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Interns retained all skills and improved upon techniques frequently practiced during intern year. An eight-week boot-camp effectively improved technical skills among surgery interns. Interns retained all skills and improved upon techniques frequently practiced during intern year. Our objective was to examine the influence of silence on team action in the operating room. We conducted a constructed grounded theory study with semi-structured interviews with 25 interprofessional surgical team members. Using a framework of silence as communication and pe