Oliver Brunckhorst1, Shahab Shahid1, Abdullatif Aydin1, Shahid Khan2, Craig McIlhenny3, James Brewin1, Arun Sahai1, Fernando Bello4, Roger Kneebone4, Muhammad Shamim Khan1, Prokar Dasgupta1, Kamran Ahmed5. 1. MRC Centre for Transplantation, King's College London, London, United Kingdom; Department of Urology, Guy's and St. Thomas' NHS Foundation Trust, King's Health Partners, London, United Kingdom. 2. Department of Urology, East Surrey Hospital, Surrey and Sussex Healthcare NHS Trust, Redhill, United Kingdom. 3. Forth Valley Royal Hospital, NHS Forth Valley, Larbet, United Kingdom. 4. Department of Surgery and Cancer, Imperial College London, St. Mary's Hospital Campus, London, United Kingdom. 5. MRC Centre for Transplantation, King's College London, London, United Kingdom; Department of Urology, Guy's and St. Thomas' NHS Foundation Trust, King's Health Partners, London, United Kingdom. Electronic address: kamran.ahmed@kcl.ac.uk.
Abstract
OBJECTIVE: Little integration of technical and nontechnical skills (e.g., situational awareness, communication, decision making, teamwork, and leadership) teaching exists within surgery. We therefore aimed to (1) evaluate the relationship between these 2 skill sets within a simulation-based environment and (2) assess if certain nontechnical skill components are of particular relevance to technical performance. DESIGN: A prospective analysis of data acquired from a comparative study of simulation vs nonsimulation training was conducted. Half of the participants underwent training of technical and nontechnical skills within ureteroscopy, with the remaining half undergoing no training. All were assessed within a full immersion environment against both technical (time to completion, Objective Structured Assessment of Technical Skills, and task-specific checklist scores) and nontechnical parameters (Nontechnical Skills for Surgeons [NOTSS] rating scale). The data of whole and individual cohorts were analyzed using Pearson correlation coefficient. SETTING: The trial took place within the Simulation and Interactive Learning Centre at Guy's Hospital, London, UK. PARTICIPANTS: In total, 32 novice participants with no prior practical ureteroscopy experience were included within the data analysis. RESULTS: A correlation was found within all outcome measures analyzed. For the whole cohort, a strong negative correlation was found between time to completion and NOTSS scores (r = -0.75, p < 0.001), with strong positive correlations identified when NOTSS scores were compared with Objective Structured Assessment of Technical Skills (r = 0.89, p < 0.001) and task-specific checklist scores (r = 0.91, p < 0.001). Similar results were observed when each cohort was analyzed separately. Finally, all individual nontechnical skill components demonstrated a strong correlation with all technical skill parameters, regardless of training. CONCLUSIONS: A strong correlation between technical and nontechnical performance exists, which was demonstrated to be irrespective of training received. This may suggest an inherent link between skill sets. Furthermore, all nontechnical skill sets are important in technical performance. This supports the notion that both of these skills should be trained and assessed together within 1 curriculum.
OBJECTIVE: Little integration of technical and nontechnical skills (e.g., situational awareness, communication, decision making, teamwork, and leadership) teaching exists within surgery. We therefore aimed to (1) evaluate the relationship between these 2 skill sets within a simulation-based environment and (2) assess if certain nontechnical skill components are of particular relevance to technical performance. DESIGN: A prospective analysis of data acquired from a comparative study of simulation vs nonsimulation training was conducted. Half of the participants underwent training of technical and nontechnical skills within ureteroscopy, with the remaining half undergoing no training. All were assessed within a full immersion environment against both technical (time to completion, Objective Structured Assessment of Technical Skills, and task-specific checklist scores) and nontechnical parameters (Nontechnical Skills for Surgeons [NOTSS] rating scale). The data of whole and individual cohorts were analyzed using Pearson correlation coefficient. SETTING: The trial took place within the Simulation and Interactive Learning Centre at Guy's Hospital, London, UK. PARTICIPANTS: In total, 32 novice participants with no prior practical ureteroscopy experience were included within the data analysis. RESULTS: A correlation was found within all outcome measures analyzed. For the whole cohort, a strong negative correlation was found between time to completion and NOTSS scores (r = -0.75, p < 0.001), with strong positive correlations identified when NOTSS scores were compared with Objective Structured Assessment of Technical Skills (r = 0.89, p < 0.001) and task-specific checklist scores (r = 0.91, p < 0.001). Similar results were observed when each cohort was analyzed separately. Finally, all individual nontechnical skill components demonstrated a strong correlation with all technical skill parameters, regardless of training. CONCLUSIONS: A strong correlation between technical and nontechnical performance exists, which was demonstrated to be irrespective of training received. This may suggest an inherent link between skill sets. Furthermore, all nontechnical skill sets are important in technical performance. This supports the notion that both of these skills should be trained and assessed together within 1 curriculum.
Authors: Mikael Johannes Vuokko Henriksen; Troels Wienecke; Helle Thagesen; Rikke Borre Vita Jacobsen; Yousif Subhi; Ryan Brydges; Charlotte Ringsted; Lars Konge Journal: J Gen Intern Med Date: 2017-11-13 Impact factor: 5.128
Authors: Mikael Johannes Vuokko Henriksen; Troels Wienecke; Helle Thagesen; Rikke Vita Borre Jacobsen; Yousif Subhi; Charlotte Ringsted; Lars Konge Journal: J Gen Intern Med Date: 2017-02-06 Impact factor: 5.128
Authors: Domenico Veneziano; Achilles Ploumidis; Silvia Proietti; Theodoros Tokas; Guido Kamphuis; Giovanni Tripepi; Ben Van Cleynenbreugel; Ali Gozen; Alberto Breda; Joan Palou; Kemal Sarica; Evangelos Liatsikos; Kamran Ahmed; Bhaskar K Somani Journal: World J Urol Date: 2019-03-27 Impact factor: 4.226
Authors: Daphné Michelet; Jennifer Truchot; Marie-Aude Piot; David Drummond; Pierre-François Ceccaldi; Patrick Plaisance; Antoine Tesnière; Souhayl Dahmani Journal: BMJ Simul Technol Enhanc Learn Date: 2018-09-26
Authors: Nicholas Raison; Thomas Wood; Oliver Brunckhorst; Takashige Abe; Talisa Ross; Ben Challacombe; Mohammed Shamim Khan; Giacomo Novara; Nicolo Buffi; Henk Van Der Poel; Craig McIlhenny; Prokar Dasgupta; Kamran Ahmed Journal: Surg Endosc Date: 2017-06-20 Impact factor: 4.584
Authors: Jeremy R Huddy; Sharon-Marie Weldon; Shvaita Ralhan; Tim Painter; George B Hanna; Roger Kneebone; Fernando Bello Journal: BMJ Open Date: 2016-09-13 Impact factor: 2.692