The pipeline runs on three roles. Surgical annotators label the video, QA reviewers hold consistency, and clinical SMEs set the ground truth. Annotators need no medical background: the SOP, the visual atlas, and the certification exam do the training.
Label surgical video: instruments, anatomy, and phases, following the annotation SOP. No medical background required. Training and certification are built into the role.
Review annotated batches for accuracy and consistency against the SOP and the golden set. Hold the quality line before work reaches clinical review.
Adjudicate escalated edge cases and validate the golden set. Clinical judgment sets the ground truth the rest of the pipeline is measured against.