scholarly journals Which non-technical skills do junior doctors require to prescribe safely? A systematic review

2015 ◽  
Vol 80 (6) ◽  
pp. 1303-1314 ◽  
Author(s):  
Effie Dearden ◽  
Edward Mellanby ◽  
Helen Cameron ◽  
Jeni Harden
Keyword(s):  
Systematic Review ◽  
Technical Skills ◽  
Junior Doctors

EP.TU.991Developing as Future Leaders: A Systematic Review of Quality Improvement Training in Junior Doctors

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Rabiya Aseem ◽  
Costas Simillis ◽  
Jason Smith ◽  
Sonal Arora ◽  
Nikhil Pawa
Keyword(s):  
Systematic Review ◽  
Quality Improvement ◽  
English Language ◽  
Quality Care ◽  
Leadership Skills ◽  
Training Programme ◽  
Junior Doctors ◽  
Training Methods ◽  
Effectiveness Of Training ◽  
The Impact

Abstract Aims Quality improvement (QI) training in Junior Doctors (JDs) is essential for providing High Quality Care for patients and facilitating organisational success. The aim of this study was to systematically review the evidence on QI training in JDs and determine the impact and effectiveness of training methods. Methods A systematic review was conducted as per PRISMA guidelines. Searches were carried out using MEDLINE, EMBASE and HMIC for English-Language articles between January 2005 to December 2019. Selected articles underwent critical appraisal using the CASP criteria by two independent reviewers. A qualitative and thematic analysis was conducted. Results 43 studies were identified in a range of medical and surgical specialities. Common QI methodology included theoretical and project-based curricula with content focussing on PDSA cycles, root causes analyses and project development. Majority of studies reported improved knowledge, leadership skills and satisfaction. Mentorship and coaching were highly valued, but few studies adhered to this practice. Few studies demonstrated increased QI engagement. Key themes identified (i) Effectiveness of QI training (ii) Barriers to engagement (iii) Organizational culture of fostering QI. Conclusion There is growing mandate for training JDs in QI practices to enhance patient care. QI curricula targeting JDs have demonstrated improved knowledge and leadership skills. Nonetheless, significant barriers in QI engagement endure. Additional research is required to combat disengagement and assess sustainability of QI interventions in JDs. We further aim to introduce a pilot QI training programme for surgical JDs to enhance leadership skills.

scholarly journals Medical student confidence in care of the dying and their family: a systematic review

2020 ◽  
pp. bmjspcare-2019-001977
Author(s):  
Geoffrey Wells ◽  
Elaney Youssef ◽  
Rebecca Winter ◽  
Juliet Wright ◽  
Carrie Llewellyn
Keyword(s):  
Systematic Review ◽  
Palliative Care ◽  
Medical Student ◽  
Cochrane Review ◽  
Assessment Tools ◽  
Junior Doctors ◽  
Medical Council ◽  
Dying Patients ◽  
Medical Undergraduate ◽  
Student Confidence

BackgroundThe General Medical Council expects medical graduates to care for dying patients with skill, clinical judgement and compassion. UK surveys continually demonstrate low confidence and increasing distress amongst junior doctors when providing care to the dying.AimThis systematic review aims to determine what has been evidenced within worldwide literature regarding medical undergraduate confidence to care for dying patients.DesignA systematic electronic search was undertaken. Data extraction included measurements of baseline confidence, associated assessment tools and details of applied educational interventions. Pre/postintervention confidence comparisons were made. Factors influencing confidence levels were explored.Data sourcesMEDLINE, CINAHL, EMBASE, ISI Web of Science, ERIC, PsycINFO, British Education Index and Cochrane Review databases were accessed, with no restrictions on publication year. Eligible studies included the terms ‘medical student’, ‘confidence’ and ‘dying’, alongside appropriate MeSH headings. Study quality was assessed using the Mixed Methods Appraisal Tool.ResultsFifteen eligible studies were included, demonstrating a diversity of assessment tools. Student confidence was low in provision of symptom management, family support, and psycho-spiritual support to dying patients. Eight interventional studies demonstrated increased postinterventional confidence. Lack of undergraduate exposure to dying patients and lack of structure within undergraduate palliative care curricula were cited as factors responsible for low confidence.ConclusionThis review clarifies the objective documentation of medical undergraduate confidence to care for the dying. Identifying where teaching fails to prepare graduates for realities in clinical practice will help inform future undergraduate palliative care curriculum planning.PROSPERO registration numberCRD42019119057.

scholarly journals A systematic review of simulation-based training tools for technical and non-technical skills in ophthalmology

Eye ◽  
2020 ◽  
Vol 34 (10) ◽  
pp. 1737-1759 ◽  
Author(s):  
Roxanne Lee ◽  
Nicholas Raison ◽  
Wai Yan Lau ◽  
Abdullatif Aydin ◽  
Prokar Dasgupta ◽  
...  
Keyword(s):  
Systematic Review ◽  
Technical Skills ◽  
Simulation Based

Non-technical skills and otolaryngology: systematic review

2020 ◽  
Vol 134 (5) ◽  
pp. 415-418 ◽  
Author(s):  
R Bannon ◽  
K E Stewart ◽  
M Bannister
Keyword(s):  
Systematic Review ◽  
Assessment Tool ◽  
Controlled Trial ◽  
Technical Skills ◽  
Neck Surgery ◽  
Future Research ◽  
Skill Levels ◽  
Simulated Environments ◽  
Simulation Based ◽  
Randomised Controlled

AbstractObjectivesThis study aimed to assess the published literature on non-technical skills in otolaryngology surgery and examine the applicability of any research to others’ practice, and to explore how the published literature can identify areas for further development and guide future research.MethodsA systematic review was conducted using the following key words: ‘otolaryngology’, ‘otorhinolaryngology’, ‘ENT’, ‘ENT surgery’, ‘ear, nose and throat surgery’, ‘head and neck surgery’, ‘thyroid surgery’, ‘parathyroid surgery’, ‘otology’, ‘rhinology’, ‘laryngology’ ‘skull base surgery’, ‘airway surgery’, ‘non-technical skills’, ‘non technical skills for surgeons’, ‘NOTSS’, ‘behavioural markers’ and ‘behavioural assessment tool’.ResultsThree publications were included in the review – 1 randomised, controlled trial and 2 cohort studies – involving 78 participants. All were simulation-based studies involving training otolaryngology surgeons.ConclusionLittle research has been undertaken on non-technical skills in otolaryngology. Training surgeons’ non-technical skill levels are similar across every tested aspect. The research already performed can guide further studies, particularly amongst non-training otolaryngology surgeons and in both emergency and elective non-simulated environments.

Standardizing Undergraduate Non-Technical Skills Learning Strategies and Outcomes: A Systematic Review

2018 ◽  
Vol 227 (4) ◽  
pp. e211
Author(s):  
Marios Nicolaides ◽  
Luca Cardillo ◽  
Iakovos Theodoulou ◽  
John Hanrahan ◽  
Georgios Tsoulfas ◽  
...  
Keyword(s):  
Systematic Review ◽  
Learning Strategies ◽  
Technical Skills ◽  
Skills Learning

The Myth of Bureaucratic Neutrality: Institutionalized Inequity in Local Government Hiring

2019 ◽  
Vol 40 (3) ◽  
pp. 516-531 ◽  
Author(s):  
Shannon Portillo ◽  
Domonic Bearfield ◽  
Nicole Humphrey
Keyword(s):  
Systematic Review ◽  
Decision Making ◽  
Civil Service ◽  
Service System ◽  
Technical Skills ◽  
Hiring Practices ◽  
Public Employment ◽  
Political Patronage ◽  
Early Testing ◽  
Founding Myth

As a field, we often relate merit and neutrality to the technical skills needed to be the “best” candidate for a job, but that was not necessarily what civil service reformers had in mind. The civil service system was meant to replace widespread political patronage, but the myth around the origins of the civil service system masked inequalities built into early testing requirements and institutionalized racial inequities in hiring practices. In this article, we argue the founding myth of bureaucratic neutrality was so powerful that it continues to reverberate in our field. We trace the current reverberations of the myth of neutrality through modern hiring practices and the contemporary legal landscape. By doing this, we present a systematic review of this rationalized myth in public employment, using an institutionalism framework. As the myth of bureaucratic neutrality continues to permeate decision-making, policy creation, and implementation, it will continue to institutionalize inequity within the field.

scholarly journals The Relationship Between Physical Fitness Qualities and Sport-Specific Technical Skills in Female, Team-Based Ball Players: A Systematic Review

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Jessica B. Farley ◽  
Joshua Stein ◽  
Justin W. L. Keogh ◽  
Carl T. Woods ◽  
Nikki Milne
Keyword(s):  
Systematic Review ◽  
Physical Fitness ◽  
Technical Skills ◽  
The Relationship

scholarly journals Assessing Technical Skills in Talented Youth Athletes: A Systematic Review

2020 ◽  
Vol 50 (9) ◽  
pp. 1593-1611
Author(s):  
Till Koopmann ◽  
Irene Faber ◽  
Joseph Baker ◽  
Jörg Schorer
Keyword(s):  
Systematic Review ◽  
Technical Skills ◽  
Youth Athletes
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