Background <p>Digital transformation in health sciences education is accelerating, yet little is known about how institutional strategies, pedagogical models, and technology adoption intersect in practice. Anaesthesiology, a high-stakes and procedurally intensive discipline, presents a unique lens through which to examine digital education innovation.</p> Purpose <p>This systematic review synthesizes current research on digital education strategies in anaesthesiology and evaluates their pedagogical impact, implementation dynamics, and institutional alignment using a Hybrid Thematic–SWOT framework.</p> Methods <p>We conducted a PRISMA-guided review of 40 peer-reviewed studies published between 2014 and 2024, drawn from Scopus, Web of Science, and PubMed. Studies were appraised using CASP and NOS tools. Thematic coding followed Braun &amp; Clarke’s (2006) framework, with findings analyzed across four domains: pedagogical design, learner engagement, institutional capacity, and equity.</p> Results <p>Simulation-based learning, blended formats, AI-enhanced feedback, and adaptive systems are widely used to support technical skill acquisition. Success factors include faculty readiness, curriculum alignment, and strategic funding. Key weaknesses relate to infrastructure gaps and uneven digital competencies. Opportunities include emerging accreditation models and AI-assisted personalization, while threats involve ethical risks and regulatory ambiguity.</p> Conclusion <p>This review highlights the strategic role of institutional leadership in translating digital innovation into sustainable, equitable learning ecosystems. By linking empirical outcomes to organizational challenges, the study contributes a transferable framework for digital curriculum development in health professions education globally.</p>