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Training Tools for Nontechnical Skills for Surgeons-A Systematic Review.
Thomas Charles Wood1, Nicholas Raison2, Shreya Haldar3
1Faculty of Life Sciences and Medicine, King's College London, London, United Kingdom.
Journal of Surgical Education
|December 25, 2016
Summary
This review identifies 23 nontechnical skills training tools for surgeons. NOTSS and Oxford NOTECHS II are recommended as gold standards for individual and team training, respectively.
Area of Science:
- Surgical Education
- Medical Training
- Human Factors in Medicine
Background:
- Nontechnical skills are crucial for surgical care quality.
- Development and validation of training tools are ongoing.
- Systematic review needed to address existing training tools.
Purpose of the Study:
- To outline, address, and recommend nontechnical skills training tools for surgeons.
- To provide a comprehensive overview of available surgical training tools.
- To guide the selection of effective nontechnical skills training.
Main Methods:
- Systematic literature search on ScienceDirect and PubMed.
- Data extraction based on predefined inclusion criteria.
- Review conducted at King's College London.
Main Results:
- 84 articles reviewed, identifying 23 distinct training tools.
- Tools include scoring systems, training programs, and combined approaches.
- Validation status (reliability, construct, content, face) varies among tools.
- Tools are applicable to general surgery and specific fields like neurosurgery.
Conclusions:
- Nontechnical skills training tools show universally positive results.
- Further research is needed for newer, less-studied tools.
- NOTSS and Oxford NOTECHS II are gold standards for individual and team training, respectively.
- Training programs enhance the effectiveness of these tools.

