Workload demands, surgical education and training among resident surgeons in Germany: a cross-sectional questionnaire-based study.
6 affiliations
- 1SimLab - Students for Surgery, University Medical Center Hamburg- Eppendorf, Hamburg, Germany.
- 2Department of Pediatric Surgery, University Medical Center Hamburg- Eppendorf, Hamburg, Germany.
- 3Department of Pediatric Surgery, Sana Clinic Offenbach, Offenbach, Germany.
- 4Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Martinistraße 52, Hamburg, 20251, Germany.
- 5Department of Neuroradiology, University Hospital Heidelberg, Heidelberg, Germany.
- 6Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Martinistraße 52, Hamburg, 20251, Germany. [email protected].
Abstract
Background
The medical system is experiencing increasing systemic workload pressures and a developing shortage of doctors, making the well-being of resident surgeons a critical factor for sustainable healthcare delivery. By highlighting the surgical residents' perspectives through a direct questionnaire, the current study aimed to provide an exploratory basis for discussing reform possibilities that better support current and future demands on surgeons.Methods
This cross-sectional study used a custom-developed questionnaire to collect data from resident surgeons across multiple surgical specialties, predominantly at university hospitals in Germany. It was designed to assess the quality of resident surgeons' training experiences and gauge their perceptions of their career progression and workload distribution. Furthermore, the questionnaire assessed emotional well-being, workload demands, training sufficiency, satisfaction with career progression, and the allocation of time between administrative and patient care tasks. Data collection was conducted through an anonymous online questionnaire platform.Results
One hundred eighty-six surgical residents responded fully to the survey. Most participants worked excessive hours, with 44.1% working over 55 h weekly, and administrative tasks dominating their time (72.0% ranked first), compared to surgical procedures (4.3% ranked first). Structured training programs were lacking in 88.7%, and 74.2% reported insufficient surgical exposure. Professional readiness was mixed: 67.2% felt confident in their ability to adapt to emerging technology, but 51.0% felt unprepared for independent research. The career outlook appeared concerning, with 42.9% considering leaving within three years, and 67.7% pessimistic about work-life balance. The residents' assessment of the healthcare system's readiness for future challenges was poor, with 81.1% disagreeing that the healthcare system is prepared for surgical innovation and 88.7% citing insufficient staffing to meet demographic changes.Conclusion
The current view of surgical residency at university hospitals in Germany reveals gaps in structured training programs and surgical exposure, which could lead to staff shortages and insufficient preparation for independent research and professional fulfillment in the future.
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BibTeX
@article{schmidt2026workload,
title = {{Workload demands, surgical education and training among resident surgeons in Germany: a cross-sectional questionnaire-based study.}},
author = {Hans C Schmidt and Melanie Le and Michael Sennert and Kira Meißner and Laetitia Hampe and Anas A Preukschas and Felix Nickel and Mara Goetz and Philipp A Wise and Amila Cizmic},
journal = {BMC medical education},
year = {2026},
month = oct,
doi = {10.1186/s12909-026-10519-w},
url = {https://europepmc.org/article/MED/42902344},
note = {CC BY},
}
RIS
TY - JOUR
TI - Workload demands, surgical education and training among resident surgeons in Germany: a cross-sectional questionnaire-based study.
AU - Hans C Schmidt
AU - Melanie Le
AU - Michael Sennert
AU - Kira Meißner
AU - Laetitia Hampe
AU - Anas A Preukschas
AU - Felix Nickel
AU - Mara Goetz
AU - Philipp A Wise
AU - Amila Cizmic
PY - 2026
DA - 2026/10/19
JO - BMC medical education
DO - 10.1186/s12909-026-10519-w
UR - https://europepmc.org/article/MED/42902344
AB - Background The medical system is experiencing increasing systemic workload pressures and a developing shortage of doctors, making the well-being of resident surgeons a critical factor for sustainable healthcare delivery. By highlighting the surgical residents' perspectives through a direct questionnaire, the current study aimed to provide an exploratory basis for discussing reform possibilities that better support current and future demands on surgeons.Methods This cross-sectional study used a custom-developed questionnaire to collect data from resident surgeons across multiple surgical specialties, predominantly at university hospitals in Germany. It was designed to assess the quality of resident surgeons' training experiences and gauge their perceptions of their career progression and workload distribution. Furthermore, the questionnaire assessed emotional well-being, workload demands, training sufficiency, satisfaction with career progression, and the allocation of time between administrative and patient care tasks. Data collection was conducted through an anonymous online questionnaire platform.Results One hundred eighty-six surgical residents responded fully to the survey. Most participants worked excessive hours, with 44.1% working over 55 h weekly, and administrative tasks dominating their time (72.0% ranked first), compared to surgical procedures (4.3% ranked first). Structured training programs were lacking in 88.7%, and 74.2% reported insufficient surgical exposure. Professional readiness was mixed: 67.2% felt confident in their ability to adapt to emerging technology, but 51.0% felt unprepared for independent research. The career outlook appeared concerning, with 42.9% considering leaving within three years, and 67.7% pessimistic about work-life balance. The residents' assessment of the healthcare system's readiness for future challenges was poor, with 81.1% disagreeing that the healthcare system is prepared for surgical innovation and 88.7% citing insufficient staffing to meet demographic changes.Conclusion The current view of surgical residency at university hospitals in Germany reveals gaps in structured training programs and surgical exposure, which could lead to staff shortages and insufficient preparation for independent research and professional fulfillment in the future.
SN - 1472-6920
ER -