Abstract:
OBJECTIVE:Failures in nontechnical skills (NTS) rather than technical expertise are frequently at the root of medical errors in the operating room (OR). NTS are the cognitive (decision making and situation awareness) and interpersonal (communication and teamwork) skills that are recognized but are not formally addressed in surgical training. The purpose of the study was to examine the effect of simulation-based training (SBT) on NTS performance of surgical residents during simulated laparoscopic cholecystectomy (LC). SETTING:The study was performed in a simulated OR at the Center for Medical Education and Innovation at Riverside Methodist Hospital, Columbus, OH. The simulated OR was arranged with standard equipment for LC, a high-fidelity patient simulator, and a real OR team. DESIGN:General surgical residents completed 2 identical SBT sessions. For each session, residents were briefed on the LC case, completed the case in the simulated OR, and debriefed their videotaped simulation performance with a content expert. The video recordings were reviewed and the residents' NTS were scored using a perioperative time-out checklist and an intraoperative checklist for LC by 4 raters who were blinded to both the residents' postgraduate year level and the order of the videotaped simulation sessions. RESULTS:Residents showed a significant improvement in completeness of the perioperative time-out checklist from session 1 (mean score = 1.27 ± 1.00) to session 2 (mean score = 5.00 ± 1.28), p < 0.001. Residents' scores on the intraoperative checklist also improved from session 1 to session 2, p < 0.05. Overall, residents felt that the simulation was a valuable teaching and training tool and recommend that it be incorporated into residency training. CONCLUSION:SBT appears to be an effective technique for improving NTS of surgical residents during the perioperative and intraoperative phases of surgery. As surgical proficiency is 75% nontechnical and 25% technical, it could be reasonably argued that improved NTS of surgeons could improve surgical outcomes.
journal_name
J Surg Educjournal_title
Journal of surgical educationauthors
Nguyen N,Elliott JO,Watson WD,Dominguez Edoi
10.1016/j.jsurg.2015.03.005subject
Has Abstractpub_date
2015-09-01 00:00:00pages
957-63issue
5eissn
1931-7204issn
1878-7452pii
S1931-7204(15)00067-7journal_volume
72pub_type
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journal_title:Journal of surgical education
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abstract:INTRODUCTION:The Accreditation Council for Graduate Medical Education (ACGME) has mandated that surgical residencies incorporate formal curricula in each of the 6 competencies, including professionalism. A questionnaire study was developed by the authors that aimed (1) to measure the ability of surgical residents to de...
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pub_type: 杂志文章
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更新日期:2008-01-01 00:00:00
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abstract:INTRODUCTION:It has been previously demonstrated that medical students do not achieve an adequate musculoskeletal knowledge base on graduation from American medical schools. Several curriculums have been developed to address this measured deficit. Students entering orthopedic surgery residencies have a better musculosk...
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pub_type: 杂志文章,随机对照试验
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journal_title:Journal of surgical education
pub_type: 杂志文章
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更新日期:2007-11-01 00:00:00
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更新日期:2015-03-01 00:00:00
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journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2020.08.020
更新日期:2020-09-08 00:00:00
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更新日期:2016-05-01 00:00:00
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更新日期:2020-01-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2013-07-01 00:00:00
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更新日期:2008-03-01 00:00:00
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journal_title:Journal of surgical education
pub_type: 杂志文章
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更新日期:2015-07-01 00:00:00
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pub_type: 杂志文章
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更新日期:2011-11-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.jsurg.2011.06.015
更新日期:2011-11-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.jsurg.2016.06.020
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Nontechnical skills are of increasing focus for safe and effective performance in the operating room. Assessment tools have been developed in Europe, Africa, and Asia but not adapted to the unique aspects of surgical delivery in the United States. Our objective was to use the Non-Technical Skills for Surgeon...
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pub_type: 杂志文章
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更新日期:2020-10-08 00:00:00
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更新日期:2012-05-01 00:00:00
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doi:10.1016/j.jsurg.2020.07.005
更新日期:2021-01-01 00:00:00