ArticlePediatric surgery international2026
Experiences and barriers in pediatric colorectal surgery training: results from the TEPS/EUPSA survey.
Article in Pediatric surgery international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeThis survey assessed variations in pediatric colorectal surgery training across European countries and centers, exploring contributing factors.
methodsA 28-item questionnaire created by the Trainees of European Pediatric Surgery (TEPS) assessed demographics, hospital type, training level, operative and non-operative involvement, training perceptions, and obstacles. It was distributed via TEPS/EUPSA mailing lists and at the 2024 EUPSA Congress. Anonymous responses collected between 29/11/2023 and 29/07/2024 were analyzed.
results264 participants from 60 countries (79.5% European) responded; 224 completed the whole survey. Female participants rated their training lower than males (mean 3.0/5 vs. 3.5/5, p < 0.001). Obstacles were reported by 83% of females and 69% of males, mainly low caseload and restriction of colorectal cases to consultants. Surgical involvement increased with training level (p < 0.001) and correlated weakly with caseload (p = 0.003), but not with colorectal center status or gender. Training satisfaction correlated positively with caseload, surgical and non-operative colorectal engagement, and working in a colorectal center. Among respondents, 41% planned colorectal subspecialization. Only 10% routinely used simulation models.
conclusionMany trainees and young pediatric surgeons face obstacles during colorectal training. Larger and designated colorectal centers appear to offer better experiences, and a perceived gender gap persists in pediatric colorectal surgery training.
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