MP34-01 DEVELOPMENT AND EVALUATION OF THE NON-TECHNICAL SKILLS FOR UROLOGICAL SURGEONS (NOTSUS) CURRICULUM AND ASSESSMENT SCALE

Abstract

You have accessJournal of UrologySurgical Technology & Simulation: Training & Skills Assessment I (MP34)1 Apr 2020MP34-01 DEVELOPMENT AND EVALUATION OF THE NON-TECHNICAL SKILLS FOR UROLOGICAL SURGEONS (NOTSUS) CURRICULUM AND ASSESSMENT SCALE Abdullatif Aydin*, Cora Griffin, Oliver Brunckhorst, Craig McIlhenny, James Brewin, Nicholas Raison, Ahmed Al-Jabir, Majid Shabbir, Joan Palou Redorta, Muhammad Shamim Khan, Prokar Dasgupta, and Kamran Ahmed Abdullatif Aydin*Abdullatif Aydin* More articles by this author , Cora GriffinCora Griffin More articles by this author , Oliver BrunckhorstOliver Brunckhorst More articles by this author , Craig McIlhennyCraig McIlhenny More articles by this author , James BrewinJames Brewin More articles by this author , Nicholas RaisonNicholas Raison More articles by this author , Ahmed Al-JabirAhmed Al-Jabir More articles by this author , Majid ShabbirMajid Shabbir More articles by this author , Joan Palou RedortaJoan Palou Redorta More articles by this author , Muhammad Shamim KhanMuhammad Shamim Khan More articles by this author , Prokar DasguptaProkar Dasgupta More articles by this author , and Kamran AhmedKamran Ahmed More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000878.01AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: In the last decade, non-technical skills (NTS) have emerged as a vital area for improvement within surgery: they are a major cause for error and have often been overlooked in training. Although training for NTS is now receiving greater attention, there is still a lack of standardised, validated training programs and high-quality studies to evaluate them. This study aims to develop and evaluate a Nontechnical Skills for Urological Surgeons (NoTSUS) training curriculum and assessment scale. METHODS: A 2-round Delphi methodology was conducted with experts in urolithiasis and NTS training to refine the curriculum content of the NoTSUS rating scale. Four independent one-day training sessions were delivered as a hands-on-training course as part of an international longitudinal observational study. In groups of four, 62 participants underwent four independent scenarios within the previously validated Full Immersion / Distributed Simulation ‘Igloo’ environment. Each candidate was assessed in real time using both the (Non-technical Skills for Surgeons) NoTSS and NoTSUS rating scales by NTS-trained and non-trained experts in urolithiasis. Video rating was also undertaken. After the session, candidates were asked to complete an evaluation questionnaire. RESULTS: 43 trainee surgeons and 19 specialists from across the globe participated in and underwent the NoTSUS course. The NoTSUS curriculum received positive feedback from participants and demonstrated educational value, feasibility and acceptability. The NoTSUS scale was significantly correlated to the NoTSS scale (p< 0.0001), and there was significant correlation between the NoTSUS scores of two expert examiners (p=0.012). Video rating and live rating of participants differed significantly (p=0.03). CONCLUSIONS: The NoTSUS curriculum is a useful component of NTS training for urological surgeons, with all participants stating they benefitted from the course. Correlation of the NoTSUS scale with the extensively validated NoTSS scale demonstrates its suitability for evaluating NTS in future training. Demonstration of inter-rater reliability indicates that the scale is reliable for use in assessment. Significant differences in video rating is likely due to heterogeneity of assessors’ NTS training, showing the importance of ‘training the trainers’. Furthermore, qualitative feedback from participants suggests the skills learnt over the course will be transferrable and thereby improve patient safety. Source of Funding: N/A © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e503-e503 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Abdullatif Aydin* More articles by this author Cora Griffin More articles by this author Oliver Brunckhorst More articles by this author Craig McIlhenny More articles by this author James Brewin More articles by this author Nicholas Raison More articles by this author Ahmed Al-Jabir More articles by this author Majid Shabbir More articles by this author Joan Palou Redorta More articles by this author Muhammad Shamim Khan More articles by this author Prokar Dasgupta More articles by this author Kamran Ahmed More articles by this author Expand All Advertisement PDF downloadLoading ...

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