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BACKGROUND In addition to technical expertise, surgical competence requires effective non-technical skills to ensure patient safety and maintenance of standards. Recently the Royal Australasian College of Surgeons implemented a new Surgical Education and Training (SET) curriculum that incorporated non-technical skills considered essential for a competent surgeon. This study sought to compare the non-technical skills of experienced surgeons who completed their training before the introduction of SET with the non-technical skills of more recent trainees. METHODS Surgical trainees and experienced surgeons undertook a simulated scenario designed to challenge their non-technical skills. Scenarios were video recorded and participants were assessed using the Non-Technical Skills for Surgeons (NOTSS) scoring system. Participants were divided into subgroups according to years of experience and their NOTSS scores were compared. RESULTS For most NOTSS elements, mean scores increased initially, peaking around the time of Fellowship, before decreasing roughly linearly over time. There was a significant downward trend in score with increasing years since being awarded Fellowship for six of the 12 NOTSS elements: considering options (score -0·015 units per year), implementing and reviewing decisions (-0·020 per year), establishing a shared understanding (-0·014 per year), setting and maintaining standards (-0·024 per year), supporting others (-0·031 per year) and coping with pressure (-0·015 per year). CONCLUSIONS The drop in NOTSS score was unexpected and highlights that even experienced surgeons are not immune to deficiencies in non-technical skills. Consideration should be given to continuing professional development programmes focusing on non-technical skills, regardless of the level of professional experience.
H Gostlow, and
N Marlow, and
M J W Thomas, and
P J Hewett, and
A Kiermeier, and
W Babidge, and
M Altree, and
G Pena, and
G Maddern
May 2015,
The British journal of surgery,
H Gostlow, and
N Marlow, and
M J W Thomas, and
P J Hewett, and
A Kiermeier, and
W Babidge, and
M Altree, and
G Pena, and
G Maddern
February 2012,
The Surgical clinics of North America,
H Gostlow, and
N Marlow, and
M J W Thomas, and
P J Hewett, and
A Kiermeier, and
W Babidge, and
M Altree, and
G Pena, and
G Maddern
February 2020,
Zhonghua wai ke za zhi [Chinese journal of surgery],
H Gostlow, and
N Marlow, and
M J W Thomas, and
P J Hewett, and
A Kiermeier, and
W Babidge, and
M Altree, and
G Pena, and
G Maddern
August 2012,
Nihon Geka Gakkai zasshi,
H Gostlow, and
N Marlow, and
M J W Thomas, and
P J Hewett, and
A Kiermeier, and
W Babidge, and
M Altree, and
G Pena, and
G Maddern
June 2005,
The British journal of surgery,
H Gostlow, and
N Marlow, and
M J W Thomas, and
P J Hewett, and
A Kiermeier, and
W Babidge, and
M Altree, and
G Pena, and
G Maddern
September 2006,
The British journal of surgery,
H Gostlow, and
N Marlow, and
M J W Thomas, and
P J Hewett, and
A Kiermeier, and
W Babidge, and
M Altree, and
G Pena, and
G Maddern
February 2011,
British journal of anaesthesia,
H Gostlow, and
N Marlow, and
M J W Thomas, and
P J Hewett, and
A Kiermeier, and
W Babidge, and
M Altree, and
G Pena, and
G Maddern
February 2011,
Ugeskrift for laeger,
H Gostlow, and
N Marlow, and
M J W Thomas, and
P J Hewett, and
A Kiermeier, and
W Babidge, and
M Altree, and
G Pena, and
G Maddern
April 2007,
The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland,
H Gostlow, and
N Marlow, and
M J W Thomas, and
P J Hewett, and
A Kiermeier, and
W Babidge, and
M Altree, and
G Pena, and
G Maddern
May 2013,
The Medical journal of Australia,
