This study develops a practical implementation framework for integrating data-driven surgical metrics into training, improving assessment reliability and trainee outcomes.

• Engaged 54 trainees and trainers from 13 countries through workshops to inform framework development.
• Prioritized real-time feedback for technical skills and dashboards for non-technical skills to provide objective performance insights.

Making surgical training more data-driven could significantly reduce assessor bias and enhance patient safety.

• Future research will evaluate the framework’s real-world effectiveness in surgical education.