title: Excellence and safety in surgery require excellent and safe tutoring.
abstract: The surgical education in Italy has always been a very important issue. The aim of this article is to bring together the feedback of the definitions of the various components of the learning scheme and to evaluate the importance of the legal point. In March 2016 we performed a literature review. We have also examinated the internet pages of the Italian Department of Education, Health and Medical Order. In Italy the tutor had an unclear role from a legal point of view. He is the person who must be able to perform a specific procedure with expert technical and who must know how to stop the student if this is about to perform a dangerous maneuver. In Italy the ability to work for the trainee is limited in all reality, it depends on several factors including the increase of numbers of medical-legal disputes, the timing, the commitment it requires mentoring and a lack of mentors.
  
  
  CONCLUSIONS
  In surgery, the problem is greater because of the increasingly of medico-legal implications that we are after surgical procedure. It would be necessary to define a role of the tutor in a regular protocol and a proper assessment of his performance.
authors.affiliation: Department of Oncology, University of Turin, Section of General Surgery, San Luigi Gonzaga University Hospital, Regione Gonzole 10, 10043 Orbassano, Turin, Italy . Tel: +39 0119026224.
authors.forename: Alessia
authors.initials: A
authors.lastname: Ferrarese
authors.affiliation: Department of Advanced Biomedical Sciences, Naples, Italy, University "Federico II" of Naples, Naples, Italy.
authors.forename: Claudio
authors.initials: C
authors.lastname: Buccelli
authors.affiliation: Department of Advanced Biomedical Sciences, Naples, Italy, University "Federico II" of Naples, Naples, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Addeo
authors.affiliation: Department of Advanced Biomedical Sciences, Naples, Italy, University "Federico II" of Naples, Naples, Italy.
authors.forename: Emanuele
authors.initials: E
authors.lastname: Capasso
authors.affiliation: Department of Surgery, Radiology and Public Health, Public Health and Humanities Section, University of Brescia, Centre of Bioethics Research (with the contribution of IRCCS "S.Giovanni di Dio - Fatebenefratelli"), 25123 Brescia, Italy.
authors.forename: Adelaide
authors.initials: A
authors.lastname: Conti
authors.affiliation: Department of Neuroscience, Naples, Italy. Fellow in General Surgery at University of Naples, Italy.
authors.forename: Maurizio
authors.initials: M
authors.lastname: Amato
authors.affiliation: Department of Public Health, Naples, Italy. Fellow in Vascular Surgery at University of Naples, Italy.
authors.forename: Rita
authors.initials: R
authors.lastname: Compagna
authors.affiliation: Department of Advanced Biomedical Sciences, Naples, Italy, University "Federico II" of Naples, Naples, Italy.
authors.forename: Massimo
authors.initials: M
authors.lastname: Niola
authors.affiliation: University of Turin, Department of Oncology, School of Medicine, San Luigi Gonzaga University Hospital, Section of General Surgery, Orbassano, Turin, Italy.
authors.forename: Valter
authors.initials: V
authors.lastname: Martino
keywords: Tutor; Tutor in surgery; Tutoring