You have accessJournal of UrologySurgical Technology & Simulation: Training & Skills Assessment I1 Apr 2018MP01-04 DOES SURGEON LEADERSHIP DURING ROBOT-ASSISTED SURGERY CORRELATE WITH TEAMWORK-RELATED OUTCOMES? Youssef Ahmed, Ahmed Aly Hussein, Yingdong Feng, Omar Rasool, Hijab Khan, Sierra Broad, Renuka Kannappan, Alicia Skowronski, Adam Cole, Derek Wang, Kevin Stone, Adam Hasasneh, Amanda Gotsch, Kevin Sexton, Taimoor Ali, Saira Khan, Ayesha Durrani, Mohammad Durrani, and Khurshid Guru Youssef AhmedYoussef Ahmed More articles by this author , Ahmed Aly HusseinAhmed Aly Hussein More articles by this author , Yingdong FengYingdong Feng More articles by this author , Omar RasoolOmar Rasool More articles by this author , Hijab KhanHijab Khan More articles by this author , Sierra BroadSierra Broad More articles by this author , Renuka KannappanRenuka Kannappan More articles by this author , Alicia SkowronskiAlicia Skowronski More articles by this author , Adam ColeAdam Cole More articles by this author , Derek WangDerek Wang More articles by this author , Kevin StoneKevin Stone More articles by this author , Adam HasasnehAdam Hasasneh More articles by this author , Amanda GotschAmanda Gotsch More articles by this author , Kevin SextonKevin Sexton More articles by this author , Taimoor AliTaimoor Ali More articles by this author , Saira KhanSaira Khan More articles by this author , Ayesha DurraniAyesha Durrani More articles by this author , Mohammad DurraniMohammad Durrani More articles by this author , and Khurshid GuruKhurshid Guru More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.110AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Non-technical skills and leadership of surgeons are of paramount importance to lead a multidisciplinary team in the operating room (OR). We sought to evaluate the impact of leadership on team performance. METHODS OR environment was recorded to monitor behavior of the surgical team in our IRB approved Techno fields project. Twenty robot-assisted radical prostatectomies performed by 3 different surgeons were included. Trained observers assessed non-technical skills, by utilizing Objective Structured Assessment of Technical Skills (OTAS) and Non-Technical Skills for Surgeons (NOTSS) questionnaires. Correlation analysis was performed between scores and teamwork (anticipation, Inconveniences, broken instruments) and clinical (procedure complexity, intraoperative complications, operative time and blood loss) outcomes. Logistic regression was used to determine if the probability of inconveniences, anticipation or broken instruments were dependent on OTAS and NOTSS scores. RESULTS Out of 1780 surgeon requests, 1077 verbal and 703 non-verbal were identified. The percentages of verbal commands were found to be statistically significantly different among surgeons (74%, 64% vs 56% p < 0.001). There was a significant correlation between the leadership skills measured with OTAS and operative time (r=0.64, p=0.03). Higher Situational awareness scores were significantly associated with higher odds of anticipation (OR 2.6, p<0.001) and lower odds of inconvenience (OR 0.21, p=0.003) and broken or dysfunctional instruments (OR 0.32, p=0.14). Higher Leadership scores were associated with lower odds of anticipation (OR 0.46, p<0.001) inconveniences (OR 0.62, p=0.03) and broken instruments (OR 0.30, p=0.001). Meanwhile higher communication was associated with lower odds of anticipation (OR 0.43, p=0.14). Decision-making was associated with lower odds of anticipation (OR=0.42 p<0.001) higher odds of inconveniences (OR=2.73, p<0.001) and broken instruments (OR=4.44, p=0.006). CONCLUSIONS Non-surgical skills significantly correlate with observed team performance measures. Further research is needed to determine the impact and the weight of each team attribute on the overall team performance and clinical outcomes. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e2-e3 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Youssef Ahmed More articles by this author Ahmed Aly Hussein More articles by this author Yingdong Feng More articles by this author Omar Rasool More articles by this author Hijab Khan More articles by this author Sierra Broad More articles by this author Renuka Kannappan More articles by this author Alicia Skowronski More articles by this author Adam Cole More articles by this author Derek Wang More articles by this author Kevin Stone More articles by this author Adam Hasasneh More articles by this author Amanda Gotsch More articles by this author Kevin Sexton More articles by this author Taimoor Ali More articles by this author Saira Khan More articles by this author Ayesha Durrani More articles by this author Mohammad Durrani More articles by this author Khurshid Guru More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...