Situation des chirurgischen Nachwuchses in Mitteldeutschland

Abstract

The decline in the number of physicians in central Germany is serious. The situation is caused by insufficient salary, unrecorded and unpaid overtime, an unacceptable amount of leisure time and an insufficient guarantee for the amount surgical procedures provided.

Expense for Clinical Documentation of Inpatients: Extent and Hierarchal Differences for the Example of a Gynaecological Department in Switzerland

“…This carries the danger of dissatisfaction among physicians in continuing medical education. Even now it is suspected in Germany that an improvement in recruitment of the next generation of surgeons will not result from merely an increase in the basic salary but will also require a safeguarding of the OP catalogue or a reduction of time spent on medical documentation [4]. In regard to this conclusion, the present survey is in agreement with a Switzerland-wide survey of hospital physicians of all disciplines held in 2011 [14].…”

“…This is especially true for the younger generation of physicians in surgical specialties, since a defined catalogue of operations has to be completed to gain a further training title. Tasks outside of the operating theatre without direct patient contacts are often considered to be particularly unattractive [4]. The medical directors of the hospital are thus faced with the challenge of maintaining patient management at a high level and at the same time of keeping an eye on the professional progress of the junior physicians.…”

European quality assurance programme in rectal cancer – are we ready to launch?

“…Third, the key issue of quality assurance is at the level of a single care provider or a single therapeutic team. Fourth, if we wish to establish a European Quality Assurance Programme in rectal cancer, there will be countries with a small number of wellregulated, usually high-quality providers, such as in Scandinavia, and others with a huge number of less well-regulated providers (for example over 1000 hospitals treating rectal cancer in Germany), possibly combined with insufficient resources [31]. For surgery, the most sensitive measurement of quality is a comparison between pretherapy imaging with the meticulous histopathological evaluation of the specimen regarding completeness of removal of the primary tumour and the number of lymph nodes present.…”

Regionale Netzwerke für die fachärztliche Weiterbildung: Wem nützen sie wirklich?

“…Inwieweit die beschriebenen Vorteile von angehenden Fachärztinnen und Fachärzten tatsächlich auch als solche wahrgenommen werden, ist jedoch unklar. Bei gegebener Arbeitsmarktsituation mit einem Mangel an Fachkräften im Gesundheitswesen [14,15] ist es zudem denkbar, dass weniger von den Assistenzärztinnen und Assistenzärzten selbst als vielmehr von den beteiligten Kliniken Planungssicherheit über mehrere Jahre hinweg geschätzt wird. Wahrscheinlich ist zudem, dass diese Situation, auch wenn nicht offen kommuniziert, von den angehenden Fachärztinnen und Fachärzten durchschaut wird und deswegen wenig Interesse an diesen Netzwerkstrukturen besteht.…”