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Patient safety in surgical residency training A systematic review and meta-analysis
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DOI：10.1007/s00104-026-02482-5.png)
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Abstract
En 中文
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.
Keywords:
Simulation-based training
Competency-based training
Quality in surgery
Responsibility transfer
Responsibility transfer
Competency-based training
Quality in surgery
Patient safety in
surgery
Responsibility transfer
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0.6
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115
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