Training and Assessment of Nontechnical Skills in Cardiothoracic Surgery: Current Literature Review

IF 2.6 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education Pub Date : 2025-03-06 DOI:10.1016/j.jsurg.2025.103480

Chinedu C. Okoli MBBS, MSc , Obieze C. Nwanna-Nzewunwa MBBS, MS , Scott Buchanan MD

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引用次数: 0

Abstract

Background

This review explores the surgical and psychological literature on cardiothoracic (CT) surgeons’ intraoperative nontechnical skills (NTS). Successful task performance depends on the seamless integration of technical skills (TS) and NTS. This paper aims to identify the training and assessment modalities for NTS in cardiothoracic surgery (CTS).

Methods

PubMed, Cochrane Library, BioMed Central, Medline, EDINA BIOSIS, Web-of-Knowledge, PsychINFO, and ScienceDirect were searched through to December 2023. Additionally, a manual search of the referenced work of each included article and relevant reviews in PubMed were performed to avoid missing any important data. Original research articles were included if they described NTS training modalities and their assessment in cardiac or thoracic surgeries. Exclusion criteria included any study without full-text availability, non–peer-reviewed publications, studies without extractable data, and duplicates. Retrieved articles were screened, and data extracted in duplicate by 2 independent reviewers.

Results

The literature search found 371 relevant references related to cardiothoracic surgery, 17 articles were included in this literature review, and 12 training tools were identified.

Conclusions

This review demonstrates the need for additional work to create reliable training and assessment methods for NTS in CTS.

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心胸外科非技术技能的训练与评估：当前文献综述

本文综述了有关心胸外科（CT）医生术中非技术技能（NTS）的外科和心理学文献。成功的任务执行取决于技术技能（TS）和NTS的无缝集成。本文旨在探讨心胸外科（CTS）中NTS的培训和评估模式。方法检索到2023年12月的spubmed、Cochrane Library、BioMed Central、Medline、EDINA BIOSIS、Web-of-Knowledge、PsychINFO和ScienceDirect。此外，对PubMed中每篇纳入的文章和相关评论的参考文献进行人工搜索，以避免遗漏任何重要数据。描述NTS训练方式及其在心脏或胸外科手术中的评估的原创研究文章被纳入。排除标准包括任何没有全文的研究、未经同行评审的出版物、没有可提取数据的研究和重复的研究。对检索到的文章进行筛选，并由2名独立审稿人一式两份提取数据。结果检索到与心胸外科相关的文献371篇，纳入文献17篇，鉴定出12种训练工具。结论本综述表明，需要进一步的工作来建立可靠的培训和评估方法的NTS在CTS。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Surgical Education EDUCATION, SCIENTIFIC DISCIPLINES-SURGERY

CiteScore

5.60

自引率

10.30%

发文量

261

审稿时长

48 days

期刊介绍： The Journal of Surgical Education (JSE) is dedicated to advancing the field of surgical education through original research. The journal publishes research articles in all surgical disciplines on topics relative to the education of surgical students, residents, and fellows, as well as practicing surgeons. Our readers look to JSE for timely, innovative research findings from the international surgical education community. As the official journal of the Association of Program Directors in Surgery (APDS), JSE publishes the proceedings of the annual APDS meeting held during Surgery Education Week.