TY - JOUR
T1 - Nontechnical skills training in cardiothoracic surgery
T2 - A pilot study
AU - Kim, Juka S.
AU - Hernandez, Roland A.
AU - Smink, Douglas S.
AU - Yule, Steven
AU - Jackson, Nicholas J.
AU - Shemin, Richard J.
AU - Kwon, Murray H.
N1 - Funding Information:
Funding was provided through the Donald B. Doty Educational Award from the Western Thoracic Surgical Association. Statistical analysis was supported by National Institutes of Health /National Center for Advancing Translational Science ( NCATS ) University of California, Los Angeles Clinical and Translational Science Institute grant number UL1TR001881.
Publisher Copyright:
© 2021 The American Association for Thoracic Surgery
PY - 2021/2/4
Y1 - 2021/2/4
N2 - Objective: The importance of nontechnical skills in surgery is widely recognized. We demonstrate the feasibility of administering and assessing the results of a formal Non-Technical Skills in Surgery (NOTSS) curriculum to cardiothoracic surgery residents. Methods: Eight cardiothoracic surgery residents participated in the NOTSS curriculum. They were assessed on their cognitive (situation awareness, decision-making) and social (communication and teamwork, leadership) skills based on simulated vignettes. The residents underwent pretraining NOTSS assessments followed by self-administered confidence ratings regarding the 4 skills. Subsequently, a formal NOTSS lecture was delivered and additional readings from the NOTSS textbook was assigned. A month later, the residents returned for post-training NOTSS assessments and self-administered confidence ratings. Changes across days (or within-day before vs after curriculum) were assessed using Wilcoxon signed rank test. Results: There was a significant improvement in the overall NOTSS assessment score (P = .01) as well as in the individual categories (situation awareness, P = .02; decision-making, P = .02; communication and teamwork, P = .01; leadership, P = .02). There was also an increase in resident self-perception of improvement on the post-training day (P = .01). Conclusions: We have developed a simulation-based NOTSS curriculum in cardiothoracic surgery that can be formally integrated into the current residency education. This pilot study indicates the feasibility of reproducible assessments by course educators and self-assessments by participating residents in nontechnical skills competencies.
AB - Objective: The importance of nontechnical skills in surgery is widely recognized. We demonstrate the feasibility of administering and assessing the results of a formal Non-Technical Skills in Surgery (NOTSS) curriculum to cardiothoracic surgery residents. Methods: Eight cardiothoracic surgery residents participated in the NOTSS curriculum. They were assessed on their cognitive (situation awareness, decision-making) and social (communication and teamwork, leadership) skills based on simulated vignettes. The residents underwent pretraining NOTSS assessments followed by self-administered confidence ratings regarding the 4 skills. Subsequently, a formal NOTSS lecture was delivered and additional readings from the NOTSS textbook was assigned. A month later, the residents returned for post-training NOTSS assessments and self-administered confidence ratings. Changes across days (or within-day before vs after curriculum) were assessed using Wilcoxon signed rank test. Results: There was a significant improvement in the overall NOTSS assessment score (P = .01) as well as in the individual categories (situation awareness, P = .02; decision-making, P = .02; communication and teamwork, P = .01; leadership, P = .02). There was also an increase in resident self-perception of improvement on the post-training day (P = .01). Conclusions: We have developed a simulation-based NOTSS curriculum in cardiothoracic surgery that can be formally integrated into the current residency education. This pilot study indicates the feasibility of reproducible assessments by course educators and self-assessments by participating residents in nontechnical skills competencies.
KW - cardiothoracic residency
KW - nontechnical skills
KW - NOTSS
KW - patient safety
KW - surgical education
UR - http://www.scopus.com/inward/record.url?scp=85101956174&partnerID=8YFLogxK
U2 - 10.1016/j.jtcvs.2021.01.108
DO - 10.1016/j.jtcvs.2021.01.108
M3 - Article
AN - SCOPUS:85101956174
SN - 0022-5223
VL - 163
SP - 2155-2162.e4
JO - Journal of Thoracic and Cardiovascular Surgery
JF - Journal of Thoracic and Cardiovascular Surgery
IS - 6
ER -