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Updated: Jan 20, 2026
10:29
Principles of Rodent Surgery for the New Surgeon
Published on: January 6, 2011
117.0K
Identifying Naturalistic Coaching Behavior Among Practicing Surgeons in the Operating Room
Jason C Pradarelli1,2, Megan Delisle2,3, Alexandra Briggs4
1Department of Surgery, Brigham and Women's Hospital, Boston, MA.
Annals of Surgery
|August 20, 2019
Summary
Practicing surgeons exhibit naturalistic coaching during operations, focusing on self-identified goals and collaborative analysis. However, constructive feedback and peer learning support are often missing, highlighting areas for surgical coach training.
Area of Science:
- Medical Education
- Surgical Performance Improvement
- Qualitative Research Methods
Background:
- Practicing surgeons have limited opportunities for performance improvement.
- Surgical coaching is a strategy to enhance surgical skills.
- Understanding surgeons' discussions of operative performance is crucial for developing effective peer coaching programs.
Purpose of the Study:
- To identify naturalistic coaching behaviors among practicing surgeons during intraoperative discussions.
- To analyze the content and principles of surgical coaching as observed in real-time surgical settings.
Main Methods:
- Discourse analysis of transcribed intraoperative discussions from 10 co-surgery operations involving 20 faculty surgeons.
- Coding of themes using a framework of surgical coaching principles and content (technical and nontechnical skills).
- Cross-referencing coaching principles with content and measuring associations using the c-coefficient.
Main Results:
- 44 unique coaching examples were identified across 10 operations.
- Self-identified goals and collaborative analysis were consistently observed coaching principles.
- Self-identified goals were associated with technical skills (tissue exposure, flow, instrument handling) and nontechnical skills (situation awareness).
- Collaborative analysis was linked to technical skills (respect for tissue, flow) and nontechnical skills (communication, teamwork).
Conclusions:
- Practicing surgeons demonstrate unprompted intraoperative coaching behaviors targeting performance.
- Significant gaps exist in constructive feedback and peer learning support during surgical coaching.
- Surgical coach training programs should incorporate strategies to address identified coaching deficiencies.
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