[Skip to Navigation]
Sign In
Surgical Innovation
November 13, 2019

Measuring and Teaching Intraoperative Decision-making Using the Visual Concordance Test: Deliberate Practice of Advanced Cognitive Skills

Author Affiliations
  • 1Division of General Surgery, University Health Network, Toronto General Hospital, Toronto, Ontario, Canada
  • 2Department of Surgery, Columbia University Medical Center, New York, New York
  • 3Department of Gastroenterological Surgery II, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan
JAMA Surg. 2020;155(1):78-79. doi:10.1001/jamasurg.2019.4415

Many operative complications have root causes that can be traced back to a lapse in judgment or errors in decision-making during surgery.1,2 The process of decision-making is very situation dependent, often without an obvious answer, making it extremely complex to define and measure. This issue has become more pronounced in an era of increased emphasis on patient safety and intraoperative performance.

Add or change institution
Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words