Surgeons are committed to optimizing the quality and safety of the care that we provide to ensure the best outcomes for our patients. Most current quality improvement initiatives target the system and processes of care around us. In contrast, surgical training emphasizes the primacy of the surgeon in determining the outcomes of our patients. As a result, many surgeons struggle with the current focus on a systems view of quality and safety and the apparent incongruity with the traditional surgical value of personal responsibility. Despite the focus placed on personal performance during residency, once training is complete, there is a lack of structured programs to support individual surgeons in examining their skills and their own individual improvement.
Greenberg CC, Dombrowski J, Dimick JB. Video-Based Surgical CoachingAn Emerging Approach to Performance Improvement. JAMA Surg. 2016;151(3):282-283. doi:10.1001/jamasurg.2015.4442