Integrating technical and non-technical skills coaching in an acute trauma surgery team training: Is it too much?
Open accessAbstract
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 on technical and hardly on non-technical skills during the Definitive Surgical and Anesthetic Trauma Care (DSATC) integrated acute trauma surgery team training. This study aims to investigate whether the priming of teachers could increase the amount of non-technical skills coaching during such a training.Design Coaching activities of 12 surgical teachers were recorded on audio and video. Six teachers were primed on non-technical skills coaching prior to the training. Six others received no priming and served as controls. Blind observers reviewed the recordings of 2 training scenario's and scored whether the observed behaviors were directed on technical or non-technical skills. We compared the frequency of the non-technical skills coaching between the primed and the non-primed teachers and analyzed for differences according to the trainees' level of experience.Setting Surgical teachers coached trainees during the highly realistic DSATC integrated acute trauma surgery team training. Trainees performed damage control surgery in operating teams on anesthetized porcine models during 6 training scenario's.Participants Twelve experienced surgical teachers participated in this study.Results Coaching on non-technical skills was limited to about 5%. The primed teachers did not coach more often on non-technical skills than the non-primed teachers. We found no differences in the frequency of non-technical skills coaching based on the trainees' level of experience.Conclusion Priming experienced surgical teachers does not increase the coaching on non-technical skills. The current DSATC acute trauma surgery team training seems too complex for integrating training on technical and non-technical skills.Competencies Patient care, Practice based learning and improvement.
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Surgical Coaching for Advancement of Global Surgical Skills and Capacity: A Systematic Review
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- Authors
- Alken, A., Luursema, J.-M., Weenk, M., Yauw, S., Fluit, C., & van Goor, H.
- Affiliations
- Radboud University Medical Center (NL)
- Radboud University Nijmegen (NL)
- Corresponding author
- Alken, Alexander
- Venue
- The American Journal of Surgery
- Publisher
- Elsevier BV
- Published
- 2018-08
- Volume
- 216
- Issue
- 2
- Pages
- 369-374
- ISSN
- 0002-9610 (ISSN-L)
- OpenAlex
- W2749936380
- Cited by
- 18
- References
- 34
- Citations by year
- 2026: 2 · 2023: 3 · 2022: 3 · 2021: 2 · 2020: 3 · 2019: 3 · 2018: 2
- FWCI
- 2.24
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- The American Journal of Surgery (publishedVersion)
- PubMed (publishedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Surgical Simulation and Training
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Health Sciences › Medicine › Physiology › Simulation-Based Education in Healthcare
- Keywords
- non-technical skills, technical skills, surgical team training, surgical coaching, damage control surgery, porcine model
- MeSH terms
- Mentoring, Adult, Clinical Competence, Education, Medical, Graduate, Humans, Male, Patient Care Team, Traumatology, Wounds and Injuries
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