Hendricks Anne
Klinik und Poliklinik für Allgemein‑, Viszeral‑, Transplantations‑, Gefäß- und Kinderchirurgie, Uniklinikum Würzburg, Oberdürrbacher Str. 6, 97080, Würzburg, Deutschland.
Chirurgie (Heidelb). 2023 Nov;94(11):905-910. doi: 10.1007/s00104-023-01938-2. Epub 2023 Aug 14.
The young generation of surgeons sets new requirements for educational and working conditions. This is frequently interpreted as a lack of motivation to perform; however, instead there is a claim for high-quality training with the aim of acquiring competence in the operative and perioperative setting as well as for responsible working time models.
Aim of this article is to present expectations of surgical residents regarding residency training under current influencing factors, such as a high workload, the new training regulations or expected changes in the hospital landscape and to identify options for optimizing training and working conditions.
In addition to an extensive literature search, this article is based on published opinions and survey results as well as lectures and discussions at congresses held in the past year.
To ensure a modern high-quality education and to maintain enthusiasm for surgery, the need for adjustments and innovation must be recognized and long-requested modifictions to established structures must be implemented. Flexible working models, the structured and transparent implementation of surgical residency training and modern training units, long-term planning of training curricula and new personnel structures with an expansion of teaching and feedback culture are options for improvement.
年轻一代外科医生对教育和工作条件提出了新要求。这常常被解读为缺乏工作积极性；然而，事实恰恰相反，他们要求提供高质量培训，目的是在手术及围手术期环境中获得能力，以及要求合理的工作时间模式。
本文旨在阐述外科住院医师在当前影响因素（如高工作量、新培训规定或医院格局预期变化）下对住院医师培训的期望，并确定优化培训和工作条件的方法。
除了广泛的文献检索外，本文还基于已发表的观点和调查结果，以及过去一年在大会上的讲座和讨论。
为确保现代高质量教育并保持对外科手术的热情，必须认识到调整和创新的必要性，并实施长期以来对现有结构的修改。灵活的工作模式、外科住院医师培训的结构化和透明实施以及现代化培训单元、培训课程的长期规划以及扩大教学和反馈文化的新人员结构都是改进的选择。
