Merschin D, Münzberg M, Stange R, Schüttrumpf J P, Perl M, Mutschler M
Klinik für Orthopädie und Unfallchirurgie, Krankenhaus Rummelsberg - ein Haus der Sana Kliniken AG, Schwarzenbruck.
Klinik für Unfallchirurgie und Orthopädie, BG-Unfallklinik Ludwigshafen.
Z Orthop Unfall. 2014 Oct;152(5):440-5. doi: 10.1055/s-0034-1382869. Epub 2014 Oct 14.
The subject orthopedics and traumatology suffers by a loss of attractiveness which results in a lack of young blood. The aim of this study of the Youth Forum of the German Society of Orthopedics and Traumatology (DGOU) is to register the working conditions of residents in orthopedics.
In the months September and October 2013 we performed a survey on members of the following German societies: German Society of Orthopedics and Traumatology (DGOU), German Society of Traumatology (DGU) and the German Society of Orthopedics and Orthopedic Surgery (DGOOC), (age < 40). Our questionnaire includes 15 questions.
We achieved 28,9 % (n = 331) answered questionnaires. The mean working time per week is 55 hours. 73 % of all participants do more than 5 emergency services per month. 52 % are more than 3 times on duty for 24 hours. Only 13 % of all residents have well ordered working hours. Normally working time is divided into three parts: one third for bureaucracy, one for operation theatre and the last for other activities (e.g. ward round). 35,6 % do only one surgery per week, 12 % do not perform any surgeries. An annual report is performed only in 45 %. A structured concept of training only exists in 16 % of all hospitals. In addition to clinical work 45 % are involved in scientific projects, mostly in their spare-time. Finally 58 % of all surgeons would still recommend orthopedics and traumatology.
In order to maintain orthopedics and traumatology as an attractive it is necessary to implement flexible working time models and to reorganize and improve training-concepts.
骨科学与创伤学缺乏吸引力，导致新鲜血液不足。德国骨科学与创伤学会（DGOU）青年论坛开展这项研究的目的是记录骨科住院医师的工作条件。
2013年9月和10月，我们对以下德国学会的成员进行了一项调查：德国骨科学与创伤学会（DGOU）、德国创伤学会（DGU）和德国骨科学与矫形外科学会（DGOOC）（年龄<40岁）。我们的问卷包含15个问题。
我们收到了28.9%（n = 331）的有效问卷。每周平均工作时间为55小时。所有参与者中有73%每月要值5次以上的急诊班。52%的人每月要值3次以上的24小时班。所有住院医师中只有13%的人工作时间安排有序。正常工作时间通常分为三部分：三分之一用于行政事务，三分之一用于手术室工作，最后三分之一用于其他活动（如查房）。35.6%的人每周只做一台手术，12%的人不做手术。只有45%的人会进行年度汇报。所有医院中只有16%存在结构化培训概念。除临床工作外，45%的人参与科研项目，大多是在业余时间。最后，所有外科医生中有58%仍会推荐骨科学与创伤学。
为了保持骨科学与创伤学的吸引力，有必要实施灵活的工作时间模式，并重新组织和改进培训概念。
