1. RESPECTFULLY ASSESS PERFORMANCE
Define opportunities for improvement clearly and courteously.
Deliver corrective feedback focused on surgical performance, not the individual.
2. Provide ACTIONABLE RECOMMENDATIONS
Give practical, direct suggestions for improvement.
Include useful guidance on next steps.
3. Be specific about your observations
Describe your detailed impression of the performance.
Outline specific suggestions for skills improvement.
4. Focus on the educational value
Offer surgeons new insights into their procedures.
Provide enlightening tips and tricks from your experience.
5. enSURE YOUR feedback is relevant to the case
Take case context tags into consideration while delivering feedback.
Watch other steps of the case video if you require more context.
COMMUNITY GROUND RULES
1. PROVIDE FEEDBACK THAT IS ACTIONABLE, CONSTRUCTIVE, & EMPOWERING.
Avoid inferences and evaluative language.
Build a dynamic, constructive learning environment.
Cutting, insulting remarks will not be tolerated.
"You have good control of robotic instruments and your case flows well. In this case, the vaginal cuff was almost hemostatic just after transection, thus any technique adjustments were certainly not needed here. I like how you were pushing tissue back on the suture at 01:24 to make your closure more hemostatic. Many people don't do it. I think that you have good, methodical technique and you can certainly keep making progress if you stay open-minded."
“Your robotic instrument technique is good. Great suturing. However, I’m not sure why you handled the tissue so roughly. To be a good surgeon (which you are not yet), you have to handle tissue with care. Remember, the fertility of the patient is in your hands.”
2. Reinforce the value of the review system.
Do not copy and paste comments, cling to a strict format for reviewing, or game the minimum character count.
The review system is strategically designed to drive custom learning opportunities to all surgeons on our platform.
“The surgeon places five knots using Gore-Tex suture to affix the mesh at 0:39, 3:26, 4:44, 6:42, and 8:41. I recommend bringing the camera closer to improve visualization of the suture and depth perception for grasping the end of the suture. Five evenly tensioned throws for the Gore-Tex suture are sufficient to provide knot security.”
“The surgeon has poor visualization. The surgeon exhibits hesitation and lack of confidence. Lack of movement. This may be because of the attention being paid to the non-thoracoscopic portion of the procedure. Good bimanual dexterity. Poor coordination with assistant ----------------------------------------------------------------"
3. Work toward a shared understanding.
Make good use of your ability to have conversations with surgeons.
Achieve a shared understanding of their case and educational needs through clarifying questions and discussion.
“Nice mobilization.This seems like a chronically inflamed sigmoid colon densely adherent to the uterus––is that the case? If so, overall, excellent work. I usually find it useful to look around with the laparoscope at the beginning of the procedure and pull any intestine out of the pelvis and optimize the table position before docking and placing any instruments, unless you have table motion. I also recommend using arm 3 and your assistant to assist with the exposure during this initial step."
“The surgeon should change his/her steps around to take advantage of the robot. I would begin by going medial to a lateral dissection. I don’t understand what the surgeon was doing there, but I would also leave the adhesions from the colon to the abdominal wall in place to assist with the exposure. I still don’t understand what the surgeon is trying to do, but, overall, this was done poorly.”
4. Support your feedback with educational resources
Include links to helpful sources such as Expert Case Studies, case videos, research articles, and other reference materials.
Clearly state the educational value of resources you recommend.
“I sometimes use the 3mm striker alligator grasper from the region to lift the adnexa so that it is easier to operate on sidewalls. Take a look at the image provided so that you, too, can benefit from the usage of this instrument: https://bit.ly/2vKiKgi."
“The only correct way (my way) to remove the chest wall tumor is to be aggressive with the tissue when dissecting it out. I wouldn't expect you to perform this as well as I do though, but you should try.”
5. Learn and share something new
Have an open mind about approaches you may not personally favor.
Drive a growth mindset with our community of surgeons — there is always something new to learn and ways to improve in your craft
“At 8:00, early decompression of the stomach might have been beneficial. Often times, using the EGD, NGT or bougie at this juncture can remove that distension, making the dissection easier. You did a great job regardless, but earlier decompression could add some speed and style points. At 31:40, excellent work in creating tension and counter-tension to open up the dissection along the greater omentum. Although these are very basic and textbook surgical skills, they are often forgotten in laparoscopic and robotic surgery. These techniques are important foundations to learning even more efficient methods to have a safe and effective surgery. Great reminder for me, as well. Job well done.”
“At 11:00, this was a poor dissection. Your dynamic retraction with your left hand can often damage tissue and, personally, I would stick to standard moves. Overall, this was very poorly done.”
6. Qualify for your role on the expert panel
Submit 5 or more unedited case videos of your common procedures to score an overall C-SATS score in the top quartile.
Submit your most recent raw case videos annually to re-qualify your role as an Expert Reviewer.
Continually send case videos throughout the year to maximize the benefits of the platform and our community of surgeons for your surgical skills improvement.