Reismann M, Ellerkamp V, Dingemann J
Hannover Medical School, Department of Pediatric Surgery, Hannover, Germany.
Eur J Pediatr Surg. 2010 Sep;20(5):294-7. doi: 10.1055/s-0030-1253402. Epub 2010 Jun 7.
As in other surgical specialties, increasing concern has been expressed worldwide about the shortage of trainees in pediatric surgery training programs. We performed a nationwide survey to investigate the current situation in Germany.
An internet-based nationwide survey comprising 36 questions on training conditions in pediatric surgery was linked to the homepage of the German Society of Pediatric Surgery from June to September 2008. Statements on the following aspects were evaluated by responding residents using a scale from 1 (I do not agree at all) to 5 (I fully agree): workplace, cooperation with colleagues, head of the department, cooperation with other specialties, training and research conditions. A median value of 3 indicated an unsatisfactory assessment, with at least 50% of respondents giving an indifferent or negative response.
70 questionnaires were completed. Some of the evaluations revealed problematic areas. In particular, statements regarding working hours revealed dissatisfaction among the responding doctors. The median value accorded the statement "I am satisfied with the current working time regulation" was 2.9. With regard to departmental heads, some criticisms were directed against a perceived lack of soft skills. According to the respondents, their involvement in decision-making processes was insufficient ("We are involved in decision-making processes affecting our working conditions" - median value 2.4). Residents were also dissatisfied with the feedback they received for their work ("I get enough feedback regarding my achievement" - median value 2.6). Another problem area was career development ("I will finish my specialist training in time" - median value 2.9). However, these points did not affect overall satisfaction.
Trainee satisfaction with regulations on working hours is low. Despite a general satisfaction with all fields appraised, improvements in various individual areas, e. g., the attitude of departmental heads and strategies of career development, are necessary.
与其他外科专业一样，全球范围内对小儿外科培训项目学员短缺的担忧日益增加。我们开展了一项全国性调查以探究德国的现状。
2008年6月至9月，一项基于互联网的全国性调查与德国小儿外科学会的主页相连，该调查包含36个关于小儿外科培训条件的问题。参与调查的住院医师使用从1（我完全不同意）到5（我完全同意）的量表对以下方面的陈述进行评估：工作场所、与同事的合作、科室主任、与其他专业的合作、培训和研究条件。中位数为3表明评估结果不理想，即至少50%的受访者给出了中立或负面的回答。
共完成70份问卷。一些评估揭示了存在问题的领域。特别是，关于工作时间的陈述显示出受访医生的不满。“我对当前的工作时间规定感到满意”这一陈述的中位数为2.9。关于科室主任，一些批评针对其被认为缺乏软技能。根据受访者的说法，他们在决策过程中的参与不足（“我们参与影响我们工作条件的决策过程”——中位数为2.4）。住院医师也对他们工作所得到的反馈不满意（“我得到了关于我工作成果的足够反馈”——中位数为2.6）。另一个问题领域是职业发展（“我将按时完成专科培训”——中位数为2.9）。然而，这些方面并未影响总体满意度。
学员对工作时间规定的满意度较低。尽管对所评估的所有领域总体上感到满意，但在各个方面仍有必要进行改进，例如科室主任的态度和职业发展策略。
