Evidence map›Paper›PMID 33236099›Full record

ArticleInteractive cardiovascular and thoracic surgery2021

Challenges and satisfaction in Cardiothoracic Surgery Residency Programmes: insights from a Europe-wide survey.

Rui J Cerqueira, Samuel Heuts, Can Gollmann-Tepeköylü, Simo O Syrjälä, Marlies Keijzers, Alicja Zientara, Omar A Jarral, Kirolos A Jacob, Josephina Haunschild, Priyadharshanan Ariyaratnam and 5 more

Abstract read
In one paragraph

Article in Interactive cardiovascular and thoracic surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. The evolution of cardiothoracic surgery training: from apprenticeship to AI-assisted simulation.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2026
    Review
  2. Article
  3. Review
  4. Learning Curve for Aortic Root Replacement.Annals of thoracic surgery short reports · 2025
    Article
  5. Article
  6. Article
  7. Gender disparities in cardiothoracic surgery: a comparative study in India.Indian journal of thoracic and cardiovascular surgery · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Becoming a congenital heart surgeon: the long and challenging road.Interactive cardiovascular and thoracic surgery · 2022
    Article
  12. Article
  13. The EACTS Residents Committee.Interactive cardiovascular and thoracic surgery · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Rui J CerqueiraCardiovascular Research and Development Unit, University of Porto and Department of Cardiothoracic Surgery, University Hospital Center of São João, Porto, Portugal.
Samuel HeutsDepartment of Cardiothoracic Surgery, Maastricht University Medical Center, Maastricht, Netherlands.
Can Gollmann-TepeköylüDepartment of Cardiac Surgery, Medical University of Innsbruck, Innsbruck, Austria.
Simo O SyrjäläDepartment of Cardiac Surgery, Heart and Lung Center, Helsinki University Hospital, Helsinki, Finland.
Marlies KeijzersDepartment of Surgery, Maastricht University Medical Center, Maastricht, Netherlands.
Alicja ZientaraDepartment of Cardiothoracic Surgery, Royal Brompton and Harefield NHS Foundation Trust, Harefield, UK.
Omar A JarralDepartment of Cardiothoracic Surgery, Guy's and St Thomas NHS Foundation Trust, London, UK.
Kirolos A JacobDepartment of Cardiothoracic Surgery, University Medical Center Utrecht, Utrecht, Netherlands.
Josephina HaunschildDepartment of Cardiac Surgery, Leipzig Heart Center, Leipzig, Germany.
Priyadharshanan AriyaratnamDepartment of Cardiothoracic Surgery, Leeds Teaching Hospitals Trust, Leeds, UK.
Andras P DurkoDepartment of Cardiothoracic Surgery, Erasmus University Medical Center, Rotterdam, Netherlands.
Patrick MullerComprehensive Clinical Trials Unit, Institute of Clinical Trials and Methodology, University College London, London, UK.
Patrick O MyersDepartment of Cardiac Surgery, CHUV-Lausanne University Hospital, Lausanne, Switzerland.
Justo Rafael SadabaDepartment of Cardiac Surgery, Royal Navarre Hospital, Pamplona, Spain.
Miia L LehtinenDepartment of Cardiac Surgery, Heart and Lung Center, Helsinki University Hospital, Helsinki, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe increasing complexity of surgical patients and working time constraints represent challenges for training. In this study, the European Association for Cardio-Thoracic Surgery Residents' Committee aimed to evaluate satisfaction with current training programmes across Europe.

methodsWe conducted an online survey between October 2018 and April 2019, completed by a total of 219 participants from 24 countries.

resultsThe average respondent was in the fourth or fifth year of training, mostly on a cardiac surgery pathway. Most trainees follow a 5-6-year programme, with a compulsory final certification exam, but no regular skills evaluation. Only a minority are expected to take the examination by the European Board of Cardiothoracic Surgery. Participants work on average 61.0 ± 13.1 h per week, including 27.1 ± 20.2 on-call. In total, only 19.7% confirmed the implementation of the European Working Time Directive, with 42.0% being unaware that European regulations existed. Having designated time for research was reported by 13.0%, despite 47.0% having a postgraduate degree. On average, respondents rated their satisfaction 7.9 out of 10, although 56.2% of participants were not satisfied with their training opportunities. We found an association between trainee satisfaction and regular skills evaluation, first operator experience and protected research time.

conclusionsOn average, residents are satisfied with their training, despite significant disparities in the quality and structure of cardiothoracic surgery training across Europe. Areas for potential improvement include increasing structured feedback, research time integration and better working hours compliance. The development of European guidelines on training standards may support this.

Indexed as

Internship and ResidencyPersonal SatisfactionAdultEuropeFemaleHumansMaleSurveys and QuestionnairesThoracic SurgeryCardio-thoracic surgerySurveyTrainingWorking time directive

Identifiers

PMID33236099
PMCPMC8906668

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.