the development of a behavioural marker system for medical ......aim •identify key non-technical...
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The Development of a Behavioural Marker System for Medical Students’ Non-Technical
Skills: The Medi-StuNTS System
Dr Joanne Kerins Dr Ailsa Hamilton, Dr Marc MacCrossan, Dr Vicky Tallentire
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Non-technical skills
• Good non-technical skills are critical for high quality patient care
• Training in non-technical skills should be incorporated into undergraduate curricula
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Behavioural marker systems
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Skills Category
Skill Elements
Behaviours
SUPPORTING OTHERS
✔ ACKNOWLEDGING CONCERNS TEAMWORK
✘ NOT OFFERING ASSISTANCE
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Aim • Identify key non-technical skills for
medical students
• Develop a non-technical skills behavioural marker system, specifically applicable to medical students, for use within simulated acute care scenarios
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Method • 16 medical students
• Acute care simulated scenarios
• Semi-structured interviews to identify relevant non-technical skills
• A panel of subject matter experts was convened to translate key non technical skills into:
Categories Skill elements Exemplar
behaviours
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SITUATION AWARENESS
SELF AWARENESS DECISION MAKING
AND PRIORITISATION
TEAMWORK AND COMMUNICATION
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Establishing a shared mental
model
TEAMWORK AND COMUNICATION
Demonstrating active followership
Supporting others Patient
involvement
TEAMWORK AND COMMUNICATION
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Uses closed loop communication to verify task completion
Requests tasks without assigning a specific team member
Establishing a shared mental
model
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TEAMWORK AND COMMUNICATION
SITUATION AWARENESS
DECISION MAKING AND
PRIORITISATION
SELF AWARENESS
Esca
lati
ng
ca
re
Prompts leader to consider escalation of care at appropriate
time
Provides a senior colleague with inaccurate or ‘old’ clinical
information
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Next steps
• Trial and validate behavioural marker system in acute care simulation
• Improve the recognition and appreciation of key NTS
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Conclusion • Non-technical skills can be taught and
developed
• Non-technical skills training should be incorporated into undergraduate training
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THANK YOU
Questions?
Medical student participants
Dr Edward Mellanby Dr Iain Drummond Dr Matthew King
Dr Jeremy Morton Dr Victoria Tallentire Mr Nathan Oliver
Acknowledgements: