Training, Research, and Working Conditions for Urology Residents in Germany: A Contemporary Survey

作者: Hendrik Borgmann , Hannah K. Arnold , Christian P. Meyer , Johannes Bründl , Justus König

DOI: 10.1016/J.EUF.2016.12.001

关键词: UrologySurgical trainingPsychosocialMedicinePatient summarySpecialtyGermanWork–life balanceResearch opportunitiesCompetence (human resources)Family medicine

摘要: Abstract Background Excellent uniform training of urology residents is crucial to secure both high-quality patient care and the future our specialty. Residency has come under scrutiny following demands subspecialized care, economical aspects, working hour regulations. Objective To comprehensively assess surgical training, research opportunities, conditions among in Germany. Design, setting, participants We sent a 29-item online survey via email 721 members German Society Residents Urology. Outcome measurements statistical analysis Descriptive analyses were conducted describe surveys' four domains: (1) baseline characteristics, (2) (cumulative completed case volume for all minor-, medium-, major-complexity surgeries), (3) (4) conditions. Results limitations Four hundred seventy-two (response rate 65%). Surgical training: median number cumulative cases postgraduate yr (PGY)-5 was 113 (interquartile range: 76–178). Minor surgeries comprised 57% performed by PGYs. Medium-complexity 39% mostly PGYs 2–5. Major 4% occasionally 3–5. Research opportunities: some 44% have attained medical thesis ( Dr. med. ), are currently pursuing research. Working conditions: psychosocial work-related stress high 82% their effort exceeded rewards. Some satisfied, 32% undecided, 24% dissatisfied with current situation. Limitations include self-reported answers lack validated assessment tools. Conclusions exposure low comprises minor medium-complex surgeries. Psychosocial vast majority indicating need structural improvements residency training. Patient summary In this study, we evaluated found rates stress,

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