Educational Value of Surgical Multidisciplinary Team Meetings for Learning Non-Technical Skills - A Pilot Survey of Trainees From Two UK Deaneries

Abstract

Objective: This prospective survey study aimed to identify trainee surgeons' views on the educational potential of multi-disciplinary team (MDT) meetings for learning non-technical skills and relevant issues around using MDT meetings as an educational instrument.

Design: An online survey questionnaire containing eight closed and three open-ended questions; was developed based on established educational theories. Responses were anonymous.

Setting: This survey study was designed as professional project for masters in medical education degree at Warwick University. The study received ethical approval from the Biomedical Science Research and Ethics Committee of Warwick University.

Participants: Trainee surgeons and non-trainee junior surgical doctors within two regions (Health Education Kent Surrey and Sussex, Health Education Wessex) in the UK were invited through an email to take the survey with the help of regional heads of surgery and coordinators.

Results: Twenty eight (28) out of 420 invitees completed the survey. High internal consistency was observed for questionnaire (Cronbach's α = 0.924). 71.42% (20/28) respondents attended MDT at least once a week. 75.9% of participants indicated the importance of attendance to MDT meetings with any level of involvement; passive attendance considered the least important (5/28, 17.9%, p=0.005). Trainees felt included in the team by attendance to MDT meetings (Median score 5, p=0.027). MDT meetings were considered important for learning all domains of non-technical skills for surgeons taxonomy (cumulative mean score 2.4, p=001). Respondents considered MDT as a valuable tool for learning non-technical skills for surgeons on Miller's pyramid for learning (Cumulative mean 5.6, p=0.025). Free text answers indicated agreement to the learning opportunity provided by MDT meetings. Consistent suggestions of increasing trainee participation were obtained.

Conclusion: Results indicate consistently positive views from trainees about the educational value of MDT meeting in general and for non-technical skills. Trainee participation, in the form of case-preparation, presentation, and discussion are recommended by respondents.

Keywords: ACGME; Accreditation Council for Graduate Medical Education; BSREC; Biomedical Sciences Research and Ethics Committee; CBD; CCT; CESR; CT1; Certificate of Completion of Training; Certificate of Eligibility for Specialist Registration; Core Trainee year 1; Developing individual competence; EWTD; European Working Time Directive; FRCR; Fellowship of the Royal College of Radiologists; ISCP; Intercollegiate Surgical Curriculum Programme; Interpersonal and Communication Skills; Interprofessional education; KSS; Kent Surrey and Sussex; Learning; MDT; Mentoring; NCAT; NOTSS; National Cancer Action Team; Non-Technical Skills for Surgeons; Practice-Based Learning and Improvement; Professionalism; ST1 to 8; Speciality Trainee –year 1 to year 8; Team learning; WHO; WPBA; World Health Organization; case based discussion; multi-disciplinary team; work place based assessment.