Integrating technical and non-technical skills coaching in an acute trauma surgery team training: Is it too much?

作者: Alexander Alken , Jan-Maarten Luursema , Mariska Weenk , Simon Yauw , Cornelia Fluit

DOI: 10.1016/J.AMJSURG.2017.08.011

关键词: SurgeryPriming (media)Medical educationMedicineAcute traumaTrauma careTechnical skillsCoachingSkills managementTeam trainingDamage control surgery

摘要: Abstract Objective Research on effective integration of technical and non-technical skills in surgery team training is sparse. In a previous study we found that surgical teachers predominantly coached hardly during the Definitive Surgical Anesthetic Trauma Care (DSATC) integrated acute trauma training. This aims to investigate whether priming could increase amount coaching such Design Coaching activities 12 were recorded audio video. Six primed prior others received no served as controls. Blind observers reviewed recordings 2 scenario's scored observed behaviors directed or skills. We compared frequency between non-primed analyzed for differences according trainees' level experience. Setting trainees highly realistic DSATC Trainees performed damage control operating teams anesthetized porcine models 6 scenario's. Participants Twelve experienced participated this study. Results was limited about 5%. The did not coach more often than teachers. based Conclusion Priming does current seems too complex integrating Competencies Patient care, Practice learning improvement.

参考文章(32)
George Whittaker, Hamid Abboudi, Muhammed Shamim Khan, Prokar Dasgupta, Kamran Ahmed, Teamwork Assessment Tools in Modern Surgical Practice: A Systematic Review. Surgery research and practice. ,vol. 2015, pp. 494827- 494827 ,(2015) , 10.1155/2015/494827
Nicholas E. Anton, Paul N. Montero, Lisa D. Howley, Charles Brown, Dimitrios Stefanidis, What stress coping strategies are surgeons relying upon during surgery? The American Journal of Surgery. ,vol. 210, pp. 846- 851 ,(2015) , 10.1016/J.AMJSURG.2015.04.002
A Azuara-Blanco, A Reddy, G Wilkinson, R Flin, Safe eye surgery: non-technical aspects Eye. ,vol. 25, pp. 1109- 1111 ,(2011) , 10.1038/EYE.2011.127
Nicolas J. Dedy, Esther M. Bonrath, Boris Zevin, Teodor P. Grantcharov, Teaching nontechnical skills in surgical residency: A systematic review of current approaches and outcomes Surgery. ,vol. 154, pp. 1000- 1008 ,(2013) , 10.1016/J.SURG.2013.04.034
Julia Neily, Peter D. Mills, Yinong Young-Xu, Brian T. Carney, Priscilla West, David H. Berger, Lisa M. Mazzia, Douglas E. Paull, James P. Bagian, Association Between Implementation of a Medical Team Training Program and Surgical Mortality JAMA. ,vol. 304, pp. 1693- 1700 ,(2010) , 10.1001/JAMA.2010.1506
P. McCulloch, J. Rathbone, K. Catchpole, Interventions to improve teamwork and communications among healthcare staff. British Journal of Surgery. ,vol. 98, pp. 469- 479 ,(2011) , 10.1002/BJS.7434
Alexander Alken, Edward Tan, Jan-Maarten Luursema, Cornelia Fluit, Harry van Goor, None, Coaching during a trauma surgery team training: perceptions versus structured observations. American Journal of Surgery. ,vol. 209, pp. 163- 169 ,(2015) , 10.1016/J.AMJSURG.2014.02.009
Sonal Arora, Louise Hull, Nick Sevdalis, Tanya Tierney, Debra Nestel, Maria Woloshynowych, Ara Darzi, Roger Kneebone, Factors compromising safety in surgery: stressful events in the operating room. American Journal of Surgery. ,vol. 199, pp. 60- 65 ,(2010) , 10.1016/J.AMJSURG.2009.07.036