[Organization of further education in general and visceral surgery in a specialized hospital]

The newly implemented further education regulations of the Medical Association of the Federal States leads to changes in for residents in training as well as for licensed trainers.

The aim is the illustration of the effect on the residency of general and visceral surgery as well as the additional training for specialized visceral surgery from the perspective of a specialized center.

Comparison of the (model) further education regulations 2018 of the Medical Association of the Federal States with the further education regulations 2004 exemplified by the Bavarian Federal Chamber of Physicians.

The documentation effort for the continuous acquisition of competences is clearly increased and also the required reference numbers especially for diagnostic skills in the course of the specialist training in visceral surgery as well as the surgical skills for acquisition of the additional designation of specialized visceral surgery. The designation of medical specialist for general surgery was retained.

Whether the changes due to the new further education regulations, such as increased documentation effort and the rotation of residents in training that is necessary in most hospitals without resource compensation, will lead to an improvement of specialist training and attraction of the profession in the setting of a specialized center remains to be elucidated.