Impact of a Postsimulation Reflective Tool on Residents’ Identification of Nontechnical and Cognitive Skills for Practice Improvement

• In Event: Roundtable Session 33
  In Roundtable Session: Simulation and Technology

Abstract

Purpose: To determine whether a self-reflection tool can aid in identification of weaknesses in nontechnical and cognitive skills (NTCS).

Perspective: Nontechnical skills and cognitive error prevention are essential to crisis management and patient safety.

Methods: 34 anesthesia residents were randomized to NTCS (self-reflection tool) or control (no tool), then listed three topics for practice improvement after completing a simulated case.

Results: NTCS group identified a mean of 1.77 nontechnical topics for improvement compared to 1.17 in control group (p=0.127); proportions were 53.8% vs. 39.5%. Teamwork, communication and decision making were the most frequently reported.

Significance: Reflective practice and improvement is required for maintenance of competence. A tool with clear anchors could promote life-long self-directed learning of nontechnical and cognitive skills.

Authors

• Yue Ming Huang, University of California - Los Angeles

• Anahat Dhillon, University of California - Los Angeles

• Sara Kim, University of California - Los Angeles

• Jamie Stiner, University of California - Los Angeles

• Sebastian Uijtdehaage, University of California - Los Angeles

• Sarah Zacharia, University of California - Los Angeles

• Marjorie Stiegler, University of California - Los Angeles