Kraus Moritz, Böcker Wolfgang, Youssef Yasmin, Faber Svea
Klinik für Orthopädie und Unfallchirurgie, Muskuloskelettales Universitätszentrum München (MUM), Klinikum der Universität München, LMU München, Marchioninistr. 15, 81377, München, Deutschland.
AO Research Institute Davos, Davos, Schweiz.
Orthopadie (Heidelb). 2024 May;53(5):317-323. doi: 10.1007/s00132-024-04500-y. Epub 2024 Apr 18.
The field of orthopedics and trauma surgery is facing a serious shortage of new talent due to the increasing average age of active surgeons and a growing need for staff. The appeal of these specialties is declining among medical students.
This trend could be reversed by introducing practice-oriented curricula, mentoring programs, and early integration into professional societies. The quality of surgical education, especially bedside teaching, needs to be improved, as it is often compromised by a lack of time and insufficient pedagogical training of the educators. The practical year (PY) is crucial to attract students to these specialties, but data indicate that the quality of training in orthopedics and trauma surgery is inferior compared to other fields. Professional societies could enhance junior development through targeted programs. Moreover, the problem of recruitment is compounded by imbalanced gender ratios and working conditions that do not align with modern family models or efficient surgical training. There needs to be a rethinking of work scheduling and task distribution in surgery to make the profession more attractive and to ensure the quality of training.
由于在职外科医生的平均年龄不断增加以及对工作人员的需求不断增长，骨科与创伤外科领域正面临着新人才严重短缺的问题。这些专业对医学生的吸引力正在下降。
通过引入以实践为导向的课程、指导计划以及尽早融入专业协会，可以扭转这一趋势。外科教育的质量，尤其是床边教学，需要提高，因为它常常因时间不足和教育工作者缺乏教学培训而受到影响。实习年（PY）对于吸引学生投身这些专业至关重要，但数据表明，骨科与创伤外科的培训质量相较于其他领域较差。专业协会可以通过有针对性的计划来促进初级人员的发展。此外，性别比例失衡以及与现代家庭模式或高效外科培训不相符的工作条件，使招聘问题更加复杂。需要重新思考外科手术中的工作安排和任务分配，以使该职业更具吸引力并确保培训质量。
