Necknig U, Borowitz R, Wöhr M, Leyh H, Weckermann D
Urologische Klinik, Klinikum Garmisch-Partenkirchen, Garmisch-Partenkirchen, Deutschland.
Urologische Klinik, Klinikum Memmingen, Memmingen, Deutschland.
Urologe A. 2018 Dec;57(12):1481-1487. doi: 10.1007/s00120-018-0674-7.
The changing conditions in German hospitals is causing a shortage of young people. In order to identify starting point for improvements, the Bavarian association of urologists in collaboration with the German Society of Residents in Urology (GeSRU) conducted an online survey among residents in urology in summer of 2017.
A standardised survey composed of 38 questions was distributed to participants through a mailing list of the GeSRU. Most questions were closed-ended; however, some did allow participants to respond by means of an open-ended answer.
A total of 218 participants provided a total of 11,764 responses: 58% were female and 42% were male. Over 70% were aged between 31 and 35 years. In all, 29% of participants responded negatively to the question asking whether they feel like their medical studies at university prepared them well for the daily routine in their workplace. Participants particularly demanded a higher degree of practical experience during their studies, as well as more teaching of soft skills. In relation to choosing their specialisation, participants considered the intern year and their clinical traineeships as crucial factors. Participants did express appreciation of their field of specialization in relation to the broad range of available treatments, the opportunity of further specialising, the clientele of patients, the opportunity of working in a small team, innovations, and the high possibilities of opening their own medical practice. On a personal level, participants specifically wished for a more structured plan relating to their further internship, involving regular meetings. They also expressed the wish for more personalised career plans, more flexible work hours, and improved advanced training, both internally and externally.
With the aim of making urology even more attractive, participants' wishes and suggestions should be taken into consideration. These, in general, involve a more structured training plan, better working conditions with part-time programmes, and improved surrounding conditions at the workplace, in particular for families.
德国医院环境的变化导致年轻人短缺。为了确定改进的切入点，巴伐利亚泌尿外科学会与德国泌尿外科住院医师协会（GeSRU）于2017年夏天对泌尿外科住院医师进行了一项在线调查。
通过GeSRU的邮件列表向参与者分发了一份由38个问题组成的标准化调查问卷。大多数问题为封闭式问题；不过，有些问题允许参与者以开放式答案进行回答。
共有218名参与者提供了总计11764份回答：58%为女性，42%为男性。超过70%的参与者年龄在31至35岁之间。总体而言，29%的参与者对“他们是否觉得自己在大学的医学学习为工作中的日常事务做好了充分准备”这一问题给出了否定回答。参与者特别要求在学习期间有更高程度的实践经验，以及更多软技能的教学。在选择专业方面，参与者认为实习年和临床实习是关键因素。参与者确实对其专业领域表示赞赏，涉及可用治疗方法范围广泛、进一步专业化的机会、患者群体、在小团队中工作的机会、创新以及开设自己的医疗诊所的高可能性。在个人层面，参与者特别希望有一个与其进一步实习相关的更结构化计划，包括定期会议。他们还表达了对更个性化职业规划、更灵活工作时间以及改进内部和外部进阶培训的愿望。
为了使泌尿外科更具吸引力，应考虑参与者的愿望和建议。总体而言这些涉及更结构化的培训计划、兼职项目更好的工作条件以及工作场所改善周边环境，特别是对有家庭的人而言。
