Identification of the Critical Nontechnical Skills for Surgeons Needed for High Performance in a Variable-resource Context (NOTSS-VRC)

Annals of Surgery
John W ScottS Yule

Abstract

To identify the critical nontechnical skills (NTS) required for high performance in variable-resource contexts (VRC). As surgical training and capacity increase in low- and middle-income countries (LMICs), new strategies for improving surgical education and care in these settings are required. NTS are critical for high performance in surgery around the world. However, the essential NTS used by surgeons operating in LMICs to overcome the challenges specific to their contexts have never been described. Using a constructivist grounded theory approach, 52 intraoperative team observations as well as 34 critical incident interviews with surgical providers (surgeons, anesthetists, and nurses) were performed at the 4 tertiary referral hospitals in Rwanda. Interview transcripts and field notes from observations were analyzed using line-by-line coding to identify emerging themes until thematic saturation was achieved. Four skill categories of situation awareness, decision-making, communication/teamwork, and leadership emerged. This provided the framework for a contextually informed skills taxonomy consisting of 12 skill elements with examples of specific behaviors indicative of high performance. While the main skill categories were consi...Continue Reading

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Mar 21, 2016·Medical Education·Kelvin H KrampJean-Pierre E N Pierie

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Citations

Jan 10, 2019·BMJ : British Medical Journal·Simon Paterson-BrownSteve Yule
Apr 24, 2020·The British Journal of Surgery·J C PradarelliS Yule
Jan 26, 2021·Journal of Surgical Education·Michael D TraynorChristopher R Moir
Oct 17, 2020·The Journal of Bone and Joint Surgery. American Volume·Dustin L RichterRobert C Schenck
Jul 10, 2021·The Surgical Clinics of North America·Ryland Stucke, Kari M Rosenkranz

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