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The study aims to assess the distribution of procedures and training capacity for pediatric surgery residents in Germany.

April 18, 2026ChildrenOpen Access

Mind the Gap: A Nationwide Analysis of Case Distribution, Resident Exposure and Institutional Variation in German Pediatric Surgery Training

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The study aims to assess the distribution of procedures and training capacity for pediatric surgery residents in Germany.
Conducted a nationwide analysis of pediatric surgical training using data from hospital quality reports.
Analyzed 3440 OPS codes assigned to 22 training categories across different hospital types.
Estimated training capacity based on even distribution of cases among residents.
Examined an average of 82.3 departments yearly, varying by hospital type: university, non-university, and others.
Mean resident exposure decreased from 469.8 to 354.0 cases per year, with higher exposure in non-university departments.
Most institutions failed to meet procedural training targets, with low coverage for thoracic surgery and high fulfillment for appendectomies.

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Nationwide analysis evaluates pediatric surgery training gaps in Germany, suggesting structural reforms are needed.

Drossard et al. (2026) studied this question.

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