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[Quality of surgical continuing education in Germany]
J Ansorg1, I Hassan, V Fendrich
1Berufsverband der Deutschen Chirurgen, BDC/Service, Berlin.
Deutsche Medizinische Wochenschrift (1946)
|March 4, 2005
Summary
Many surgical residents in Germany report poor training quality and lack of structured programs, contributing to dissatisfaction. Developing clear guidelines and improving teaching support are crucial for better surgical education.
Area of Science:
- Medical Education
- Surgical Training
- Resident Education
Background:
- Young doctors often leave clinical practice due to inadequate training quality and poor working conditions.
- This study evaluates surgical training in Germany from the perspective of residents.
Purpose of the Study:
- To assess the quality and structure of surgical residency programs in Germany.
- To identify areas for improvement in surgical training based on resident feedback.
Main Methods:
- A questionnaire was developed by residents and consultants, approved by German surgical societies.
- The survey was distributed to surgical residents across Germany between June 2003 and June 2004.
- Responses were collected anonymously via email, mail, or online.
Main Results:
- 584 residents responded (approx. 30% of all), with 58% completing training in the standard 6 years.
- Only 43% had rotation systems, and 46% discussed procedures beforehand.
- 61% were dissatisfied with OR teaching assistance, and only 33% had regular progress talks with chiefs.
Conclusions:
- Surgical training structures are inadequate in approximately 50% of surveyed hospitals.
- The potential of daily surgical work for training is underutilized.
- Guidelines for surgical training, logbooks, and rotation programs are urgently needed.