Abstract
Nontechnical skills (NTS) of healthcare teams are fundamental to successful and safe surgeries. This study aims to identify the communication measures associated with overall NTS and leadership skills. Ten medical students assuming the roles of attending physicians completed two simulated critical care scenarios containing five disruptive integrated events. Half of the students received standardized NTS leadership training between scenarios, while the other half served as an active control. The group of participants that received the leadership training had a statistically higher difference in NTS score by 0.77 than the control group (p = 0.05). When investigating which communication metrics best predicted NTS scores, strong negative correlations corresponding to Call-outs from Nurses to Physicians (ρ = -0.59) during scenarios and Requests from Nurses to physicians (ρ = -0.52) during events were found. Overall, decomposing communication from participants to team members can provide insight into leadership measurement and training for care providers.
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