Brigham and Women's Hospital STRATUS Center for medical simulation Boston Longwood Area facility
Brigham and Women's Hospital STRATUS Center for medical simulation Boston Longwood Area facility

Non-Technical Skills for Surgeons (NOTSS)


WE DEVELOPED THIS FOR SURGEONS, EDUCATORS AND RESEARCHERS - LEARN ABOUT THE DEVELOPMENT OF NON-TECHNICAL SKILLS FOR SURGEONS (NOTSS) AND HOW TO ASSESS AND IMPROVE BEHAVIORS IN THE OPERATING ROOM THAT IMPACT ON PERFORMANCE AND PATIENT SAFETY.

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Non-Technical Skills for Surgeons (NOTSS)


WE DEVELOPED THIS FOR SURGEONS, EDUCATORS AND RESEARCHERS - LEARN ABOUT THE DEVELOPMENT OF NON-TECHNICAL SKILLS FOR SURGEONS (NOTSS) AND HOW TO ASSESS AND IMPROVE BEHAVIORS IN THE OPERATING ROOM THAT IMPACT ON PERFORMANCE AND PATIENT SAFETY.

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Non-Technical Skills for Surgeons (NOTSS) 

was developed by a team in Scotland at the University of Aberdeen and funded by the Royal College of Surgeons of Edinburgh and NHS Education for Scotland; lead investigator Steven Yule, PhD, was a part of this team and now brings his experience and expertise to the United States with the Non-Technical Skills Lab at Brigham and Women's Hospital and Harvard Medical School. 

NOTSS was developed from the bottom up with a panel of subject matter experts (consultant/attending surgeons/psychologists) in place of adapting an existing framework employed by other industries. The aim of the NOTSS project was to develop and test an educational system for assessment and training based on observable behavioral skills in the intraoperative phase of surgery (Yule et al. Surg Clin N Am 2012;92:37-50).

 

Development Framework of NOTSS

The NOTSS system

was written in surgical language for trained surgeons to observe, rate, and provide feedback on non-technical skills in a structured manner (Yule et al. Surg Clin N Am 2012;92:37-50). The NOTSS taxonomy is broken down into four distinct categories of non-technical skill: Situation Awareness, Decision Making, Communication and Teamwork, and Leadership (Yule et al. World J Surg 2008;32:548-556), each with associated elements. Good and poor behaviors were carefully written for each element. 

 

THE ROYAL COLLEGE OF SURGEONS OF EDINBURGH

has been successfully running a NOTSS Masterclass in observing and rating behavior in the OR since 2006. Faculty development has also occurred for groups in the United States, Japan and Australia. The first NOTSS workshop in the USA was held in May 2011 at the Annual meeting of the American Association of Thoracic Surgeons. Over 100 cardiothoracic surgeons attended this 3-hour program. In 2013, NOTSS was incorporated to the ACSS Weekly Curriculum and in 2014 became part of the SCORE (Surgical Council on Resident Education) national curriculum for surgical training. For practicing surgeons, a one-day NOTSS workshop has been held at the American College of Surgeons Annual Clinical Congress in 2013 and 2014, and for Program directors, a workshop was held on leadership in NOTSS in 2013 at the Association of Program Directors in Surgery (APDS) annual meeting. 

The Royal College of Surgeons of Edinburgh also provide resources for training non-technical skills. Click Here!