Evidence map›Paper›PMID 38926216›Full record

ArticleSurgery today2025

Current status of the surgical training system in Japan: results of a nationwide questionnaire survey of graduating surgical trainees.

Yoshiyuki Kiyasu, Saseem Poudel, Daisuke Koike, Jun Watanabe, Ryosuke Kowatari, Masayuki Fukumoto, Yoshiko Yamaoka-Fujikawa, Yuta Kikuchi, Keisuke Arai, Eisuke Booka and 3 more

Abstract read
In one paragraph

Article in Surgery today, 2025. 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.

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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

13 authors.

Yoshiyuki KiyasuDepartment of Surgery, Kyoto University Graduate School of Medicine, 54 Shogoin-Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.
Saseem PoudelDepartment of Gastroenterological Surgery II, Hokkaido University Graduate School of Medicine, Kita 15 Nishi 7, Kita-ku, Sapporo, Japan. saseem@gmail.com.
Daisuke KoikeDepartment of Gastroenterological Surgery, Fujita Health University School of Medicine, BANTANE Hospital, Aichi, Japan.
Jun WatanabeDepartment of Surgery, Division of Gastroenterological, General and Transplant Surgery, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Ryosuke KowatariDepartment of Thoracic and Cardiovascular Surgery, Hirosaki University School of Medicine, Aomori, Japan.
Masayuki FukumotoDepartment of Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Yoshiko Yamaoka-FujikawaDepartment of Enterology, Fukamidai Medical Clinic, Kanagawa, Japan.
Yuta KikuchiDepartment of Surgery, Otakanomori Hospital, Chiba, Japan.
Keisuke AraiDepartment of Surgery, Division of Hepato-Biliary-Pancreatic Surgery, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan.
Eisuke BookaDepartment of Surgery, Hamamatsu University School of Medicine, Shizuoka, Japan.
Sonoko IshidaDepartment of Surgery, Kita-Harima Medical Center, Hyogo, Japan.
Shinichiro YokoyamaDepartment of Pediatric Surgery, Hokkaido Medical Center for Child Health and Rehabilitation, Sapporo, Japan.
Mitsue SaitoDepartment of Breast Oncology, Juntendo University Graduate School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo identify the problems trainees face during surgical training in Japan.

methodsA nationwide online questionnaire survey was conducted targeting newly certified surgical trainees.

resultsThe response rate was 53.8% (758/1410). Among those respondents, 25.6% were women, 71.4% were either married or had a partner, 41.3% had children, 72.7% had performed over 200 surgeries under general anesthesia, and 54.1% had chosen, before graduating from medical school, to become a surgeon. While 88.8% were interested in learning surgical techniques, 63.8% were hesitant to become a surgeon for fear of a compromised quality of private life (QOL). Conversely, only 1.4% chose their surgical training programs based on QOL. Overall, 84.6% of the trainees were satisfied with their training and this correlated with the number of surgeries performed. Only 29.9% received non-technical skill training. The average number of night shifts per month was 5.6, and 10.6% worked over 80 h per week. Harassment was reported by 41.5% of the respondents. Moreover, 33.0% had considered dropping out at some time, primarily because of their QOL (51.1%) or the harassment they had encountered (50.4%).

conclusionThis survey revealed that while trainees were satisfied with the overall training system, issues such as long working hours and harassment are prevalent. Working to improve these issues could make surgery more attractive for young trainees.

Indexed as

General SurgeryQuality of LifeAdultFemaleHumansInternship and ResidencyJapanMaleSurveys and QuestionnairesNationwide surveyQuality of lifeSurgical educationSurgical residency trainingWork–life balance

Identifiers

PMID38926216
PMCPMC11717843

What OpenQuestion holds

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Registered trials

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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.