Leadership and Working in Teams

Leadership and working in teams are core aspects of surgical training and practice. They are highlighted in the General Medical Council’s ‘General Professional Capabilities’ framework, are a key part of the Intercollegiate Surgical Curriculum Programme, are included in Good Surgical Practice guidance published by the Royal College of Surgeons of England and are incorporated in the ‘Non-Technical Skills for Surgeons’ programme run by the Royal College of Surgeons of Edinburgh. Major healthcare failings, as detailed in a number of public inquiries, underline the importance of prioritising leadership and teamworking in current undergraduate and postgraduate surgical training. A growing body of research has helped to identify the positive attributes and behaviours that are central to leading and working in the surgical team effectively. Evidence-based tools are increasingly being used for training and assessment as well as ongoing reflective practice for surgeons at all stages of their careers. Surgeons have a duty to promote a safe and positive working environment that enhances the performance of the team and leads to high quality patient care.