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Non-technical skills

Flemming Bjerrum, Ann Sofia Skou Thomsen, Leizl Joy Nayahangan, Lars Konge
Simulation-based training (SBT) has become a standard component of modern surgical education, yet successful implementation of evidence-based training programs remains challenging. In this narrative review, we use Kern's framework for curriculum development to describe where we are now and what lies ahead for SBT within surgery with a focus on technical skills in operative procedures. Despite principles for optimal SBT (proficiency-based, distributed, and deliberate practice) having been identified, massed training with fixed time intervals or a fixed number of repetitions is still being extensively used, and simulators are generally underutilized...
June 17, 2018: Medical Teacher
Geoffrey Korir, P Andrew Karam
In the event of a significant radiological release in a major urban area where a large number of people reside, it is inevitable that radiological screening and dose assessment must be conducted. Lives may be saved if an emergency response plan and radiological screening method are established for use in such cases. Thousands to tens of thousands of people might present themselves with some levels of external contamination and/or the potential for internal contamination. Each of these individuals will require varying degrees of radiological screening, and those with a high likelihood of internal and/or external contamination will require radiological assessment to determine the need for medical attention and decontamination...
June 11, 2018: Health Physics
E Cè, S Longo, E Paleari, A Riboli, E Limonta, S Rampichini, G Coratella, F Esposito
The present study aim was to determine the role of balance training in improving technical soccer skills in young players. Two U11 soccer teams were randomly assigned one to either balance training (BT; n=22) or control group (Ctrl; n=21). At the end of their habitual soccer training (identical in BT and Ctrl), BT underwent additional balance training for 12 weeks (3sessions/week, 20 min per session), while Ctrl had a 20-min scrimmage. Before and after the intervention, BT and Ctrl underwent two soccer-specific tests (Loughborough Soccer Passing, LSPT, and Shooting, LSST, Tests), and bipedal and unipedal balance evaluations...
June 9, 2018: Scandinavian Journal of Medicine & Science in Sports
Beverley Duff, Debbie Massey, Russell Gooch, Marianne Wallis
Nurses are ideally positioned to recognise and respond to patient deterioration. However, premonitory signs of patient deterioration are often overlooked, not managed, or not communicated in a timely fashion. Education programs aimed at improving nurses' technical and non-technical skills have been developed, however, the outcomes of these educational strategies remain unclear. A quasi-experimental time series design was used in this study to evaluate the impact of a multi-modal education program (DeTER) on acute care nurses' technical and non-technical skill development and recognition and response to patient deterioration...
May 24, 2018: Nurse Education in Practice
Sharon A Levine, Serena H Chao, Lisa B Caruso, Angela H Jackson, Matthew L Russell, Megan E Young, Belle Brett
PURPOSE: Nongeriatricians must acquire skills and knowledge in geriatric medicine to ensure coordinated care of older adults' complex conditions by interspecialty and interprofessional teams. Chief residents (CRs) are an ideal target for an educational intervention. This study examined whether the Boston Medical Center (BMC) Chief Resident Immersion Training (CRIT) in the Care of Older Adults was replicable at diverse medical institutions. METHOD: Between 2008 and 2010, 12 institutions in 11 states received funding, technical support, and a common program model...
June 5, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
D Putzer, P Schullian, E Braunwarth, M Fodor, F Primavesi, B Cardini, T Resch, R Oberhuber, M Maglione, C Margreiter, S Schneeberger, S Stättner, D Öfner-Velano, W Jaschke, R J Bale
Background: Percutaneous ablation techniques offer a vast armamentarium for local, minimally invasive treatment of liver tumors, nowadays representing an established therapeutic option, which is integrated in treatment algorithms, especially for non-resectable liver tumors. The results of ablative treatment compare very well to surgical treatment in liver lesions, and confirm that these techniques are a valuable option for bridging for transplantation. Different techniques have been established to perform tumor ablation, and the feasibility varies according to the procedure and technical skills of the operator, depending on the size and location of the liver lesion...
2018: European Surgery: ACA: Acta Chirurgica Austriaca
Anna H de Vries, Arno M M Muijtjens, Hilde G J van Genugten, Ad J M Hendrikx, Evert L Koldewijn, Barbara M A Schout, Cees P M van der Vleuten, Cordula Wagner, Irene M Tjiam, Jeroen J G van Merriënboer
BACKGROUND: The current shift towards competency-based residency training has increased the need for objective assessment of skills. In this study, we developed and validated an assessment tool that measures technical and non-technical competency in transurethral resection of bladder tumour (TURBT). METHODS: The 'Test Objective Competency' (TOCO)-TURBT tool was designed by means of cognitive task analysis (CTA), which included expert consensus. The tool consists of 51 items, divided into 3 phases: preparatory (n = 15), procedural (n = 21), and completion (n = 15)...
June 5, 2018: Surgical Endoscopy
Kara DeCorby-Watson, Gloria Mensah, Kim Bergeron, Samiya Abdi, Benjamin Rempel, Heather Manson
BACKGROUND: This systematic review assessed the effectiveness of capacity building interventions relevant to public health practice. The aim is to inform and improve capacity building interventions. METHODS: Four strategies were used: 1) electronic database searching; 2) reference lists of included papers; 3) key informant consultation; and 4) grey literature searching. Inclusion (e.g., published in English) and exclusion criteria (e.g., non-English language papers published earlier than 2005) are outlined with included papers focusing on capacity building, learning plans, or professional development plans within public health and related settings, such as non-governmental organizations, government, or community-based organizations relating to public health or healthcare...
June 1, 2018: BMC Public Health
Rupert Parker, Laurence Hodierne, Elizabeth S Anderson, Robert Sm Davies, Marianne Elloy
BACKGROUND: Teamworking is an essential skill for a doctor to develop in order to work effectively, and is required in the UK as part of the General Medical Council (GMC) Good Medical Practice guidance. Assessment of teamwork may be difficult, however, with medical school assessments being more commonly focused on knowledge and individual skills. We aim to explore the link between academic ability as measured at final medical examinations and teamworking. METHODS: All final-year medical students were asked to attend a simulation session in an immersive 22-bed simulated ward, which used a combination of patient simulators and high-fidelity manikin simulators, with nursing and telephone support...
May 28, 2018: Clinical Teacher
Alexandre Borrel, Nicole Kleinstreuer, Denis Fourches
Motivation: Easily navigating chemical space has become more important due to the increasing size and diversity of publicly-accessible databases such as DrugBank, ChEMBL, or Tox21. To do so, modelers typically rely on complex projection techniques using molecular descriptors computed for all the chemicals to be visualized. However, the multiple cheminformatics steps required to prepare, characterize, compute and explore those molecules, are technical, typically necessitate scripting skills, and thus represent a real obstacle for non-specialists...
May 22, 2018: Bioinformatics
K Somasundram, H Spence, A J Colquhoun, C Mcilhenny, C S Biyani, S Jain
OBJECTIVE: We have designed an exercise to train newly appointed Urology trainees in non-technical skills on ward rounds as a part of a simulation 'boot camp'. This paper reports our experience, including a qualitative analysis of participant feedback on the utility of this method of training. PATIENTS AND METHODS: The simulations took place in a high-fidelity simulated ward bay. Forty-eight doctors with formal Urology training ranging between 2-60 months (mean 19...
May 19, 2018: BJU International
Cuan M Harrington, Patrick Dicker, Oscar Traynor, Dara O Kavanagh
BACKGROUND: Minimally invasive surgery poses a unique learning curve due to the requirement for non-intuitive psychomotor skills. The fundamentals of laparoscopic surgery (FLS) program trains and certifies residents in such skills. However, innate predictors of FLS performance and maintenance remain to be described. This single-centre observational study aimed to assess for candidate factors influencing the acquisition and maintenance of FLS performance amongst a surgically naïve cohort...
May 18, 2018: Surgical Endoscopy
François Osiurak, Jordan Navarro, Emanuelle Reynaud, Gauthier Thomas
The question of whether tools erase cognitive and physical interindividual differences has been surprisingly overlooked in the literature. Yet if technology is profusely available in a near or far future, will we be equal in our capacity to use it? We sought to address this unexplored, fundamental issue, asking 200 participants to perform 3 physical (e.g., fine manipulation) and 3 cognitive tasks (e.g., calculation) in both non-tool-use and tool-use conditions. Here we show that tools do not erase but rather extend our intrinsic physical and cognitive skills...
May 2018: Journal of Experimental Psychology. General
N Raison, K Ahmed, T Abe, O Brunckhorst, G Novara, N Buffi, C McIlhenny, H Van der Poel, M Van Hemelrijck, A Gavazzi, P Dasgupta
OBJECTIVES: To investigate the effectiveness of motor imagery (MI) for technical and non-technical skills (NTS) training in minimally invasive surgery. MATERIALS AND METHODS: A single blind, parallel group randomised controlled trial was conducted at the Vattikuti Institute of Robotic Surgery, King's College London. Novice surgeons were recruited by open invitation in 2015. Following basic robotic skills training, participants underwent simple randomisation to either MI training or standard training...
May 7, 2018: BJU International
April Mann, Mario DiDea, France Fournier, Daniel Tempesta, Jessica Williams, Norman LaFrance
As the healthcare environment continues to change and morph into a system focusing on increased quality and evidence-based outcomes, nuclear medicine technologists must be reminded they play a critical role in achieving high quality interpretable images used to drive patient care, treatments and best possible outcomes. A survey performed by the Quality Committee, Society of Nuclear Medicine and Molecular Imaging-Technologist Section demonstrated a clear knowledge gap exists amongst technologists regarding their understanding of quality, how it is measured, and how it should be achieved throughout all practicing technologists despite role and education level...
May 3, 2018: Journal of Nuclear Medicine Technology
Daniel Leyhr, Augustin Kelava, Johannes Raabe, Oliver Höner
Several talent identification and development (TID) programs in soccer have implemented diagnostics to measure players' motor performance. Yet, there is a lack of research investigating the relationship between motor development in adolescence and future, adult performance. This longitudinal study analyzed the three-year development of highly talented young soccer players' speed abilities and technical skills and examined the relevance of this development to their adult success. The current research sample consisted of N = 1,134 players born between 1993 and 1995 who were selected for the German Soccer Association's TID program and participated in nationwide motor diagnostics (sprinting, agility, dribbling, ball control, shooting) four times between the Under 12 (U12) and Under 15 (U15) age class...
2018: PloS One
Cara Large, Matthew Aldridge
Recognising patient deterioration is a vital nursing role. Observation based on vital signs and early warning scores are mandatory for all adult patients in acute hospital care and are the first steps in identifying deterioration. However, they rely on users' understanding of the significance of the results they find and their ability to escalate to senior colleagues if necessary. This article examines the non-technical skills nurses require to recognise and escalate patient deterioration. It explores and analyses the literature on this topic and suggests there is a need for greater focus on situational awareness in nurse training and in healthcare in general, as this is linked to improved patient safety...
May 2, 2018: Nursing Management (Harrow)
Donna Barleycorn, Geraldine A Lee
BACKGROUND: Major trauma is a significant public health problem and a leading cause of death for several age groups. To address this issue, Major Trauma Networks were introduced in the UK from 2010, consisting of Major Trauma Centres (MTCs) and a network of linked Trauma Units (TUs). OBJECTIVE: The aim is to undertake a systematic review to examine how effective is trauma simulation as an educational process for healthcare providers within trauma networks. METHODS: The databases searched included Medline, Embase and Cinahl from 2010 to 2016...
April 25, 2018: International Emergency Nursing
Kiersten L Gurley, Shamai A Grossman, Margaret Janes, C Winnie Yu-Moe, Ellen Song, Carrie D Tibbles, Nathan I Shapiro, Carlo L Rosen
BACKGROUND: Data are lacking on how emergency medicine (EM) malpractice cases with resident involvement differs from cases that do not name a resident. OBJECTIVES: To compare malpractice case characteristics in cases where a resident is involved (resident case) to cases that do not involve a resident (non-resident case) and to determine factors that contribute to malpractice cases utilizing EM as a model for malpractice claims across other medical specialties. METHODS: We used data from the Controlled Risk Insurance Company (CRICO) Strategies' division Comparative Benchmarking System (CBS) to analyze open and closed EM cases asserted from 2009-2013...
April 17, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
R Bamford, L Langdon, C A Rodd, S Eastaugh-Waring, J E Coulston
INTRODUCTION: The transition to surgical training can be a stressful time for trainees and is most evident during national handover periods where new graduates start and senior trainees rotate to new programmes. During this time, patient mortality can increase and Hospital efficiency reduces. This influence is compounded by the impact of working time directives. Intensive, simulation rich training programmes or "Boot Camps" have been postulated as a solution. This article highlights the development of a surgical boot camp for novice surgical trainees and the impact this can have on training...
April 10, 2018: International Journal of Surgery
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