Oker N, Alotaibi N H, Herman P, Bernal-Sprekelsen M, Albers A E
Service d'ORL et chirurgie de la face et du cou Hôpital Lariboisière, Assistance Publique Hôpitaux de Paris, 2 rue Ambroise Paré, 75010, Paris, France.
Charité-Universitätsmedizin Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12200, Berlin, Germany.
Eur Arch Otorhinolaryngol. 2016 Jun;273(6):1619-27. doi: 10.1007/s00405-016-3935-3. Epub 2016 Feb 22.
Europe-wide efforts are being initiated to define quality standards and harmonize Otolaryngology, Head and Neck Surgery (ORL-HNS)-specialty-training by creating an European board examination. However, differences within and between countries remain and are underinvestigated making comparisons and further improvement more difficult. The study aimed at assessing quality of training, satisfaction and quality of life of residents and recent ORL-HNS specialists in Spain and to trace similarities and differences to France and Germany administering anonymous online-questionnaire to ORL-HNS-residents and recent specialists. 146 questionnaires were returned with answers of 75.6 % of residents, a mean age of 30 years and a female to male ratio of 1.46:1. The global satisfaction of training was high as 76 % would choose the same ENT training again, 86 % confirmed that responsibilities which were given to them were adapted to their level of training and 97 % felt well considered in their department. Ninety-two confirmed that helpful seniors contributed to a good work environment (75 %) and to a good organization within the department (69 %). The respondents spent on average 8.8 h per day at the hospital and covered on average 4.8 night duties or week-end shifts per month with mostly no post-day off (86 %). Seventy-four percent participated regularly at complementary training sessions. Research work was supported and guided in 59 %. This study is the first one, to our best of knowledge, to assess the ORL-HNS-training in Spain and to trace parallelisms and differences to other European countries, such as France and Germany. The satisfaction of training and supervision was high in Spain, but there are still efforts to make concerning resident's quality of life. Compared to France and Germany, satisfaction with ORL-HNS-training and the support and guidance provided by seniors was similar. Work conditions were comparable to those in France. Motivation, teaching and scientific output was higher in Spain, despite the salary being the lowest.
欧洲正在开展全欧洲范围的努力，通过设立欧洲委员会考试来界定质量标准并协调耳鼻咽喉头颈外科学（ORL - HNS）专业培训。然而，国家内部和国家之间的差异依然存在且未得到充分研究，这使得比较和进一步改进变得更加困难。该研究旨在评估西班牙耳鼻咽喉头颈外科学住院医师和近期专科医生的培训质量、满意度和生活质量，并通过向耳鼻咽喉头颈外科学住院医师和近期专科医生发放匿名在线问卷，找出与法国和德国的异同之处。共收回146份问卷，住院医师的回答率为75.6%，平均年龄为30岁，男女比例为1.46:1。培训的总体满意度较高，76%的人表示会再次选择相同的耳鼻喉科培训，86%的人确认分配给他们的职责与他们的培训水平相适应，97%的人觉得在科室中得到了充分考虑。92人确认，乐于助人的上级有助于营造良好的工作环境（75%）和科室内部良好的组织架构（69%）。受访者平均每天在医院花费8.8小时，平均每月值4.8个夜班或周末班，大多数情况下没有调休（86%）。74%的人定期参加补充培训课程。59%的研究工作得到了支持和指导。据我们所知，这项研究是第一项评估西班牙耳鼻咽喉头颈外科学培训并找出与其他欧洲国家（如法国和德国）异同之处的研究。西班牙对培训和监督的满意度较高，但在住院医师生活质量方面仍需努力。与法国和德国相比，对耳鼻咽喉头颈外科学培训以及上级提供的支持和指导的满意度相似。工作条件与法国相当。尽管西班牙的薪资最低，但积极性、教学和科研产出更高。
