Non-technical skills for urological surgeons (NoTSUS): development and evaluation of curriculum and assessment scale.


Journal

World journal of urology
ISSN: 1433-8726
Titre abrégé: World J Urol
Pays: Germany
ID NLM: 8307716

Informations de publication

Date de publication:
Jun 2021
Historique:
received: 24 04 2020
accepted: 07 08 2020
pubmed: 19 8 2020
medline: 9 10 2021
entrez: 19 8 2020
Statut: ppublish

Résumé

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.

Identifiants

pubmed: 32809178
doi: 10.1007/s00345-020-03406-6
pii: 10.1007/s00345-020-03406-6
pmc: PMC8217036
doi:

Types de publication

Journal Article Observational Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

2231-2237

Références

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Auteurs

Abdullatif Aydın (A)

MRC Centre for Transplantation, Guy's Hospital, King's College London, 5th Floor Southwark Wing, London, SE1 9RT, UK. abdullatif.aydin@kcl.ac.uk.

Cora M Griffin (CM)

MRC Centre for Transplantation, Guy's Hospital, King's College London, 5th Floor Southwark Wing, London, SE1 9RT, UK.

Oliver Brunckhorst (O)

MRC Centre for Transplantation, Guy's Hospital, King's College London, 5th Floor Southwark Wing, London, SE1 9RT, UK.

Ahmed Al-Jabir (A)

MRC Centre for Transplantation, Guy's Hospital, King's College London, 5th Floor Southwark Wing, London, SE1 9RT, UK.

Nicholas Raison (N)

MRC Centre for Transplantation, Guy's Hospital, King's College London, 5th Floor Southwark Wing, London, SE1 9RT, UK.

Haleema Aya (H)

MRC Centre for Transplantation, Guy's Hospital, King's College London, 5th Floor Southwark Wing, London, SE1 9RT, UK.

Craig McIlhenny (C)

Department of Urology, NHS Forth Valley, Glasgow, UK.

James Brewin (J)

Department of Urology, Salisbury NHS Foundation Trust, Salisbury, UK.

Majid Shabbir (M)

MRC Centre for Transplantation, Guy's Hospital, King's College London, 5th Floor Southwark Wing, London, SE1 9RT, UK.
Department of Urology, Guy's and St, Thomas' NHS Foundation Trust, London, UK.

Joan Palou Redorta (J)

European School of Urology, European Association of Urology, Amsterdam, The Netherlands.
Dept. of Urology, Fundació Puigvert, Universitat Autònoma de Barcelona, Barcelona, Spain.

Muhammad Shamim Khan (MS)

MRC Centre for Transplantation, Guy's Hospital, King's College London, 5th Floor Southwark Wing, London, SE1 9RT, UK.
Department of Urology, Guy's and St, Thomas' NHS Foundation Trust, London, UK.

Prokar Dasgupta (P)

MRC Centre for Transplantation, Guy's Hospital, King's College London, 5th Floor Southwark Wing, London, SE1 9RT, UK.
Department of Urology, Guy's and St, Thomas' NHS Foundation Trust, London, UK.

Kamran Ahmed (K)

MRC Centre for Transplantation, Guy's Hospital, King's College London, 5th Floor Southwark Wing, London, SE1 9RT, UK.
Department of Urology, King's College Hospital NHS Foundation Trust, London, UK.

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