Department of Orthopedic, Trauma and Plastic Surgery, University Hospital Leipzig, Liebigstr. 20, 04103, Leipzig, Germany.
Praxis für Orthopädie und Sportmedizin am Brühl, Leipzig, Germany.
Orthopadie (Heidelb). 2024 Nov;53(11):866-875. doi: 10.1007/s00132-024-04564-w. Epub 2024 Sep 16.
After the fusion of the fields of orthopedics and trauma surgery in 2006 the educational content significantly increased. The acquisition of non-surgical diagnostic and treatment skills seems to fall behind in the classical operatively focused residency programs. This study presents a status quo of the non-surgical education and knowledge in the field of orthopedics and traumatology in Germany.
An online-based voluntary and anonymous questionnaire was conducted between June and August 2023. The questionnaire was distributed through the email lists of the German Society for Orthopedics and Traumatology (DGOU) and the German Professional Association for Orthopedics and Traumatology (BVOU).
A total of 486 German orthopedic and trauma surgeons answered the online questionnaire (77.9% male; mean age 50.2 ± 11.8 years) and 11.5% were residents. Only 27.1% spent part of the residency training in the outpatient sector. In total 84.2% wish for an increased focus on non-operative treatment options during further education, 81.1% agreed that they have a good general understanding of non-operative treatment options and 81.0% felt confident to apply them in the daily clinical routine (residents 35.4% and 41.7%, respectively). The highest self-assessed competences were knowledge on the application of splints and casts and physiotherapy, ergotherapy and sports therapy, the lowest were knowledge on acupuncture, magnetic field therapy and nutritional aspects after trauma. In total, 77.7% stated non-surgical research projects are not supported at their institution.
Orthopedic and trauma surgeons in Germany subjectively have solid knowledge on treatment options while resident physicians still need to strengthen their skills. Rotation into the outpatient sector and rehabilitation facilities as well as supporting research in the field could further improve the non-surgical skills.
2006 年骨科和创伤外科融合后，教育内容显著增加。在经典的以手术为重点的住院医师培训项目中，非手术诊断和治疗技能的获取似乎落后了。本研究介绍了德国骨科和创伤学领域非手术教育和知识的现状。
2023 年 6 月至 8 月期间，我们进行了一项基于网络的自愿和匿名问卷调查。问卷调查通过德国骨科和创伤外科学会（DGOU）和德国骨科和创伤外科学专业协会（BVOU）的电子邮件列表进行分发。
共有 486 名德国骨科和创伤外科医生回答了在线问卷（77.9%为男性；平均年龄 50.2±11.8 岁），其中 11.5%为住院医师。只有 27.1%的住院医师在住院医师培训期间部分时间在门诊部门工作。共有 84.2%的人希望在继续医学教育中更加关注非手术治疗选择，81.1%的人同意他们对非手术治疗选择有很好的总体了解，81.0%的人在日常临床实践中感到有信心应用这些治疗选择（住院医师分别为 35.4%和 41.7%）。自我评估的最高能力是夹板和石膏应用以及物理治疗、职业治疗和运动治疗方面的知识，最低的是针灸、磁场治疗和创伤后营养方面的知识。共有 77.7%的人表示他们所在机构不支持非手术研究项目。
德国骨科和创伤外科医生主观上对治疗选择有扎实的知识，而住院医师仍需要加强技能。进入门诊部门和康复设施以及支持该领域的研究可以进一步提高非手术技能。
