National Surgical and Clinical Skills Centre, Royal College of Surgeons in Ireland, RCSI House, 121 St. Stephen's Green, Dublin, 2, Ireland.
Am J Surg. 2020 Dec;220(6):1566-1571. doi: 10.1016/j.amjsurg.2020.04.039. Epub 2020 May 8.
Non-technical skills (NTS) encompass personal skills such as communication, situational awareness, decision making, teamwork and leadership. Poor performance of these skills has been shown to contribute to medical error. The Royal College of Surgeons in Ireland (RCSI) has delivered a mandatory program of instruction in NTS to all surgical trainees since 2005. We investigated whether the NTS of surgical trainees improved after the first two years of this program.
Baseline data was collected in a three-station OSCE assessment of NTS at the beginning of Year one and again at end of Year two of surgical training.
Trainees' mean percentage NTS scores improved significantly over the two-year period for the NTS assessment (P < .001). A significant difference was demonstrated using within-subject (paired) t-tests between the Year one and two time points for all three OSCE stations: Consent (-5.39; P < .001); Colleague Conflict (-8.63; P < .001); and Disclosure of Error (-7.56; P < .001).
RCSI offers a unique mandatory program of instruction in NTS. There was a statistically and practically significant improvement in the NTS scores of surgical trainees over the two-year period of the program.
非技术技能（NTS）涵盖了沟通、情境意识、决策、团队合作和领导力等个人技能。这些技能表现不佳已被证明会导致医疗差错。自 2005 年以来，爱尔兰皇家外科医学院（RCSI）一直为所有外科受训者提供 NTS 的必修课程。我们调查了在该计划的头两年后，外科受训者的 NTS 是否有所提高。
在第一年和第二年外科培训结束时，使用三站 OSCE 评估 NTS 收集基线数据。
在两年期间，NTS 评估中受训者的平均 NTS 分数显著提高（P<.001）。使用个体内（配对）t 检验，在所有三个 OSCE 站中，一年和两年的时间点之间均显示出显著差异：同意（-5.39；P<.001）；同事冲突（-8.63；P<.001）；和错误披露（-7.56；P<.001）。
RCSI 提供了独特的强制性 NTS 教学计划。在该计划的两年期间，外科受训者的 NTS 分数有了统计学上和实际上的显著提高。
