摘要: Surgeons' intraoperative decision making is a key element of clinical practice, yet has received scant attention in the surgical literature. In recent years, serial changes configuration training UK have reduced time spent by trainees operating theatre. The opportunity to replace this lost experience with active teaching important, but there seem been very few studies that directly examined cognitive skills underlying during operations. From available evidence surgery, and drawing from research other safety‐critical occupations, four decision‐making strategies surgeons may use are discussed: intuitive (recognition‐primed), rule based, option comparison creative. processes should be studied provide better base for environment.