Drossard Sabine, Schuffert Louisa
Department of General, Visceral, Transplant, Vascular and Pediatric Surgery, University Hospital Würzburg, Oberdürrbacher Str. 6, 97080, Würzburg, Germany.
Department of Pediatric Surgery, University Hospital Mainz, Mainz, Germany.
BMC Med Educ. 2025 Feb 4;25(1):183. doi: 10.1186/s12909-025-06727-5.
Pediatric surgery training in Germany faces significant challenges related to structural issues and resource limitations, including variability in training sites and a lack of standardized oversight. This study aims to assess the current state of pediatric surgery training including its structure, quality, and resident satisfaction and identify areas for improvement.
We conducted an online survey between May 2022 and November 2023 using single-choice, multiple-choice and open-ended questions. Additionally, information was gathered via analysis of available statistics and through direct contact with the State Chambers of Physicians.
75 pediatric surgery residents and 15 young specialists participated in the survey. 12 of 17 state medical chambers responded to our inquiry, but only 4 maintain detailed statistics. Training often extends beyond the planned six years, mainly (75%) due to insufficient surgical exposure. Residents reported a predominant role of attendings in surgical training and other residents in clinical training. They desired more involvement from chiefs in their education. A significant proportion (58.9%) noted a lack of dedicated scientific education. Nearly half (44.4%) of the respondents had changed training sites, primarily due to clinical rotations (26,7%) and dissatisfaction with training conditions (30,0%).
Pediatric surgery residents in Germany face inconsistent training quality and extended training periods, mainly due to insufficient surgical exposure. They report that some chiefs do not meet their obligations as trainers adequately. To address these issues, there is a need for enhanced oversight, standardized curricula, more surgical exposure and improved collaboration among training institutions.
德国的儿科手术培训面临与结构问题和资源限制相关的重大挑战，包括培训地点的差异和缺乏标准化监督。本研究旨在评估儿科手术培训的现状，包括其结构、质量和住院医师满意度，并确定改进领域。
我们在2022年5月至2023年11月期间进行了一项在线调查，使用单项选择、多项选择和开放式问题。此外，通过分析现有统计数据并直接与州医师协会联系收集信息。
75名儿科手术住院医师和15名年轻专家参与了调查。17个州医学协会中有12个回复了我们的询问，但只有4个保存了详细统计数据。培训往往超出计划的六年，主要原因（75%）是手术接触不足。住院医师报告称，主治医生在手术培训中起主要作用，其他住院医师在临床培训中起主要作用。他们希望主任更多地参与他们的教育。很大一部分（58.9%）指出缺乏专门的科学教育。近一半（44.4%）的受访者更换过培训地点，主要原因是临床轮转（26.7%）和对培训条件不满意（30.0%）。
德国的儿科手术住院医师面临培训质量不一致和培训期延长的问题，主要原因是手术接触不足。他们报告说，一些主任没有充分履行其作为培训师的义务。为了解决这些问题，需要加强监督、制定标准化课程、增加手术接触并改善培训机构之间的合作。
