• Deirdre Holly, Vivien Swanson, Philip Cachia, Beverley Beasant, and Colville Laird.
• Psychology Directorate, NHS Education for Scotland, 89 Hydepark St., 2 Central Quay, Glasgow, G3 8BW, Scotland, UK. Electronic address: deirdre.holly@nes.scot.nhs.uk.
• Appl Ergon. 2017 Jan 1; 58: 405-413.

BackgroundRemote and Rural pre-hospital care practitioners manage serious illness and injury on an unplanned basis, necessitating technical and non-technical skills (NTS). However, no behaviour rating systems currently address NTS within these settings. Informed by health psychology theory, a NTS-specific behaviour rating system was developed for use within pre-hospital care training for remote and rural practitioners.MethodThe Immediate Medical Care Behaviour Rating System (IMCBRS), was informed by literature, expert advice and review and observation of an Immediate Medical Care (IMC) course. Once developed, the usability and appropriateness of the rating system was tested through observation of candidates' behaviour at IMC courses during simulated scenarios and rating their use of NTS using the IMCBRS.Results And ConclusionObservation of training confirmed rating system items were demonstrated in 28-62% of scenarios, depending on context. The IMCBRS may thus be a useful addition to training for rural and practitioners.Copyright © 2016 Elsevier Ltd. All rights reserved.

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