Surgery on the edge: shaping the future between motivation, burnout, and gender inequities—a narrative review - Report - MDSpire

Surgery on the edge: shaping the future between motivation, burnout, and gender inequities—a narrative review

  • By

  • Andrea Cavallaro

  • Antonio Zanghì

  • Paolo Di Mattia

  • Francesco Cappellani

  • Francesco Leonforte

  • Kenya Tiralongo

  • July 2, 2026

  • 0 min

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Clinical Report: Navigating the Future of Surgery: Exploring Motivation, Burnout, and Gender Disparities

Overview

This narrative review examines the evolving challenges in general surgery, focusing on burnout, gender disparities, and the shift towards subspecialization among surgical residents. It highlights the implications of these trends for workforce sustainability and professional satisfaction, including a noted decline in the attractiveness of general surgery among medical graduates.

Background

The surgical profession is facing a 'vocational crisis' as residents increasingly opt for subspecialization or alternative careers instead of general surgery. This shift is influenced by systemic constraints such as administrative burdens and changing societal expectations, which impact the traditional values associated with surgical practice. Understanding these dynamics is crucial for addressing workforce planning and the future viability of general surgery.

Data Highlights

No numerical data is provided in the article.

Key Findings

  • The concept of a 'vocational crisis' in surgery reflects changing career aspirations among residents.
  • Burnout and gender disparities are significant factors influencing surgical training and practice.
  • There is a noted decline in the attractiveness of general surgery among medical graduates.
  • Recent Italian residency enrollment data indicate potential workforce instability in general surgery.
  • Systemic changes are needed to align surgical training with modern professional expectations and personal well-being.

Clinical Implications

The findings highlight the need for healthcare systems to address burnout and gender disparities in surgical training.

Conclusion

The review underscores the importance of understanding the interplay between burnout, gender disparities, and the evolving landscape of surgical training to ensure the future of general surgery.

Related Resources & Content

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  6. Surgical Endoscopy — The Impact of Surgeon Gender and Body Measurements on Instrument Usability in Conventional Laparoscopic Surgery: A Systematic Review and Meta-Analysis
  7. Surgery Residencies Continue to Grow in 2025 Match | ACS
  8. Summary of Proposed Changes to ACGME Common Program Requirements Section VI
  9. Burn-out an "occupational phenomenon": International Classification of Diseases

Original Source(s)

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