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Assessing non-technical skills on the delivery suite: a pilot study
Suzanne Jackson1, Karen Brackley, Alex Landau
1Royal Victoria Infirmary, Newcastle upon Tyne, UK.
The Clinical Teacher
|July 22, 2014
Summary
The Non-technical Skills for Surgeons (NOTSS) tool shows promise for formative assessment of non-technical skills in obstetrics and gynecology. Despite low initial uptake, satisfaction was high, indicating potential for improving surgical training.
Area of Science:
- Medical Education
- Surgical Training
- Obstetrics and Gynecology
Background:
- Non-technical skills (NTS) are increasingly important in medical training.
- Formal assessment of NTS in obstetrics and gynecology is limited.
- The Non-technical Skills for Surgeons (NOTSS) tool is a validated measure of NTS in surgery.
Purpose of the Study:
- To pilot the adapted NOTSS tool as a formative feedback instrument in obstetrics and gynecology.
- To assess the usability and satisfaction with the adapted NOTSS tool in a real clinical setting.
Main Methods:
- The NOTSS tool was adapted by removing rankings for formative feedback.
- A usability pilot was conducted in the delivery suite environment by minimally trained assessors.
- 26 trainee and 25 trainer evaluations were completed following 55 assessments.
Main Results:
- The number of completed assessments and evaluations was lower than anticipated.
- Overall satisfaction with the adapted NOTSS tool was high (average 4.5/5).
- Both trainers and trainees found the tool acceptable, straightforward to use, and efficient (average 10 min for completion and feedback).
Conclusions:
- The adapted NOTSS tool shows promise as a formative NTS assessment for the delivery suite.
- Successful implementation requires training assessors in behavior recognition and feedback delivery.
- Engaging trainees is crucial, though they appreciated the NOTSS process when used.
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