[Skip to Content]
[Skip to Content Landing]
Surgical Innovation
March 2016

Video-Based Surgical Coaching: An Emerging Approach to Performance Improvement

Author Affiliations
  • 1Wisconsin Surgical Outcomes Research (WiSOR) Program, Department of Surgery, University of Wisconsin Hospitals and Clinics, Madison
  • 2JCD Advisors LLC, Ann Arbor, Michigan
  • 3Center for Healthcare Outcomes & Policy, Department of Surgery, University of Michigan, Ann Arbor, Michigan
JAMA Surg. 2016;151(3):282-283. doi:10.1001/jamasurg.2015.4442

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.