Mp34-03 Association of Manual and Automated Performance Metrics With Urinary Continence Recovery After Robot-assisted Radical Prostatectomy
Year: 2020
Type: article
Abstract: INTRODUCTION AND OBJECTIVE: In the last decade, nontechnical 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: The Journal of Urology
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W3021398382