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Video review for measuring and improving skill in urological surgery


Interest is growing within the urological surgery community for objective assessments of technical skill. Surgical video review relies on the use of objective assessment tools to evaluate both global and procedure-specific skill. These evaluations provide structured feedback to surgeons with the aim of improving technique, which has been associated with patient outcomes. Currently, skill assessments can be performed by using expert peer-review, crowdsourcing or computer-based methods. Given the relationship between skill and patient outcomes, surgeons might be required in the future to provide empirical evidence of their technical skill for certification, employment, credentialing and quality improvement. Interventions such as coaching and skills workshops incorporating video review might help surgeons improve their skill, with the ultimate goal of improving patient outcomes.

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Fig. 1: Systematic assessment of surgical skill using video review.
Fig. 2: Video review for assessing skill and improving technique and outcomes.


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The authors thank all the surgeons and support staff from the Michigan Urological Surgery Improvement Collaborative.

Reviewer information

Nature Reviews Urology thanks M. Goldenberg, R. Satava and P. Pucher for their contribution to the peer review of this work.

Author information




K.R.G. and Z.J.P. researched data for the article and wrote the manuscript. D.C.M., K.R.G. and Z.J.P. made substantial contributions to discussion of content. All authors reviewed and/or edited the article before submission.

Corresponding author

Correspondence to Khurshid R. Ghani.

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Competing interests

K.R.G. has received contract support from Blue Cross Blue Shield of Michigan for serving as the Co-Director of the Michigan Urological Surgery Improvement Collaborative. K.R.G. has also received an Intuitive Surgical Inc., Technology Research grant. D.C.M. has received contract support from Blue Cross Blue Shield of Michigan for serving as the Director of the Michigan Urological Surgery Improvement Collaborative. Z.J.P and J.O.P. declare no competing interests.

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Prebay, Z.J., Peabody, J.O., Miller, D.C. et al. Video review for measuring and improving skill in urological surgery. Nat Rev Urol 16, 261–267 (2019).

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