Department of Surgery, Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA.
Surg Clin North Am. 2012 Feb;92(1):37-50. doi: 10.1016/j.suc.2011.11.004. Epub 2011 Dec 28.
The importance of non-technical skills to surgical performance is gaining wide acceptance. This article discusses the core cognitive and social skills categories thought to underpin medical knowledge and surgical expertise, and describes the rise of non-technical skill models of assessment in surgery. Behavior rating systems such as NOTSS (Non-Technical Skills for Surgeons) have been developed to support education and assessment in this regard. We now understand more about these critical skills and how they impact surgery. The challenge in the future is to incorporate them into undergraduate teaching, postgraduate training, workplace assessment, and perhaps even selection.
非技术技能对于手术表现的重要性正在被广泛接受。本文讨论了被认为是医学知识和外科专业技能基础的核心认知和社会技能类别，并描述了非技术技能评估模型在外科手术中的兴起。诸如 NOTSS（外科医生的非技术技能）之类的行为评分系统已被开发出来，以支持这方面的教育和评估。我们现在对这些关键技能以及它们如何影响手术有了更多的了解。未来的挑战是将它们纳入本科教学、研究生培训、工作场所评估，甚至可能包括选拔。
