This is a unique course that consists of three components. In the first month, students attend a half dozen didactic lectures introducing the surgical environment, basic instruments, and principles of asepsis. These lectures are given by surgeons and instructors at the Surgical Skills Centre and will include a group observation of a live surgery with play by play commentary. In the second part of the course, students will attend a handful of observerships of live surgeries, at different participating hospitals. These observerships typically range from 4 to 8 hours. Students will be required to document a subset of surgeries, focusing particularly on technologies deployed, underlying scientific principles, their limitations, surgical workflow, and ideas/designs for improvement. The final part of the course consists of a project where each student will write a short paper on an engineering topic related to surgery. At the end of the course, students present their projects before an interdisciplinary panel of academic clinical engineers and surgeons.