Linke J, Eichhorn T, Kemper M, Zahnert T, Neudert M
Klinik für Hals‑, Nasen- und Ohrenheilkunde, Universitätsklinikum Carl Gustav Carus Dresden, Fetscher Str. 74, 01307, Dresden, Deutschland.
Emeritus HNO-Klinik Carl-Thiem-Klinikum, Cottbus, Deutschland.
HNO. 2021 Jul;69(7):534-543. doi: 10.1007/s00106-020-00838-9.
As a starting point for developing concrete suggestions for optimizing specialty training in German ENT departments, the present study analysed the current status of residency training in order to identify weaknesses.
Residents at German ENT departments were invited to participate in an online survey. The questionnaire comprised 78 individual questions.
The questionnaire was answered by 223 ENT residents. Educational deficits such as a lack of regular feedback from supervisors, only moderately rated mediation of specialist competencies, capriciousness of the trainers in charge regarding the organisation of training, and time and personnel shortages were identified. Some of the mandatory recommendations of the specialty training regulations, including determination of concrete training goals during regular meetings or the use of a logbook, have only been implemented in limited cases. Demands for development of more external training opportunities (job shadowing/rotation) and an external objective review of the residency training (e.g., by a representative of the German Society of Otorhinolaryngology, Head and Neck Surgery, DGHNOKHC) in the sense of quality assurance are discussed.
Implementation of structured and standardized ENT residency training in Germany, for which DGHNOKHC reviewal is also possible, can generate a basis for more effective compulsory residency training.
作为为优化德国耳鼻喉科专科培训制定具体建议的起点，本研究分析了住院医师培训的现状以找出薄弱环节。
邀请德国耳鼻喉科部门的住院医师参与一项在线调查。问卷包含78个单独问题。
223名耳鼻喉科住院医师回答了问卷。发现了一些教育缺陷，如缺乏来自上级的定期反馈、专科能力的培养仅得到中等评价、负责培训的带教老师在培训组织方面的反复无常，以及时间和人员短缺。专科培训规定的一些强制性建议，包括在定期会议期间确定具体培训目标或使用日志，仅在有限的情况下得到实施。讨论了对开发更多外部培训机会（跟班实习/轮岗）以及对住院医师培训进行外部客观评估（例如由德国耳鼻咽喉头颈外科学会DGHNOKHC的代表进行）以确保质量的需求。
在德国实施结构化和标准化的耳鼻喉科住院医师培训（也可由DGHNOKHC进行评估）可为更有效的强制性住院医师培训奠定基础。
