Ohio State residents can expect feedback within three days of a surgery that is performed as part of our innovative OR Coaching project. As a key element of our residency training program, the coaching is intended to give timely comments and constructive ideas for improvement, ultimately accelerating resident preparedness for independent surgery. This active monitoring of each resident’s surgical skills and procedure-specific feedback for chief residents includes observation and evaluation of 12 cases (three each for lap chole, inguinal hernia, ventral hernia and lap colectomy). Following each observed operation, the attending, resident and project leaders E. Christopher Ellison, MD, and Phoenix Chen, PhD, MS, then fill out the same Surgical Entrustable Professional Activities (SEPAs) evaluation. Residents have noted how the program has helped them understand the positive impact of even small procedural changes and helped them correct potentially negative habits before they become ingrained.