Der Weg zum Unfallchirurgen |
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Authors: | Univ-Prof Dr T Mittlmeier F Bonnaire PA Grützner H Lill G Matthes A Prokop J Seifert C Voigt F Walcher C Wölfl H Siebert |
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Institution: | 1. Abt. für Unfall- und Wiederherstellungschirurgie, Chirurgische Klinik und Poliklinik der Universit?t Rostock, Schillingallee 35, 18055, Rostock, Deutschland 2. Klinik für Unfall-, Wiederherstellungs- und Handchirurgie, St?dtisches Klinikum Dresden-Friedrichstadt, Dresden, Deutschland 3. Klinik für Unfallchirurgie und Orthop?die, BG-Unfallklinik Ludwigshafen, Ludwigshafen, Deutschland 4. Abteilung des BG-Unfallkrankenhauses Hamburg, Klinik für Unfall- und Wiederherstellungschirurgie, Diakoniekrankenhaus Friederikenstift Hannover gGmbH, Hannover, Deutschland 5. Unfallkrankenhaus Berlin, Berlin, Deutschland 6. Klinik für Unfallchirurgie, Klinikum Sindelfingen, Klinikverbund-Südwest, Sindelfingen, Deutschland 7. Unfallkrankenhaus Berlin, Berlin, Deutschland 8. Klinik für Unfall- und Wiederherstellungschirurgie, Diakoniekrankenhaus Friederikenstift Hannover gGmbH, Hannover, Deutschland 9. Klinik für Unfall,- Hand- und Wiederherstellungschirurgie, Zentrum der Chirurgie, Johann Wolfgang Goethe-Universit?t Frankfurt/Main, Frankfurt/Main, Deutschland 10. Klinik für Unfallchirurgie und Orthop?die, BG-Unfallklinik Ludwigshafen, Ludwigshafen, Deutschland 11. Generalsekret?r, Deutsche Gesellschaft für Orthop?die und Unfallchirurgie e.V., Deutsche Gesellschaft für Unfallchirurgie e.V., Berlin, Berlin, Deutschland
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Abstract: | The lack of clinical residents especially in the surgical domains, including orthopaedics and trauma surgery, is not only omnipresent but also a topic of lively discussions. This lack originates from sociopolitical and healthcare policy issues as well as from a loss of attractiveness of all surgical disciplines. The loss is caused by the high workload and disadvantageous working hours especially in those disciplines with a high rate of emergencies, e.g. trauma surgery. Moreover, it is caused by the poorly structured and unpredictable period of residency. In order to anticipate the bottleneck in supply due to the lack of trainees, a number of structural and contextual measures have to be taken to improve both undergraduate und postgraduate surgical training. Due to the numerous facets of the topic the first part of this analysis refers to the period until the trainee decides on the field of training. A basic insight into the field of orthopaedics and trauma surgery can already be offered far before the period of medical studies itself. During undergraduate medical education the existing structures should be modified, the characteristics of the discipline should be emphasized and the charm of combining theory and practical skills should be highlighted in order to enhance student’s perception of the discipline. This might begin during preclinical training and should be continued throughout clinical training and elective courses (basic wound care, TEAM approach, AO course for students and seminars for M.D. candidates). Contextual and structural improvements of the practical year are indispensable to arouse students’ interest in our discipline. These options conjoined with the actual offers for students provided by our scientific society, such as guided tours during the annual congress, travelling grants and the recently inaugurated summer school, might provide the basis for clearly structured information and offer a distinct stimulus to apply for residency in our field. |
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