Roeth Anjali A, Mille Markus
Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Universitätsklinikum der RWTH Aachen, Deutschland.
Chirurgische Arbeitsgemeinschaft Junge Chirurgen (CAJC), Deutsche Gesellschaft für Allgemein- und Viszeralchirurgie (DGAV), Berlin, Deutschland.
Zentralbl Chir. 2018 Feb;143(1):50-54. doi: 10.1055/s-0043-122678. Epub 2018 Feb 27.
Due to the shortage of surgical specialists, the question arises as to what surgical residents want and how the fascination of general and visceral surgery may be highlighted. The surgical working group "Young Surgeons" (CAJC) of the German Society for General and Visceral Surgery (DGAV) has organised and subdivided the aspects of an attractive surgical workplace and provides solutions. On the one hand, there is the structured and transparent residency which includes a defined curriculum, assistance of sub-steps during surgery, residency dialogues held on a regular basis, logbooks, the possibility of training and simulation in the clinic as well as permission to participate in further education and training. This has to go hand in hand with a "livable surgery" that is characterised by the compatibility of family and work, better planning of the routine in the clinic, a positive feedback culture, work-life balance, new work (time) models and more time for teaching and research. For many of these aspects, the head of surgery has to be the central role model to initiate structural changes in the clinic, especially as many of these key points may be easily implemented. In this way, the attraction of surgery can be rapidly enhanced and a "livable surgery" may be lived.
由于外科专科医生短缺,就出现了外科住院医师想要什么以及如何突出普通外科和内脏外科的吸引力这样的问题。德国普通外科和内脏外科学会(DGAV)的外科工作小组“青年外科医生”(CAJC)对有吸引力的外科工作场所的各个方面进行了组织和细分,并提供了解决方案。一方面,有结构化且透明的住院医师培训,包括明确的课程、手术过程中的分步协助、定期举行的住院医师对话、日志、在临床进行培训和模拟的可能性以及参加继续教育和培训的许可。这必须与“宜居外科”相辅相成,其特点是家庭与工作的兼容性、更好地规划临床日常工作、积极的反馈文化、工作与生活的平衡、新的工作(时间)模式以及更多用于教学和研究的时间。对于这些方面中的许多内容,外科主任必须成为在临床发起结构性变革的核心榜样,特别是因为其中许多关键点很容易实施。通过这种方式,可以迅速增强外科的吸引力,并实现“宜居外科”。