Non-technical skills for urological surgeons (NoTSUS) : development and evaluation of curriculum and assessment scale
Aydın, Abdullatif (King's College London. MRC Centre for Transplantation)
Griffin, Cora M. (King's College London. MRC Centre for Transplantation)
Brunckhorst, Oliver (King's College London. MRC Centre for Transplantation)
Al-Jabir, Ahmed (King's College London. MRC Centre for Transplantation)
Raison, Nicholas (King's College London. MRC Centre for Transplantation)
Aya, Haleema (King's College London. MRC Centre for Transplantation)
McIlhenny, Craig (NHS Forth Valley. Department of Urology)
Brewin, James (Salisbury NHS Foundation Trust. Department of Urology)
Shabbir, Majid (Guy's and St, Thomas' NHS Foundation Trust. Department of Urology)
Palou, Juan (Institut d'Investigació Biomèdica Sant Pau)
Khan, Muhammad Shamim (Guy's and St, Thomas' NHS Foundation Trust. Department of Urology)
Dasgupta, Prokar (Guy's and St, Thomas' NHS Foundation Trust. Department of Urology)
Ahmed, Kamran (King's College Hospital NHS Foundation Trust)
Universitat Autònoma de Barcelona

Data:	2020
Resum:	In the last decade non-technical skills (NTS) have emerged as a vital area for improvement within surgery. This study aims to develop and evaluate a Non-technical Skills for Urological Surgeons (NoTSUS) training curriculum and assessment scale. This international, longitudinal and observational study began with a 3-round Delphi methodology to refine curriculum contents and rating scale. Sessions with up to four participants were delivered where each candidate undertook an independent scenario within the validated full immersion simulation environment. Candidates were assessed using both the NoTSS (Non-technical Skills for Surgeons) and NoTSUS rating scales by NTS-trained and non-trained experts. A post-training evaluation survey was distributed. 62 participants comprising trainees (n = 43) and specialists (n = 19) undertook the NoTSUS course. The NoTSS and NoTSUS scales correlated well, with a mean difference of 3. 3 in the overall total (p = 0. 10, r = 0. 53). However, there was significant differences in scores between the NoTSS-trained and non-trained raters (n = 28, p = 0. 03). A one-way ANOVA test revealed significant improvement throughout the four simulation scenarios in each session (p = 0. 02). The NoTSUS curriculum received positive feedback from participants and demonstrated educational value and acceptability. The NoTSUS curriculum has demonstrated high educational value for NTS training aimed at urologists, with marked improvement throughout sessions. Correlation of NoTSUS and NoTSS scales proves its suitability for evaluating NTS in future training. Demonstration of inter-rater reliability indicates that the scale is reliable for use in assessment by expert faculty members. Furthermore, qualitative feedback from participants suggests gain of transferrable skills over the course. The online version of this article (10. 1007/s00345-020-03406-6) contains supplementary material, which is available to authorized users.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Non-technical skills ; Simulation ; Urology ; NOTSS ; NoTSUS
Publicat a:	World Journal of Urology, Vol. 39 (august 2020) , p. 2231-2237, ISSN 1433-8726

DOI: 10.1007/s00345-020-03406-6
PMID: 32809178

7 p, 793.1 KB

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