Kocalevent Rüya Daniela, Böttcher Vivien, Boczor Sigrid, Scherer Martin, van den Bussche Hendrik
Institut und Poliklinik für Allgemeinmedizin, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany.
Gesundheitswesen. 2024 Feb;86(2):124-129. doi: 10.1055/a-2107-4717. Epub 2023 Jul 17.
Professional qualification as a doctor of medicine includes completion of medical studies and residency. Data on the real duration of residency are currently not assessed systematically in Germany.
Our study aimed to analyze data on the real length of residency under consideration of area of expertise (specialization), part-time working, grades after school and medical studies, gender, and parenthood of the physicians in residency.
The KarMed Study's database consists of annual postal surveys throughout the entire residency of medical students, beginning with their "Practical Year" in 2008/2009 until 2019. The study analyzed data six and ten years within this residency period.
The majority of the residents was capable of finishing their residency within the minimal time. One significant effect on actual duration of residency was the subject choice. One-third of the female residents had not yet finished their residency after ten years. Partenhood had a significant effect on female residents, but not on male residents. A regression analysis showed (R²corr=0.03, p<0.001) that the duration of residency was associated with the grade received after studying (β=0.30). Male residents were more satisfied with the overall residency then female residents.
Structural improvement in postgraduate training needs to be adjusted in terms of parental status. Prospective studies should take the selection process of universities into account and examine its association with the time required to complete residency.
医学博士的专业资格包括完成医学学业和住院医师培训。目前德国尚未对住院医师培训的实际时长进行系统评估。
我们的研究旨在分析住院医师培训实际时长的数据，同时考虑专业领域（专科）、兼职工作、毕业后成绩和医学学习成绩、性别以及住院医师的父母身份。
KarMed研究的数据库包括对医学生整个住院医师培训期间的年度邮政调查，从2008/2009年的“实习年”开始直至2019年。该研究分析了住院医师培训期间6年和10年的数据。
大多数住院医师能够在最短时间内完成培训。对住院医师培训实际时长有一个显著影响因素是专业选择。十分之一的女性住院医师在10年后仍未完成培训。为人父母对女性住院医师有显著影响，但对男性住院医师没有影响。回归分析显示（R²corr = 0.03，p < 0.001），住院医师培训时长与学习后获得的成绩相关（β = 0.30）。男性住院医师对整个住院医师培训的满意度高于女性住院医师。
研究生培训的结构改进需要根据父母身份进行调整。前瞻性研究应考虑大学的选拔过程，并研究其与完成住院医师培训所需时间的关联。
