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Training, Experiences and Factors Contributing to Learning Variability in Podiatry Residency and Fellowship Programs:
José Manuel Cuevas-Sánchez1, Sergio Barrientos-Trigo2,3, José Algaba-Del-Castillo1
1Departamento de Podología, Facultad de Enfermería, Fisioterapia y Podología, Universidad de Sevilla, 41009 Sevilla, Spain.
Healthcare (Basel, Switzerland)
|May 13, 2026
Summary
Structured residency and fellowship programs in podiatry enhance clinical skills and leadership. However, resource variability impacts outcomes, suggesting a need for standardized educational strategies in health sciences training.
Area of Science:
- Health Sciences Education
- Surgical Training
- Podiatric Medicine
Background:
- Postgraduate training is crucial for health professional skill development.
- Variability exists in podiatry and foot/ankle surgery residency and fellowship programs.
- Assessing the impact of structured versus traditional programs is essential.
Purpose of the Study:
- To evaluate how structured residency and fellowship programs affect skill acquisition, academic productivity, leadership, and well-being in podiatry and foot/ankle surgery.
- To compare structured programs with less structured or traditional approaches.
- To identify factors influencing learning variability in postgraduate surgical education.
Main Methods:
- Systematic review of observational studies published between September and November 2025.
- Selection of studies comparing structured vs. traditional podiatry and foot/ankle surgery training.
- Assessment of clinical, surgical, academic experiences, and influencing factors.
Main Results:
- Eleven cross-sectional studies indicated structured programs correlate with better academic/clinical performance and leadership.
- Key factors for skill acquisition include program structure, mentorship, clinical exposure, resources, and motivation.
- Significant heterogeneity in resource access across programs leads to varied resident/fellow preparation.
Conclusions:
- Structured educational strategies can optimize skill acquisition and reduce variability in health sciences training.
- Standardization of programs is recommended to improve postgraduate training outcomes.
- Multicenter research with objective measures is needed for international evaluation standards.
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