ASSESSMENT OF NON-TECHNICAL SKILLS OF SURGEONS AND DOCTORS RESIDENT OF A UNIVERSITY HOSPITAL
Non-technical skills, Assessment, Checklist, Feedback.
The progress and completion of medical residency aim to develop skills for specialization in the area. In medical residency in surgery, the objectives are to enable and train the physician to perform the diagnosis and surgical treatment or not. Encouraging learning and assessment emphasizing the identification of technical and non-technical skills for effective and safe management for patients is critical. This research aimed to analyze the use of non-technical skills by resident physicians and also by preceptor surgeons who are part of the surgical clinic of a public teaching hospital. Cross-sectional, prospective study with a quantitative character, aiming to answer the questions: do residents of the HU receive guidance in relation to non-technical skills for working in the surgical clinic? Do the preceptors of the surgical clinic at the HU assess the residents from the perspective of non-technical skills? A questionnaire applied was answered by 30 preceptors and resident physicians at the General Surgery and Specialties Unit of that hospital. Data were analyzed and systematized using descriptive statistics. The results showed that 73.4% of those surveyed, preceptor surgeons and residents, recognized teamwork, communication and leadership, situational awareness and decision-making as non-technical skills required of a medical surgeon. Furthermore, they added the need to include stress management and dealing with fatigue as non-technical skills to be developed during training as surgeons. It was evident that non-technical skills are not assessed, showing the need to propose a model of an assessment instrument with the provision of feedback to residents in order to encourage the development of these skills. To this end, the development and validation of a Checklist aimed at the development and assessment of non-technical skills is necessary to promote learning, in addition to increasing patient safety. In short, non-technical skills are intrinsic attitudes to the surgeon, however, they are developed informally and need to be encouraged.