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Mehringer D, Jahn P, Linoh KP, Wienke A, Michl P, Walldorf J. [Practice and challenges of delegating medical tasks in the interprofessional everyday work of inpatient healthcare in Germany - An exploratory survey]. ZEITSCHRIFT FUR EVIDENZ, FORTBILDUNG UND QUALITAT IM GESUNDHEITSWESEN 2024; 186:10-17. [PMID: 38519356 DOI: 10.1016/j.zefq.2024.01.007] [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: 08/21/2023] [Revised: 01/20/2024] [Accepted: 01/27/2024] [Indexed: 03/24/2024]
Abstract
BACKGROUND The delegation of medical tasks (DMT) plays a significant role in the everyday practice of inpatient care but also presents a potential challenge in interprofessional collaboration. Assessing the conditions of DMT in everyday work is crucial to identify areas for optimization. METHODS In a nationwide exploratory study, physicians, nursing and allied health professionals working for inpatient care facilities were surveyed regarding various aspects of DMT using a standardized online questionnaire. RESULTS The majority of the 757 participants (64.9% physicians), perceived DMT to be both economically and time-efficient (88.5% agreement) and in the best interest of patients (74%). For 78.7% of the respondents, DMT represents a potential conflict in their daily work, depending on the quality of interprofessional communication. Inadequate staffing was identified as a barrier to a broader implementation of DMT by 83.8% of participants. 63.2% of the participants considered their knowledge of legal aspects related to DMT to be at least good (participants with less than 5 years of professional experience: 52.6%). Physicians primarily acquire relevant knowledge through professional practice (71.3% vs. non-physicians 39.5%). CONCLUSION Across the different professional groups DMT was considered beneficial and serving the interests of patients. Targeted promotion of safe and cost-effective DMT should be incorporated into medical education. Achieving greater benefits from DMT requires explicit legal frameworks, effective communication within the team and, in particular, adequate staffing among the professional groups responsible for delegated tasks.
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Affiliation(s)
- Dajana Mehringer
- Klinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum Augsburg, Augsburg, Deutschland
| | - Patrick Jahn
- AG Versorgungsforschung, Pflege im Krankenhaus, Department für Innere Medizin, Universitätsmedizin Halle (Saale), Halle, Deutschland
| | - Kim Philip Linoh
- Lehrstuhl für Strafrecht, Strafprozessrecht und Medizinrecht, Juristischer Bereich, Juristische und Wirtschaftswissenschaftliche Fakultät der Martin-Luther-Universität Halle-Wittenberg, Halle (Saale), Deutschland
| | - Andreas Wienke
- Institut für Medizinische Epidemiologie, Biometrie und Informatik, Profilzentrum für Gesundheitswissenschaften, Medizinische Fakultät Halle, Halle, Deutschland
| | - Patrick Michl
- Klinik für Innere Medizin IV, Heidelberg University Hospital, Heidelberg, Deutschland
| | - Jens Walldorf
- Klinik für Innere Medizin I, Universitätsklinikum Halle (Saale), Halle, Deutschland.
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Siech C, Knipper S, Bellut L, Herlemann A, Müller K, Pompe R, Walach TM, Wiemer L, Welte MN, Weinberger S, Greiser EM, Schönburg S. [Factors influencing job satisfaction of female urologists-results of a survey by the German Society of Urology (DGU)]. UROLOGIE (HEIDELBERG, GERMANY) 2023; 62:1302-1308. [PMID: 37589741 DOI: 10.1007/s00120-023-02164-8] [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: 07/10/2023] [Indexed: 08/18/2023]
Abstract
INTRODUCTION Job satisfaction is a valuable good. However, literature on job satisfaction of female and male physicians, especially in the field of urology, is scarce. Therefore, the aim of this study was to evaluate job satisfaction among female members of the German Society of Urology (DGU). MATERIALS AND METHODS An online questionnaire was sent to 1343 female members of the DGU in Germany, Austria, and Switzerland. The responses of 521 female physicians were statistically analyzed regarding baseline characteristics and in relation to job satisfaction and satisfaction with the choice of specialty. RESULTS The median age of the participants was 37 (IQR 33; 45) years. While 91% of the respondents were rather or very satisfied with their choice of specialty-urology-only about 54% of the female urologists were satisfied with their job situation. Of the female urologists satisfied (vs. not satisfied) with their professional situation, 95% (vs. 87%) were also satisfied with their choice of urology as their specialty. Satisfaction with the working time model (odds ratio [OR] 9.61) and feeling unequal treatment (OR: 0.18) were independent predictors of satisfaction with the professional situation. CONCLUSION Considering the increasing proportion of women in the health sector, it is important to identify factors influencing decisions on career and choice of specialty as well as career progression. Achieving career goals, increasing satisfaction with the working time model, and reducing unequal treatment or discrimination are central arguments for sustainably increasing the job satisfaction of female urologists.
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Affiliation(s)
- Carolin Siech
- Klinik für Urologie, Universitätsklinikum, Goethe-Universität Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Deutschland.
| | - Sophie Knipper
- Martini-Klinik Prostatakarzinom Zentrum, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland
| | - Laura Bellut
- Klinik für Urologie und Kinderurologie, Universitätsklinikum Erlangen, Erlangen, Deutschland
| | - Annika Herlemann
- Klinik für Urologie, Campus Großhadern, LMU München, München, Deutschland
| | - Karina Müller
- Klinik für Urologie, Klinikum Bremen Mitte, Bremen, Deutschland
| | - Raisa Pompe
- Klinik für Urologie, Klinikum Herford, Herford, Deutschland
| | - Teresa Margarete Walach
- Klinik für Urologie und Urochirurgie, Universitätsmedizin Mannheim (UMM), Mannheim, Deutschland
| | - Laura Wiemer
- Pro Uro Berlin, Berlin, Deutschland
- Klinik für Urologie, Charité - Universitätsmedizin Berlin, Berlin, Deutschland
| | - Maria-Noemi Welte
- Klinik für Urologie, Universitätsklinikum, Goethe-Universität Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Deutschland
| | - Sarah Weinberger
- Klinik für Urologie, Charité - Universitätsmedizin Berlin, Berlin, Deutschland
| | - Eva Maria Greiser
- Klinik für Urologie, Klinikum Rheine Mathias-Spital, Rheine, Deutschland
| | - Sandra Schönburg
- Klinik und Poliklinik für Urologie und Nierentransplantation, Martin-Luther-Universität, Halle (Saale), Deutschland
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Weinberger S, Welte MN, Knipper S, Siech C, Greiser EM, Wiemer L, Müller K, Bellut L, Herlemann A, Schoenburg S, Walach MT. Current perceptions and working time models of female urologists in Germany: results of a large-scale survey. World J Urol 2023; 41:3161-3168. [PMID: 37704869 PMCID: PMC10632202 DOI: 10.1007/s00345-023-04604-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Accepted: 08/28/2023] [Indexed: 09/15/2023] Open
Abstract
PURPOSE Female urologists are distinctly underrepresented in leading positions. The reasons behind this inequity remain unclear, with some suggesting factors such as family responsibilities, part-time work and insufficient mentorship. This study aimed to explore and characterize the working conditions of female urologists in Germany, with a focus on factors influencing the working time model. METHODS A questionnaire was developed and distributed to 1343 female members of the German Society of Urology between February and March 2022. The survey consisted of 43 questions covering the categories demographics, occupation situation, satisfaction at work, family situation, career aspects and research activity. RESULTS Of the 487 female German urologists who participated in the survey, 167 (34.3%) worked part-time. Doctors in training were significantly less likely to work part-time than colleagues who had completed their specialist training (p < 0.001). Only 10% of female doctors in training reported working part-time. Similarly, having children (p < 0.001) and engaging in scientific activities (p = 0.03) were independent factors influencing part-time work, with children increasing the likelihood of working part-time as expected, while scientifically active female urologists were more likely to work full-time. CONCLUSION This study provides the largest survey on the situation of female urologists in German-speaking countries to date. Part-time work during specialist training is rare, while more than 50% of female urologists with children work part-time. With the projected decline in the number of practicing physicians and the increasing demand for medical attention, it is crucial to find ways to retain and support healthcare professionals, particularly female urologists.
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Affiliation(s)
- Sarah Weinberger
- Department of Urology, Charité, University Medicine Berlin, Berlin, Germany
| | - Maria-Noemi Welte
- Department of Urology, University Hospital Frankfurt, Frankfurt, Germany
| | - Sophie Knipper
- Martini-Klinik Prostate Cancer Center, University Hospital Hamburg-Eppendorf, Hamburg, Germany
| | - Carolin Siech
- Department of Urology, University Hospital Frankfurt, Frankfurt, Germany
| | - Eva Maria Greiser
- Department of Urology, Mathias-Spital, Hospital Rheine, Rheine, Germany
| | - Laura Wiemer
- Department of Urology, Charité, University Medicine Berlin, Berlin, Germany
- Pro Uro Berlin, Berlin, Germany
| | - Karina Müller
- Department of Urology, Hospital Bremen Mitte, Bremen, Germany
| | - Laura Bellut
- Department of Urology, University Hospital Erlangen, Erlangen, Germany
| | - Annika Herlemann
- Department of Urology, Campus Großhadern, LMU Munich, Munich, Germany
| | - Sandra Schoenburg
- Department of Urology and Kidney Transplantation, Martin Luther University, Halle, Germany
| | - Margarete Teresa Walach
- Department of Urology and Urosurgery, University Medical Centre Mannheim (UMM), University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany.
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Siech C, Fassbach M, Neutzer M, Beverungen H. [Status quo of urological residency training in Germany-a strengths, weaknesses, opportunities, and threats (SWOT) analysis]. UROLOGIE (HEIDELBERG, GERMANY) 2023:10.1007/s00120-023-02131-3. [PMID: 37405422 DOI: 10.1007/s00120-023-02131-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Accepted: 05/26/2023] [Indexed: 07/06/2023]
Abstract
BACKGROUND Urological residency training is a decisive step on the urological career path. The aim of this review is to develop strategies and approaches to actively shape, improve and further develop urological residency training. METHODS With the help of a strengths, weaknesses, opportunities, and threats (SWOT) analysis, the status quo of urological residency training in Germany is analyzed in a structured manner. RESULTS Strengths of urological residency training incorporate the attractiveness of the specialty itself, and the residency training curriculum in urology ("Weiterbildungscurriculum Urologie", WECU), including the networking of inpatient and outpatient training and accompanying internal and external further training. The German Society of Residents in Urology (GeSRU) also provides a networking platform for residents. Weaknesses include country-specific differences and a lack of checkpoints during residency training. Opportunities for urological continuing education arise from freelance work, digitalization, and technical and medical progress. In contrast, the aftermath of the coronavirus disease 2019 (COVID 19) pandemic, with still limited staff and surgical capacities, an increased psychosocial workload, and the rising number of outpatient treatments in urology pose threats for urological residency programs. CONCLUSIONS With the help of a SWOT analysis, factors for the further development of urological residency training can be identified. In order to provide high-quality residency training in the future, strengths and opportunities should be consolidated and weaknesses and threats should be addressed at an early stage.
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Affiliation(s)
- Carolin Siech
- Klinik für Urologie, Universitätsklinikum Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Deutschland.
| | - Mira Fassbach
- Klinik Urologie, urologische Onkologie und Kinderurologie, Helios Klinikum Duisburg, Duisburg, Deutschland
| | - Maike Neutzer
- Klinik für Urologie, Kinderurologie und Urogynäkologie, Krankenhaus Maria Hilf der Alexianer Krefeld GmbH, Krefeld, Deutschland
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What do hematologists and oncologists consider necessary for their career? Results of an online survey in Germany, Austria and Switzerland. J Cancer Res Clin Oncol 2022:10.1007/s00432-022-04489-x. [DOI: 10.1007/s00432-022-04489-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2022] [Accepted: 11/16/2022] [Indexed: 11/26/2022]
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Siech C, García CC, Leyh H, Schmid HP, Engl TA, Karakiewicz PI, Becker A, Chun FKH, Banek S, Kluth LA. Standardized evaluation of satisfaction within urology residents during clinical training: Implementation of a new urological residency rotation program at the university hospital Frankfurt. Front Surg 2022; 9:1038336. [PMID: 36504575 PMCID: PMC9727092 DOI: 10.3389/fsurg.2022.1038336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2022] [Accepted: 10/31/2022] [Indexed: 11/24/2022] Open
Abstract
Background Structured curricula are demanded to improve training programs of future urologists. This study aimed to evaluate the acceptance of the newly implemented residency rotation program at the University Hospital Frankfurt. Primary endpoint was resident's satisfaction with the current residency rotation program. Secondary endpoint was the fulfilment of the objectives and expectations by residents. Methods A standardized 15-item, online-based survey was sent to every urologic resident of the University Hospital Frankfurt, completing their rotation between August 2020 and August 2022. In addition to baseline characteristics, training and working conditions were assessed. Descriptive statistics were applied. Results In total 15 rotations of the Residency Rotation Program at the University Hospital Frankfurt were evaluated, including urologic practice (5/15), Intermediate Care Unit (4/15), urooncology (4/15) and clinical exchange to St. Gallen (2/15). Overall, the majority were very (67%) or rather satisfied (2%) with their rotation. Of the pre-rotation defined objectives, 71% were fulfilled, 18% partially fulfilled and 8% not fulfilled. With respect to the expectations, 67% were fulfilled, 19% partly fulfilled and 4% were not fulfilled. All residents would recommend their respective rotations. Conclusion Our results demonstrate that the residency rotation program at the University Hospital Frankfurt enjoys a high level of acceptance as well as a positive impact on urologic training. Satisfaction with the completed rotation was convincing, most of the expectations and objectives for the respective rotation could be fulfilled. These results help to ensure the quality of urologic curricula and to improve the structure of training programs for future urologists.
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Affiliation(s)
- Carolin Siech
- Department of Urology, University Hospital Frankfurt, Frankfurt/Main, Germany,Correspondence: Carolin Siech
| | - Cristina Cano García
- Department of Urology, University Hospital Frankfurt, Frankfurt/Main, Germany,Cancer Prognostics and Health Outcomes Unit, Division of Urology, University of Montréal Health Center, Montréal, Québec, Canada,Correspondence: Carolin Siech
| | | | - Hans-Peter Schmid
- Department of Urology, School of Medicine, University of St. Gallen, St. Gallen, Switzerland
| | | | - Pierre I Karakiewicz
- Cancer Prognostics and Health Outcomes Unit, Division of Urology, University of Montréal Health Center, Montréal, Québec, Canada
| | - Andreas Becker
- Department of Urology, University Hospital Frankfurt, Frankfurt/Main, Germany
| | - Felix K-H Chun
- Department of Urology, University Hospital Frankfurt, Frankfurt/Main, Germany
| | - Séverine Banek
- Department of Urology, University Hospital Frankfurt, Frankfurt/Main, Germany
| | - Luis A Kluth
- Department of Urology, University Hospital Frankfurt, Frankfurt/Main, Germany
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Siech C, Bellut L, Konopka M, Neutzer M. [Promotion of next generation urologists-Construct urology of the future]. UROLOGIE (HEIDELBERG, GERMANY) 2022; 61:933-938. [PMID: 35925112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Accepted: 06/23/2022] [Indexed: 06/15/2023]
Abstract
In view of the growing demand for urological care and the simultaneous demographic change, the need for urologists in Germany is increasing. Therefore, young professionals are urgently needed to ensure urological care in the future. This objective can be achieved by fascinating medical students for urology and by implementing satisfactory residency programs in clinical departments and outpatient offices. Perspectives and possible career paths should be shown to junior colleagues at an early stage. Structured research funding is needed to reconcile academic with clinical work. The German Society for Residents in Urology (GeSRU) offers young urologists a platform for networking, for representation of interests as well as for education and training.
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Affiliation(s)
- C Siech
- Universitätsklinikum Frankfurt, Klinik für Urologie, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Deutschland.
| | - L Bellut
- Klinik für Urologie und Kinderurologie, Universitätsklinikum Erlangen, Erlangen, Deutschland
| | - M Konopka
- Klinik für Urologie, Charité - Universitätsmedizin Berlin, Berlin, Deutschland
| | - M Neutzer
- Klinik für Urologie, Kinderurologie und Urogynäkologie, Krankenhaus Maria Hilf der Alexianer Krefeld, Krefeld, Deutschland
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Konopka M, Bellut L, Beverungen H, Cano García C, Dittmar F, Neutzer M, Siech C. [Experiencing continuing education-experience of future urologists]. UROLOGIE (HEIDELBERG, GERMANY) 2022; 61:839-843. [PMID: 35925290 DOI: 10.1007/s00120-022-01879-4] [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: 06/07/2022] [Indexed: 06/15/2023]
Abstract
Structured residency programmes within dedicated associations of hospitals, practices and medical care centres offer the opportunity to improve the quality of training and to increase the attractiveness of urology through fixed rotations of doctors in continued training. The implementation of such programmes is guided by the framework conditions of the respective location. Possible rotations range from andrology to paediatric urology and uro-gynaecology to interdisciplinary uro-oncology. An outpatient training period also offers the chance for a change of perspective and supports career orientation. Rotations in the interdisciplinary intermediate care unit offer the opportunity to become familiar with the care of complex disease processes, including the differential diagnostic assessment of abdominal diseases, which is important in urology. In summary, the diversity of urological training available can enable junior urologists to receive more individualised and targeted training by promoting multilayered, intersectoral as well as interprofessional training.
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Affiliation(s)
- M Konopka
- Klinik für Urologie - Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin, Hindenburgdamm 30, 12203, Berlin, Deutschland.
| | - L Bellut
- Klinik für Urologie und Kinderurologie, Universitätsklinikum Erlangen, Erlangen, Deutschland
| | - H Beverungen
- Urologische Facharztpraxis Dr. Schmidt, Leipzig, Deutschland
| | - C Cano García
- Universitätsklinikum Frankfurt, Frankfurt am Main, Deutschland
| | - F Dittmar
- Standort Gießen, Universitätsklinikum Gießen und Marburg, Gießen, Deutschland
| | - M Neutzer
- Klinik für Urologie, Kinderurologie und Urogynäkologie, Krankenhaus Maria Hilf der Alexianer Krefeld GmbH, Krefeld, Deutschland
| | - C Siech
- Universitätsklinikum Frankfurt, Frankfurt am Main, Deutschland
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