[Meaningful advanced training concepts for surgeons]

A state of the art surgical training is crucial for the attraction of surgery as a medical profession. The German surgical community can only succeed in overcoming the shortage of young surgeons by the development of an attractive and professional training environment. Responsibility for surgical training has to be taken by the heads of department as well as by the surgical societies. Good surgical training should be deemed to be part of the corporate strategy of German hospitals and participation in external courses has to be properly funded by the hospital management. On the other hand residents are asked for commitment and flexibility and should keep records in logbooks and take part in assessment projects to gain continuing feedback on their learning progress. The surgical community is in charge of developing a structured but flexible training curriculum for each of the eight surgical training trunks. A perfect future curriculum has to reflect and cross-link local hospital training programs with a central training portfolio of a future Academy of German Surgeons, such as workshops, courses and e-learning projects. This challenge has to be dealt with in close cooperation by all surgical boards and societies. A common sense of surgery as a community in diversity is crucial for the success of this endeavour.