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Updated: Jun 23, 2026

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Surgical residency training program. Are changes needed?

Gamal A Khairy1

  • 1Department of Surgery, College of Medicine, King Khalid University Hospital, King Saud University, PO Box 7805, Riyadh 11472, Kingdom of Saudi Arabia. gkhairy@ksu.edu.sa

Saudi Medical Journal
|May 7, 2009
PubMed
Summary

Practicing surgeons in Saudi Arabia identified technical skills as the primary deficit in general surgical residency training. They advocate for structured, collaborative training centers outside the operating room to enhance surgical education.

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Area of Science:

  • Medical Education
  • Surgical Training
  • Residency Programs

Background:

  • General surgical residency training is crucial for developing competent surgeons.
  • Current training methods may have limitations in addressing essential surgical competencies.
  • Understanding practicing surgeons' perspectives is vital for program improvement.

Purpose of the Study:

  • To gather collective opinions from practicing surgeons regarding the current state of general surgical residency training.
  • To identify key challenges and propose solutions for enhancing surgical education.

Main Methods:

  • A survey was administered to practicing surgeons involved in residency training across five cities in Saudi Arabia (January 2004 - December 2005).
  • The survey focused on current educational problems, ideal training methodologies, and strategies to address educational deficits.

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  • Data were collected via a data collection sheet from 96 participating surgeons.

    • Main Results:

    • A majority of surgeons (61.5%) believe surgical skills can be acquired outside the operating theater.
    • The most significant deficit identified in graduating residents was technical skills (58.3%).
    • Respondents represented diverse healthcare sectors, including 34.4% from the Ministry of Health.

    Conclusions:

    • Significant changes are needed to improve the general surgical residency training program.
    • Establishing collaborative, structured skills training centers outside the operating room is recommended.
    • Enhancements should include formal educator courses and encouraging resident responsibility.