Use of non-technical skills can predict medical student performance in acute care simulated scenarios

Jackie S. Cha, Nicholas E. Anton, Tomoko Mizota, Julie M. Hennings, Megan A. Rendina, Katie Stanton-Maxey, Hadley E. Ritter, Dimitrios Stefanidis, Denny Yu

Research output: Contribution to journalArticle

2 Scopus citations


Background: Though the importance of physician non-technical (NT) skills for safe patient care is recognized, NT skills of medical students, our future physicians, has received little attention. This study aims to investigate the relationship of medical student NT skills and clinical performance during acute care team simulation (ACTS). Methods: Forty-one medical students participated in ACTS. A nurse confederate facilitated and evaluated clinical performance. Two raters assessed participants’ NT skills using an adapted NT assessment tool and overall NT skills score was calculated. Regressions predicting clinical performance using NT constructs were conducted. Results: Overall NT skills score significantly predicted students’ clinical performance (r 2 = 0.178, p = 0.006). Four of the five individual NT constructs also significantly predicted performance: communication (r 2 = 0.120, p = 0.027), situation awareness (r 2 = 0.323, p < 0.001), leadership (r 2 = 0.133, p = 0.019), and decision making (r 2 = 0.163, p = 0.009). Conclusions: Medical student NT skills can predict clinical performance during ACTS. NT skills assessments can be used for targeted education for better feedback to students.

Original languageEnglish (US)
Pages (from-to)323-328
Number of pages6
JournalAmerican Journal of Surgery
Issue number2
StatePublished - Feb 2019


  • Acute care team simulation
  • General surgery clerkship
  • Medical students training
  • Team performance

ASJC Scopus subject areas

  • Surgery

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