Department of Orthopedic Surgery, Security Forces Hospital, PO Box 14799, 21955, Makkah, KSA, Saudi Arabia.
Division of Orthopedics, Department of Surgery, Prince Mohammed bin Abdul-Aziz National Guard Hospital, Almadinah Almunawwarah, Medina, PO Box 3684, Saudi Arabia.
BMC Med Educ. 2023 Apr 19;23(1):262. doi: 10.1186/s12909-023-04196-2.
The issue of surgical safety has increased significantly over the last few decades. Several studies have established that it is linked to non-technical performance, rather than clinical competencies. Non-technical skills can be blended with technical training in the surgical profession to improve surgeons' abilities and enhance patient care and procedural skills. The main goal of this study was to determine orthopedic surgeons' requirements of non-technical skills, and to identify the most pressing issues.
We conducted a self-administered online questionnaire survey in this cross-sectional study. The questionnaire was piloted, validated, pretested, and clearly stated the study's purpose. After the pilot, minor wording and questions were clarified before starting the data collection. Orthopedic surgeons from the Middle East and Northern Africa were invited. The questionnaire was based on a five-point Likert scale, the data were analyzed categorically, and variables were summarized as descriptive statistics.
Of the 1713 orthopedic surgeons invited, 60% completed the survey (1033 out of 1713). The majority demonstrated a high likelihood of participating in such activities in the future (80.5%). More than half (53%) of them preferred non-technical skills courses to be part of major orthopedic conferences, rather than independent courses. Most (65%) chose them to be face-to-face. Although 97.2% agreed on the importance of these courses, only 27% had attended similar courses in the last three years. Patient safety, infection prevention and control, and communication skills were ranked at the top as topics to be addressed. Moreover, participants indicated they would most likely attend courses on infection prevention and control, patient safety and teamwork, and team management.
The results highlight the need for non-technical skills training in the region and the general preferences regarding modality and setting. These findings support the high demand from orthopedic surgeons' perspective to develop an educational program on non-technical skills.
在过去几十年中，手术安全问题显著增加。多项研究已经证实，手术安全问题与非技术性能而非临床能力相关。非技术技能可以与外科专业的技术培训相结合，以提高外科医生的能力并加强患者护理和手术技能。本研究的主要目的是确定骨科医生对非技术技能的要求，并确定最紧迫的问题。
我们在这项横断面研究中进行了自我管理的在线问卷调查。该问卷经过了试点、验证、预测试，并明确说明了研究目的。在试点后，对措辞和问题进行了细微调整，然后开始收集数据。邀请了来自中东和北非的骨科医生。问卷基于五点 Likert 量表，数据以分类方式进行分析，并将变量总结为描述性统计数据。
在邀请的 1713 名骨科医生中，有 60%（1033 名中的 60%）完成了调查。他们中的大多数人表示未来很有可能参加此类活动（80.5%）。超过一半（53%）的人希望非技术技能课程成为大型骨科会议的一部分，而不是独立课程。大多数人（65%）选择面对面授课。尽管 97.2%的人同意这些课程的重要性，但只有 27%的人在过去三年中参加过类似的课程。患者安全、感染预防和控制以及沟通技巧被列为需要解决的首要问题。此外，参与者表示他们最有可能参加感染预防和控制、患者安全和团队合作以及团队管理方面的课程。
研究结果强调了该地区非技术技能培训的必要性，以及在模式和设置方面的普遍偏好。这些发现支持了骨科医生从需求角度出发，对非技术技能教育计划的强烈需求。
