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. 2020 Jul 13;35(6):2928–2935. doi: 10.1007/s00464-020-07732-z

Table 1.

Elements of objective structured assessment of technical skill (OSATS)

Grading definition
 1 Deficient/Traumatic
 2 Lacking/Lacks finesse
 3 Average
 4 Skilled
 5 Master/Flawless
Grading aspects and elucidation

 Gentleness

 Time and motion

 Instrument handling

 Flow of operation

 Tissue exposure

 Summary

Gentle tissue handling that does not result in injury

Economy of motion, maximum efficiency

Fluid use of instruments without awkwardness

Smooth transitions from one part of the operation to another

Retraction that allows for good visualization and proper tissue alignment

Overall assessment of technical skill

5-Point rating scale modified for static surgical environments [15, 16]