Simulation in urology to train non-technical skills in ward rounds

BJU International
Khevan SomasundramSunjay Jain

Abstract

To report our experience of an exercise designed to train newly appointed urology trainees in non-technical skills on ward rounds as a part of a simulation 'boot camp', through a qualitative analysis of participant feedback on the utility of this method of training. The simulations took place in a high-fidelity simulated ward bay. Forty-eight doctors with formal urology training ranging between 2 and 60 months (mean 19.1 ± 11.6 months) took part. Thirty-one participants were on a formal urology specialty training pathway. The remaining participants were core (pre-specialty) surgical trainees. The entry requirement was that participants must be junior-level urologists, ideally at the beginning of specialty training. Participants individually led a simulated ward round, which was devised using actors to play patients and a simulated 'switchboard' for telephone conversations. Distractions were introduced deliberately for participants to manage an emergent urology-related scenario. 'Freeze-frames' were used to 'pause' the ward round, whereby observing consultants provided feedback on performance. After the simulated exercises, a whole-group structured debriefing took place. Non-Technical Skills for Surgeons (NOTSS) scores were gene...Continue Reading

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Citations

Sep 19, 2019·World Journal of Urology·Cora GriffinKamran Ahmed
Nov 30, 2019·Current Urology Reports·Brandon S ChildsRuslan Korets
Mar 7, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Mohammed Husnain IqbalAbdullatif Aydın
Mar 14, 2021·Current Urology Reports·Runzhuo MaAndrew J Hung
Apr 8, 2021·ANZ Journal of Surgery·Tracey Barnes, Sarah C Rennie
Jul 13, 2021·The Indian Journal of Surgery·Helen Please, Chandra Shekhar Biyani

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