Simulation in urology to train non-technical skills in ward rounds
Khevan Somasundram1, Heather Spence1, Alexandra J Colquhoun2
1St James' University Hospital, Leeds, UK.
BJU International
|May 20, 2018
Summary
This study trained urology trainees in non-technical skills using simulation. Feedback indicated the training was useful, though non-technical skills for surgeons (NOTSS) scores suggest room for improvement.
Area of Science:
- Medical Education
- Surgical Training
- Urology
Background:
- Non-technical skills are crucial for effective patient care in urology.
- Simulation-based training offers a safe environment to develop these skills.
- Junior urology trainees require structured training in non-technical skills for career progression.
Purpose of the Study:
- To evaluate the utility of a simulation-based boot camp for training urology trainees in non-technical skills.
- To gather participant feedback on a novel simulation exercise for ward round training.
- To assess the impact of simulation on non-technical skills performance in urology.
Main Methods:
- High-fidelity simulation in a mock ward bay with actors portraying patients.
- 48 junior urology trainees participated in simulated ward rounds with deliberate distractions.
- Performance was assessed using Non-Technical Skills for Surgeons (NOTSS) scores and qualitative feedback.
Main Results:
- Participants positively rated the simulation, particularly the use of actors and freeze-frame feedback.
- Mean NOTSS scores indicated that non-technical skills performance could be enhanced.
- Qualitative feedback provided insights for future simulation improvements.
Conclusions:
- Simulation-based training for non-technical skills in urology is well-received by trainees.
- This training approach can be adapted to optimize learning for new residents.
- Developing non-technical skills in a safe setting is essential for urologists transitioning to greater autonomy.
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