Evidence map›Paper›PMID 40107982›Full record

ArticleInterdisciplinary cardiovascular and thoracic surgery2025

Global cardiothoracic surgery: outcomes from a survey on current worldwide training programmes.

Rebekah Boyd, Justin Robinson, Rajika Jindani, Miia Lehtinen, Fabian Dorr, Alvaro Perazzo, Nqobile Manzini, Maroua Eid, Agneta Odera, Irbaz Hameed and 4 more

Abstract read
In one paragraph

Article in Interdisciplinary cardiovascular and thoracic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

14 authors.

Rebekah BoydDivision of Cardiovascular and Thoracic Surgery, Duke University, Durham, NC, USA.
Justin RobinsonDepartment of Cardiothoracic Surgery, University of Maryland, MD, Baltimore, USA.
Rajika JindaniDepartment of Cardiothoracic Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, NY, New York, USA.
Miia LehtinenDepartment of Cardiac Surgery, HUS Helsinki University Hospital, Helsinki, Finland.ORCID 0000-0003-2677-2861
Fabian DorrDepartment of Thoracic Surgery, Universitätsmedizin Essen Ruhrlandklinik: Ruhrlandklinik, Essen, Germany.
Alvaro PerazzoDepartment of Cardio-Thoracic Surgery, Maastricht University Medical Centre, Maastricht, Netherlands.
Nqobile ManziniDepartment of Cardiothoracic Surgery, University of Cape Town, Cape Town, South Africa.
Maroua EidDepartment of Cardiac Surgery, University Hospital Centre Angers: Centre Hospitalier Universitaire d'Angers, Angers, France.ORCID 0000-0001-5433-2607
Agneta OderaDepartment of Peadiatric, General, and Cardiothoracic Surgery, Tenwek Hospital, Tenwek, Kenya.
Irbaz HameedDivision of Cardiac Surgery, Yale University, CT, New Haven, USA.
Ahmed YoussefDepartment of Cardiothoracic Surgery, Aswan Heart Centre, Aswan, Egypt.
Sharmil KannaDepartment of Cardiac Surgery, Sir Ganga Ram Hospital, Delhi, India.
Charles JenkinsonPrince of Wales Hospital Sydney Australia, The University of Western Australia, and Charles Sturt University, Sydney, Australia.
Joseph TurekDivision of Cardiovascular and Thoracic Surgery, Duke University, Durham, NC, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThere are significant disparities in global access to cardiothoracic surgery. Training a diverse cohort of global cardiothoracic surgeons is a critical step. However, little is known about training pathways globally, and there is a lack of standardization in training.

methodsThe Global Thoracic Surgery Residents' Association developed a 25-item survey covering the five domains of country of origin, access to cardiothoracic surgical training, variations in training, barriers and facilitators to training, and future plans of cardiothoracic surgery trainees. The survey was disseminated electronically and over social media platforms.

resultsA total of 73 responses from trainees in 21 countries were received. Wide variations were found in training programmes, including length of training, operative autonomy, reliance on simulation, trainee supervision and minimum case requirements. Common barriers included discrimination, separation from family and inadequate supervision and volume. Facilitators included participation in global rotations and mentorship. The majority (78%) of trainees plan on additional training.

conclusionsThere is a lack of standardization of trainee experience with extreme variations in global cardiothoracic training programmes in terms of length of training, reliance on simulation, supervision, research opportunities and minimum case requirements. These variations are opportunities to think forward in terms of collectively working on standardization of trainee experience, developing innovative modalities to increase supervision of trainees and recognizing trainee interest in research. There is a clear demand for increased global collaboration and the transfer of knowledge and techniques in addition to trainee recognition of need for further training.

Indexed as

Cardiac Surgical ProceduresEducation, Medical, GraduateGlobal HealthInternship and ResidencySurgeonsThoracic SurgeryThoracic Surgical ProceduresClinical CompetenceCurriculumHumansSurveys and Questionnairescardiothoracic surgerycompetencyglobaltraining

Identifiers

PMID40107982
PMCPMC11928929

What OpenQuestion holds

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LicenceCC BY-NC
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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.