{"id":"https://openalex.org/W4390840209","doi":"https://doi.org/10.1002/wjs.12046","title":"We asked the experts: The evolving role of non\u2010technical skills for surgery in low\u2010 and middle\u2010income countries","display_name":"We asked the experts: The evolving role of non\u2010technical skills for surgery in low\u2010 and middle\u2010income countries","publication_year":2024,"publication_date":"2024-01-12","ids":{"openalex":"https://openalex.org/W4390840209","doi":"https://doi.org/10.1002/wjs.12046","pmid":"https://pubmed.ncbi.nlm.nih.gov/38686780"},"language":"en","primary_location":{"id":"doi:10.1002/wjs.12046","doi":"https://doi.org/10.1002/wjs.12046","is_oa":true,"landing_page_url":"https://doi.org/10.1002/wjs.12046","pdf_url":null,"source":{"id":"https://openalex.org/S60318618","display_name":"World Journal of Surgery","issn_l":"0364-2313","issn":["0364-2313","1432-2323"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"World Journal of Surgery","raw_type":"journal-article"},"volume":null,"type":"editorial","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1002/wjs.12046","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5073234082","display_name":"Fiona M. Kerray","orcid":"https://orcid.org/0000-0002-2899-7311","observed_orcids":["https://orcid.org/0000-0002-2899-7311"]},"institutions":[{"id":"https://openalex.org/I2802789809","display_name":"Edinburgh Royal Infirmary","ror":"https://ror.org/009bsy196","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802789809"]},{"id":"https://openalex.org/I98677209","display_name":"University of Edinburgh","ror":"https://ror.org/01nrxwf90","country_code":"GB","type":"education","lineage":["https://openalex.org/I98677209"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Fiona M. Kerray","raw_affiliation_strings":["Department of Clinical Surgery The University of Edinburgh Edinburgh BioQuarter Edinburgh Scotland","Edinburgh Vascular Service Royal Infirmary of Edinburgh Edinburgh Scotland"],"raw_orcid":"https://orcid.org/0000-0002-2899-7311","affiliations":[{"raw_affiliation_string":"Department of Clinical Surgery The University of Edinburgh Edinburgh BioQuarter Edinburgh Scotland","institution_ids":["https://openalex.org/I98677209"]},{"raw_affiliation_string":"Edinburgh Vascular Service Royal Infirmary of Edinburgh Edinburgh Scotland","institution_ids":["https://openalex.org/I2802789809"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055053813","display_name":"Egide A.E. Abahuje","orcid":"https://orcid.org/0000-0001-5527-5405","observed_orcids":["https://orcid.org/0000-0001-5527-5405"]},"institutions":[{"id":"https://openalex.org/I111979921","display_name":"Northwestern University","ror":"https://ror.org/000e0be47","country_code":"US","type":"education","lineage":["https://openalex.org/I111979921"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Egide Abahuje","raw_affiliation_strings":["Department of Surgery Feinberg School of Medicine Northwestern University Chicago Illinois USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery Feinberg School of Medicine Northwestern University Chicago Illinois USA","institution_ids":["https://openalex.org/I111979921"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5004654287","display_name":"Andrew L. Tambyraja","orcid":"https://orcid.org/0000-0002-9393-6291","observed_orcids":["https://orcid.org/0000-0002-9393-6291"]},"institutions":[{"id":"https://openalex.org/I2802789809","display_name":"Edinburgh Royal Infirmary","ror":"https://ror.org/009bsy196","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802789809"]},{"id":"https://openalex.org/I98677209","display_name":"University of Edinburgh","ror":"https://ror.org/01nrxwf90","country_code":"GB","type":"education","lineage":["https://openalex.org/I98677209"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Andrew L. Tambyraja","raw_affiliation_strings":["Department of Clinical Surgery The University of Edinburgh Edinburgh BioQuarter Edinburgh Scotland","Edinburgh Vascular Service Royal Infirmary of Edinburgh Edinburgh Scotland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Clinical Surgery The University of Edinburgh Edinburgh BioQuarter Edinburgh Scotland","institution_ids":["https://openalex.org/I98677209"]},{"raw_affiliation_string":"Edinburgh Vascular Service Royal Infirmary of Edinburgh Edinburgh Scotland","institution_ids":["https://openalex.org/I2802789809"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5035336961","display_name":"Steven Yule","orcid":"https://orcid.org/0000-0001-9889-9090","observed_orcids":["https://orcid.org/0000-0001-9889-9090"]},"institutions":[{"id":"https://openalex.org/I98677209","display_name":"University of Edinburgh","ror":"https://ror.org/01nrxwf90","country_code":"GB","type":"education","lineage":["https://openalex.org/I98677209"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Steven J. Yule","raw_affiliation_strings":["Department of Clinical Surgery The University of Edinburgh Edinburgh BioQuarter Edinburgh Scotland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Clinical Surgery The University of Edinburgh Edinburgh BioQuarter Edinburgh Scotland","institution_ids":["https://openalex.org/I98677209"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5073234082"],"corresponding_institution_ids":["https://openalex.org/I2802789809","https://openalex.org/I98677209"],"apc_list":{"value":4000,"currency":"USD","value_usd":4000},"apc_paid":{"value":4000,"currency":"USD","value_usd":4000},"fwci":null,"has_fulltext":true,"cited_by_count":3,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"48","issue":"2","first_page":"316","last_page":"319"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10916","display_name":"Surgical Simulation and Training","score":0.5601000189781189,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10916","display_name":"Surgical Simulation and Training","score":0.5601000189781189,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11731","display_name":"Global Health and Surgery","score":0.3264000117778778,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":0.05400000140070915,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/non-technical-skills","display_name":"non-technical skills","score":0.9900000095367432},{"id":"https://openalex.org/keywords/surgical-training","display_name":"surgical training","score":0.593999981880188},{"id":"https://openalex.org/keywords/low-and-middle-income-countries","display_name":"low- and middle-income countries","score":0.9729999899864197},{"id":"https://openalex.org/keywords/situational-awareness","display_name":"situational awareness","score":0.6430000066757202},{"id":"https://openalex.org/keywords/teamwork","display_name":"teamwork","score":0.5509999990463257},{"id":"https://openalex.org/keywords/leadership","display_name":"leadership","score":0.7139999866485596},{"id":"https://openalex.org/keywords/communication-skills","display_name":"communication skills","score":0.8500000238418579},{"id":"https://openalex.org/keywords/surgical-capacity-building","display_name":"surgical capacity building","score":0.45399999618530273},{"id":"https://openalex.org/keywords/perioperative-morbidity-and-mortality","display_name":"perioperative morbidity and mortality","score":0.6389999985694885},{"id":"https://openalex.org/keywords/human-factors","display_name":"human factors","score":0.5540000200271606},{"id":"https://openalex.org/keywords/resource-limited-settings","display_name":"resource-limited settings","score":0.5239999890327454},{"id":"https://openalex.org/keywords/rwanda","display_name":"Rwanda","score":0.7329999804496765},{"id":"https://openalex.org/keywords/surgical-workforce-shortage","display_name":"surgical workforce shortage","score":0.4480000138282776},{"id":"https://openalex.org/keywords/surgical-quality-improvement","display_name":"surgical quality improvement","score":0.4050000011920929},{"id":"https://openalex.org/keywords/emergency-general-surgery","display_name":"emergency general surgery","score":0.5370000004768372},{"id":"https://openalex.org/keywords/trauma-surgery","display_name":"trauma surgery","score":0.7509999871253967},{"id":"https://openalex.org/keywords/orthopedic-surgery","display_name":"orthopedic surgery","score":0.906000018119812}],"concepts":[{"id":"https://openalex.org/C111226992","wikidata":"https://www.wikidata.org/wiki/Q626225","display_name":"Teamwork","level":2,"score":0.5972867608070374},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5883090496063232},{"id":"https://openalex.org/C137992405","wikidata":"https://www.wikidata.org/wiki/Q1137608","display_name":"Health administration","level":3,"score":0.4963117241859436},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.45879504084587097},{"id":"https://openalex.org/C31174226","wikidata":"https://www.wikidata.org/wiki/Q64855140","display_name":"Perioperative","level":2,"score":0.4520232677459717},{"id":"https://openalex.org/C2778755073","wikidata":"https://www.wikidata.org/wiki/Q10858537","display_name":"Scale (ratio)","level":2,"score":0.44842156767845154},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.445879191160202},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.42148950695991516},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.41705283522605896},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.34139591455459595},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.26955294609069824},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.1980569064617157},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.17166665196418762},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.14084091782569885},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.1407242715358734},{"id":"https://openalex.org/C62520636","wikidata":"https://www.wikidata.org/wiki/Q944","display_name":"Quantum mechanics","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D002983","descriptor_name":"Clinical Competence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003906","descriptor_name":"Developing Countries","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013502","descriptor_name":"General Surgery","qualifier_ui":"Q000193","qualifier_name":"education","is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1002/wjs.12046","doi":"https://doi.org/10.1002/wjs.12046","is_oa":true,"landing_page_url":"https://doi.org/10.1002/wjs.12046","pdf_url":null,"source":{"id":"https://openalex.org/S60318618","display_name":"World Journal of Surgery","issn_l":"0364-2313","issn":["0364-2313","1432-2323"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"World Journal of Surgery","raw_type":"journal-article"},{"id":"pmid:38686780","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/38686780","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"World journal of surgery","raw_type":"Editorial"},{"id":"pmh:oai:pure.ed.ac.uk:openaire/1dd61955-53a3-4f51-bd8f-89bed4b8847c","doi":null,"is_oa":true,"landing_page_url":"https://www.research.ed.ac.uk/files/680743189/We_asked_the_experts_KERRAY_VOR_CC-BY.pdf","pdf_url":null,"source":{"id":"https://openalex.org/S4306400321","display_name":"Edinburgh Research Explorer (University of Edinburgh)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I98677209","host_organization_name":"University of Edinburgh","host_organization_lineage":["https://openalex.org/I98677209"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Kerray, F, Abahuje, E, Tambyraja, A & Yule, S 2024, 'We asked the experts: The evolving role of non-technical skills for surgery in low- and middle-income countries', World Journal of Surgery, vol. 48, no. 2, pp. 316-319. https://doi.org/10.1002/wjs.12046","raw_type":"info:eu-repo/semantics/publishedVersion"}],"best_oa_location":{"id":"doi:10.1002/wjs.12046","doi":"https://doi.org/10.1002/wjs.12046","is_oa":true,"landing_page_url":"https://doi.org/10.1002/wjs.12046","pdf_url":null,"source":{"id":"https://openalex.org/S60318618","display_name":"World Journal of Surgery","issn_l":"0364-2313","issn":["0364-2313","1432-2323"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"World Journal of Surgery","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9476000070571899,"display_name":"Good health and well-being"},{"id":"https://metadata.un.org/sdg/17","score":0.5217000246047974,"display_name":"Partnerships for the goals"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":10,"referenced_works":["https://openalex.org/W2131149153","https://openalex.org/W2592512002","https://openalex.org/W2765729287","https://openalex.org/W2787280455","https://openalex.org/W2803124552","https://openalex.org/W3010910207","https://openalex.org/W3125899769","https://openalex.org/W4223915721","https://openalex.org/W4226408203","https://openalex.org/W4317821225"],"related_works":["https://openalex.org/W2203010723","https://openalex.org/W2765729287","https://openalex.org/W2803124552","https://openalex.org/W2300309919","https://openalex.org/W2080831803","https://openalex.org/W7221042165","https://openalex.org/W4307733037","https://openalex.org/W2467468938","https://openalex.org/W4306251945","https://openalex.org/W2946223598"],"abstract_inverted_index":{"As":[0,537,638],"the":[1,14,23,29,33,69,86,124,201,223,233,258,268,305,331,432,438,446,498,502,507,514,538,563,609,677,695,788,804,813,836,844,859,891,896,946,951,975,988,1065,1091,1104,1119],"global":[2,573,805],"burden":[3],"of":[4,18,32,40,51,68,77,127,173,226,237,249,260,271,333,343,358,449,516,551,608,626,661,665,679,694,708,796,808,822,838,847,890,900,958,972,978,980,990,1006,1013,1015,1036,1038,1069,1095,1106],"surgically":[5],"treatable":[6],"conditions":[7],"continues":[8,1077],"to":[9,63,113,210,290,401,418,434,487,500,530,582,643,675,692,697,718,736,753,786,1078],"grow,":[10],"a":[11,48,75,118,128,247,389,456,648,705,730,755,1020,1087],"disparity":[12],"in":[13,96,120,130,183,253,264,281,330,349,361,388,398,431,437,473,495,504,541,619,651,710,715,757,784,850,868,895,1023,1052,1081,1103,1118],"quality":[15,153],"and":[16,44,54,58,83,92,94,100,105,143,152,161,177,200,214,229,232,240,273,280,283,287,293,346,355,366,373,378,383,405,440,468,480,497,522,567,577,588,621,634,654,663,682,699,723,726,742,759,768,799,824,831,862,885,898,963,970,974,995,1002,1026,1040,1047,1049,1055,1067,1076],"quantity":[17],"surgical":[19,108,121,149,312,359,539,574,613,636,701,731,760,809,832,848,893],"care":[20,339],"available":[21,738,1126],"across":[22,311,631],"world":[24],"persists.":[25],"Data":[26],"suggest":[27],"that":[28,45,141,304,319,326,780,791,874,1115],"poorest":[30],"third":[31],"world's":[34],"population":[35,680],"receive":[36],"less":[37],"than":[38],"4%":[39],"major":[41,306],"operations":[42],"performed,":[43],"there":[46,245,703],"is":[47,139,165,187,246,302,554,704,777,1003,1050,1101],"higher":[49],"rate":[50],"perioperative":[52,552],"morbidity":[53],"mortality":[55],"within":[56,817],"low-":[57],"middle-income":[59],"countries":[60,65],"(LMICs)":[61],"compared":[62],"high-income":[64],"(HICs).1-3":[66],"Some":[67],"reasons":[70],"cited":[71],"for":[72,197,386,459,461,616,954,968,993,998,1009,1044,1072],"this":[73,320,733],"include":[74,583],"lack":[76,342],"trained":[78],"healthcare":[79,590,688],"professionals,":[80],"acceptable":[81],"resources,":[82],"replenished":[84],"consumables;":[85],"cost":[87],"associated":[88,131],"with":[89,159,180,601,686],"treatment;":[90],"follow-up":[91],"complications;":[93],"shortcomings":[95],"national":[97],"policies,":[98],"protocols,":[99],"procedures.":[101],"Through":[102,352],"training":[103,164,494,782,798],"programs":[104,877],"capacity-building":[106],"collaborations,":[107],"services":[109,540,575,849],"are":[110,146,220,629,878,1116],"being":[111,641],"developed":[112,209,467],"overcome":[114],"these":[115],"challenges.":[116],"However,":[117,558],"rise":[119,129],"capacity":[122,806],"brings":[123],"concurrent":[125],"risk":[126],"adverse":[132],"events.":[133],"To":[134],"mitigate":[135],"against":[136],"this,":[137],"it":[138,315,422,443,1122],"critical":[140,653,779],"novel":[142],"evidence-based":[144],"strategies":[145],"incorporated":[147],"into":[148,611,828],"education,":[150],"training,":[151],"improvement":[154],"initiatives.":[155],"Combining":[156],"human":[157,1024],"factors":[158,1025],"technical":[160,181],"non-technical":[162,174,627],"skills":[163,175,225,235,286,503,628],"one":[166,370,374],"such":[167,193,450,658],"promising":[168],"paradigm":[169],"shift.":[170],"The":[171,549,624,820,1010,1030,1033,1041,1109],"importance":[172,550],"(NTS)":[176],"their":[178],"relationship":[179],"performance":[182,213],"influencing":[184],"operative":[185,565,617],"outcomes":[186],"recognized":[188,277],"widely.":[189],"In":[190,690,729],"HICs,":[191],"systems":[192],"as":[194,278,299,412,572,640,659],"Non-Technical":[195,203,457,1007],"Skills":[196,204,458,992,997,1008,1071],"Surgeons":[198,460,979,1014,1037],"(NOTSS)":[199],"Oxford":[202],"(NOTECHS)":[205],"scale":[206,578],"have":[207,256,275,296,484,754],"been":[208,276,297,317,470,751],"assess":[211],"surgeons'":[212],"inform":[215],"feedback":[216],"on":[217,222,251,453,765,1127],"NTS.":[218],"Categories":[219],"centered":[221],"cognitive":[224],"situation":[227],"awareness":[228],"decision":[230],"making,":[231],"social":[234],"themes":[236],"leadership,":[238],"teamwork,":[239],"communication":[241,272,285,767],"(Table":[242],"1).4":[243],"Although":[244],"paucity":[248],"data":[250],"NTS":[252,269,288,307,329,496,553,568,646,781,797,826,867,875],"LMICs,":[254,711],"studies":[255,483],"described":[257,408],"presence":[259],"similar":[261],"themes.":[262],"Specifically,":[263],"emergency":[265,635],"general":[266],"surgery,":[267],"categories":[270,308],"leadership":[274],"relevant,":[279],"trauma":[282],"orthopedics,":[284],"pertaining":[289],"patient":[291,454,544,725],"safety":[292,545],"infection":[294],"prevention":[295],"highlighted":[298],"priorities.":[300],"There":[301],"evidence":[303],"appear":[309],"reproducible":[310],"settings,":[313],"although":[314],"has":[316,469,750,1018,1059,1085,1111],"suggested":[318],"may":[321,327,734],"be":[322,510,525,547,1079,1124],"context":[323,332,463],"dependent.":[324],"Factors":[325],"alter":[328],"LMICs":[334,399,542],"are:":[335],"(i)":[336,856],"overburdened":[337],"health":[338,746],"systems,":[340],"(ii)":[341,872],"provider":[344,350],"empowerment,":[345],"(iii)":[347,886],"deficiencies":[348],"training.":[351,901],"interdisciplinary":[353],"interviews":[354],"direct":[356],"observations":[357],"teams":[360,618,810],"four":[362],"Rwandan":[363],"hospitals":[364],"(urban":[365],"rural":[367],"academic":[368],"hospitals,":[369],"military":[371],"hospital,":[372],"private":[375],"hospital),":[376],"Scott":[377],"colleagues":[379],"identified":[380,394,485],"representative":[381],"effective":[382],"ineffective":[384],"behaviors":[385],"NOTSS":[387,1054,1107],"variable-resource":[390,462],"context.5":[391],"They":[392,407],"also":[393],"unique":[395,814],"contextual":[396,451],"challenges":[397,452,790],"relating":[400],"resource,":[402],"staff,":[403],"communication,":[404],"systems.6":[406],"\u2026":[409],"surgeons":[410],"acting":[411],"\u201cbravos\u201d":[413],"(uncontrollable":[414],"or":[415,1121],"aggressive),":[416],"refusing":[417],"do":[419],"surgeries":[420],"when":[421,673],"does":[423],"not":[424],"suit":[425],"them.":[426],"This":[427,667],"process":[428],"led":[429],"patients":[430],"study":[433],"lose":[435],"trust":[436],"system":[439],"eventually":[441],"avoid":[442],"altogether.":[444],"Recognizing":[445],"potential":[447],"impact":[448],"safety,":[455],"(NOTSS-VRC)":[464],"curriculum":[465],"was":[466],"successfully":[471],"delivered":[472],"several":[474],"sub-Saharan":[475],"locations,":[476],"including":[477],"Kenya,":[478],"Nigeria,":[479],"Rwanda.8":[481],"Follow-up":[482],"that,":[486],"achieve":[488],"optimal":[489],"delivery:":[490],"participants":[491],"require":[492],"high-quality":[493],"ability":[499],"implement":[501],"differing":[505],"contexts;":[506],"course":[508,610,1082],"should":[509,524,561,802],"made":[511,1125],"multidisciplinary":[512,564,892],"through":[513,527],"use":[515,707,883],"scenarios":[517],"involving":[518,887],"other":[519],"theater":[520],"roles,":[521],"access":[523,717],"facilitated":[526],"online":[528],"resources":[529],"reduce":[531],"travel":[532],"time":[533],"away":[534],"from":[535,585,598,604,945,1029,1090],"work.":[536],"expand,":[543],"must":[546,570],"protected.":[548],"now":[555],"well":[556,639],"established.":[557],"learning":[559],"opportunities":[560],"target":[562],"team,":[566],"education":[569,827,876,1028],"evolve":[571],"modernize":[576],"up.":[579],"Widening":[580],"participation":[581],"representatives":[584],"anesthesia,":[586],"nursing,":[587],"nonphysician":[589],"workers":[591],"A":[592],"hybrid":[593],"delivery":[594,899,1068,1105],"method":[595],"incorporating":[596],"video-conferencing":[597],"remote":[599],"instructors":[600],"face-to-face":[602],"teaching":[603,1053],"local":[605,839],"faculty":[606],"Integration":[607],"existing":[612],"skill":[614],"workshops":[615],"provincial":[620],"district":[622],"hospitals.":[623],"principles":[625],"consistent":[630],"all":[632,888],"elective":[633],"settings.":[637],"integral":[642],"intraoperative":[644],"performance,":[645],"play":[647],"pivotal":[649],"role":[650,756],"directing":[652],"culturally":[655],"sensitive":[656],"decisions":[657],"goals":[660],"treatment":[662,684],"ceilings":[664],"care.":[666],"will":[668,842],"become":[669],"increasingly":[670],"relevant":[671,825],"globally":[672],"trying":[674],"balance":[676],"demands":[678],"growth":[681],"greater":[683],"options":[685],"finite":[687],"resources.":[689],"response":[691],"some":[693],"barriers":[696],"safe":[698,845],"timely":[700],"care,":[702],"growing":[706],"telemedicine":[709],"which":[712,865,986,1063],"can":[713],"assist":[714],"democratizing":[716],"services,":[719],"reducing":[720],"unnecessary":[721],"transfers,":[722],"facilitating":[724],"professional":[727],"education.9":[728],"context,":[732],"translate":[735],"increased":[737],"appointments,":[739],"easier":[740],"follow-up,":[741],"more":[743],"accessible":[744],"public":[745],"messages.":[747],"Similarly,":[748],"mHealth":[749],"shown":[752],"medical":[758,829],"rehabilitation.10":[761],"These":[762],"technologies":[763],"rely":[764],"accurate":[766],"proficient":[769],"decision-making,":[770],"however":[771],"under":[772],"quite":[773],"different":[774,818,869],"conditions.":[775],"It":[776],"therefore":[778],"develops":[783],"tandem":[785],"address":[787],"specific":[789],"they":[792],"pose.":[793],"Future":[794,852],"iterations":[795],"assessment":[800],"tools":[801],"complement":[803],"building":[807],"by":[811,880],"targeting":[812],"considerations":[815],"present":[816],"contexts.":[819],"integration":[821],"adapted":[823],"school":[830],"residency":[833],"curricula,":[834],"alongside":[835],"development":[837],"accredited":[840],"trainers,":[841],"support":[843],"expansion":[846],"LMICs.":[851],"research":[853,943,1021,1062,1088],"priorities":[854],"include:":[855],"further":[857,1113],"characterizing":[858],"technological,":[860],"socioeconomic,":[861],"specialty-specific":[863],"factors,":[864],"influence":[866],"LMIC":[870],"settings;":[871],"ensuring":[873],"informed":[879,987,1064],"those":[881],"who":[882],"them;":[884],"members":[889],"team":[894],"design":[897,989,1066],"Fiona":[902],"M.":[903],"Kerray:":[904],"Writing":[905,916],"\u2013":[906,910,917,927,937],"original":[907,984,1061],"draft,":[908],"writing":[909,926,936],"review":[911,918,928,938],"&":[912,919,929,939,948],"editing.":[913,920,930,940],"Egide":[914],"Abahuje:":[915],"Andrew":[921],"L.":[922],"Tambyraja:":[923],"Conceptualization,":[924,934],"supervision,":[925,935],"Steven":[931],"J.":[932],"Yule:":[933],"SY":[941,982],"reports":[942],"grants":[944],"Johnson":[947,949],"Foundation,":[950,1032],"National":[952,959,961],"Institutes":[953],"Health,":[955,1097],"Canadian":[956],"Department":[957],"Defence,":[960],"Aeronautics":[962],"Space":[964],"Association,":[965],"Melville":[966],"Trust":[967],"Care":[969],"Cure":[971],"Cancer,":[973],"Royal":[976,1011,1034],"College":[977,1012,1035],"Edinburgh.":[981,1016],"co-authored":[983,1060],"research,":[985],"\u2018Non-technical":[991,996,1070],"Surgeons\u2019":[994],"Surgery-Variable":[999,1073],"Resource":[1000,1074],"Contexts\u2019":[1001,1075],"currently":[1004],"Director":[1005],"FK":[1017],"received":[1019,1086],"fellowship":[1022,1089],"digital":[1027],"Circulation":[1031],"Edinburgh":[1039],"Vascular":[1042],"Society":[1043],"Great":[1045],"Britain":[1046],"Ireland,":[1048],"involved":[1051,1080,1102],"NOTSS-VRC":[1056],"courses.":[1057,1108],"EA":[1058,1084],"delivery.":[1083],"Robert":[1092],"Havey":[1093],"Institute":[1094],"Global":[1096],"Northwestern":[1098],"University.":[1099],"ALT":[1100],"author":[1110],"provided":[1112],"references":[1114],"included":[1117],"article":[1120],"could":[1123],"request.":[1128]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":2}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2024-01-14T00:00:00"}
