論文

査読有り 筆頭著者 国際誌
2020年10月

Continuing surgical education of non-technical skills.

Annals of medicine and surgery
  • Masaomi Yamane
  • ,
  • Seiichiro Sugimoto
  • ,
  • Etsuji Suzuki
  • ,
  • Keiju Aokage
  • ,
  • Mikio Okazaki
  • ,
  • Junichi Soh
  • ,
  • Makio Hayama
  • ,
  • Yuji Hirami
  • ,
  • Takashi Yorifuji
  • ,
  • Shinichi Toyooka

58
開始ページ
177
終了ページ
186
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.amsu.2020.07.062
出版者・発行元
Elsevier BV

Background: The non-technical skills for surgeons (NOTSS) system was developed as a tool to assess surgical skills for patient safety during surgery. This study aimed to develop a NOTSS-based training system for surgical trainees to acquire non-technical skills using a chest surgery scenario in a wet lab. Materials and methods: Trainees were categorized into three subgroups according to the years of experience as follows: Level A: 6 years or more; Level B: 3-5 years; and Level C: 1-2 years. Three stages of surgical procedure were designed: 1. chest wall resection and right upper lobe lobectomy, 2. right middle lobe sleeve lobectomy, and 3. right lower lobe lobectomy. One instructor was assigned to each operation table, who evaluated each participant's NOTSS scores consisting of 16 elements. Results: When comparing average NOTSS score of all the three procedures, significant differences were observed between Level A, B, and C trainees. As an example of varying elements by procedure, Level A trainees demonstrated differences in Situation Awareness, and a significant difference was observed in Level C trainees regarding the elements of Decision Making. On the contrary, no significant difference was observed among Level B trainees. In the comparison between first-time and experienced participants, a significant improvement was observed in some elements in Level B and C trainees. Conclusion: This study highlights the usefulness and feasibility of the NOTSS scoring system for surgeons with different experiences and the effectiveness of providing feedback to trainees during intraoperative handoffs in a wet lab.

リンク情報
DOI
https://doi.org/10.1016/j.amsu.2020.07.062
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32994981
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7505865
ID情報
  • DOI : 10.1016/j.amsu.2020.07.062
  • ISSN : 2049-0801
  • PubMed ID : 32994981
  • PubMed Central 記事ID : PMC7505865

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