Challenges and opportunities in pediatric surgery training in Germany: a view from the trenches

Abstract Introduction Pediatric surgery training in Germany faces significant challenges related to structural issues and resource limitations, including variability in training sites and a lack of standardized oversight. This study aims to assess the current state of pediatric surgery training incl...

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Main Authors: Sabine Drossard, Louisa Schuffert
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Medical Education
Subjects:
Online Access:https://doi.org/10.1186/s12909-025-06727-5
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author Sabine Drossard
Louisa Schuffert
author_facet Sabine Drossard
Louisa Schuffert
author_sort Sabine Drossard
collection DOAJ
description Abstract Introduction Pediatric surgery training in Germany faces significant challenges related to structural issues and resource limitations, including variability in training sites and a lack of standardized oversight. This study aims to assess the current state of pediatric surgery training including its structure, quality, and resident satisfaction and identify areas for improvement. Materials and methods We conducted an online survey between May 2022 and November 2023 using single-choice, multiple-choice and open-ended questions. Additionally, information was gathered via analysis of available statistics and through direct contact with the State Chambers of Physicians. Results 75 pediatric surgery residents and 15 young specialists participated in the survey. 12 of 17 state medical chambers responded to our inquiry, but only 4 maintain detailed statistics. Training often extends beyond the planned six years, mainly (75%) due to insufficient surgical exposure. Residents reported a predominant role of attendings in surgical training and other residents in clinical training. They desired more involvement from chiefs in their education. A significant proportion (58.9%) noted a lack of dedicated scientific education. Nearly half (44.4%) of the respondents had changed training sites, primarily due to clinical rotations (26,7%) and dissatisfaction with training conditions (30,0%). Conclusion Pediatric surgery residents in Germany face inconsistent training quality and extended training periods, mainly due to insufficient surgical exposure. They report that some chiefs do not meet their obligations as trainers adequately. To address these issues, there is a need for enhanced oversight, standardized curricula, more surgical exposure and improved collaboration among training institutions.
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spelling doaj-art-1a41b7e0bdda438ca9e41b3e30744d812025-02-09T12:42:21ZengBMCBMC Medical Education1472-69202025-02-012511910.1186/s12909-025-06727-5Challenges and opportunities in pediatric surgery training in Germany: a view from the trenchesSabine Drossard0Louisa Schuffert1Department of General, Visceral, Transplant, Vascular and Pediatric Surgery, University Hospital WürzburgDepartment of Pediatric Surgery, University Hospital MainzAbstract Introduction Pediatric surgery training in Germany faces significant challenges related to structural issues and resource limitations, including variability in training sites and a lack of standardized oversight. This study aims to assess the current state of pediatric surgery training including its structure, quality, and resident satisfaction and identify areas for improvement. Materials and methods We conducted an online survey between May 2022 and November 2023 using single-choice, multiple-choice and open-ended questions. Additionally, information was gathered via analysis of available statistics and through direct contact with the State Chambers of Physicians. Results 75 pediatric surgery residents and 15 young specialists participated in the survey. 12 of 17 state medical chambers responded to our inquiry, but only 4 maintain detailed statistics. Training often extends beyond the planned six years, mainly (75%) due to insufficient surgical exposure. Residents reported a predominant role of attendings in surgical training and other residents in clinical training. They desired more involvement from chiefs in their education. A significant proportion (58.9%) noted a lack of dedicated scientific education. Nearly half (44.4%) of the respondents had changed training sites, primarily due to clinical rotations (26,7%) and dissatisfaction with training conditions (30,0%). Conclusion Pediatric surgery residents in Germany face inconsistent training quality and extended training periods, mainly due to insufficient surgical exposure. They report that some chiefs do not meet their obligations as trainers adequately. To address these issues, there is a need for enhanced oversight, standardized curricula, more surgical exposure and improved collaboration among training institutions.https://doi.org/10.1186/s12909-025-06727-5Pediatric surgerySurgical EducationPost-graduate trainingResident TrainingGermany
spellingShingle Sabine Drossard
Louisa Schuffert
Challenges and opportunities in pediatric surgery training in Germany: a view from the trenches
BMC Medical Education
Pediatric surgery
Surgical Education
Post-graduate training
Resident Training
Germany
title Challenges and opportunities in pediatric surgery training in Germany: a view from the trenches
title_full Challenges and opportunities in pediatric surgery training in Germany: a view from the trenches
title_fullStr Challenges and opportunities in pediatric surgery training in Germany: a view from the trenches
title_full_unstemmed Challenges and opportunities in pediatric surgery training in Germany: a view from the trenches
title_short Challenges and opportunities in pediatric surgery training in Germany: a view from the trenches
title_sort challenges and opportunities in pediatric surgery training in germany a view from the trenches
topic Pediatric surgery
Surgical Education
Post-graduate training
Resident Training
Germany
url https://doi.org/10.1186/s12909-025-06727-5
work_keys_str_mv AT sabinedrossard challengesandopportunitiesinpediatricsurgerytrainingingermanyaviewfromthetrenches
AT louisaschuffert challengesandopportunitiesinpediatricsurgerytrainingingermanyaviewfromthetrenches