My research aim is to improve OR safety and surgical outcomes for patients by focusing on intraoperative non-technical skills. I led the multidisciplinary team who developed the NOTSS (Non-Technical Skills for Surgeons) behavior rating system; a method of observing, rating and providing feedback on four categories of skill: situation awareness, decision making, communication & teamwork, and leadership. I have also been involved in developing a similar rating system for scrub technicians (SPLINTS – Scrub Practitioners Non-technical Skills), and a research tool for measuring leadership in the OR (SLI: Surgical Leadership Inventory). Of major importance in these studies is the development of validated skills taxonomies which can be used to structure training and assessment in these emerging areas of clinical competence. I am also interested in simulation and technology for learning, and as Director of Education and Research at STRATUS Center for Medical Simulation, I oversee the educational component of simulation-based training and advise faculty on course evaluation and research design.