el cirujano, mediante la imaginación mental (5,8,19), aunada a otros recursos como un adecuado estado de relajación, el manejo del pensamiento y de la atención , es capaz de interiorizar la tarea a realizar, comprenderla y memorizarla (2).…”

Section: Em En Cirugíaunclassified

El entrenamiento mental y los cirujanos: una estrategia de mejoramiento

Ramírez-Sánchez

Vega-Peña

Domínguez-Torres

et al. 2018

iatreia

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RESUMENEl éxito de una cirugía depende de las competencias quirúrgicas y académicas del cirujano, del control de las variables propias del ambiente quirúrgico (estrés e incertidumbre) y de habilidades cognitivas avanzadas que permitan integrar lo anterior e impactar sobre el resultado. Las técnicas cognitivas de entrenamiento propias de atletas y músicos han sido utilizadas en los cirujanos para mejorar su desempeño quirúrgico, dada la similar naturaleza de su actividad, técnicamente demandante, con altos niveles de estrés y una permanente exigencia de resultados positivos. Una de estas estrategias es el Entrenamiento Mental o Cognitivo (EM) que consiste en la realización del acto quirúrgico en la mente previo a la cirugía, sin la necesidad del movimiento físico. Su efectividad en el desempeño quirúrgico ha permitido comprobar que las habilidades no técnicas juegan un papel relevante en la formación profesional. Es decir, la efectividad del cirujano reside en su destreza quirúrgica aunada a su destreza mental, y se relaciona directamente con la capacidad integradora de estas dos variables.El propósito de esta revisión es generar un marco conceptual del EM como una estrategia de mejoramiento para el desempeño del cirujano, considerando su metodología y sus potenciales beneficios para el cirujano, mejorando su desempeño quirúrgico en las salas de cirugía.

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“…Esto requiere compostura y competencia, y pronostica buenos resultados para el paciente. La ausencia de esas condiciones produce unos efectos desproporcionadamente disruptivos sobre el progreso de la operación y crea un ambiente desfavorable, el cual puede predisponer al paciente a un alto riesgo de complicaciones y eventos adversos durante la cirugía al igual que en el posoperatorio [45][46][47][48][49][50][51][52][53][54] . Podemos agregar, como atributos para considerar un buen cirujano, a aquel que realiza una correcta selección de los pacientes para operar, un buen manejo preoperatorio y posoperatorio, atribuciones acompañadas por compasión y diligencia.…”

Section: Habilidades No Técnicasunclassified

¿quién Y Cómo Se Debe Garantizar La Calidad Del Cirujano?

Padín¹,

Domínguez²

2017

Rev Argent Cirug

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Training Tools for Nontechnical Skills for Surgeons—A Systematic Review

Cited by 85 publications

References 86 publications

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

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

El entrenamiento mental y los cirujanos: una estrategia de mejoramiento

¿quién Y Cómo Se Debe Garantizar La Calidad Del Cirujano?

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