Teaching nontechnical skills in surgical residency: A systematic review of current approaches and outcomes

Surgery (United States)

Volumn 154, Issue 5, 2013, Pages 1000-1008

  Dedy, Nicolas J ^a   Bonrath, Esther M ^a   Zevin, Boris ^b   Grantcharov, Teodor P ^a  

^a ST MICHAEL'S HOSPITAL   (Canada)

^b UNIVERSITY OF TORONTO   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ABDOMINAL PENETRATING TRAUMA; ACUTE STRESS; ANAPHYLAXIS; ARTICLE; BLEEDING; BRADYCARDIA; CAROTID ENDARTERECTOMY; CEREBROVASCULAR ACCIDENT; CHOLECYSTECTOMY; COMMUNICATION SKILL; COPING BEHAVIOR; DECISION MAKING; EMBASE; EVIDENCE BASED PRACTICE; EXPERIMENTAL DESIGN; FOLLOW UP; GALLBLADDER PERFORATION; HEART ARREST; HEART INFARCTION; HEART RATE VARIABILITY; HUMAN; INTRAOPERATIVE PERIOD; MALIGNANT HYPERTHERMIA; MEDICAL SUBJECT HEADINGS; MEDLINE; META ANALYSIS; MULTIPLE TRAUMA; OBSERVATIONAL STUDY; OUTCOME ASSESSMENT; PATIENT CARE; PATIENT SAFETY; PNEUMOTHORAX; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; PSYCHOLOGIC TEST; PSYCINFO; RANDOMIZED CONTROLLED TRIAL (TOPIC); RESIDENCY EDUCATION; RESOURCE MANAGEMENT; RISK ASSESSMENT; SELF REPORT; STRESS MANAGEMENT; SURGICAL INJURY; SYSTEMATIC REVIEW; TEACHING; TEAMWORK; CLINICAL COMPETENCE; EDUCATION; GENERAL SURGERY; HUMAN RELATION; INTERPERSONAL COMMUNICATION; MEDICAL EDUCATION;

CLINICAL COMPETENCE; COMMUNICATION; DECISION MAKING; GENERAL SURGERY; HUMANS; INTERNSHIP AND RESIDENCY; INTERPERSONAL RELATIONS; PATIENT CARE TEAM; PATIENT-CENTERED CARE;

EID: 84886084848     PISSN: 00396060     EISSN: 15327361     Source Type: Journal    
DOI: 10.1016/j.surg.2013.04.034     Document Type: Article

References (79)

1. C.C. Greenberg, S.E. Regenbogen, D.M. Studdert, S.R. Lipsitz, S.O. Rogers, and M.J. Zinner Patterns of communication breakdowns resulting in injury to surgical patients J Am Coll Surg 204 2007 533 540
2. The Joint Commission. Sentinel event data-root causes by event type-2004-2012 [cited 2013 Feb 10]. Available from: http://www.jointcommission. org/assets/1/18/Root-Causes-Event-Type-04-4Q2012.pdf.
3. C.K. Christian, M.L. Gustafson, E.M. Roth, T.B. Sheridan, T.K. Gandhi, and K. Dwyer A prospective study of patient safety in the operating room Surgery 139 2006 159 173
4. L. Lingard, S. Espin, S. Whyte, G. Regehr, G.R. Baker, and R. Reznick Communication failures in the operating room: an observational classification of recurrent types and effects Qual Saf Health Care 13 2004 330 334
5. K. Mazzocco, D.B. Petitti, K.T. Fong, D. Bonacum, J. Brookey, and S. Graham Surgical team behaviors and patient outcomes Am J Surg 197 2009 678 685
6. A.L. Halverson, J.T. Casey, J. Andersson, K. Anderson, C. Park, and A.W. Rademaker Communication failure in the operating room Surgery 149 2011 305 310
7. S.S. Awad, S.P. Fagan, C. Bellows, D. Albo, B. Green-Rashad, and M. De la Garza Bridging the communication gap in the operating room with medical team training Am J Surg 190 2005 770 774
8. P. McCulloch, A. Mishra, A. Handa, T. Dale, G. Hirst, and K. Catchpole The effects of aviation-style non-technical skills training on technical performance and outcome in the operating theatre Qual Saf Health Care 18 2009 109 115
9. K.R. Catchpole, T.J. Dale, D.G. Hirst, J.P. Smith, and T.A. Giddings A multicenter trial of aviation-style training for surgical teams J Patient Saf 6 2010 180 186
10. Y. Young-Xu, J. Neily, P.D. Mills, B.T. Carney, P. West, and D.H. Berger Association between implementation of a medical team training program and surgical morbidity Arch Surg 146 2011 1368 1373
11. J. Neily, P.D. Mills, Y. Young-Xu, B.T. Carney, P. West, and D.H. Berger Association between implementation of a medical team training program and surgical mortality JAMA 304 2010 1693 1700
12. Accreditation Council for Graduate Medical Education. ACGME Program Requirements for Graduate Medical Education in General Surgery [updated 2011; cited 2013 Feb 10]. Available from: http://www.acgme.org/acgmeweb/Portals/0/ PFAssets/ProgramRequirements/440-general-surgery-01012008-07012012.pdf.
13. S. Yule, R. Flin, S. Paterson-Brown, N. Maran, and D. Rowley Development of a rating system for surgeons' non-technical skills Med Educ 40 2006 1098 1104
14. S. Yule, R. Flin, N. Maran, D. Rowley, G. Youngson, and S. Paterson-Brown Surgeons' non-technical skills in the operating room: reliability testing of the NOTSS behavior rating system World J Surg 32 2008 548 556
15. American College of Surgeons, Division of Education. ACS/APDS surgical skills curriculum for residents, phase 3: team-based skills [cited 2013 Feb 10]. Available from: http://www.facs.org/education/surgicalskills.html.
16. Agency for Healthcare Research and Quality, U.S. Department of Health & Human Services. TeamSTEPPS curriculum tools and materials [cited 2012 Oct 10]. Available from: http://teamstepps.ahrq.gov/abouttoolsmaterials.htm.
17. P. McCulloch, J. Rathbone, and K. Catchpole Interventions to improve teamwork and communications among healthcare staff Br J Surg 98 2011 469 479
18. D.P. Baker, S. Gustafson, J.M. Beaubien, E. Salas, and P. Barach Medical team training programs in health care K. Henriksen, J.B. Battles, E.S. Marks, D.I. Lewin, Advances in patient safety: from research to implementation volume 4 2005 Agency for Healthcare Research and Quality Washington (DC)
19. M. Buljac-Samardzic, C.M. Dekker-van Doorn, J.D. van Wijngaarden, and K.P. van Wijk Interventions to improve team effectiveness: a systematic review Health Policy 94 2010 183 195
20. C. Chakraborti, R.T. Boonyasai, S.M. Wright, and D.E. Kern A systematic review of teamwork training interventions in medical student and resident education J Gen Intern Med 23 2008 846 853
21. M. Gordon, D. Darbyshire, and P. Baker Non-technical skills training to enhance patient safety: a systematic review Med Educ 46 2012 1042 1054
22. P. O'Connor, J. Campbell, J. Newon, J. Melton, E. Salas, and K.A. Wilson Crew Resource Management Training effectiveness: a meta-analysis and some critical needs Int J Aviat Psychol 18 2008 353 368
23. L. Hull, S. Arora, R. Aggarwal, A. Darzi, C. Vincent, and N. Sevdalis The impact of nontechnical skills on technical performance in surgery: a systematic review J Am Coll Surg 214 2012 214 230
24. S. Yule, R. Flin, S. Paterson-Brown, and N. Maran Non-technical skills for surgeons in the operating room: a review of the literature Surgery 139 2006 140 149
25. G.G. Youngson, and R. Flin Patient safety in surgery: non-technical aspects of safe surgical performance Patient Saf Surg 4 2010 4
26. G.H. Guyatt, A.D. Oxman, R. Kunz, G.E. Vist, Y. Falck-Ytter, and H.J. Schunemann What is "quality of evidence" and why is it important to clinicians? BMJ 336 2008 995 998
27. G.H. Guyatt, A.D. Oxman, G.E. Vist, R. Kunz, Y. Falck-Ytter, and P. Alonso-Coello GRADE: an emerging consensus on rating quality of evidence and strength of recommendations BMJ 336 2008 924 926
28. S. Arora, N. Sevdalis, M. Ahmed, H. Wong, K. Moorthy, and C. Vincent Safety skills training for surgeons: A half-day intervention improves knowledge, attitudes and awareness of patient safety Surgery 152 2012 26 31
29. M.T. Brannick, P.J. Fabri, J. Zayas-Castro, and R.H. Bryant Evaluation of an error-reduction training program for surgical residents Acad Med 84 2009 1809 1814
30. R.Y. Chandawarkar, K.A. Ruscher, A. Krajewski, M. Garg, C. Pfeiffer, and R. Singh Pretraining and post-training assessment of residents' performance in the fourth accreditation council for graduate medical education competency: patient communication skills Arch Surg 146 2011 916 921
31. D. DaRosa, D.A. Rogers, R.G. Williams, L.S. Hauge, H. Sherman, and K. Murayama Impact of a structured skills laboratory curriculum on surgery residents' intraoperative decision-making and technical skills Acad Med 83 2008 S68 S71
32. G.L. Fernandez, P.C. Lee, D.W. Page, E.M. D'Amour, R.B. Wait, and N.E. Seymour Implementation of full patient simulation training in surgical residency J Surg Educ 67 2010 393 399
33. M.T. Gettman, R.J. Karnes, J.J. Arnold, J.M. Klipfel, H.T. Vierstraete, and M.E. Johnson Urology resident training with an unexpected patient death scenario: experiential learning with high fidelity simulation J Urol 180 2008 283 288
34. M.T. Gettman, C.W. Pereira, K. Lipsky, T. Wilson, J.J. Arnold, and B.C. Leibovich Use of high fidelity operating room simulation to assess and teach communication, teamwork and laparoscopic skills: initial experience J Urol 181 2009 1289 1296
35. N.A. Hamilton, A.N. Kieninger, J. Woodhouse, B.D. Freeman, D. Murray, and M.E. Klingensmith Video review using a reliable evaluation metric improves team function in high-fidelity simulated trauma resuscitation J Surg Educ 69 2012 428 431
36. R. Jacklin, N. Sevdalis, A. Darzi, and C.A. Vincent Efficacy of cognitive feedback in improving operative risk estimation Am J Surg 197 2009 76 81
37. D.D. Klaristenfeld, D.T. Harrington, and T.J. Miner Teaching palliative care and end-of-life issues: a core curriculum for surgical residents Ann Surg Oncol 14 2007 1801 1806
38. M.M. Knudson, L. Khaw, M.K. Bullard, R. Dicker, M.J. Cohen, and K. Staudenmayer Trauma training in simulation: translating skills from SIM time to real time J Trauma 64 2008 255 263
39. M. Koutantji, P. McCulloch, S. Undre, S. Gautama, S. Cunniffe, and N. Sevdalis Is team training in briefings for surgical teams feasible in simulation? Cogn Techn Work 10 2008 275 285
40. A.C. Larkin, M.A. Cahan, G. Whalen, D. Hatem, S. Starr, and H.-L. Haley Human Emotion and Response in Surgery (HEARS): a simulation-based curriculum for communication skills, systems-based practice, and professionalism in surgical residency training J Am Coll Surg 211 2010 285 292
41. M. Marr, K. Hemmert, A.H. Nguyen, R. Combs, A. Annamalai, and G. Miller Team play in surgical education: a simulation-based study J Surg Educ 69 2012 63 69
42. C.A. Moulton, D. Tabak, R. Kneebone, D. Nestel, H. MacRae, and V.R. LeBlanc Teaching communication skills using the integrated procedural performance instrument (IPPI): a randomized controlled trial Am J Surg 197 2009 113 118
43. J.T. Paige, V. Kozmenko, T. Yang, R.P. Gururaja, C.W. Hilton, and I. Cohn Jr. Attitudinal changes resulting from repetitive training of operating room personnel using of high-fidelity simulation at the point of care Am Surg 75 2009 584 590
44. J.T. Paige, V. Kozmenko, T. Yang, R. Paragi Gururaja, C.W. Hilton, and I. Cohn Jr. High-fidelity, simulation-based, interdisciplinary operating room team training at the point of care Surgery 145 2009 138 146
45. B. Peckler, M.S. Prewett, T. Campbell, and M. Brannick Teamwork in the trauma room evaluation of a multimodal team training program J Emerg Trauma Shock 5 2012 23 27
46. J.F. Pliego, H. Wehbe-Janek, M.H. Rajab, J.L. Browning, and R.E. Fothergill OB/GYN boot cAMP using high-fidelity human simulators: enhancing residents' perceived competency, confidence in taking a leadership role, and stress hardiness Simul Healthc 3 2008 82 89
47. S. Razack, S. Meterissian, L. Morin, L. Snell, Y. Steinert, and D. Tabatabai Coming of age as communicators: differences in the implementation of common communications skills training in four residency programmes Med Educ 41 2007 441 449
48. T.M. Scott, S.M. Hameed, D.C. Evans, R.K. Simons, and R.S. Sidhu Objective assessment of surgical decision making in trauma after a laboratory-based course: durability of cognitive skills Am J Surg 195 2008 599 602
49. T.P. Webb, J.A. Weigelt, P.N. Redlich, R.C. Anderson, K.J. Brasel, and D. Simpson Protected block curriculum enhances learning during general surgery residency training Arch Surg 144 2009 160 166
50. C.M. Wetzel, A. George, G.B. Hanna, T. Athanasiou, S.A. Black, and R.L. Kneebone Stress management training for surgeons-a randomized, controlled, intervention study Ann Surg 253 2011 488 494
51. D. Moher, A. Liberati, J. Tetzlaff, and D.G. Altman Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement BMJ 339 2009 b2535
52. Royal College of Physicians and Surgeons of Canada. Objectives of Training in the Specialty of General Surgery [updated 2010]; version 1.0, pp. 5-7 [cited 2013 Feb 10]. Available from: http://rcpsc.medical.org/information/ index.php?specialty=315&submit=Select.
53. Accreditation Council for Graduate Medical Education. Program Director Guide to the Common Program Requirements [updated 2008; cited 2013 Feb 10]. Available from: http://www.acgme.org/acgmeweb/Portals/0/PDFs/commonguide/IVA5d- EducationalProgram-ACGMECompetencies-IPCS-Explanation.pdf.
54. R. Kneebone, D. Nestel, F. Yadollahi, R. Brown, C. Nolan, and J. Durack Assessing procedural skills in context: exploring the feasibility of an Integrated Procedural Performance Instrument (IPPI) Med Educ 40 2006 1105 1114
55. E. Salas, D. DiazGranados, S.J. Weaver, and H. King Does team training work? Principles for health care Acad Emerg Med 15 2008 1002 1009
56. E. Salas, D.E. Sims, and C.S. Burke Is there a "big five" in teamwork? Small Group Res 36 2005 555 599
57. T.T. Baldwin, and J.K. Ford Transfer of training: a review and directions for future research Person Psychol 41 1988 63 105
58. E. Salas, L. Rhodenizer, and C.A. Bowers The design and delivery of crew resource management training: exploiting available resources Hum Factors 42 2000 490 511
59. M.A. Rosen, E. Salas, K.A. Wilson, H.B. King, M. Salisbury, and J.S. Augenstein Measuring team performance in simulation-based training: adopting best practices for healthcare Simul Healthc 3 2008 33 41
60. E.S. Kubany, and B.B. Slogett Attentional factors in observational learning: Effects on acquisition of behavior management skills Behav Ther 22 1991 435 448
61. B. Zendejas, D.A. Cook, and D.R. Farley Teaching first or teaching last: does the timing matter in simulation-based surgical scenarios? J Surg Educ 67 2010 432 438
62. J.M. Beaubien, and D.P. Baker The use of simulation for training teamwork skills in health care: how low can you go? Qual Saf Health Care 13 Suppl 1 2004 i51 i56
63. S. Yule, R. Flin, N. Maran, G. Youngson, A. Mitchell, and D. Rowley Debriefing surgeons on non-technical skills (NOTSS) Cogn Techn Work 10 2008 265 274
64. R. Flin, G. Youngson, and S. Yule How do surgeons make intraoperative decisions? Qual Saf Health Care 16 2007 235 239
65. G.A. Klein Sources of power how people make decisions 1999 MIT Press Cambridge p. 348
66. B. Andrew, S. Plachta, L. Salud, and C.M. Pugh Development and evaluation of a decision-based simulation for assessment of team skills Surgery 152 2012 152 157
67. C.M. Wetzel, S.A. Black, G.B. Hanna, T. Athanasiou, R.L. Kneebone, and D. Nestel The effects of stress and coping on surgical performance during simulations Ann Surg 251 2010 171 176
68. D.A. Davis, P.E. Mazmanian, M. Fordis, R. Van Harrison, K.E. Thorpe, and L. Perrier Accuracy of physician self-assessment compared with observed measures of competence: a systematic review JAMA 296 2006 1094 1102
69. L.T. Kohn, J. Corrigan, and M.S. Donaldson To err is human: building a safer health system 6th ed. 2000 National Academies Press Washington (DC)
70. D.E. Paull, L.M. Mazzia, S.D. Wood, M.S. Theis, L.D. Robinson, and B. Carney Briefing guide study: preoperative briefing and postoperative debriefing checklists in the Veterans Health Administration medical team training program Am J Surg 200 2010 620 623
71. A.B. Haynes, T.G. Weiser, W.R. Berry, S.R. Lipsitz, A.H. Breizat, and E.P. Dellinger A surgical safety checklist to reduce morbidity and mortality in a global population N Engl J Med 360 2009 491 499
72. W.A. van Klei, R.G. Hoff, E.E. van Aarnhem, R.K. Simmermacher, L.P. Regli, and T.H. Kappen Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital mortality: a cohort study Ann Surg 255 2012 44 49
73. E.J. Dunn, P.D. Mills, J. Neily, M.D. Crittenden, A.L. Carmack, and J.P. Bagian Medical team training: applying crew resource management in the Veterans Health Administration Jt Comm J Qual Patient Saf 33 2007 317 325
74. L. Lingard, G. Regehr, C. Cartmill, B. Orser, S. Espin, and J. Bohnen Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice BMJ Qual Saf 20 2011 475 482
75. S. Nundy, A. Mukherjee, J.B. Sexton, P.J. Pronovost, A. Knight, and L.C. Rowen Impact of preoperative briefings on operating room delays: a preliminary report Arch Surg 143 2008 1068 1072
76. L. Lingard, G. Regehr, B. Orser, R. Reznick, G.R. Baker, and D. Doran Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication Arch Surg 143 2008 12 17
77. R. Flin, S. Yule, S. Paterson-Brown, N. Maran, D. Rowley, and G. Youngson Teaching surgeons about non-technical skills Surgeon 5 2007 86 89
78. B. Sharma, A. Mishra, R. Aggarwal, and T.P. Grantcharov Non-technical skills assessment in surgery Surg Oncol 20 2011 169 177
79. F.W. Hafferty Beyond curriculum reform: confronting medicine's hidden curriculum Acad Med 73 1998 403 407