Education and training of surgical residents in upper gastrointestinal surgery : a European survey
- Author
- Călin Popa, Diana Schlanger, Alberto Aiolfi, Moustafa Elshafei, Dimitrios Theodorou, Ognjan Skrobic, Aleksandar Simic, Suzanne Gisberz, Davide Bona, Luigi Bonavina, Emanuele Abate, Ahmed Abdelsamad, Florin Achim, Rita Alfieri, Andrea Balla, Yves Borbely, Nicholas Boyle, Giuseppe Brisinda, Piero Giovanni Bruni, Waqas T. Butt, Matteo Calì, Giacomo Calini, Valentin Calu, Francesco Cammarata, Giampiero Campanelli, Carlo Castoro, Marta Cavalli, Alexandros Chamzin, Mircea Chirica, Serge Chooklin, Nicola Cillara, Michael de Cillia, Sandra Cristina, Fabrizio D’Acapito, Elke Van Daele (UGent) , Giorgio Dalmonte, Verdi Daunia, Sara De Bernardi, Viorel Dejeu, Lieven Depypere, Octavian Enciu, Félix Ferraz, Gilberto Martinho Santos Figueiredo, Edoardo Forcignanó, José Freire, Uberto Fumagalli, Francesca Gatti, Mircea Gheorghe, Andrei Cristian Ghioldiş, Mario Giuffrida, Ines Gockel, Ewen A. Griffiths, Peter Grimminger, Caroline Gronnier, Christian Gutschow, Anis Hasnaoui, Till Heidsiek, Mark Ivo van Berge Henegouwen, Sandra Hilário, Petre Hoara, Argyrios Ioannidis, Orestis Ioannidis, Stylianos Kapiris, Clive Kelty, Dagmar Kollmann, Dimitris Korkolis, Ivan Kristo, Stylianos Kykalos, André Lázaro, Thorsten Lehmann, Jonathan Levy, John Lipham, Francesca Lombardo, Michele Manara, Luigi Marano, Sheraz Markar, Manuel Mega, Stefan Monig, Emanuele Morandi, Francesk Mulita, Beat Peter Muller, Martina Novia, Fabio Massimo Oddi, Matthias Paireder, Roberto Peltrini, Enrico Pinotti, Mauro Podda, Razvan Popescu, Dragos Predescu, Elisa Reitano, Martin Riegler, Riccardo Rosati, Dimitrios Schizas, Francisco Schlottmann, Sebastian Schoppmann, Galyna Shabat, Natalia Sipitco, Maria Sotiropoulou, Giovanni Domenico Tebala, Flavio Tirelli, Elena Adelina Toma, Tania Triantafyllou, Yener Uzunoglu, Hanne Vanommeslaeghe (UGent) , Milan Veselinović, Wah Yang, Jörg Zehetner and [missing] Education Training in Foregut Surgery (ETFS) European Collaborative Group
- Organization
- Abstract
- Educating and training young surgeons is a complex challenge that requires a structured pathway. Upper gastrointestinal (UGI) surgery is becoming a highly attractive subspecialty, yet it is not universally recognized. Currently, there are no standardized guidelines or curricula for UGI surgical training across Europe and a wide disparity among countries remains. This study aims to focus on the current European landscape from the perspective of both trainees and trainers, and to provide a foundation for developing effective guidelines for education and training of surgical residents. We conducted a cross-sectional survey study with targeted questions about various aspects of managing patients with UGI diseases, including preoperative investigations, surgical interventions, interventional endoscopy, and postoperative follow-up. We also assessed the availability of training resources and extracurricular activities. Distinct questionnaires were distributed independently to trainees and trainers. The overall response rate was 35.6%. Most trainees and trainers recognized the need for dedicated courses in UGI surgery and emphasized the importance of learning through video materials. The survey revealed that surgeons are often unfamiliar with UGI endoscopy and functional esophageal function studies. We analyzed residents' direct involvement in three surgical procedures: anti-reflux surgery, gastrectomy, and esophagectomy. Residents expressed a lack of confidence in executing certain surgical steps. Both trainers and residents expressed preference for extracurricular, hands-on courses focused on UGI surgery but reported insufficient opportunities for such training. This survey highlights significant gaps and limitations of UGI training for surgical residents in Europe. Efforts toward standardization and development of specific guidelines and recommendations are required to enhance education in UGI surgery.
- Keywords
- Surgical training, Medical education, Upper gastrointestinal surgery, Fundoplication, Gastrectomy, Esophagectomy, SKILLS
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Citation
Please use this url to cite or link to this publication: http://hdl.handle.net/1854/LU-01KEH68BQBQKDCG1Y1JCW11Q0Q
- MLA
- Popa, Călin, et al. “Education and Training of Surgical Residents in Upper Gastrointestinal Surgery : A European Survey.” UPDATES IN SURGERY, 2025, doi:10.1007/s13304-025-02362-3.
- APA
- Popa, C., Schlanger, D., Aiolfi, A., Elshafei, M., Theodorou, D., Skrobic, O., … Education Training in Foregut Surgery (ETFS) European Collaborative Group, [missing]. (2025). Education and training of surgical residents in upper gastrointestinal surgery : a European survey. UPDATES IN SURGERY. https://doi.org/10.1007/s13304-025-02362-3
- Chicago author-date
- Popa, Călin, Diana Schlanger, Alberto Aiolfi, Moustafa Elshafei, Dimitrios Theodorou, Ognjan Skrobic, Aleksandar Simic, et al. 2025. “Education and Training of Surgical Residents in Upper Gastrointestinal Surgery : A European Survey.” UPDATES IN SURGERY. https://doi.org/10.1007/s13304-025-02362-3.
- Chicago author-date (all authors)
- Popa, Călin, Diana Schlanger, Alberto Aiolfi, Moustafa Elshafei, Dimitrios Theodorou, Ognjan Skrobic, Aleksandar Simic, Suzanne Gisberz, Davide Bona, Luigi Bonavina, Emanuele Abate, Ahmed Abdelsamad, Florin Achim, Rita Alfieri, Andrea Balla, Yves Borbely, Nicholas Boyle, Giuseppe Brisinda, Piero Giovanni Bruni, Waqas T. Butt, Matteo Calì, Giacomo Calini, Valentin Calu, Francesco Cammarata, Giampiero Campanelli, Carlo Castoro, Marta Cavalli, Alexandros Chamzin, Mircea Chirica, Serge Chooklin, Nicola Cillara, Michael de Cillia, Sandra Cristina, Fabrizio D’Acapito, Elke Van Daele, Giorgio Dalmonte, Verdi Daunia, Sara De Bernardi, Viorel Dejeu, Lieven Depypere, Octavian Enciu, Félix Ferraz, Gilberto Martinho Santos Figueiredo, Edoardo Forcignanó, José Freire, Uberto Fumagalli, Francesca Gatti, Mircea Gheorghe, Andrei Cristian Ghioldiş, Mario Giuffrida, Ines Gockel, Ewen A. Griffiths, Peter Grimminger, Caroline Gronnier, Christian Gutschow, Anis Hasnaoui, Till Heidsiek, Mark Ivo van Berge Henegouwen, Sandra Hilário, Petre Hoara, Argyrios Ioannidis, Orestis Ioannidis, Stylianos Kapiris, Clive Kelty, Dagmar Kollmann, Dimitris Korkolis, Ivan Kristo, Stylianos Kykalos, André Lázaro, Thorsten Lehmann, Jonathan Levy, John Lipham, Francesca Lombardo, Michele Manara, Luigi Marano, Sheraz Markar, Manuel Mega, Stefan Monig, Emanuele Morandi, Francesk Mulita, Beat Peter Muller, Martina Novia, Fabio Massimo Oddi, Matthias Paireder, Roberto Peltrini, Enrico Pinotti, Mauro Podda, Razvan Popescu, Dragos Predescu, Elisa Reitano, Martin Riegler, Riccardo Rosati, Dimitrios Schizas, Francisco Schlottmann, Sebastian Schoppmann, Galyna Shabat, Natalia Sipitco, Maria Sotiropoulou, Giovanni Domenico Tebala, Flavio Tirelli, Elena Adelina Toma, Tania Triantafyllou, Yener Uzunoglu, Hanne Vanommeslaeghe, Milan Veselinović, Wah Yang, Jörg Zehetner, and [missing] Education Training in Foregut Surgery (ETFS) European Collaborative Group. 2025. “Education and Training of Surgical Residents in Upper Gastrointestinal Surgery : A European Survey.” UPDATES IN SURGERY. doi:10.1007/s13304-025-02362-3.
- Vancouver
- 1.Popa C, Schlanger D, Aiolfi A, Elshafei M, Theodorou D, Skrobic O, et al. Education and training of surgical residents in upper gastrointestinal surgery : a European survey. UPDATES IN SURGERY. 2025;
- IEEE
- [1]C. Popa et al., “Education and training of surgical residents in upper gastrointestinal surgery : a European survey,” UPDATES IN SURGERY, 2025.
@article{01KEH68BQBQKDCG1Y1JCW11Q0Q,
abstract = {{Educating and training young surgeons is a complex challenge that requires a structured pathway. Upper gastrointestinal (UGI) surgery is becoming a highly attractive subspecialty, yet it is not universally recognized. Currently, there are no standardized guidelines or curricula for UGI surgical training across Europe and a wide disparity among countries remains. This study aims to focus on the current European landscape from the perspective of both trainees and trainers, and to provide a foundation for developing effective guidelines for education and training of surgical residents. We conducted a cross-sectional survey study with targeted questions about various aspects of managing patients with UGI diseases, including preoperative investigations, surgical interventions, interventional endoscopy, and postoperative follow-up. We also assessed the availability of training resources and extracurricular activities. Distinct questionnaires were distributed independently to trainees and trainers. The overall response rate was 35.6%. Most trainees and trainers recognized the need for dedicated courses in UGI surgery and emphasized the importance of learning through video materials. The survey revealed that surgeons are often unfamiliar with UGI endoscopy and functional esophageal function studies. We analyzed residents' direct involvement in three surgical procedures: anti-reflux surgery, gastrectomy, and esophagectomy. Residents expressed a lack of confidence in executing certain surgical steps. Both trainers and residents expressed preference for extracurricular, hands-on courses focused on UGI surgery but reported insufficient opportunities for such training. This survey highlights significant gaps and limitations of UGI training for surgical residents in Europe. Efforts toward standardization and development of specific guidelines and recommendations are required to enhance education in UGI surgery.}},
author = {{Popa, Călin and Schlanger, Diana and Aiolfi, Alberto and Elshafei, Moustafa and Theodorou, Dimitrios and Skrobic, Ognjan and Simic, Aleksandar and Gisberz, Suzanne and Bona, Davide and Bonavina, Luigi and Abate, Emanuele and Abdelsamad, Ahmed and Achim, Florin and Alfieri, Rita and Balla, Andrea and Borbely, Yves and Boyle, Nicholas and Brisinda, Giuseppe and Bruni, Piero Giovanni and Butt, Waqas T. and Calì, Matteo and Calini, Giacomo and Calu, Valentin and Cammarata, Francesco and Campanelli, Giampiero and Castoro, Carlo and Cavalli, Marta and Chamzin, Alexandros and Chirica, Mircea and Chooklin, Serge and Cillara, Nicola and de Cillia, Michael and Cristina, Sandra and D’Acapito, Fabrizio and Van Daele, Elke and Dalmonte, Giorgio and Daunia, Verdi and De Bernardi, Sara and Dejeu, Viorel and Depypere, Lieven and Enciu, Octavian and Ferraz, Félix and Figueiredo, Gilberto Martinho Santos and Forcignanó, Edoardo and Freire, José and Fumagalli, Uberto and Gatti, Francesca and Gheorghe, Mircea and Ghioldiş, Andrei Cristian and Giuffrida, Mario and Gockel, Ines and Griffiths, Ewen A. and Grimminger, Peter and Gronnier, Caroline and Gutschow, Christian and Hasnaoui, Anis and Heidsiek, Till and van Berge Henegouwen, Mark Ivo and Hilário, Sandra and Hoara, Petre and Ioannidis, Argyrios and Ioannidis, Orestis and Kapiris, Stylianos and Kelty, Clive and Kollmann, Dagmar and Korkolis, Dimitris and Kristo, Ivan and Kykalos, Stylianos and Lázaro, André and Lehmann, Thorsten and Levy, Jonathan and Lipham, John and Lombardo, Francesca and Manara, Michele and Marano, Luigi and Markar, Sheraz and Mega, Manuel and Monig, Stefan and Morandi, Emanuele and Mulita, Francesk and Muller, Beat Peter and Novia, Martina and Oddi, Fabio Massimo and Paireder, Matthias and Peltrini, Roberto and Pinotti, Enrico and Podda, Mauro and Popescu, Razvan and Predescu, Dragos and Reitano, Elisa and Riegler, Martin and Rosati, Riccardo and Schizas, Dimitrios and Schlottmann, Francisco and Schoppmann, Sebastian and Shabat, Galyna and Sipitco, Natalia and Sotiropoulou, Maria and Tebala, Giovanni Domenico and Tirelli, Flavio and Toma, Elena Adelina and Triantafyllou, Tania and Uzunoglu, Yener and Vanommeslaeghe, Hanne and Veselinović, Milan and Yang, Wah and Zehetner, Jörg and Education Training in Foregut Surgery (ETFS) European Collaborative Group, [missing]}},
issn = {{2038-131X}},
journal = {{UPDATES IN SURGERY}},
keywords = {{Surgical training,Medical education,Upper gastrointestinal surgery,Fundoplication,Gastrectomy,Esophagectomy,SKILLS}},
language = {{eng}},
pages = {{8}},
title = {{Education and training of surgical residents in upper gastrointestinal surgery : a European survey}},
url = {{http://doi.org/10.1007/s13304-025-02362-3}},
year = {{2025}},
}
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