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Teaching surgeons about non-technical skills.

R Flin1, S Yule, S Paterson-Brown

  • 1School of Psychology, University of Aberdeen, Scotland, UK. r.flin@abdn.ac.uk

The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
|April 25, 2007
PubMed
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This study introduces a prototype training course to improve surgeons' non-technical skills, crucial for operating room safety. The training helps surgeons reflect on and modify behaviors, enhancing surgical performance.

Area of Science:

  • Surgical Education
  • Patient Safety
  • Human Factors in Medicine

Background:

  • Adverse surgical events often stem from behavioral issues like communication failures, not just technical errors.
  • Non-technical skills (cognitive and interpersonal) are vital for surgical safety and quality but are not explicitly taught.
  • Surgeons require high levels of non-technical skills alongside technical proficiency.

Purpose of the Study:

  • To describe a prototype training course designed to increase surgeons' awareness of non-technical skills.
  • To address the gap in formal surgical training regarding essential non-technical skills.

Main Methods:

  • The course curriculum was developed using a new taxonomy of surgeons' non-technical skills (NOTSS).
  • The NOTSS taxonomy includes four key areas: situation awareness, decision-making, communication and teamwork, and leadership.

Related Experiment Videos

  • Twenty-one surgeons participated in three separate one-day training sessions.

    • Main Results:

    • All participating surgeons found the explicit review and discussion of non-technical skills beneficial for self-reflection.
    • The course content was rated as interesting and relevant by the surgeons.
    • A majority of surgeons indicated an intention to alter their surgical behavior based on the training.

    Conclusions:

    • This training approach can enrich the surgical training portfolio.
    • Training in non-technical skills should be integrated into the development and assessment of operative skills.