Wolfgarten E, Mönig S P, Fetzner U K, Schröder W, Bollschweiler E
Uniklinik Köln, Klinik und Poliklinik für Allgemein-, Viszeral- und Tumorchirurgie, Köln, Deutschland.
Zentralbl Chir. 2012 Apr;137(2):180-6. doi: 10.1055/s-0031-1283810. Epub 2012 Jan 27.
There is a lack of well-trained surgeons in Germany. The medical students get their last contact to a surgical discipline in the final year of their medical education. The student's decision for a medical discipline is surely influenced by bad experiences during the last practical training in surgery. The aim of our project was to give the medical students an engaged and structured understanding of surgery with the aid of a logbook. It was tested in a pilot phase and should increase the number of final year students and their interest in surgery in the long-term.
From 5 / 2009 the structure of the surgical part of the final year was worked over by the Clinics for General, Visceral und Tumour Surgery, Vascular Surgery, Heart and Thoracic Surgery and Trauma Surgery. A logbook was developed which includes the rotation through the 4 different surgical departments, lists the targets of study and the practical exercises in obligatory and optional schedules, defines one patient care per rotation and introduces a mentoring system. The logbook is clearly represented and the required signatures of the senior doctors are minimized. After the surgical term the students filled out a questionnaire and were interviewed about the pros and cons of the logbook.
In December 2009 the new logbook was distributed for the first time. Until now 113 final year students have used it. The first evaluation of 45 students showed a positive rating of the clinical organization and structure of the clinic, the list of the learning targets and the practical skills. The implementation of the mentoring system and the required signatures were still incomplete. The final year students wished for more training time for the doctors. The positive response of the final year students results in an increasing number of final year students chosing a career in surgery.
The new logbook for the surgical part of the final year at the University of Cologne helps the students with the daily routine of the surgical departments, gives a review of the learning targets and emphasizes a good surgical training.
德国缺乏训练有素的外科医生。医学生在医学教育的最后一年与外科学科有了最后的接触。学生对外科学科的选择肯定会受到最后外科实习期间糟糕经历的影响。我们项目的目的是借助一本日志，让医学生对外科手术有深入且系统的了解。该日志在试点阶段进行了测试，从长远来看，应能增加最后一年学生的数量以及他们对外科手术的兴趣。
自2009年5月起，普通外科、内脏与肿瘤外科、血管外科、心脏与胸外科以及创伤外科诊所对最后一年外科部分的结构进行了调整。开发了一本日志，其中包括在4个不同外科科室的轮转，列出了学习目标以及必修和选修课程表中的实践练习，规定每次轮转负责一名患者的护理，并引入了导师制度。日志内容清晰呈现，尽量减少了高级医生所需的签名。外科实习结束后，学生们填写了一份问卷，并就日志的优缺点接受了访谈。
2009年12月首次分发了新日志。到目前为止，已有113名最后一年的学生使用了它。对45名学生的首次评估显示，学生对诊所的临床组织和结构、学习目标清单以及实践技能给予了积极评价。导师制度的实施和所需签名仍不完整。最后一年的学生希望为医生提供更多的培训时间。最后一年学生的积极反馈导致选择外科职业的最后一年学生数量增加。
科隆大学最后一年外科部分的新日志有助于学生适应外科科室的日常工作，回顾学习目标，并强调良好的外科培训。
