title: Advances in Teaching and Assessing Nontechnical Skills.
abstract: The importance of surgeons' nontechnical skills is gaining widespread recognition as a critical element of high-quality and safe surgical care. This article reviews the knowledge base on training and assessing surgeons, and operating room (OR) teams, in nontechnical aspects of their performance. Nontechnical skills are defined in the context of the OR and key assessment instruments that have been developed to capture these skills are reviewed. Key developments that have taken place in the past decade on formal skills training are discussed, and recommendations to further advance nontechnical skills and team-based training and assessment in surgery are presented.
authors.affiliation: Department of Surgery and Cancer, Patient Safety Translational Research Center, St Mary's Hospital, Imperial College London, Wright Fleming Building, Norfolk Place, London W2 1PG, UK. Electronic address: l.hull@imperial.ac.uk.
authors.forename: Louise
authors.initials: L
authors.lastname: Hull
authors.affiliation: Health Service & Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, PO29 David Goldberg Centre, De Crespigny Park, Denmark Hill, London SE5 8AF, UK.
authors.forename: Nick
authors.initials: N
authors.lastname: Sevdalis
mesh_terms: D000223:Adaptation, Psychological; D001364:Awareness; D002983:Clinical Competence; D003479:Curriculum; D003657:Decision Making; D004502:Education, Medical, Continuing; D004503:Education, Medical, Graduate; D004504:Education, Medical, Undergraduate; D005221:Fatigue / Q000523:psychology; D013502:General Surgery / Q000193:education*; D006801:Humans; D033183:Interdisciplinary Communication; D066107:Social Skills; D013647:Task Performance and Analysis; D013663:Teaching / Q000639:trends*
keywords: Assessment; Education; Nontechnical skills; Teamwork; Training