PTH-069 Simulated cases; a tool to teach endoscopy non-technical skills

Introduction There has been growing awareness of the importance of non-technical skills (NTS) in endoscopy however training in this area varies and may not be explicit in many departments. It is important that this is recognised and efforts are made to improve awareness. In the Northern Deanery the REST (regional endoscopic skills training) course has been developed for gastroenterology and surgical trainees and consists of a series of one day training events spread over several months to supplement departmental colonoscopy training and uses a variety of classroom based and simulation training. To facilitate the teaching of NTS we developed a video of a simulated case to form the basis of discussion. Methods A video was made of a simulated case that could be used to highlight NTS. As the attached video demonstrates the video highlighted a case where the use of non-technical skills could be optimised. This was used as a starting point for discussion with delegates. Pre and post course confidence ratings were collected on a variety of areas including human factors, mean ratings were calculated and mann-whitney U test applied. Results Eight candidates completed the course, four surgical and four gastroenterology trainees. Six had already the JAG basic skills course. Confidence rating in human factors improved from a mean of 5.9 (out of 10) to 8.12 (p 0.03) Conclusions Emphasis on non-technical skills training is imperative to improve and ensure patient safety and minimise adverse events. The teaching of non-technical skills may not always be explicit within working departments. Whilst simulation can be a useful teaching tool for NTS it can be time consuming This video demonstrates a resource-low method by which this could be taught as part of a wider endoscopy course. Whilst we only measured self ratings rather than assessing performance trainees confidence rating in human factors significantly improved suggesting this is a useful teaching tool.