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LCO

Live Case Observation

Watching an expert operate

Surgeons from across the region ask to watch an expert faculty surgeon operate on real cases. I take every request, match it with the right faculty and technique, and see it through to the day in theatre.

160
requests received in 2026
111
clinicians trained
61
observations completed, 22 more scheduled
21
markets, with 19 faculty surgeons hosting

As at 15 September 2026. Source: LCO requests register. Clinicians are counted from the head count on each booking.

2026 in one picture

Every request gets an answer, including the ones that do not end in an observation: a date that no longer works, a duplicate, a technique better seen elsewhere.

Fig. 1The 160 requests of 2026, one mark each
    Fig. 2Where the requests came from
      Fig. 3What surgeons came to see
      1. Knee95 requests
      2. Hip59 requests
      3. Spine, sports, shoulder6 requests

      How an LCO comes together

      From the first message from a market team to the follow-up after the day in theatre. To confirm

      1. Request

        The market team sends the surgeon's request: technique, preferred dates, language.

      2. Match

        I match it with a faculty surgeon who performs that technique, as close as makes sense.

      3. Schedule

        Dates agreed with the hospital, the faculty and the visitor, travel included.

      4. Observation

        A day in theatre with live cases, and time with the faculty between them.

      5. Follow-up

        Feedback, a summary and a follow-up case, so the learning carries on.

      Engagement after the course: 90% more feedback

      Feedback used to be asked for once, at the end. Now the course carries on after the surgeon goes home, and almost twice as many answer.

      1. Day 0QR code in the room and two minutes kept for it
      2. Day 7A summary with the material and techniques seen
      3. Day 30A follow-up case to discuss with the faculty

      Feedback received

      +90%

      after the post-course engagement strategy. Before and after figures to add.

      With the global team

      The EMEA way of running LCOs is being shared with the other regions. These are the moments I have worked on it with Global. Sample timeline

      1. Presented the EMEA LCO modelTo Global Professional Education.
      2. A shared request templateSo every region asks for the same information.
      3. Quarterly review of completion and feedbackResults compared across regions every three months.
      4. Pilot of the online requests registerRunning with this autumn's LCOs.

      An LCO web proposal

      Content to confirm

      One place for every request instead of a spreadsheet passed around by email: who asked, for which technique, with which faculty, and where it stands.

      • One register for every requestEach request keeps its market, speciality, technique, faculty and head count.
      • Clear steps, not free textSchedule, complete, cancel or reopen, with dates that have to make sense.
      • A live reportCompletion and lead times by market, speciality, technique and faculty, always current.
      • An export that adds upAn Excel workbook with live formulas that reconcile with the report.

      LCO questions

      For market teams and surgeons who want to see a technique live.

      Who can request an LCO?

      Surgeons, through the DePuy Synthes team in their market, who send the request to me.

      How far ahead should it be requested?

      The earlier the better: faculty theatre lists fill up, and travel is easier to arrange with a few weeks' notice.

      Which techniques can be observed?

      In 2026 most requests were for knee and hip: robotic and manual total and partial knee, revision, and total hip.

      Who should I talk to?

      Me. Write and we will look at dates and faculty.

      Want to see a technique live?

      Mockup: dashed = sample data