MP23-05 IS THERE A CORRELATION BETWEEN TECHNICAL SKILLS AND NON-TECHNICAL SKILLS PERFORMANCE WITHIN URETEROSCOPY?

Abstract

You have accessJournal of UrologyTechnology & Instruments: Surgical Education & Skills Assessment II1 Apr 2015MP23-05 IS THERE A CORRELATION BETWEEN TECHNICAL SKILLS AND NON-TECHNICAL SKILLS PERFORMANCE WITHIN URETEROSCOPY? Oliver Brunckhorst, Shahab Shahid, Abdullatif Aydin, Craig McIlhenny, Shahid Khan, Arun Sahai, James Brewin, Fernando Bello, Roger Kneebone, Muhammad Khan, Prokar Dasgupta, and Kamran Ahmed Oliver BrunckhorstOliver Brunckhorst More articles by this author , Shahab ShahidShahab Shahid More articles by this author , Abdullatif AydinAbdullatif Aydin More articles by this author , Craig McIlhennyCraig McIlhenny More articles by this author , Shahid KhanShahid Khan More articles by this author , Arun SahaiArun Sahai More articles by this author , James BrewinJames Brewin More articles by this author , Fernando BelloFernando Bello More articles by this author , Roger KneeboneRoger Kneebone More articles by this author , Muhammad KhanMuhammad Khan More articles by this author , Prokar DasguptaProkar Dasgupta More articles by this author , and Kamran AhmedKamran Ahmed More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.1248AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES A surgeon requires much more than just good technical skills, with non-technical skills being a common cause of error. These two skillsets are unfortunately often seen as separate entities, however we hypothesize that they are in fact not independent of each other. We therefore aimed to evaluate the relationship between technical and non-technical skills performance within ureteroscopy and if any particular subset of non-technical skills appears to be more important. METHODS A prospective analysis of data acquired from a comparative study of simulation vs. non-simulation training (knowledge only) was conducted. In total 32 novices were included, half of which underwent formal training for both technical and non-technical skillsets with the remaining half underwent none. All were assessed within a fully immersive environment in a standardised ureteroscopy case. Both technical and non-technical outcome measures were utilised, assessing both skillsets. Pearson's correlation coefficient was used to analyse the relationship between outcome measures. RESULTS All outcome measures demonstrated a significant correlation. Time to completion within the whole cohort demonstrated a strong negative correlation with NOTSS scores (r = -0.50, p<0.001). Also, strong positive relationships were present within whole cohort OSATS (r = 0.89, p<0.001) and task specific checklist scores (r = 0.91, p<0.001). When the cohort without training was analyased separately a demonstrated a strong correlation with NOTSS scores when compared to the time to completion (r = -0.5, p<0.05), OSATS (r = 0.80, p<0.001) and task specific checklist scores (r = 0.87, p<0.001) was still present. Finally, subsets of non-technical skills such as situational awareness, decision-making, communication and leadership, all demonstrated a strong correlation with all of the technical skills components with all r scores larger than 0.60 and p <0.001. CONCLUSIONS We conclude that a strong relationship between technical skills and non-technical skills is present. This relationship was demonstrated to be regardless of training and therefore inherent. Additionally, no identified subset of non-technical skills is best correlated with technical skills performance, demonstrating how crucial all skillsets are. The demonstration of the correlation between these skillsets shows how these two skills should not be treated as separate entities, but instead should be trained and assessed together. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e268-e269 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Oliver Brunckhorst More articles by this author Shahab Shahid More articles by this author Abdullatif Aydin More articles by this author Craig McIlhenny More articles by this author Shahid Khan More articles by this author Arun Sahai More articles by this author James Brewin More articles by this author Fernando Bello More articles by this author Roger Kneebone More articles by this author Muhammad Khan More articles by this author Prokar Dasgupta More articles by this author Kamran Ahmed More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...