Department of Urology, University Hospital Mainz, Mainz, Germany.
Department of Urology, Hospital Berlin-Buch, Berlin, Germany.
Eur Urol Focus. 2018 Apr;4(3):455-460. doi: 10.1016/j.euf.2016.12.001. Epub 2016 Dec 16.
Excellent uniform training of urology residents is crucial to secure both high-quality patient care and the future of our specialty. Residency training has come under scrutiny following the demands of subspecialized care, economical aspects, and working hour regulations.
To comprehensively assess the surgical training, research opportunities, and working conditions among urology residents in Germany.
DESIGN, SETTING, AND PARTICIPANTS: We sent a 29-item online survey via email to 721 members of the German Society of Residents in Urology.
Descriptive analyses were conducted to describe the surveys' four domains: (1) baseline characteristics, (2) surgical training (cumulative completed case volume for all minor-, medium-, and major-complexity surgeries), (3) research opportunities, and (4) working conditions.
Four hundred and seventy-two residents completed the online survey (response rate 65%). Surgical training: the median number of cumulative completed cases for postgraduate yr (PGY)-5 residents was 113 (interquartile range: 76-178). Minor surgeries comprised 57% of all surgeries and were performed by residents in all PGYs. Medium-complexity surgeries comprised 39% of all surgeries and were mostly performed by residents in PGYs 2-5. Major surgeries comprised 4% of all surgeries and were occasionally performed by residents in PGYs 3-5. Research opportunities: some 44% have attained a medical thesis (Dr. med.), and 39% are currently pursuing research. Working conditions: psychosocial work-related stress was high and for 82% of residents their effort exceeded their rewards. Some 44% were satisfied, 32% were undecided, and 24% were dissatisfied with their current working situation. Limitations include self-reported survey answers and a lack of validated assessment tools.
Surgical exposure among German urology residents is low and comprises minor and medium-complex surgeries. Psychosocial work-related stress is high for the vast majority of residents indicating the need for structural improvements in German urology residency training.
In this study, we evaluated the surgical training, research opportunities, and working conditions among urology residents in Germany. We found low surgical exposure and high rates for psychosocial work-related stress, indicating the need for structural improvements in German urology residency training.
优秀的泌尿外科住院医师规范化培训对于确保高质量的患者护理和我们专业的未来至关重要。随着专业化护理、经济方面和工作时间法规的要求，住院医师培训受到了审查。
全面评估德国泌尿外科住院医师的外科培训、研究机会和工作条件。
设计、设置和参与者：我们通过电子邮件向德国泌尿外科住院医师学会的 721 名成员发送了一份 29 项的在线调查。
描述性分析用于描述调查的四个领域：（1）基线特征，（2）外科培训（所有小、中、大复杂手术的累积完成病例量），（3）研究机会，和（4）工作条件。
472 名住院医师完成了在线调查（应答率 65%）。外科培训：PGY-5 住院医师的累积完成病例中位数为 113 例（四分位距：76-178）。小手术占所有手术的 57%，由所有 PGY 的住院医师完成。中复杂手术占所有手术的 39%，主要由 PGY 2-5 的住院医师完成。大手术占所有手术的 4%，偶尔由 PGY 3-5 的住院医师完成。研究机会：约 44%的人获得了医学博士（Dr. med.）学位，39%的人目前正在从事研究。工作条件：心理社会工作相关压力很高，对于 82%的住院医师来说，他们的努力超过了他们的回报。大约 44%的人对自己目前的工作情况感到满意，32%的人不确定，24%的人不满意。
局限性包括自我报告的调查答案和缺乏经过验证的评估工具。
德国泌尿外科住院医师的外科手术经验较少，主要包括小手术和中复杂手术。绝大多数住院医师的心理社会工作相关压力较高，表明德国泌尿外科住院医师培训需要进行结构性改进。
在这项研究中，我们评估了德国泌尿外科住院医师的外科培训、研究机会和工作条件。我们发现外科手术经验较低，心理社会工作相关压力较高，表明德国泌尿外科住院医师培训需要进行结构性改进。
