Being able to perform surgery first-hand represents the backbone of
every training program and the key to successful development of the new
generation of skilful surgeons. In this issue of the Journal, Comanici
et al. presented a thorough systematic summary of the current evidence
on the outcomes of cardiothoracic operations performed by trainees.1
Taking for granted the importance of training young surgeons, it is
paramount to identify and tackle any potential obstacles hindering the
surgical growth of a trainee.