Bork U, Koch M, Büchler M W, Weitz J
Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Chirurgische Klinik, Universitätsklinikum Heidelberg, Deutschland.
Chirurg. 2010 Aug;81(8):694, 696-700. doi: 10.1007/s00104-009-1805-x.
The present day healthcare system in Germany is rapidly changing, even more so after the introduction of diagnosis-related groups. The basic requirements for every surgeon remain manual skills, a profound clinical knowledge and the ability for clinical decision-making even in difficult situations. However, these key elements of surgical education no longer fulfill the requirements for today's leaders in surgery. New requirements, consisting of administrative duties, strategic decision-making and department management are too complex to be made only intuitively. Nowadays surgeons also need a profound education in management skills and knowledge of economic mechanisms in order to run an efficient, profitable, patient-oriented surgical department. Every surgeon who aims at obtaining a leadership position should acquire the necessary knowledge and skills.
德国目前的医疗保健系统正在迅速变化，在引入诊断相关分组后更是如此。每位外科医生的基本要求仍然是手工技能、深厚的临床知识以及即使在困难情况下也能进行临床决策的能力。然而，外科教育的这些关键要素已不再满足当今外科领域领导者的要求。由行政职责、战略决策和科室管理组成的新要求过于复杂，无法仅凭直觉做出。如今，外科医生还需要接受管理技能方面的深入教育并了解经济机制，以便运营一个高效、盈利且以患者为导向的外科科室。每位旨在获得领导职位的外科医生都应掌握必要的知识和技能。
