Center of Congenital Heart Disease, Heart and Diabetes Center Northrhine-Westfalia, Ruhr-University of Bochum, Bad Oeynhausen, Germany.
Division of Pediatric Cardiology, Department of Pediatrics III, Medical University of Innsbruck, Innsbruck, Tirol, Austria.
Thorac Cardiovasc Surg. 2020 Dec;68(S 03):e1-e8. doi: 10.1055/s-0039-1700968. Epub 2020 Feb 28.
This is the first national survey of residents and fellows in pediatric cardiology in Germany evaluating training, research activity, and the general working environment.
An online questionnaire including 62 questions (SurveyMonkey) was developed by the "Junges Forum" of the German Society of Pediatric Cardiology. Fellows and residents during training and up to 3 years after completing their pediatric cardiology fellowship were invited to participate.
A total of 102 pediatric cardiology fellows and residents completed the questionnaire. Many participants complained about their training as being unstructured (47%) and non-transparent (37%). The numbers of technical and catheter interventions required by the national medical board in Germany cannot be achieved, especially regarding invasive procedures. Sixty per cent work more than contractually agreed, usually in Germany it is 40 hours daytime work plus on calls, while 90% of all participants prefer less than 50 weekly working hours; 50% of the participants are engaged in research that is usually done during their spare time. More than 90% are satisfied with their professional relationships with colleagues and coworkers. Seventy-eight per cent describe their career perspectives as promising, and 84% would start a fellowship in pediatric cardiology again.
The majority of pediatric cardiology fellows and residents are satisfied with their working environment and with their choice of a career in pediatric cardiology. Besides the heavy work load, we identified the urgent desire for better structured transparent clinical training concept including the teaching of manual skills, i.e., invasive procedures and catheterization.
这是首次对德国儿科心脏病学住院医师和研究员进行的全国性调查，旨在评估培训、研究活动和整体工作环境。
由德国儿科心脏病学会“青年论坛”开发了一个包含 62 个问题的在线问卷（SurveyMonkey）。邀请培训中的住院医师和研究员以及完成儿科心脏病学住院医师培训后 3 年内的人员参与调查。
共有 102 名儿科心脏病学住院医师和研究员完成了问卷。许多参与者抱怨他们的培训缺乏结构（47%）且不透明（37%）。德国国家医疗委员会要求的技术和导管介入数量无法达到，尤其是涉及侵入性程序时。60%的人工作时间超过合同约定，通常德国规定的白天工作时间为 40 小时外加轮班，而 90%的参与者更喜欢每周工作时间少于 50 小时；50%的参与者从事研究工作，通常是在业余时间进行。超过 90%的人对他们与同事和同事的专业关系感到满意。78%的人描述他们的职业前景充满希望，84%的人会再次选择儿科心脏病学的住院医师培训。
大多数儿科心脏病学住院医师和研究员对他们的工作环境以及选择儿科心脏病学作为职业感到满意。除了工作量大之外，我们还发现迫切需要更好的结构化透明临床培训概念，包括教授手动技能，即侵入性程序和导管插入术。
