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Simulation-Based Curriculum for Medical Undergraduates in Non-technical Skills.
Manpreet Kaur1,2, Rashmi Ramachandran3, Abhishek Nagarajappa3
1Anesthesiology and Perioperative Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, USA.
Cureus
|July 15, 2025
Summary
Integrating non-technical skills (NTS) training early in undergraduate medical education using Kern
Area of Science:
- Medical Education
- Healthcare Simulation
- Patient Safety
Background:
- Early integration of non-technical skills (NTS) is crucial for establishing a strong foundation in organizational safety culture.
- Undergraduate medical education requires curriculum development and modification to effectively impart NTS.
Purpose of the Study:
- To describe the process of creating and modifying an undergraduate curriculum for NTS training based on student needs.
- To implement and evaluate a pilot curriculum using Kern's model for NTS education.
Main Methods:
- A curriculum was designed using Kern's six-step model for third-year medical undergraduates.
- The pilot curriculum incorporated didactic lectures, simulation sessions, and debriefings.
- Needs assessment, student feedback, and focused group discussions informed curriculum revisions.
Main Results:
- A needs assessment of 102 responses indicated 48% considered NTS extremely important for patient care.
- 80.4% of students recommended simulation-based teaching, and 83.3% favored bedside problem-solving.
- The revised curriculum, incorporating student feedback, was implemented with 38 students and found useful, with 53.8% supporting lectures.
Conclusions:
- A combined simulation and lecture-based curriculum for NTS, developed using Kern's model, is well-accepted by undergraduate students.
- This approach effectively incorporates NTS into formal medical education programs, enhancing foundational skills.

