Krauss Dolores T, Fuchs Hans F, Schaaf Sebastian, Drossard Sabine, Rösch Romina, Blank Beate, Bruns Christiane J, Rolle Udo, Schmitz-Rixen Thomas, Kröplin Juliane
Klinik und Poliklinik für Allgemein‑, Viszeral‑, Thorax- und Transplantationschirurgie, Medizinische Fakultät und Uniklinik Köln, Universität zu Köln, Kerpener Str. 62, 50937, Köln, Deutschland.
Viszeral- und Thoraxchirurgie, Bundeswehrzentralkrankenhaus Koblenz, Perspektivforum Junge Chirurgie der Deutschen Gesellschaft für Chirurgie und Klinik für Allgemein-, Koblenz, Deutschland.
Chirurgie (Heidelb). 2025 May 22. doi: 10.1007/s00104-025-02306-y.
The use of digital technologies is becoming increasingly important in medicine and is having a significant impact on developments in the surgical field. However, there is a great need to improve and implement those new techniques in surgical education and training in order to adequately prepare young surgeons for associated challenges.
The aim of this study is to analyze the importance, use, and influence of digital technology on the success of future surgical training in Germany.
An online survey was conducted from April-September 2024 with a total of 12 open (n = 2) and standardized (n = 10) questions. The closed questions could be answered on a Likert scale from 1 (strongly agree) to 5 (strongly disagree). The questionnaire was sent out via the email distribution list of the German Society of Surgery and its social media channels.
A total of 97 response datasets were analyzed. At the time of analysis, the majority of participants were working in general surgery (n = 54, 64%) and at a nonuniversity clinic (n = 49, 58%). In all, 19% of the respondents were residents. When choosing their current workplace, 44% prioritized advanced digitalization, while 61% stated that they had not yet used generative AI at all. Only 9% of trainees had access to curricular training on robotic systems. A change to a location with more advanced medical technology was considered by 19%. While 26% of study participants would consider being operated on by an AI-assisted robotic system, 46% of the participants could imagine using this technology on their patients.
This analysis provides insight into the importance and use of digital technology in surgery in Germany. In particular, it reveals deficits in the use of AI-based methods, comprehensive provision of digital technologies, and the access of trainees to innovative training. The results also confirm the need to further raise awareness of the topic.
数字技术在医学领域的应用日益重要，对外科领域的发展产生了重大影响。然而，迫切需要改进并在外科教育与培训中应用这些新技术，以便让年轻外科医生充分应对相关挑战。
本研究旨在分析数字技术在德国未来外科培训成功中的重要性、应用情况及影响。
于2024年4月至9月进行了一项在线调查，共有12个问题，其中2个为开放式问题，10个为标准化问题。封闭式问题可按李克特量表从1（强烈同意）到5（强烈不同意）进行回答。调查问卷通过德国外科学会的电子邮件分发列表及其社交媒体渠道发出。
共分析了97份回复数据集。在分析时，大多数参与者从事普通外科工作（n = 54，64%），且在非大学诊所工作（n = 49，58%）。总体而言，19%的受访者为住院医师。在选择当前工作场所时，44%的人优先考虑先进的数字化，而61%的人表示他们根本没有使用过生成式人工智能。只有9%的实习生有机会接受机器人系统的课程培训。19%的人考虑换到医疗技术更先进的地方工作。虽然26%的研究参与者会考虑接受人工智能辅助机器人系统的手术，但46%的参与者可以想象在自己的患者身上使用这项技术。
该分析揭示了数字技术在德国外科领域的重要性和应用情况。特别是，它揭示了基于人工智能的方法的使用、数字技术的全面提供以及实习生获得创新培训方面的不足。结果还证实了进一步提高对该主题认识的必要性。
