Basic training in general surgery at a university clinic in Sweden. A comparison with formal training programs
Summary
Swedish surgical residents have no formal training programs. Analysis of operative workloads using hernia equivalents (HE) suggests formal training programs are not necessary.
Area of Science:
- Surgical Education
- Surgical Training Assessment
Background:
- Basic surgical training in Sweden lacks a formal curriculum.
- Resident operative workloads require objective assessment for international comparison.
Purpose of the Study:
- To analyze the operative workloads of surgical residents in Sweden.
- To compare Swedish resident training with international standards.
- To evaluate the necessity of formal training programs.
Main Methods:
- Operative workloads were quantified using a weighted system.
- Operations were converted into standardized hernia equivalents (HE).
- Data allowed for comparison with international benchmarks.
Main Results:
- The study analyzed resident operative workloads in Sweden.
- A weighted system using hernia equivalents (HE) facilitated international comparison.
- Findings indicated no need for formal training programs.
Conclusions:
- Formal training programs are not advocated for Swedish surgical residents.
- Current training structures, assessed by HE, appear adequate.
- Further evaluation may be needed based on international comparisons.


