Evidence map›Paper›PMID 40569302›Full record

ArticleSurgery today2025

A nationwide questionnaire survey to investigate facility-based disparities in satisfaction and working conditions of surgical trainees in Japan: university hospitals, community hospitals, and hybrid-type facilities.

Daisuke Koike, Kosei Takagi, Keisuke Arai, Yoshiyuki Kiyasu, Takashi Kohmura, Chiaki Suda, Shinkichi Takamori, Wataru Takayama, Mai Nakamura, Masayuki Fukumoto and 7 more

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Article in Surgery today, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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

5 · Who and what money

Authors and funding

17 authors.

Daisuke KoikeDepartment of Gastroenterological Surgery, Fujita Health University Bantane Hospital, Nagoya, Japan.
Kosei TakagiJapan Surgical Society Education Committee, Japan Surgical Society, Tokyo, Japan. kotakagi15@gmail.com.
Keisuke AraiJapan Surgical Society Education Committee, Japan Surgical Society, Tokyo, Japan.
Yoshiyuki KiyasuJapan Surgical Society Education Committee, Japan Surgical Society, Tokyo, Japan.
Takashi KohmuraJapan Surgical Society Education Committee, Japan Surgical Society, Tokyo, Japan.
Chiaki SudaJapan Surgical Society Education Committee, Japan Surgical Society, Tokyo, Japan.
Shinkichi TakamoriJapan Surgical Society Education Committee, Japan Surgical Society, Tokyo, Japan.
Wataru TakayamaJapan Surgical Society Education Committee, Japan Surgical Society, Tokyo, Japan.
Mai NakamuraJapan Surgical Society Education Committee, Japan Surgical Society, Tokyo, Japan.
Masayuki FukumotoJapan Surgical Society Education Committee, Japan Surgical Society, Tokyo, Japan.
Yoshiko Yamaoka-FujikawaJapan Surgical Society Education Committee, Japan Surgical Society, Tokyo, Japan.
Genki WatanabeJapan Surgical Society Education Committee, Japan Surgical Society, Tokyo, Japan.
Jun WatanabeJapan Surgical Society Education Committee, Japan Surgical Society, Tokyo, Japan.
Saseem PoudelJapan Surgical Society Education Committee, Japan Surgical Society, Tokyo, Japan.
Norihiko IkedaJapan Surgical Society, Tokyo, Japan.
Akinobu TaketomiJapan Surgical Society, Tokyo, Japan.
Mitsue SaitoJapan Surgical Society Education Committee, Japan Surgical Society, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate disparities and problems within surgical training programs in Japan based on the type of host facility.

methodsA post hoc analysis of a nationwide questionnaire survey was performed to evaluate program outcomes and working conditions among university hospitals (Group U), a combination of university and community hospitals (Group UC), and community hospitals (Group C).

resultsA total of 758 respondents were analyzed across Groups U (n = 199), UC (n = 299), and C (n = 260). Groups U and UC had lower satisfaction scores and smaller surgical volumes than Group C. Academic activity and nonsurgical training in Group U were not superior to those in the other groups. Although overtime work did not differ significantly among groups, poorer working conditions, including a lower rate of overtime allowance, more frequent night duties, and a lower annual income, were found in Group U than in the other groups.

conclusionThis study revealed disparities and problems in training programs based on the type of host facility. Further improvements in working conditions and educational contexts are expected to help increase satisfaction levels and recruitment of surgical residents in the future.

Indexed as

General SurgeryHospitals, CommunityHospitals, UniversityInternship and ResidencyJob SatisfactionAdultFemaleHumansJapanMaleSurveys and QuestionnairesWorking ConditionsWorkloadDisparitySurgical trainingTraining satisfactionWork–life integration

Identifiers

PMID40569302
PMCPMC12534354

What Socratic holds

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LicenceCC BY
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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 Socratic graph.