Rickard Mjfx, Ackermann D M, Schnitzler M, Kozlowski D
Specialty of Surgery, Sydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia; Division of Colorectal Surgery, Department of Surgery, Concord Repatriation General Hospital, Sydney, New South Wales, Australia; Division of Colorectal Surgery, Department of Surgery, Macquarie University Hospital, Macquarie University, Sydney, New South Wales, Australia; Concord Institute of Academic Surgery, Concord Repatriation General Hospital, Sydney, New South Wales, Australia.
Sydney School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
J Surg Educ. 2025 Jan;82(1):103316. doi: 10.1016/j.jsurg.2024.103316. Epub 2024 Nov 26.
Surgical coaching has become more widespread and involves both technical and nontechnical skills. Emotional Intelligence (EI) is an important nontechnical skill and is associated with leadership skills, increased job satisfaction and superior nontechnical skills. This scoping review aimed to explore the use of EI as a component of surgical coaching.
A scoping review was conducted to map the existing literature. Medline was searched from inception to May 2023. Eligible studies included surgical coaching, which incorporated aspects of emotional intelligence into the non-technical skills component.
3206 studies were identified in the initial search. A total of 2117 articles remained after duplicates were removed. 2117 articles were screened by 2 authors (DA and MR). 32 studies were included in the full-text review, and 8 studies were included in the final analysis. Coaching was predominantly delivered by practicing surgeons, although 1 study used external professional coaches. Training methods for coaches vary widely, from short courses to extensive workshops, highlighting the lack of standardized training protocols within the field. The outcomes measured across studies were diverse, encompassing both technical and non-technical skills, as well as emotional intelligence constructs. Non-technical skills were predominantly assessed using the Non-Technical Skills for Surgeons (NOTSS) assessment tool, whereas other outcomes included burnout, resilience, and technical skills. Notably, none of the studies incorporated formal measurements of emotional intelligence, although aspects such as motivation, empathy, self-knowledge, and social skills were addressed in the coaching sessions.
Standardization of coaching protocols and incorporation of emotional intelligence principles represent critical avenues for advancing the field and maximizing the benefits of coaching interventions in surgical practice.
手术指导已变得更加普遍，涉及技术和非技术技能。情商（EI）是一项重要的非技术技能，与领导能力、工作满意度提高和卓越的非技术技能相关。本范围综述旨在探讨将情商作为手术指导的一个组成部分的应用情况。
进行了一项范围综述以梳理现有文献。检索了Medline数据库从建库至2023年5月的文献。符合条件的研究包括将情商方面纳入非技术技能组成部分的手术指导。
在初始检索中识别出3206项研究。去除重复项后共保留2117篇文章。由两位作者（DA和MR）对2117篇文章进行筛选。32项研究纳入全文综述，8项研究纳入最终分析。指导主要由执业外科医生提供，不过有1项研究使用了外部专业教练。教练的培训方法差异很大，从短期课程到广泛的工作坊，这凸显了该领域缺乏标准化的培训方案。各项研究中测量的结果多种多样，包括技术和非技术技能以及情商构成要素。非技术技能主要使用外科医生非技术技能（NOTSS）评估工具进行评估，而其他结果包括职业倦怠、恢复力和技术技能。值得注意的是，尽管在指导课程中涉及了动机、同理心、自我认知和社交技能等方面，但没有一项研究纳入情商的正式测量。
指导方案的标准化以及情商原则的纳入是推进该领域发展并使手术实践中指导干预的益处最大化的关键途径。
