Abstract Surgical trainees must maximise the educational and developmental opportunities of time spent in the operating theatre. Post-operative debriefing on performance based on observed skills is one way of achieving this and is regularly done in other high-risk professions. The non-technical skills for surgeons (NOTSS) behaviour rating system allows surgeons to observe trainees' behaviour in the workplace and provide feedback for skill improvement in a structured manner. This paper describes the process of debriefing using NOTSS and presents the results of a usability trial. Two case studies also illustrate how the system was used. The majority of surgical trainers who participated reported that the NOTSS system provided a common language to discuss non-technical skills and was a valuable adjunct to currently available assessment tools. Some trainers found interpersonal skills more difficult to rate than cognitive skills but 73% (n = 8) felt that routine use of the system would...
S. Yule, R. Flin, N. Maran, G. Youngson, A. Mitche