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[Surgical Training in Germany: Desire and Reality]
S Axt1, J Johannink1, P Storz1
1Allgemein-, Viszeral- und Transplantationschirurgie, Klinikum der Eberhard-Karls-Universität Tübingen, Deutschland.
Zentralblatt Fur Chirurgie
|June 23, 2016
Summary
Surgical training in German hospitals is inconsistent. Improving surgical education through practical assistance and guided skills training can enhance physician satisfaction.
Area of Science:
- Medical Education
- Surgical Training
- Healthcare Quality
Background:
- Surgical education and practical skills training in German hospitals lack standardization.
- Significant variations exist in teaching content and methodologies across institutions.
Purpose of the Study:
- To provide an overview of current surgical education and practical skills training in German hospitals.
- To assess the frequency, type, and quality of surgical training programs.
Main Methods:
- An online survey was conducted among members of the German Society for General and Visceral Surgery (DGAV).
- Prospective data collection involved junior physicians/consultants/senior physicians and chief physicians.
- A 30-question questionnaire addressed various aspects of in-house surgical education and training.
Main Results:
- 325 physicians participated, representing diverse hospital types.
- 75.4% of junior physicians reported regular formal surgical training, while 21.6% reported irregular training.
- Assistance in surgical substeps (72%) and practical teaching of basic skills (71%) were highly valued by participants.
Conclusions:
- The survey highlights the current state of surgical education and training in Germany.
- Implementing pragmatic approaches like operational assistance and guided practical training can improve physician satisfaction.
- Standardization and enhancement of surgical training are crucial for developing competent surgeons.

