What question did this study set out to answer?

February 12, 2026Open Access

Development of a stakeholder informed framework for the implementation of surgical sabermetrics to enhance training and education

LDLachlan DickNHS Lothian EHEmma HowieUniversity Hospital Crosshouse JNJoel NortonEdinburgh Royal Infirmary

Key Points

The aim is to create a framework for integrating data-driven surgical sabermetrics into training curricula by utilizing stakeholder insights.
Conducted structured workshops at two international surgical conferences.
Engaged delegates in discussions, polling, and concept mapping exercises.
Explored opportunities, delivery methods, and contextualization for surgical metrics.
Fifty-four trainees and trainers from 13 countries contributed insights.
Identified opportunities for providing objective feedback and assessing non-technical skills.
Prioritized varied delivery methods including video for technical skills and dashboards for non-technical skills.

Abstract

Abstract Background Surgical training relies heavily on subjective performance evaluation, which is resource-intensive and prone to assessor bias. Advances in digital surgery offer opportunities for objective assessment. While validity evidence for data-driven assessments increases, strategies for implementation in surgical training remain scarce. This study leveraged stakeholder insights to develop an implementation framework for integrating data-driven surgical sabermetrics into training curricula. Methods Structured workshops were conducted at two international surgical conferences (Association of Surgeons of Great Britain and Ireland Congress, Edinburgh, May 2025; International Conference on Surgical Education and Training, Edinburgh, June 2025). Delegates participated in facilitated discussions, interactive polling, and group concept-mapping exercises to explore opportunities, delivery modalities, access rights, and contextualisation for surgical performance metrics. Stakeholder perceptions were used to iteratively develop an implementation framework, balancing applicability to current training pathways and capturing the nuances of data-driven insights. Results Fifty-four surgical trainees and trainers from 13 countries contributed. Opportunities centred on enhancing objective feedback, assessing non-technical skills, and tracking trainee progression. Video-based delivery and real-time feedback were prioritised for technical skills; dashboards for non-technical and cognitive skills; and structured reports for performance-based metrics. Supervising surgeons and training leads were identified as essential users of trainee data, with integration of multimodal data (e.g., surgeon physiology, case complexity) deemed essential for contextualisation. Conclusion This study presents an implementation framework for surgical sabermetrics in training. The framework provides practical guidance on delivery, access, and integration of performance metrics, supporting data-driven feedback to optimise trainee development, advance surgical education, and improve patient outcomes.

AIに質問

Bookmark

View Full Paper