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Published on: May 9, 2015
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[Focus on Hand Surgery Training: Challenges, Perceptions, and Solutions from the Perspective of Trainee Surgeons].
Julia Glaser1, Martin Aman1, Karsten Becker2
1Klinik für Hand-, Replantations- und Mikrochirurgie, BG Klinikum Unfallkrankenhaus Berlin, Lehrstuhl für Hand-, Replantations- und Mikrochirurgie Charité Universitätsmedizin Berlin, BG Klinikum Unfallkrankenhaus Berlin, Berlin, Germany.
Summary
Surgical trainees in Germany report insufficient surgical exposure and desire more mentorship. Addressing these needs through structured programs and dialogue can enhance hand surgery training quality.
Area of Science:
- Medical Education
- Surgical Training
- Orthopaedics & Hand Surgery
Context:
- Hand surgery training faces challenges due to evolving healthcare and outpatient care shifts.
- A lack of comprehensive studies on trainee perceptions in German-speaking regions.
- The study addresses the need for structured surgical education in response to these changes.
Purpose:
- To evaluate the quality of practical and theoretical hand surgery training from trainee perspectives.
- To identify weaknesses and propose optimization measures for surgical education.
- To assess training during specialist qualification and the additional qualification (Zusatzbezeichnung, ZB) in hand surgery.
Summary:
- An online survey of 117 surgical trainees (Weiterbildungsassistenten, WBA) in Germany was conducted.
- Findings indicate 51% perceived insufficient surgical exposure and 56% desired more.
- Key challenges included staff shortages and inadequate continuing education support.
Impact:
- Increased surgical exposure, structured mentorship, and better financial support for continuing education are recommended.
- Implementing these measures can significantly improve the perceived quality of hand surgery training.
- Continuous dialogue between trainees and trainers is crucial for practical and motivating education.

