The First-Year Curve — From Training to True Surgical Judgment

 What actually happens after you complete a TPLO course and start operating independently? In this episode, Carl Damiani and Dr. Ken Bruecker break down the first-year learning curve, from early cognitive overload and strict reliance on checklists to the emergence of pattern recognition, technique drift, and developing clinical judgment. The discussion focuses on case selection, maintaining discipline as comfort increases, recognizing plateaus, and knowing when to refer—highlighting that true progress comes from building control, not chasing confidence. Contact Dr. Ken Bruecker at www.covesurgery.com