scholarly journals Correlation of Medical Knowledge and Non-Technical Skills Assessment in Anesthesia Residents

2020 ◽  
Vol 72 (6) ◽  
pp. 483-487
Author(s):  
Kasana Raksamani ◽  
Tachawan Jirativanont ◽  
Pavinee Sareenun

Objective: Non-technical skills training and assessment has been implemented in anesthesia residency training program to improve quality of patient care but have not been properly assessed. We hypothesized that trainees with good knowledge correlated with good cognitive parts of non-technical skills.Methods: Seventy anesthesia residents (24 PGY-1, 24 PGY-2 and 22 PGY-3) were assessed for their knowledge by 180-item MCQs, 5 key-feature essay questions, and 18-station OSCE’s. Subsequently, a perioperative anesthesia crisis situation was set up in the simulation lab for all residents and was video recorded. Non-technical skills were assessed by 2 independent trained raters using Anesthetists’ Non-Technical Skills (ANTS) behavioral markers. The residents’ scores were calculated to find the correlation within the ANTS rating scale.Results: The mean scores of knowledge tests were 164.3 ±18.4 out of 300 [165.5 ±18.0, 154.7 ±16.3 and 173.6 ±16.4 for PGY-1, PGY-2 and PGY-3 respectively]. The mean scores of ANTS was divided into 4 categories (rating scale 1 to 4): task management 2.9 (±0.6), teamworking 3.0 (±0.5), situation awareness 2.9 (±0.8) and decision making 2.8 (±0.7). The knowledge test results moderately correlated with ANTS score in task management, situation awareness and decision making [r=0.382 (p<0.01), r=0.433 (p<0.001) and r=0.350 (p<0.01) respectively] and weakly correlated with the teamworking category (r=0.166, p=0.16).Conclusion: Resident’s scores showed moderate correlation with non-technical skills assessment results in cognitive skills. Non-technical skills are required to be trained and assessed together with knowledge to enhance the patient’s safety and outcome.

Author(s):  
Christopher D. Wickens ◽  
Frederic Dehais

This chapter makes the distinction between the experience of aviation professionals, often quantified in terms of hours of flight time, or flight qualifications, and expertise, as revealed by high proficiency at aviation tasks. Very high proficiency defines the expert. Challenge results because of the difficulty in measuring such proficiency, particularly beyond the student pilot level, and in air traffic control. The chapter also reviews the literature that examines the relation between experience, differences in cognitive ability, and the expertise of aviation professionals as pertains to controlling the aircraft, navigating, and communicating, as well as pertains to non-technical skills manifest by both pilots and air traffic controllers: situation awareness, decision making, task management and crew resource management. It is concluded that experience is only loosely coupled with proficiency in these areas.


2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Sara Martins Pereira Pires ◽  
Sara Otília Marques Monteiro ◽  
Anabela Maria Sousa Pereira ◽  
Joana Novaes Machado Stocker ◽  
Daniela de Mascarenhas Chaló ◽  
...  

ABSTRACT The introduction of non-technical skills during nursing education is crucial to prepare nurses for the clinical context and increase patient safety. We found no instrument developed for this purpose. Objectives: to construct, develop and validate a non-technical skills assessment scale in nursing. Method: methodological research. Based on the literature review and experience of researchers on non-technical skills in healthcare and the knowledge of the principles of crisis resource management, a list of 63 items with a five-point Likert scale was constructed. The scale was applied to 177 nursing undergraduate students. Descriptive statistics, correlations, internal consistency analysis and exploratory factor analysis were performed to evaluate the psychometric properties of the scale. Results: scale items presented similar values for mean and median. The maximum and the minimum values presented a good distribution amongst all response options. Most items presented a significant and positive relationship. Cronbach alpha presented a good value (0.94), and most correlations were significant and positive. Exploratory factor analysis using the Kaiser-Meyer-Olkin test showed a value of 0.849, and the Bartlett’s test showed adequate sphericity values (χ2=6483.998; p=0.000). One-factor model explained 26% of the total variance. Conclusion: non-technical skills training and its measurement could be included in undergraduate or postgraduate courses in healthcare professions, or even be used to ascertain needs and improvements in healthcare contexts.


Author(s):  
James C. Etheridge ◽  
Rachel Moyal-Smith ◽  
Yves Sonnay ◽  
Tze Tein Yong ◽  
Shu Rong Lim ◽  
...  

2005 ◽  
Vol 3 (1) ◽  
pp. 83-86 ◽  
Author(s):  
Mansoor Khan ◽  
Andrew Snelling ◽  
Eunan Tiernan

2011 ◽  
Vol 213 (3) ◽  
pp. S122 ◽  
Author(s):  
Bharat Sharma ◽  
Neil Orzech ◽  
Sylvain Boet ◽  
Teodor Grantcharov

2015 ◽  
Vol 62 (2) ◽  
pp. 536
Author(s):  
Mark Jackson ◽  
Nicholas Boyne ◽  
Peter Charalabidis ◽  
Thodor Vasudevan ◽  
Tim Wagner

2019 ◽  
Vol 76 (4) ◽  
pp. 1088-1093
Author(s):  
Nada Gawad ◽  
Amanda Fowler ◽  
Richard Mimeault ◽  
Isabelle Raiche

2017 ◽  
Vol 266 (2) ◽  
pp. e37
Author(s):  
Iman Ghaderi ◽  
Ilene Harris ◽  
Yoon Soo Park ◽  
Michael Ott ◽  
Dorthea Juul ◽  
...  

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