Department of Visceral Surgery, Clarunis - University Digestive Healthcare Center Basel, University Hospital Basel and St. Clara Hospital, Basel, Switzerland.
Department of Surgery, Lucerne Cantonal Hospital, Spitalstrasse, 6000, Lucerne, Switzerland.
Langenbecks Arch Surg. 2024 Mar 4;409(1):82. doi: 10.1007/s00423-024-03270-7.
Surgery offers exciting opportunities but comes with demanding challenges that require attention from both surgical program administrators and aspiring surgeons. The hashtag #NoTrainingTodayNoSurgeonsTomorrow on 𝕏 (previously Twitter) underscores the importance of ongoing training. Our scoping review identifies educational challenges and opportunities for the next generation of surgeons, analyzing existing studies and filling gaps in the literature.
Following the PRISMA guidelines, MEDLINE/PubMed was searched in February 2022, using the MeSH terms "surgeons/education," for articles in English or German on general, abdominal, thoracic, vascular, and hand surgery and traumatology targeting medical students, surgical residents, future surgeons, and fellows.
The initial search yielded 1448 results. After a step-by-step evaluation process, 32 publications remained for complete review. Three main topics emerged: surgical innovations and training (n = 7), surgical culture and environment (n = 19), and mentoring (n = 6). The articles focusing on surgical innovations and training mainly described the incorporation of structured surgical training methods and program initiatives. Articles on surgical culture examined residents' burnout, well-being, and gender issues. Challenges faced by women, including implicit bias and sexual harassment, were highlighted. Regarding mentoring, mentees' needs, training challenges, and the qualities expected of both mentors and mentees were addressed.
At a time of COVID-19-driven surgical innovations, the educational and working environment of the new generation of surgeons is changing. Robotic technology and other innovations require future surgeons to acquire additional technological and digital expertise. With regard to the cultural aspects of training, surgery needs to adapt curricula to meet the demands of the new generation of surgeons, but even more it has to transform its culture.
外科手术提供了令人兴奋的机会，但也带来了苛刻的挑战，这需要外科项目管理人员和有抱负的外科医生共同关注。标签 #NoTrainingTodayNoSurgeonsTomorrow 在 𝕏（前 Twitter）上强调了持续培训的重要性。我们的范围综述确定了下一代外科医生的教育挑战和机会，分析了现有研究并填补了文献中的空白。
根据 PRISMA 指南，于 2022 年 2 月在 MEDLINE/PubMed 上使用 MeSH 术语“外科医生/教育”搜索了针对医学生、外科住院医师、未来外科医生和研究员的普通、腹部、胸部、血管和手部外科及创伤学的英文或德文文章。
初步搜索产生了 1448 个结果。经过逐步评估过程，仍有 32 篇文章需要进行完整审查。出现了三个主要主题：外科创新和培训（n=7）、外科文化和环境（n=19）和指导（n=6）。重点关注外科创新和培训的文章主要描述了结构化外科培训方法和计划举措的纳入。关于外科文化的文章研究了住院医师的倦怠、幸福感和性别问题。强调了女性面临的挑战，包括隐性偏见和性骚扰。关于指导，涉及到了学员的需求、培训挑战以及导师和学员所期望的素质。
在 COVID-19 驱动的外科创新时代，新一代外科医生的教育和工作环境正在发生变化。机器人技术和其他创新要求未来的外科医生获得更多的技术和数字专业知识。就培训的文化方面而言，外科手术需要调整课程以满足新一代外科医生的需求，但更重要的是，它必须改变其文化。
