Lachlan Dick

MedEd Fellow @NHSLothianmeded | PhD fellow investigating surgical video 🎥 analysis in education @SurgicalSaber | Gen Surg SpR | Dad & Husband | Bagpiper 🎼

[Lachlan Dick @lachiedick]

Excited to share 'The Technology-Enhanced Surgical Training (TEST) Delphi consensus study' published in @JSurgEduc

Surgery is becoming increasingly digitised 📈 and there is great opportunity to provide trainees with objective performance insights.

https://t.co/gTOKMDL5bZ

🧵

[BJS @BJSurgery]

Identifying novel indicators of non-technical skills derived from operative video annotation
➡️https://t.co/osqBZtpssC

🤖 Can surgical gestures reflect cognitive skills? This study tested whether video-derived gestures can indicate surgeons’ cognitive non-technical skills (NTS).
🎥 Methods: 40 laparoscopic appendicectomy videos analysed (10,385 events; 87,374 data points). Twelve experts rated decision-making and situation awareness using NOTSS.
📊 Results: Mean cognitive NOTSS 5.6/8, with strong correlation between domains (r = 0.8; P < 0.001). Video-derived metrics explained 39.6% of variance in expert ratings.
🚀 Take-home: Cognitive NTS may be inferred from surgical video alone, enabling scalable automated assessment tools.

Work by Lachlan Dick, MBChB , Connor Boyle, MBChB , Victoria Ruth Tallentire, MD , Joe Norton, MBBS , Emma Howie, MBChB , Douglas S Smink, MD, MPH , Richard J E Skipworth, MD , Steven Yule, PhD on behalf of , the Surgical Video Grading and Assessment (SVGA) Group

#SurgicalEducation #NOTSS #SurgicalAI #SurgicalTraining #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP #TeachMeColoproctology
#Some4COLoprocto

[BJS @BJSurgery]

Impact of surgical non-technical skills on clinical outcomes: systematic review
➡️ https://t.co/sJEdsVjuvL

• 🗣️ Deficits in intraoperative leadership, communication, and teamwork are linked to inefficiency and error
• 📊 Systematic review of 21 studies, covering 251,180 procedures across 13 specialties
• ✅ 57% of studies showed significant improvements in patient outcomes (including complications and mortality) when NTS were stronger
• 👀 Observational studies showed the strongest signal: 82% reported better clinical outcomes
• 🧑‍🤝‍🧑 No study showed harm from improved NTS
• 📘 Findings support behavioural assessment, team training, and embedding NTS into surgical governance and safety frameworks

Work by Joel Norton , Allison M Janda , Emma Howie , Nicole Pohl , Egide Abahuje , Steven D Harrington , Vitaliy Popov , Tyler M Bauer , Paulo Borges , Gabriela Querejeta Roca , Michael R Mathis , Raymond J Strobel , Austin Airhart , Nicole Pham , Ryan Harari , Jake A Awtry , Francis D Pagani , Roger D Dias , Donald S Likosky , Steven Yule on behalf of , the Video Assessment of CaRdiac Surgery QualITY (VARSITY) Surgery Group

#SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #some4hpb #some4tpl @DPCG_official @pancreatitis_nl @PancreasClub #PancreasClub2023 #PancreaticCancer #Pancreatitis #HCC @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe #PancreaticCancer #cholangiocarcinoma #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP #TeachMeColoproctology
#Some4COLoprocto #some4UGI #uppergi #esophagealcancer #gastriccancer #reflux @ISDE_net @Augishealth @roux_group @T4UGIS @SARONG_Trial @YoungIFSO #bariatricsurgery

[Medical Education @MedEd_Journal]

Who doesn't like House Parties? But what do we learn from them? This article examines how the exaggeration of medical skills on television could foster unrealistic expectations in our medical students.
#MedEd @asmeofficial @lachiedick @AVandalSim
https://t.co/DWvPo7ek9U

[Lachlan Dick @lachiedick]

Our latest work, targeting students before their first operating theatre experience using 🎥-based learning is just out!

https://t.co/moa0Ad6KwT

More work in the pipeline to explore longitudinal benefits 📈 on student placements and learning.

@katiephughes

[The Royal College of Surgeons of Edinburgh @RCSEd]

The RCSEd Faculty of Surgical Trainers Annual Conference returns on Friday 17 April 2026 at RCSEd Birmingham. More details coming soon!

[Lachlan Dick @lachiedick]

Pleased to share our #ICOSET25 @RCSEd 📝 on Shadowbox simulation for surgical decision-making training in @JSurgEduc

Novel 🎥-based simulation blending learner input, best-practice demonstration and debriefing.

https://t.co/yx4P2gUKkK

@connrboyle @nikkibruce99 @katiephughes

[Journal of Surgical Education @JSurgEduc]

Data-Driven Metrics of Operative Performance: The Technology-Enhanced Surgical Training (TEST) Delphi Consensus Study #artificialintelligence #feedback #operativeperformance #patientcare #performancemetrics #surgicaltraining #MedEd #MedTwitter https://t.co/42z0q611qG

[Edinburgh Surgical Sabermetric Group @SurgicalSaber]

📖Just published in @JAMASurgery.

‘The application of the 4 pillars of athletic performance can be applied to an operation.’

Technical 🔪
Tactical 🤔
Physical 💪
Cognitive ⚖️

@connrboyle

https://t.co/IwVOOEwrV7

[Lachlan Dick @lachiedick]

@RCSEd @ASiTofficial @asgbi @ASGBI_MA @RaDiSTCommittee @rcpsglasgow @RCSI_Irl @RCSnews

[Lachlan Dick @lachiedick]

Excited to share 'The Technology-Enhanced Surgical Training (TEST) Delphi consensus study' published in @JSurgEduc

Surgery is becoming increasingly digitised 📈 and there is great opportunity to provide trainees with objective performance insights.

https://t.co/gTOKMDL5bZ

🧵

[Lachlan Dick @lachiedick]

@RichSkipworth @NOTSS_lab @dougsmink @SurgicalSaber @EdinUniUsher @EdinSurg

[Lachlan Dick @lachiedick]

Simulation plays an increasingly important role in surgical training 😷

➡️ New formats + technologies can meet a greater range of objectives + learning styles.

➡️ From 🤖 to 🎥 based-simulation, there is potential to enhance training + skill acquisition.

@NHSLothianMedEd

[Andrew Robertson @robertson__a]

Pleased to share our latest publication on simulation in surgical training @lachiedick @EdinSurg

https://t.co/CYLmtETIWl

[Lachlan Dick @lachiedick]

The challenges of placement-based education… and how we can leverage new technologies to provide remote learning #asme2025

[Lachlan Dick @lachiedick]

How do we better prepare students for the operating theatre? 😷 Just published with @katiephughes in @TheSurgJour @RCSEd

➡️ It’s not just about knowledge 📚
➡️ Contextual and emotional preparation are also key to learning success🏅

https://t.co/JEWya3oxay

@NHSLothianMedEd

[Edinburgh Surgical Sabermetric Group @SurgicalSaber]

We are incredibly humbled to have received this award from @RCSEd in recognition of our work.

A fantastic way to end an inspiring week of learning, collaboration and fun.