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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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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
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cited_by cdi_FETCH-LOGICAL-c504t-13f9250d4e1b2fb4873d37262322d474b5cc1c14e620f5187881820fa303d773
cites cdi_FETCH-LOGICAL-c504t-13f9250d4e1b2fb4873d37262322d474b5cc1c14e620f5187881820fa303d773
container_end_page 1455
container_issue 12
container_start_page 1451
container_title Surgery today (Tokyo, Japan)
container_volume 46
creator Tsuburaya, Akira
Soma, Takahiro
Yoshikawa, Takaki
Cho, Haruhiko
Miki, Tamotsu
Uramatsu, Masashi
Fujisawa, Yoshikazu
Youngson, George
Yule, Steven
description 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  
doi_str_mv 10.1007/s00595-016-1322-8
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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  &lt; 0.05). There were no differences in the NOTSS scores before and after education, with a small improvement in the total scores for the “teamwork and communication” and “leadership” categories. Conclusion These findings demonstrate that implementing the NOTSS system is feasible in Japan. 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There were no differences in the NOTSS scores before and after education, with a small improvement in the total scores for the “teamwork and communication” and “leadership” categories. Conclusion These findings demonstrate that implementing the NOTSS system is feasible in Japan. Education of both surgical trainers and trainees would contribute to better team performance.</description><subject>Clinical Competence</subject><subject>Educational Measurement - methods</subject><subject>Feasibility Studies</subject><subject>General Surgery - education</subject><subject>Health Facilities</subject><subject>Humans</subject><subject>Japan</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Neoplasms - therapy</subject><subject>Original Article</subject><subject>Patient Care Team</subject><subject>Pilot Projects</subject><subject>Surgeons - education</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Work Performance</subject><issn>0941-1291</issn><issn>1436-2813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNp9kLtOxDAQRS0EguXxATTIJRSBGcdJnBIhnkJQsL3JOhMIZO3FkxT8PUYLlFQeyedezRwhDhFOEaA6Y4CiLjLAMsNcqcxsiBnqvMyUwXxTzKDWmKGqcUfsMr8BKG0AtsWOqlIGSjUTz7d-jKGd3NgHL0Mnx1eSPvhsJPfqe9cMkt_7YWDZhSh5ii8UPMvjh8f509OJ5E8eaSl7Lxt516waT0zSNd5RlI78SHFfbHXNwHTw8-6J-dXl_OImu3-8vr04v89cAXpM-3e1KqDVhAvVLbSp8javVKnSXa2u9KJwDh1qKhV0BZrKGDRpbHLI26rK98TxunYVw8dEPNplz46GIa0UJrYJLsuywBoSimvUxcAcqbOr2C-b-GkR7LdXu_ZqkyP77dWalDn6qZ8WS2r_Er8iE6DWAKcv_0LRvoUp-nTxP61fjwOBQQ</recordid><startdate>20161201</startdate><enddate>20161201</enddate><creator>Tsuburaya, Akira</creator><creator>Soma, Takahiro</creator><creator>Yoshikawa, Takaki</creator><creator>Cho, Haruhiko</creator><creator>Miki, Tamotsu</creator><creator>Uramatsu, Masashi</creator><creator>Fujisawa, Yoshikazu</creator><creator>Youngson, George</creator><creator>Yule, Steven</creator><general>Springer Japan</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20161201</creationdate><title>Introduction of the non-technical skills for surgeons (NOTSS) system in a Japanese cancer center</title><author>Tsuburaya, Akira ; 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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
title Introduction of the non-technical skills for surgeons (NOTSS) system in a Japanese cancer center
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