Continuing surgical education of non-technical skills

Yamane Masaomi Yamane, Seiichiro Sugimoto, Suzuki Etsuji Suzuki, Aokage Keiju Aokage, Mikio Okazaki, Junichi Sou, Makio Hayama, Yuji Hirami, Takashi Yorifuji, Shinichi Toyooka

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)


Background: The non-technical skills for surgeons (NOTSS) system was developed as a tool to assess surgical skills for patient safety during surgery. This study aimed to develop a NOTSS-based training system for surgical trainees to acquire non-technical skills using a chest surgery scenario in a wet lab. Materials and methods: Trainees were categorized into three subgroups according to the years of experience as follows: Level A: 6 years or more; Level B: 3–5 years; and Level C: 1–2 years. Three stages of surgical procedure were designed: 1. chest wall resection and right upper lobe lobectomy, 2. right middle lobe sleeve lobectomy, and 3. right lower lobe lobectomy. One instructor was assigned to each operation table, who evaluated each participant's NOTSS scores consisting of 16 elements. Results: When comparing average NOTSS score of all the three procedures, significant differences were observed between Level A, B, and C trainees. As an example of varying elements by procedure, Level A trainees demonstrated differences in Situation Awareness, and a significant difference was observed in Level C trainees regarding the elements of Decision Making. On the contrary, no significant difference was observed among Level B trainees. In the comparison between first-time and experienced participants, a significant improvement was observed in some elements in Level B and C trainees. Conclusion: This study highlights the usefulness and feasibility of the NOTSS scoring system for surgeons with different experiences and the effectiveness of providing feedback to trainees during intraoperative handoffs in a wet lab.

Original languageEnglish
Pages (from-to)177-186
Number of pages10
JournalAnnals of Medicine and Surgery
Publication statusPublished - Oct 2020


  • Non-technical skills
  • Patient safety
  • Thoracic surgery

ASJC Scopus subject areas

  • Surgery


Dive into the research topics of 'Continuing surgical education of non-technical skills'. Together they form a unique fingerprint.

Cite this