Literature DB >> 18575884

Working conditions and trainee shortage in operative disciplines--is our profession ready for the next decade?

Herwig Cerwenka1, Heinz Bacher, Georg Werkgartner, Hans-Jörg Mischinger.   

Abstract

BACKGROUND: Increasing concern has been expressed worldwide on the problem of finding young doctors to enter a training programme in an operative speciality.
MATERIALS AND METHODS: A survey comprising 22 questions on working conditions and job satisfaction was placed on the homepage of the Austrian Society of Surgery; 667 questionnaires were completed.
RESULTS: The question whether surgery is threatened by a trainee shortage was answered with "yes" by 68%. Only 37% were satisfied with their working conditions. The majority (61%) specified documentation as making up between 20% and 40% of their workload, 22.5% estimated an even higher percentage. Only 17.7% were satisfied with payment. A clear majority works 60 to 80 h per week or more. Only 32.5% stated that they can leave the hospital in the morning after weekend duty; for night duty during the week, this percentage decreased to just 4.2%. As for surgical training, 33.3% were satisfied. Regular assessments between the trainees and their department heads were confirmed by only 34%. A clear majority (96%) is in favour of rotations in other hospitals during residency for the sake of broader experience.
CONCLUSION: Working hour restrictions are essential, but not enough: Substantial improvements in the professional profile and in training are required.

Mesh:

Year:  2008        PMID: 18575884     DOI: 10.1007/s00423-008-0356-9

Source DB:  PubMed          Journal:  Langenbecks Arch Surg        ISSN: 1435-2443            Impact factor:   3.445


  29 in total

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Authors:  Elysia Moschos; Meri Jane Beyer
Journal:  Am J Obstet Gynecol       Date:  2004-08       Impact factor: 8.661

Review 2.  Surgical education for the twenty-first century: beyond the apprentice model.

Authors:  Andrew J Walter
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3.  Vascular surgery is an unattractive career option for current basic surgical trainees: a regional perspective.

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4.  The European Working Time Directive and training in cardiothoracic surgery in the United Kingdom.

Authors:  D West; M Codispoti; T Graham
Journal:  Surgeon       Date:  2007-04       Impact factor: 2.392

5.  The 88-hour family: effects of the 80-hour work week on marriage and childbirth in a surgical residency.

Authors:  Arden M Jones; Kevin B Jones
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Authors:  Carsten J Krones; Wölfgang Schröder; J Ansong
Journal:  Chirurg       Date:  2006-10       Impact factor: 0.955

7.  How to improve satisfaction with hospital stay of severely injured patients.

Authors:  C Janssen; O Ommen; E Neugebauer; R Lefering; H Pfaff
Journal:  Langenbecks Arch Surg       Date:  2007-03-24       Impact factor: 3.445

8.  Controlled-surgical education in clinical liver transplantation is not associated with increased patient risks.

Authors:  Jonas Jurgaitis; Marius Paskonis; Arianeb Mehrabi; Arash Kashfi; Stephanie Gragert; Ulf Hinz; Peter Schemmer; Kestutis Strupas; Markus W Büchler; Jan Schmidt; Thomas W Kraus
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9.  Why do residents leave general surgery? The hidden problem in today's programs.

Authors:  Thomas F Dodson; Alexandra L B Webb
Journal:  Curr Surg       Date:  2005 Jan-Feb

10.  We still need to operate at night!

Authors:  Omar Faiz; Saswata Banerjee; Paris Tekkis; Savvas Papagrigoriadis; John Rennie; Andrew Leather
Journal:  World J Emerg Surg       Date:  2007-10-31       Impact factor: 5.469

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  10 in total

Review 1.  [How much business management does a surgeon need?].

Authors:  U Bork; M Koch; M W Büchler; J Weitz
Journal:  Chirurg       Date:  2010-08       Impact factor: 0.955

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

Authors:  M Thanner; G Drack; R Hornung
Journal:  Geburtshilfe Frauenheilkd       Date:  2015-12       Impact factor: 2.915

3.  Do we follow evidence-based medicine recommendations during inguinal hernia surgery? Results of a survey covering 2441 hernia repairs in 2007.

Authors:  Gerwin A Bernhardt; Peter Kornprat; Herwig Cerwenka; Azab El-Shabrawi; Hans-Jörg Mischinger
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4.  [Realistic surgical training. The Aachen model].

Authors:  C J Krones; M Binnebösel; M Stumpf; V Schumpelick
Journal:  Chirurg       Date:  2010-01       Impact factor: 0.955

5.  Contribution of final-year medical students to operation room performance--economical and educational implications.

Authors:  Jochen Schuld; Christoph Justinger; Otto Kollmar; Martin K Schilling; Sven Richter
Journal:  Langenbecks Arch Surg       Date:  2011-02-26       Impact factor: 3.445

6.  [Working conditions for young trainees and junior researchers in ophthalmology: results of a recent online questionnaire].

Authors:  C Meltendorf; F Ziemssen
Journal:  Ophthalmologe       Date:  2010-12       Impact factor: 1.059

7.  [The situation of residents in ophthalmology in Germany: Results of an online survey].

Authors:  D Hos; P Steven; T Dietrich-Ntoukas
Journal:  Ophthalmologe       Date:  2015-06       Impact factor: 1.059

8.  Restricted working hours in Austrian residency programs : Survey results.

Authors:  Konstantin D Bergmeister; Martin Aman; Bruno K Podesser
Journal:  Wien Klin Wochenschr       Date:  2018-06       Impact factor: 1.704

9.  Motivation factors affecting the job attitude of medical doctors and the organizational performance of public hospitals in Warsaw, Poland.

Authors:  Malgorzata Chmielewska; Jakub Stokwiszewski; Justyna Filip; Tomasz Hermanowski
Journal:  BMC Health Serv Res       Date:  2020-07-29       Impact factor: 2.655

10.  Assessment of a course of realistic surgical training during medical education as a tool for pre-residential surgical training.

Authors:  Dominik S Schoeb; Eva Brennecke; Anne Andert; Jochen Grommes; Klaus T von Trotha; Andreas Prescher; Ulf P Neumann; Marcel Binnebösel
Journal:  BMC Med Educ       Date:  2016-02-03       Impact factor: 2.463

  10 in total

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