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Using simulation to train orthopaedic trainees in non-technical skills: A pilot study.

Samuel R Heaton1, Zoe Little1, Kash Akhtar1

  • 1Samuel R Heaton, Zoe Little, Kash Akhtar, Manoj Ramachandran, Joshua Lee, Centre for Orthopaedics, Royal London Hospital, Barts Health NHS Trust, London E1 1BB, United Kingdom.

World Journal of Orthopedics
|September 14, 2016
PubMed
Summary
This summary is machine-generated.

Orthopaedic residents significantly improved their understanding of non-technical skills after a simulation-based course. Participants valued the training, reporting enhanced patient safety and teamwork, and advocated for its integration into residency programs.

Keywords:
LearningNon-technicalSimulationSurgeryTeaching

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Area of Science:

  • Medical Education
  • Surgical Training
  • Human Factors in Medicine

Background:

  • Non-technical skills (NT skills) are crucial for effective surgical practice.
  • Orthopaedic surgery training traditionally focuses on technical skills, often neglecting NT skills.
  • A need exists to formally integrate NT skills training into orthopaedic residency programs.

Purpose of the Study:

  • To develop and evaluate a course focused on human factors and NT skills for orthopaedic surgeons.
  • To assess participants' experience and the impact of simulation-based training on their understanding and application of NT skills.
  • To determine the perceived relevance and effectiveness of the course in improving patient care and safety.

Main Methods:

  • A Delphi technique was employed to design a human factors course tailored for orthopaedic residents.
  • Twenty-six residents participated in simulation scenarios using high-fidelity mannequins and simulated patients in realistic settings.
  • Pre- and post-course questionnaires assessed understanding of NT skills, scenario validity, and predicted impact on practice.

Main Results:

  • Residents showed a significant improvement in understanding NT skills post-course (Likert score 3.0-4.2).
  • 100% of participants perceived NT skills as very important, valuing the reflective learning opportunities.
  • Participants strongly agreed that simulation-based NT skills training should be integrated into their residency.

Conclusions:

  • The simulation-based course effectively enhanced orthopaedic residents' understanding of non-technical skills.
  • Participants recognized the importance of NT skills for patient safety and teamwork.
  • There is a clear demand from residents for the integration of human factors and NT skills training into their formal education.