Nontechnical skills for the surgery clerkship in the operating room based on adult learning principles in Taiwan
Abstract Medical education has traditionally been rooted in the teaching of medical knowledge and surgical technique in the operating room, with little attention to the nontechnical skills (NTS) that include situational awareness, decision‐making, teamwork and communication, and leadership. Under th...
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| Format: | Article |
| Language: | English |
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Wiley
2022-09-01
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| Series: | Kaohsiung Journal of Medical Sciences |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/kjm2.12565 |
| _version_ | 1811260319882805248 |
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| author | Yu‐Tang Chang Chung‐Sheng Lai |
| author_facet | Yu‐Tang Chang Chung‐Sheng Lai |
| author_sort | Yu‐Tang Chang |
| collection | DOAJ |
| description | Abstract Medical education has traditionally been rooted in the teaching of medical knowledge and surgical technique in the operating room, with little attention to the nontechnical skills (NTS) that include situational awareness, decision‐making, teamwork and communication, and leadership. Under the guidance of adult learning principles, the aim of this study is to evaluate the learning outcomes of the NTS program for the surgery clerkship in the operation room in Taiwan. Self‐directed learning principles were practiced during this 2‐week subspecialty rotation. The learners were randomly divided into two groups: the control group (the learners and teachers deciding together what should be learnt) and the intervention group (the same as the control group and the formal NTS program implemented during the second week). A 12‐item quantitative questionnaire including both the 6‐item Accreditation Council for Graduate Medical Education (ACGME) Core Competencies and the 6‐item adult learning characteristics was completed twice: before and after rotation. From Oct 2020 to May 2021, 16 medical students received NTS training and 16 were training‐naïve. For those undergoing NTS training, six core competencies significantly improved on a 6‐point scale. Moreover, total score differences (post‐training – pre‐training) in core competency had significant correlations to the differences in adult learning characteristics (r = 0.648, p = 0.007). The NTS program could be feasibly integrated into core objectives of the basic surgical clerkships, with the improvement in adult learning motivation in the learners helping to facilitate NTS training under the competency‐based surgical training program. |
| first_indexed | 2024-04-12T18:45:41Z |
| format | Article |
| id | doaj.art-d8aaa4c0950848ce893100bd2648d83f |
| institution | Directory Open Access Journal |
| issn | 1607-551X 2410-8650 |
| language | English |
| last_indexed | 2024-04-12T18:45:41Z |
| publishDate | 2022-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | Kaohsiung Journal of Medical Sciences |
| spelling | doaj.art-d8aaa4c0950848ce893100bd2648d83f2022-12-22T03:20:37ZengWileyKaohsiung Journal of Medical Sciences1607-551X2410-86502022-09-0138990791310.1002/kjm2.12565Nontechnical skills for the surgery clerkship in the operating room based on adult learning principles in TaiwanYu‐Tang Chang0Chung‐Sheng Lai1Department of Surgery Kaohsiung Medical University Hospital Kaohsiung TaiwanSchool of Medicine, College of Medicine Kaohsiung Medical University Kaohsiung TaiwanAbstract Medical education has traditionally been rooted in the teaching of medical knowledge and surgical technique in the operating room, with little attention to the nontechnical skills (NTS) that include situational awareness, decision‐making, teamwork and communication, and leadership. Under the guidance of adult learning principles, the aim of this study is to evaluate the learning outcomes of the NTS program for the surgery clerkship in the operation room in Taiwan. Self‐directed learning principles were practiced during this 2‐week subspecialty rotation. The learners were randomly divided into two groups: the control group (the learners and teachers deciding together what should be learnt) and the intervention group (the same as the control group and the formal NTS program implemented during the second week). A 12‐item quantitative questionnaire including both the 6‐item Accreditation Council for Graduate Medical Education (ACGME) Core Competencies and the 6‐item adult learning characteristics was completed twice: before and after rotation. From Oct 2020 to May 2021, 16 medical students received NTS training and 16 were training‐naïve. For those undergoing NTS training, six core competencies significantly improved on a 6‐point scale. Moreover, total score differences (post‐training – pre‐training) in core competency had significant correlations to the differences in adult learning characteristics (r = 0.648, p = 0.007). The NTS program could be feasibly integrated into core objectives of the basic surgical clerkships, with the improvement in adult learning motivation in the learners helping to facilitate NTS training under the competency‐based surgical training program.https://doi.org/10.1002/kjm2.12565adult learningcurriculumintraoperative teachingnontechnical skillsoperating room |
| spellingShingle | Yu‐Tang Chang Chung‐Sheng Lai Nontechnical skills for the surgery clerkship in the operating room based on adult learning principles in Taiwan Kaohsiung Journal of Medical Sciences adult learning curriculum intraoperative teaching nontechnical skills operating room |
| title | Nontechnical skills for the surgery clerkship in the operating room based on adult learning principles in Taiwan |
| title_full | Nontechnical skills for the surgery clerkship in the operating room based on adult learning principles in Taiwan |
| title_fullStr | Nontechnical skills for the surgery clerkship in the operating room based on adult learning principles in Taiwan |
| title_full_unstemmed | Nontechnical skills for the surgery clerkship in the operating room based on adult learning principles in Taiwan |
| title_short | Nontechnical skills for the surgery clerkship in the operating room based on adult learning principles in Taiwan |
| title_sort | nontechnical skills for the surgery clerkship in the operating room based on adult learning principles in taiwan |
| topic | adult learning curriculum intraoperative teaching nontechnical skills operating room |
| url | https://doi.org/10.1002/kjm2.12565 |
| work_keys_str_mv | AT yutangchang nontechnicalskillsforthesurgeryclerkshipintheoperatingroombasedonadultlearningprinciplesintaiwan AT chungshenglai nontechnicalskillsforthesurgeryclerkshipintheoperatingroombasedonadultlearningprinciplesintaiwan |