Um olhar para as habilidades não técnicas na residência médica em cirurgia geral em um hospital universitário

Abstract

The research entitled “A Look at Non-Technical Skills in a Medical Residency in General Surgery at a University Hospital” aimed to analyze the use of non-technical skills by resident physicians and also by preceptor surgeons who integrate the surgical clinic of a teaching hospital teaching public. The medical residency aims to develop skills for specialization in the area. In medical residency in surgery, the objectives are to enable and train the doctor to perform the diagnosis and surgical treatment or not. However, in addition to the competencies required by the national curriculum guidelines for medical training and the value of broad knowledge of surgical technique and manual dexterity, there is a complementary set of skills called "non-technical skills" that need to be integrated into the surgeon's body of knowledge to optimize your surgical performance. Encouraging learning by emphasizing the identification of technical and non-technical skills aiming at effective and safe management for patients is fundamental for the formation of the future professional. Cross-sectional, prospective study with a quantitative character. An applied questionnaire was answered by professors, preceptors and resident physicians at the General Surgery and Specialties Unit of the aforementioned hospital. Data were analyzed and systematized using descriptive statistics. The results showed that 73.4% of those surveyed, preceptor and resident surgeons, recognize teamwork, communication and leadership, situational awareness and decision-making as non-technical skills required of a surgeon. In addition, they added the need to include stress management and dealing with fatigue as non-technical skills to be developed during training as surgeons. It was evident that non-technical skills are not assessed, showing the need to propose a model of assessment instrument with the provision of feedback to residents in order to stimulate the development of these skills. In order to promote reflection on the research results, a roadmap was developed as a product and a manual was made available for the development and assessment of non-technical skills, with the objective of promoting learning, in addition to increasing patient safety. In short, nontechnical skills are attitudes intrinsic to the surgeon, however, they are developed informally and need to be encouraged.