Introduction of the non-technical skills for surgeons (NOTSS) system in a Japanese cancer center

Purpose Non-technical skills rating systems, which are designed to support surgical performance, have been introduced worldwide, but not officially in Japan. We performed a pilot study to evaluate the “non-technical skills for surgeons” (NOTSS) rating system in a major Japanese cancer center. Method...

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Bibliographic Details
Published in:Surgery today (Tokyo, Japan) Japan), 2016-12, Vol.46 (12), p.1451-1455
Main Authors: Tsuburaya, Akira, Soma, Takahiro, Yoshikawa, Takaki, Cho, Haruhiko, Miki, Tamotsu, Uramatsu, Masashi, Fujisawa, Yoshikazu, Youngson, George, Yule, Steven
Format: Article
Language:English
Subjects:
Clinical Competence
Educational Measurement - methods
Feasibility Studies
General Surgery - education
Health Facilities
Humans
Japan
Medicine
Medicine & Public Health
Neoplasms - therapy
Original Article
Patient Care Team
Pilot Projects
Surgeons - education
Surgery
Surgical Oncology
Work Performance
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Summary:Purpose Non-technical skills rating systems, which are designed to support surgical performance, have been introduced worldwide, but not officially in Japan. We performed a pilot study to evaluate the “non-technical skills for surgeons” (NOTSS) rating system in a major Japanese cancer center. Methods Upper gastrointestinal surgeons were selected as trainers or trainees. The trainers attended a master-class on NOTSS, which included simulated demo-videos, to promote consistency across the assessments. The trainers thereafter commenced observing the trainees and whole teams, utilizing the NOTSS and “observational teamwork assessment for surgery” (OTAS) rating systems, before and after their education. Results Four trainers and six trainees were involved in this study. Test scores for understanding human factors and the NOTSS system were 5.89 ± 1.69 and 8.00 ± 1.32 before and after the e-learning, respectively (mean ± SD, p  = 0.010). The OTAS scores for the whole team improved significantly after the trainees’ education in five out of nine stages ( p  
ISSN:0941-1291
1436-2813
DOI:10.1007/s00595-016-1322-8