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Background <p>Surgical residency training stands in a&#xa0;field of tension between educational needs and patient safety. The aim of this review was to evaluate the impact of surgical training on patient safety.</p> Methods <p>A&#xa0;systematic PubMed search (2011–2025) was conducted, including original studies with an explicit focus on residency training. Out of 419 identified records 32&#xa0;studies were analyzed and 30&#xa0;were included in the meta-analysis based on complete datasets.</p> Results <p>Across most surgical specialties, interventions involving residents showed comparable morbidity and mortality rates to surgery guided by specialists, with a&#xa0;pooled odds ratio (OR) of 1.03 (95% confidence interval (CI) 0.88–1.21); however, the operative time was significantly longer by a&#xa0;mean of 15.04 min (95% CI 5.16–24.93, <i>p</i> = 0.0029). Structured curricula and direct supervision enabled safe performance even of complex procedures by residents.</p> Conclusion <p>Surgical training is largely safe when adequate structure and supervision are provided. Structured training programs and competency-based entrustment concepts can enhance both patient safety and operative autonomy.</p>

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Patientensicherheit in der chirurgischen Weiterbildung

  • 期刊论文

  • 发表日期：

    2026年3月19日

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  • Josefine Schardey,
  • Lina Lang,
  • Florian Kühn,
  • Jens Werner,
  • Ulrich Wirth

摘要

Background

Surgical residency training stands in a field of tension between educational needs and patient safety. The aim of this review was to evaluate the impact of surgical training on patient safety.

Methods

A systematic PubMed search (2011–2025) was conducted, including original studies with an explicit focus on residency training. Out of 419 identified records 32 studies were analyzed and 30 were included in the meta-analysis based on complete datasets.

Results

Across most surgical specialties, interventions involving residents showed comparable morbidity and mortality rates to surgery guided by specialists, with a pooled odds ratio (OR) of 1.03 (95% confidence interval (CI) 0.88–1.21); however, the operative time was significantly longer by a mean of 15.04 min (95% CI 5.16–24.93, p = 0.0029). Structured curricula and direct supervision enabled safe performance even of complex procedures by residents.

Conclusion

Surgical training is largely safe when adequate structure and supervision are provided. Structured training programs and competency-based entrustment concepts can enhance both patient safety and operative autonomy.