Abstract
BackgroundNon-technical skills (NTS) are an indispensable element of emergency care and need to be prevalent alongside with good technical skills. Though, questions of how to teach (instructional design) and improve NTS effectively remain unresolved. One adjustment screw to enhance performance of NTS, which is detached from instructional designs and learning efforts might be motivation. Theoretical models and observational studies suggest that high levels of intrinsic (situational) motivation result in better performance and better learning. Therefore, this study analyzed the influence of motivation on performance of NTS, by exploring if high levels of intrinsic motivation lead to better performance of NTS in medical students.MethodsIn this prospective cross-sectional cohort study, the authors assessed the correlation of situational motivation and performance of NTS within a cohort of 449 undergraduates in their 1st to 4th year of medical studies, in a total of 101 emergency simulation trainings. Situational motivation was measured with the validated Situational Motivation Scale (SIMS), which was completed by every undergraduate directly before each simulation training. The NTS were evaluated with the Anesthesiology Students´ Non-Technical skills (AS-NTS) rating tool, a validated taxonomy, especially developed to rate NTS of undergraduates.ResultsStudent situational motivation was weakly correlated with their performance of NTS in simulation-based emergency trainings.ConclusionAlthough motivation has been emphasized as a determining factor, enhancing performance in different fields and in medicine in particular, in our study, student situational motivation was independent from their performance of NTS in simulation-based emergency trainings (SBET).
Highlights
Non-technical skills (NTS) are an indispensable element of emergency care and need to be prevalent alongside with good technical skills
To counter human errors in medicine, several training programs have been developed in the past – e.g. Anesthesia crisis resource management (ACRM), which emphasize cognitive and interpersonal skills, like communication, leadership, resource management and situational awareness [2]
Observational cohort simulation study, we investigated the correlation of studentsmotivation and their performance of non-technical skills (NTS) during simulation-based emergency training (SBET) in four cohorts of medical students
Summary
Non-technical skills (NTS) are an indispensable element of emergency care and need to be prevalent alongside with good technical skills. To counter human errors in medicine, several training programs have been developed in the past – e.g. Anesthesia crisis resource management (ACRM), which emphasize cognitive and interpersonal skills, like communication, leadership, resource management and situational awareness [2]. These skills can be summarized as non-technical skills (NTS) [3, 4]. Some efforts were recently made to include teaching and assessment of NTS in undergraduate education, [8] it is not yet clear how this integration and which instructional designs might provide best learning outcomes
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