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0001). The assessment provides a safe alternative to assess trainees in the operating room and encourages them to become more effective communicators. With the use of technology, large video databases can be created to provide just-in-time tailored feedback to the trainees. Video Commentary can serve as a time and resource-efficient assessment of trainees' surgical cognitive skills and insight. The use and demand of real-time commentary on operative videos may provide a viable approach to help surgeon educators determine trainees' basel