Implementing a coaching program for practicing surgeons

Editor's Note

Several technical and nontechnical skill sets of practicing surgeons were found to be in need of improvement, in this study, which provided support for implementing coaching programs for surgeons on an ongoing basis.

A total of 32 surgeons (18 general, 14 gynecologists) from 6 hospitals were assessed; 9 of them participated in coaching.

Technical aspects identified for performance improvement included:

• poor visualization of the operating field
• bimanual dexterity
• dissection techniques.

Nontechnical aspects included:

• inappropriate handling of distractions, interruptions
• poor situational awareness
• inadequate mitigation of delays.

The participants found the coaching sessions highly valuable.

While performance feedback and assessment are hallmarks of surgical training, they abruptly cease after training is completed. In their absence, performance may stagnate and poor habits persist. Our aim was to develop a coaching mechanism for practicing surgeons with feedback provision based on objective performance assessment.