How the training level has influenced clinical year medical students’ approach towards learning and practising non‑technical skills
DOI:
https://doi.org/10.1921/jpts.v20i3.2035Keywords:
attitudes, communication, non-technical skills, meical students, qualitative studyAbstract
This study aimed to investigate the influence of non-technical skills (NTS) training on the clinical year students’ approach towards learning and practising these skills. The first objective of this study was to explore the understanding of NTS in clinical-year medical students. The second objective was to study the teachers’ perspectives on how possible insufficient NTS training has influenced students’ approach and attitudes towards learning and practising NTS. A qualitative study using the constructivist approach was conducted by interviewing 35 clinical-year medical students and 20 teachers. Data was analysed using thematic analysis and the Cochran’s-Q test. Only a few students (7 out of 35) showed NTS understanding, and a majority of the teachers (75%) also believed that most students do not have NTS knowledge. Homogeneity was found in responses indicating that NTS were not sufficiently taught as more focus was on teaching technical skills. Teachers perceived the undervaluing of NTS by students as a major impact of limited training. 88% of students showed a willingness to receive NTS training, of which 22% suggested training without assessment. Integration of NTS into the curriculum can be suggested as a possible solution to reduce the impact of training level.
References
Abdulrahman, K. (2008). The current status of medical education in the Gulf Cooperation Council countries. Ann Saudi Med, 28, 83–88.
Alken, A.P., Fluit, C., Luursema, J. et al. (2018). Integrating technical and non-technical skills coaching in an acute trauma surgery team training: Is it too much. Am J Surg, 216, 39-374.
Bindayna, K.M. and Deifalla, A. (2020). The Curriculum at the College of Medicine and Medical Sciences at Arabian Gulf University: A Way Forward to Meet the Future Medical Education Needs. J Med Educ Curric Dev, 7, 1-5.
Braun, V. and Clarke, V. (2006). Using thematic analysis in psychology. Qual Res Psychol, 3(2), 77–101.
Brunckhorst, O., Shahid, S., Aydin, A., Khan, S., Mcllhenny, C., Brewin, J., et al. (2015). The relationship between technical and nontechnical skills within a simulation-based ureteroscopy training environment. J Surg Educ, 72, 1039–1044.
Bunniss, S. and Kelly, D.R. (2010). Research paradigms in medical education research. Med Educ, 44, 358–366.
Cohen, L., Lawrence, M. and Morrison, K. (2007). Research methods in education. 6th ed. Oxford: Routledge.
Creswell, J. and Plano Clark, V. (2011). Designing and conducting mixed methods research. 2nd ed. Thousand Oaks, CA: Sage.
Creswell, J. (2007). Qualitative Inquiry and Research Design. 2nd ed. Thousand Oaks, CA: Sage.
Dawe, S., Pena, G., Windsor, J., Broeders, J., Cregan, P., Hewett, P., et al. (2014). Systematic review of skills transfer after surgical simulation-based training. Br J Surg, 101, 1063–1076.
Dedy, N., Bonrath, E., Zevin, B. and Grantcharov, T. (2013). Teaching nontechnical skills in surgical residency: A systematic review of current approaches and outcomes. Surgery, 154, 1000–1008.
Flick, U. (2018). An introduction to qualitative research. Sage.
Flin, R., Martin, L., Goeters, K., et al. (2009). Development of NONTECHS(Non-technical Skills) system for assessing pilots’ CRM skills. Hum Factors Aerosp Saf, 3, 95-117.
Flin, R. and Patey, R. (2009). Improving patient safety through training in non-technical skills. BMJ, 339, 985–986.
Flin, R. (2005). Safe in Their Hands?: Licensing and Competence Assurance for Safety-Critical Roles in High Risk Industries. London: Department of Health.
Flin, R.H., O’Connor, P. and Crichton, M. (2017). Safety at the Sharp End: A Guide to Non-Technical Skills. CRC Press Inc.
General Medical Council. (2017). Generic professional capabilities framework. London.
Gordon, M., Farnan, J., Grafton’Clarke, C., et al. (2019). Non-technical skills assessments in undergraduate medical education: a focused BEME systematic review: BEME Guide no. 54. Med Teach, 41, 732–745.
Hogan, H., Healey, F., Neale, G. et al. (2012). Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study. BMJ Qual Saf, 21, 737–745.
Huffmann, B., Siebert, H. and Euteneier, A. (2015). Patient safety in education and training of healthcare professionals in Germany. Bundesgesundheitsbl Gesundheitsforsch Gesundheitsschutz, 58, 87-94.
Hull, L. and Sevdalis, N. (2015). Advances in teaching and assessing non-technical skills. Surg Clin North Am, 95, 869–84.
Johnson, A. and Aggarwal, R. (2019). Assessment of non-technical skills: why aren’t we there yet? BMJ Qual Saf, 28, 606–8.
Kasselbaum, D. (1989). Change in medical education: the courage and will to be different. Acad Med, 64, 446–7.
Kerins, J., Smith, S.E., Phillips, E.C. et al. (2020). Exploring transformative learning when developing medical students’ non‐technical skills. Med Educ, 54, 264–274.
Kerins, J., Smith, S.E., Phillips, E.C., Clarke, B., Hamilton, A.L., Tallentire, V.R. (2020). Exploring transformative learning when developing medical students’ non‐technical skills. Med Educ, 54, 264–274.
Lewins, A. and Silver, C. (2007). Using software in qualitative research: A step by step guide. London: Sage.
Lingard, L., Epsin, S., Whyte, S., Regehr, G., Baker, B.G., Renzick, R., et al. (2004). Communication failures in the operating room: an observational classification of recurrent types and effects. Qual Saf Health, 13, 330–34.
Merriam, S. (2009). Designing your study and selecting a sample. In: Qualitative research: a guide to design and implementation. Somerset: Wiley; p. 55–83.
Miles, M. and Huberman, A. (1994). Qualitative Data Analysis: An Expanded Sourcebook. 2nd ed. Thousand Oaks, CA: Sage.
Moll-Khosrawi, P., Kamphausen, A., Hampe, W. et al. (2019). Anaesthesiology students’ Non-Technical skills: development and evaluation of a behavioural marker system for students (AS-NTS). BMC Med Educ, 19, 205.
Muller, M., Hansel, M., Stehr, S., et al. (2007). Six steps frm head to hand: a simulator based transfer oriented psyschological training to improve patient safety. Resuscitation, 73, 137-143.
Ng, S., Lingard, L. and Kennedy, T. (2013). Qualitative research in medical education: Methodoligies and methods. In: Understanding Medical Education: Evidence, Theory and Practice. 2nd ed. Oxford, UK: Wiley-Blackwell, p. 371–84.
O’Brien, G., Haughton, A. and Flanagan, B. Interns’ perceptions of performance and confidence in participating in an managing simulated and real cardiac arrest situations. Med Teach, 23, 389–395.
Patton, M. (2002). Qualitative Research and Evaluation Methods. 3rd ed. Thousand Oaks, CA: Sage.
Pelaccia, T. and Viau, R. (2017). Motivation in medical education. Med Teach, 39(2), 136–40.
Quince, T., Abbas, M., Murugesu, S., Crawley, F., Hyde, S., Wood, D., et al. (2014). Leadership and management in the undergraduate medical curriculum: a qualitative study of students’ attitudes and opinions at one UK medical school. BMJ Open, 4, 1–9.
Race, P., Brown, S. and Smith, B. (2005). 500 tips on assessment. 2nd ed. London: Routledge.
Salas, E. and Bowers, C. (2001). Team training in the slies: does crew resource management (CRM) training work? Hum Factors, 43, 641-674.
Schulte-Uentrop, L., Cronje, J.S., Zöllner, C. et al. (2020). Correlation of medical students’ situational motivation and performance of non-technical skills during simulation-based emergency training. BMC Med Educ, 20, 351.
Thomson, R., Luettel, D., Healy, F. et al. (2007). Safer Care for Acutely Ill Patients: Learning from Serious Incidents. London: NHS National Patient Safety Agency.
Till, A., McKimm, J. and Swanwick, T. (2018). Twelve tips for integrating leadership development into undergraduate medical education. Med Teach, 40, 1214–1220.
Tracy, S.J. (2014). Qualitative research methods: Collecting evidence, crafting analysis, communicating impact. Chichester (UK): Wiley, p. 41–42 p.
Weinger, M.B. (2007). Experience ≠ Expertise: Can Simulation Be Used to Tell the Difference? Anesthesiology, 107, 691–694.
Whittaker, G., Abboudi, H., Khan, M., Dasgupta, P. and Ahmed, K. (2015). Teamwork assessment tools in modern surgical practice: A systematic review. Surg Res Pract, 2015, 1–11.
Downloads
Published
How to Cite
Issue
Section
License
Copyright lies with the journal. Enquiries regarding reproduction should be sent in the first place to enquiries@whitingbirch.net.Accepted 2023-04-20
Published 2024-02-09