Porras-Hernández JD, Porras-Hernández LH, Pérez-Marín M, Porras-Ramírez G

Language: Spanish
References: 17
Page: 186-192
PDF size: 195.44 Kb.

ABSTRACT

Introduction: non-technical skills are the cognitive and interpersonal skills that complement thesurgeon’s manual performance. Recent studies show that are critical to the outcome of surgery. The design of educational interventions to control them from very early stages of training a surgeon can have a significant impact to improve surgical quality. The evaluation methodology is a key point in design education.
Objective:To determine the reliability and usefulness of a standardized methodology to evaluate performance in surgical teams non-technical newbies.
Material and Methods: a) Design: Pilot, antesdespués, each student and their own control equipment. b) Population: Medical students of third semester of the introductory course to surgery. c) Variables: Age, sex, skill level qualification in non-technical (NOTECHS) Imperial College London, translated. d) Intervention: theoretical and practical course of 16 weeks provided by a surgeon, with 32 theoretical hours, 10 hours of non-animal practice and 15 hours of practice in dogs. At the end of each practice group were assessed with the scale 360th NOTECHS five skills: 1) Communication and interaction, 2) Realize the situation and monitoring, 3) cooperation and teamwork, 4) Leadership and management skills 5 ) Decision-making. The evaluation scale for each skill from 1 to 5: 1 do not have the skill, and 5 did so well that it is an example for others. e) Outcome: Reliability, change in the rating scale NOTECHS, mortality of the dogs, the student satisfaction felt at the end of the course. f ) Sample size: All students enrolled in the course. g) Statistical analysis: Central tendency and dispersion, interobserver agreement with kappa, intraclass correlation with Cronbach alpha andqualitative sense of student satisfaction.
Results: We studied 33 students, 18 women and 15 men. Were distributed in 7 teams: 5 of 5 members and April 2. The average age was 21 (1822) years. The median rating NOTECHS at the end of the module with animals was 4.2 (2.75), and animals of 4.4 (3.35), with a change of 4.5%. The overall mean kappa in the first evaluation was 0.40 and 0.61 in the second. In the first, the skill with greater agreement between evaluators was the communication and interaction with 0.45. In the second, was cooperation and teamwork with 0.68. Mortality was 2 / 7 dogs. Students satisfied with the evaluation methodology were 32/33 (96%).
Conclusions: Evaluation of 360 º NOTECHS translated scale was reliable and useful for evaluating a group of rookies in their progress in developing critical skills for a high quality surgical performance

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