Related Experiment Video
Updated: Mar 21, 2026
Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve
Published on: August 15, 2025
[Patient safety in surgical residency training : A systematic review and meta-analysis]
Josefine Schardey1, Lina Lang2, Florian Kühn2
1Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, LMU Klinikum, LMU München, Marchioninistr. 15, 81377, München, Deutschland. Josefine.Schardey@med.uni-muenchen.de.
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.
