Abstract

Acquiring the concepts of non-technical skills (NTS) beyond a superficial level is a challenge for healthcare professionals and simulation faculty. Current simulation-based approaches to teach NTS are challenged when learners have to master NTS concepts, clinically challenging situations, and simulation as a complex technique. The combination of all three aspects might overwhelm learners. To facilitate the deeper comprehension of NTS concepts, we describe an innovative video-based game, the Non-Technical Skills (NTS) Bingo. Participants get NTS Bingo cards that show five NTS elements each. While observing (non-medical) video clips, they try to find examples for the elements on their cards, typically observable behaviours that match a given element. After the video, participants “defend” their solution in a discussion with the game leader and other players. This discussion and the reflection aim to deepen the processing of the NTS concepts. We provide practical guidance for the conduct of NTS Bingo, including a selection of usable video clips and tips for the facilitated discussion after a clip. We use NTS in anaesthesia as example and provide guidance on how to adapt NTS Bingo to other disciplines. NTS Bingo is based on theoretical considerations on concept learning, which we describe to support the rationale for its conduct.Electronic supplementary materialThe online version of this article (doi:10.1186/s41077-016-0024-z) contains supplementary material, which is available to authorized users.

Highlights

  • Non-technical skills (NTS) are an integrated part of the abilities that healthcare professionals require to optimally diagnose and treat patients under the complex conditions of healthcare

  • For the examples in the fourth column, we assume that readers have already seen the video clips. It would likely be helpful if participants are somewhat familiar with the Anaesthesia Non-Technical Skills System – Danish Version (ANTSdk) elements [6] before they play NTS Bingo, as the first step in concept learning is a basic understanding of definitions

  • A potential risk is that participants build misconceptions or over- or undergeneralise

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Summary

Introduction

Non-technical skills (NTS) are an integrated part of the abilities that healthcare professionals require to optimally diagnose and treat patients under the complex conditions of healthcare. We use the discussion of ANTSdk and the application of NTS Bingo to anaesthesia as an example. Learners can be presented with non-examples for a mental category (e.g. actions that clearly do not belong into the ANTSdk element under discussion).

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