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Schardey J, Hüttl F, Jacobsen A, Brunner S, Tripke V, Wirth U, Werner J, Kalff JC, Sommer N, Huber T. [The new continuing education regulations-A challenge for visceral surgery : Results of a survey among DGAV members and solution strategies of the Young Surgeons]. CHIRURGIE (HEIDELBERG, GERMANY) 2024:10.1007/s00104-024-02082-1. [PMID: 38671250 DOI: 10.1007/s00104-024-02082-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 03/19/2024] [Indexed: 04/28/2024]
Abstract
BACKGROUND The new competency-based further training regulations (nWBO) for surgical training have been adopted by all German state medical associations. METHODS From May to June 2023 the Young Surgeons' Working Group (CAJC) conducted an anonymous online survey among the 5896 members of the German Society for General and Visceral Surgery (DGAV). OBJECTIVE The survey aimed to assess expectations regarding the nWBO and to develop strategies for enhancing surgical training. RESULTS With 488 participants (response rate 8.3%) the study is representative. The respondents consisted of 107 continuing education assistants (WBA 21.9%), 69 specialist physicians, and 188 senior physicians (specialist physicians 14.1% and senior physicians 38.5%), as well as 107 chief physicians (21.9%). The majority worked in regular care providers (44%), followed by maximum care providers (26.8%) and university clinics (20.1%). Only 22% considered the required operative spectrum of the new medical specialist training regulations (nWBO) to be realistic. Half of the respondents believed that full training in their clinic according to the new catalog will no longer be possible and 54.6% considered achieving the target numbers in 6 years to be impossible or state that they can no longer train the same number of continuing education assistants (WBAs) in the same time frame. Endoscopy (17.1-18.8%), fundoplication (15.4-17.7%) and head and neck procedures (12.1-17.1%) were consistently mentioned as bottlenecks across all levels of care. Rotations for balance were reported to be already established or not necessary in 64.7%. In 48% it was stated that the department had established the partial steps concept. The importance of a structured training concept was considered important by 85% of WBAs, compared to 53.3% of chief physicians (CÄ). If a structured training concept was present in the department, the achievability of the target numbers was significantly assessed more positively in the univariate analysis. In the multivariate analysis, male gender and the status of "habilitated/professor" were independent factors for a more positive assessment of the nWBO. Objective certification of training was considered important by 51.5%. CONCLUSION Concerns surround the nWBO and the sentiment is pessimistic. Additional requirements and hospital reforms could exacerbate the situation. Collaboration and rotations are crucial but still insufficiently implemented. Quality-oriented certification could enhance the quality of training.
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Affiliation(s)
- Josefine Schardey
- Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, LMU Klinikum, Ludwig-Maximilians-Universität München, München, Deutschland
- Chirurgische Arbeitsgemeinschaft Junge Chirurgie (CAJC), Deutschen Gesellschaft für Allgemein- und Viszeralchirurgie (DGAV), Berlin, Deutschland
| | - Florentine Hüttl
- Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Langenbeckstraße 1, 55131, Mainz, Deutschland
- Chirurgische Arbeitsgemeinschaft Junge Chirurgie (CAJC), Deutschen Gesellschaft für Allgemein- und Viszeralchirurgie (DGAV), Berlin, Deutschland
| | - Anne Jacobsen
- Klinik für Allgemein- und Viszeralchirurgie, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Deutschland
- Chirurgische Arbeitsgemeinschaft Junge Chirurgie (CAJC), Deutschen Gesellschaft für Allgemein- und Viszeralchirurgie (DGAV), Berlin, Deutschland
| | - Stefanie Brunner
- Klinik für Allgemein‑, Viszeral‑, Tumor- und Transplantationschirurgie, Universitätsklinikum Köln, Köln, Deutschland
- Chirurgische Arbeitsgemeinschaft Junge Chirurgie (CAJC), Deutschen Gesellschaft für Allgemein- und Viszeralchirurgie (DGAV), Berlin, Deutschland
| | - Verena Tripke
- Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Langenbeckstraße 1, 55131, Mainz, Deutschland
- Chirurgische Arbeitsgemeinschaft Junge Chirurgie (CAJC), Deutschen Gesellschaft für Allgemein- und Viszeralchirurgie (DGAV), Berlin, Deutschland
| | - Ulrich Wirth
- Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, LMU Klinikum, Ludwig-Maximilians-Universität München, München, Deutschland
- Chirurgische Arbeitsgemeinschaft Junge Chirurgie (CAJC), Deutschen Gesellschaft für Allgemein- und Viszeralchirurgie (DGAV), Berlin, Deutschland
| | - Jens Werner
- Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, LMU Klinikum, Ludwig-Maximilians-Universität München, München, Deutschland
| | - Jörg C Kalff
- Klinik für Chirurgie, Universitätsklinikum Bonn, Bonn, Deutschland
| | - Nils Sommer
- Klinik für Chirurgie, Universitätsklinikum Bonn, Bonn, Deutschland
- Chirurgische Arbeitsgemeinschaft Junge Chirurgie (CAJC), Deutschen Gesellschaft für Allgemein- und Viszeralchirurgie (DGAV), Berlin, Deutschland
| | - Tobias Huber
- Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Langenbeckstraße 1, 55131, Mainz, Deutschland.
- Chirurgische Arbeitsgemeinschaft Junge Chirurgie (CAJC), Deutschen Gesellschaft für Allgemein- und Viszeralchirurgie (DGAV), Berlin, Deutschland.
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Kröplin J, Maier L, Lenz JH, Romeike B. Knowledge Transfer and Networking Upon Implementation of a Transdisciplinary Digital Health Curriculum in a Unique Digital Health Training Culture: Prospective Analysis. JMIR MEDICAL EDUCATION 2024; 10:e51389. [PMID: 38632710 PMCID: PMC11034421 DOI: 10.2196/51389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/30/2023] [Revised: 02/08/2024] [Accepted: 02/13/2024] [Indexed: 04/19/2024]
Abstract
Background Digital health has been taught at medical faculties for a few years. However, in general, the teaching of digital competencies in medical education and training is still underrepresented. Objective This study aims to analyze the objective acquisition of digital competencies through the implementation of a transdisciplinary digital health curriculum as a compulsory elective subject at a German university. The main subject areas of digital leadership and management, digital learning and didactics, digital communication, robotics, and generative artificial intelligence were developed and taught in a transdisciplinary manner over a period of 1 semester. Methods The participants evaluated the relevant content of the curriculum regarding the competencies already taught in advance during the study, using a Likert scale. The participants' increase in digital competencies were examined with a pre-post test consisting of 12 questions. Statistical analysis was performed using an unpaired 2-tailed Student t test. A P value of <.05 was considered statistically significant. Furthermore, an analysis of the acceptance of the transdisciplinary approach as well as the application of an alternative examination method (term paper instead of a test with closed and open questions) was carried out. Results In the first year after the introduction of the compulsory elective subject, students of human medicine (n=15), dentistry (n=3), and medical biotechnology (n=2) participated in the curriculum. In total, 13 participants were women (7 men), and 61.1% (n=11) of the participants in human medicine and dentistry were in the preclinical study stage (clinical: n=7, 38.9%). All the aforementioned learning objectives were largely absent in all study sections (preclinical: mean 4.2; clinical: mean 4.4; P=.02). The pre-post test comparison revealed a significant increase of 106% in knowledge (P<.001) among the participants. Conclusions The transdisciplinary teaching of a digital health curriculum, including digital teaching methods, considers perspectives and skills from different disciplines. Our new curriculum facilitates an objective increase in knowledge regarding the complex challenges of the digital transformation of our health care system. Of the 16 student term papers arising from the course, robotics and artificial intelligence attracted the most interest, accounting for 9 of the submissions.
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Affiliation(s)
- Juliane Kröplin
- Department of Oral and Maxillofacial Surgery, University Medical Centre Rostock, Rostock, Germany
| | - Leonie Maier
- Department of Oral and Maxillofacial Surgery, University Medical Centre Rostock, Rostock, Germany
| | - Jan-Hendrik Lenz
- Department of Oral and Maxillofacial Surgery, University Medical Centre Rostock, Rostock, Germany
- Department of the Dean of Studies in Medical Didactics, University of Rostock, Rostock, Germany
| | - Bernd Romeike
- Department of the Dean of Studies in Medical Didactics, University of Rostock, Rostock, Germany
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Ebert KH. [How can continuing education in general and visceral surgery be organized in a hospital performing basic and regular care?]. CHIRURGIE (HEIDELBERG, GERMANY) 2023; 94:921-926. [PMID: 37365435 DOI: 10.1007/s00104-023-01908-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 05/23/2023] [Indexed: 06/28/2023]
Abstract
Recruitment of the next generation in surgery is more important than ever. Patients must be able to rely on the fact that the care provided by a hospital is safeguarded by sufficient medical personnel with the correct levels of qualification. Continuing education is an important pillar in this respect. This necessitates the engagement of the medical leadership and personnel to invest in the new medical generation. The readiness for continuing education must be financially borne by the provider. Continuing education in general and visceral surgery in a hospital responsible for basic and routine care is also essential in the future in order to guarantee a broad spectrum of care in Germany. The new continuing education regulations and the planned hospital reformation will make this more difficult; therefore, clever concepts are necessary.
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Affiliation(s)
- Karl-Heinz Ebert
- Klinik für Allgemein- und Viszeralchirurgie, GFO-Kliniken Südwestfalen, Hospitalweg 6, 57462, Olpe, Deutschland.
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