Weiterbildung unter der Lupe (Teil 2) – Wie bereiten sich Weiterbildungsassistenten auf Notfalloperationen vor?

Proske, Andreas; Link, Björn‐Christian; Beeres, Frank J.P.; Nebelung, Sven; Füchtmeier, Bernd; Knobe, Matthias

doi:10.1007/s00104-020-01286-5

Cited by 4 publications

(3 citation statements)

References 16 publications

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“…Proske et al. demonstrieren, wie ein institutionalisiertes Mentoring mit Feedbackschleife das Potenzial hat, die Vorbereitungen für Operationen relevant zu verbessern [ 28 ]. Eine weitere Strategie, die identifizierten Forderungen in eine kompetenzbasierte ärztliche Weiterbildung, wie sie die Musterweiterbildungsordnung seit 2018 vorsieht, zu integrieren, können Entrustable Professional Activities (EPA) sein [ 29 ].…”

Section: Diskussionunclassified

Analysis of risk factors for dropping out of residency in orthopedics and trauma surgery

et al. 2022

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Zusammenfassung Hintergrund Aktuell liegen keine Daten zu Weiterbildungsabbrüchen und Klinikwechseln im Fach Orthopädie und Unfallchirurgie (O&U) vor. Ziele der Studie sind die Identifikation von persönlichen und strukturellen Risikofaktoren, die zum Abbruch/Wechsel der Weiterbildung in O&U führen, sowie Lösungsstrategien vorzustellen. Methodik Im Sommer 2020 wurde eine deutschlandweite, anonyme Onlinebefragung unter den Weiterbildungsassistenten*innen (WA) in O&U durchgeführt. Dienstliche Mailadressen wurden über das Traumanetzwerk© der DGU und die Deutsche Krankenhausgesellschaft identifiziert (n = 2090). Ein Fragebogen (51 Fragen) wurde mit SurveyMonkey Inc. (San Mateo, California, USA) erstellt. Teilnahmeberechtigt waren alle WA, die in den 6 Jahren vor Umfragebeginn (ab Juli 2014) für mind. einen Monat im Fach O&U tätig waren. Zur Identifikation der Risikofaktoren wurde eine binär logistische Regression berechnet. Das Signifikanzniveau lag bei p = 0,05. Ergebnisse Von den 221 Befragten wechselten 37 % die Weiterbildungseinrichtung, und 5 % brachen die Weiterbildung in O&U vorzeitig ab. Die Regression ergab 3 signifikante Risikofaktoren, die Klinik zu wechseln. Das Leben in einer Partnerschaft (p = 0,029, RR: 2,823) und weniger als 2 Tage Hospitationen vor Weiterbildungsbeginn (p = 0,002, RR: 2,4) erhöhen das Risiko für Wechsel. Eine Einteilung der WA für Operationen gemäß dem Weiterbildungsplan/-stand (p = 0,028, RR: 0,48) senkt das Risiko für Wechsel. Signifikante Risikofaktoren für das Ausscheiden aus der Weiterbildung konnten nicht ermittelt werden (zu geringe Fallzahl, n = 11). Diskussion Weiterbildungswechsel und -abbrüche in der O&U sind ein relevantes Problem (42 %). Das Geschlecht hat keinen signifikanten Einfluss. Maßnahmen wie längere Hospitationen sowie Op.-Einteilung entsprechend dem Weiterbildungsplan/-stand können das Wechselrisiko minimieren. Graphic abstract

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Section: Diskussionunclassified

Analysis of risk factors for dropping out of residency in orthopedics and trauma surgery

et al. 2022

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“…Depending on the field of specialty chosen, a set of EPAs necessary to master can be pre-defined by medical educators, each EPA consisting of a set of competencies needed for the task at hand. The task of monitoring and documenting the learning progress of each trainee has been proven to be a challenge [ 4 – 8 ]. In a more and more demanding clinical setting with a general lack of time and thus motivation to evaluate trainees, an easy-to-use tool is required to facilitate a more efficient and meaningful feedback culture among trainees and educators.…”

Section: Introductionmentioning

confidence: 99%

Surgery goes EPA (Entrustable Professional Activity) – how a strikingly easy to use app revolutionizes assessments of clinical skills in surgical training

et al. 2022

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Objective Entrustable Professional Activities (EPAs) are increasingly being used in competency-based medical education approaches. A general lack of time in clinical settings, however, prevents supervisors from providing their trainees with adequate feedback. With a willingness for more administrative tasks being low in both trainees and educators, the authors developed a radical user-friendly mobile application based on the EPA concept called “Surg-prEPAred”. Design Surg-prEPAred is designed to collect micro-assessment data for building competency profiles for surgical residents according to their curriculum. The goal of Surg-prEPAred is to facilitate the performance and documentation of workplace-based assessments. Through aggregated data the app generates a personalized competency profile for every trainee. During a pilot run of 4 months, followed by ongoing usage of the application with a total duration of 9 months (August 2019 to April 2020), 32 residents and 33 consultants made daily use of the application as a rating tool. Every rating included knowledge, skills and professional attitudes of the trainees. Before the initiation of the App and after the 9-month trial period trainees and supervisors where both sent questionnaires to evaluate the user friendliness and effectiveness of the App. Results Five hundred ten App based assessments were generated. Out of 40 pre-defined EPAs, 36 were assessed. 15 trainees and 16 supervisors returned the questionnaires and stated the surg-prEPAred App as very valuable, effective and feasible to evaluate trainees in a clinical setting providing residents with an individual competence portfolio to receive precision medical education. Conclusions The authors expectation is that the Surg-prEPAred App will contribute to an improvement of quality of medical education and thus to the quality of patient care and safety. In the future the goal is to have the App become an integral part of the official Swiss surgical curriculum accepted by the Swiss professional surgical society.

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“…Depending on the eld of specialty chosen, a set of EPAs necessary to master can be pre-de ned by medical educators, each EPA consisting of a set of competencies needed for the task at hand. The task of monitoring and documenting the learning progress of each trainee has been proven to be a challenge 4,5,6,7,8 . In a more and more demanding clinical setting with a general lack of time and thus motivation to evaluate trainees, an easy-to-use tool is required to facilitate a more e cient and meaningful feedback culture among trainees and educators.…”

Section: Introductionmentioning

confidence: 99%

Surgery Goes EPA (Entrusted Professional Activity) – How a Strikingly Easy to use App Revolutionizes Assessments of Clinical Skills in Surgical Training

Diwersi

Gass

Fischer

et al. 2021

Preprint

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ObjectiveEntrusted Professional Activities (EPAs) are increasingly being used in competency-based medical education approaches. A general lack of time in clinical settings, however, prevents supervisors from providing their trainees with adequate feedback. With a willingness for more administrative tasks being low in both trainees and educators, the authors developed a radical user-friendly mobile application based on the EPA concept called “Surg-prEPAred”.DesignSurg-prEPAred is designed to collect micro-assessment data for building competency profiles for surgical residents according to their curriculum. The goal of Surg-prEPAred is to facilitate the performance and documentation of workplace-based assessments. Through aggregated data the app generates a personalized competency profile for every trainee. During a pilot run of 4 months, followed by ongoing usage of the application with a total duration of 9 months (August 2019 to April 2020), 32 residents and 33 consultants made daily use of the application as a rating tool. Every rating included knowledge, skills and professional attitudes of the trainees. Before the initiation of the App and after the 9-month trial period trainees and supervisors where both sent questionnaires to evaluate the user friendliness and effectiveness of the App. Results510 App based assessments were generated. Out of 40 pre-defined EPAs, 36 were assessed. 15 trainees and 16 supervisors returned the questionnaires and stated the surg-prEPAred App as very valuable, effective and feasible to evaluate trainees in a clinical setting providing residents with an individual competence portfolio to receive precision medical education. ConclusionsThe authors expectation is that the Surg-prEPAred App will contribute to an improvement of quality of medical education and thus to the quality of patient care and safety. In the future the goal is to have the App become an integral part of the official Swiss surgical curriculum accepted by the Swiss professional surgical society.

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Weiterbildung unter der Lupe (Teil 2) – Wie bereiten sich Weiterbildungsassistenten auf Notfalloperationen vor?

Cited by 4 publications

References 16 publications

Analysis of risk factors for dropping out of residency in orthopedics and trauma surgery

Analysis of risk factors for dropping out of residency in orthopedics and trauma surgery

Surgery goes EPA (Entrustable Professional Activity) – how a strikingly easy to use app revolutionizes assessments of clinical skills in surgical training

Surgery Goes EPA (Entrusted Professional Activity) – How a Strikingly Easy to use App Revolutionizes Assessments of Clinical Skills in Surgical Training

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