Indian Journal of Surgery

, Volume 81, Issue 4, pp 383–390 | Cite as

Surgical Education (Developed vs Developing Nations), Disparities, and Future Directions: Fulbright Project Survey Report

  • Vijay MittalEmail author
  • Manu Kaushik
  • Jasneet Singh Bhullar
  • Sandiya Bindroo
Review Article


The emerging changes in healthcare significantly impact structure of surgical training. To achieve parity in surgical training globally significant work needs to be done in developing nations. The aims of this study are to identify and evaluate the current surgical training system in India and also examine the surgical training system of residents from India and compare the results against the US training system, to suggest changes for parity. On-site observations and cross-sectional survey of residents and staff from 22 institutions in India were done. Results were compared with the current US training system. Difference in pattern of surgical training and lack of coordination in curriculum was noted. Contradictory responses were noted for didactic teaching. No guidelines were mentioned for minimum number of surgical case required or certification courses. No work hour restrictions were followed, and supervision was ill defined. Residents were highly interested for fellowships and experience from the US medical system. Results revealed discordance in surgical training within the evaluated country. However, the two training systems studied have their own pros and cons. We strongly feel that incorporation of certain aspects of the American residency can aid in progression of the Indian training system.


Surgery residency MS DNB 



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Copyright information

© Association of Surgeons of India 2019

Authors and Affiliations

  • Vijay Mittal
    • 1
    Email author
  • Manu Kaushik
    • 1
  • Jasneet Singh Bhullar
    • 1
  • Sandiya Bindroo
    • 1
  1. 1.Department of Surgery, Ascension Providence HospitalMichigan State UniversitySouthfieldUSA

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