Literature DB >> 33506099

Training strategies for a sustainable medical care: a survey among assistant and chief physicians in a tertiary care hospital in Germany.

Juliane Kröplin1, Eike-Ulrike Zauner2, Hauke Dopp3, Anke Forberger4, Gerhard Schön5, Reinhard Bschorer1, Oliver Heese6, Jörg-Peter Ritz2.   

Abstract

PURPOSE: As an essential part of the health care system, the requirements for specialist training are subject to a continuous process of change. The aim of the present study was to evaluate the current specialist training situation of all departments in a tertiary care hospital in Germany. Differences between assistant and chief physicians should be pointed out.
MATERIALS AND METHODS: The analysis of the current training situation was carried out on the basis of an individually created questionnaire. The questionnaire content included career goal and specialism. The characteristic values initial training (IT), training structure (TS) and training content were measured on a numeric scale from 1 to 5. In addition, an overall assessment of the trainers' competences was performed. The questionnaire was sent to 208 assistant physicians (AP) and 34 chief physicians (CP).
RESULTS: Totally 92 APs (44.2%) and 22 CPs (64.7%) participated. Senior physician was the most common career goal (34.1%), followed by the branch (28.6%). The importance of the topics initial training (IT) and training structure (TS) were evaluated as mean value: ITCP=1.5, ITAP=1.6; p=0.701 and TSCP=1.4, TSAP=1.5; p=0.669. The results concerning the implementation of the topics IT and TS in the daily routine show significant differences between APs and CPs (ITCP=2.0, ITAP=3.2; p=0.002; TSCP=1.9, TSAP=3.0; p<0.001). Skills lab training was acknowledged as the most important training format (CP=1.3, AP=1.5; p=0.401). The practical medical skills of the professional trainers were evaluated as high: AP: 94.6% (CP: 100.0%), as well as the training in interprofessional collaboration: AP: 79.4% (CP: 100.0%).
CONCLUSION: Our data underline the importance of specialist training subjects. These are partly perceived very differently by APs and CPs. Innovative concepts for the induction phase, well-structured training curricula, providing management skills, the overall use of skills labs and digital documentation might support the satisfaction and the outcome of specialist training. This could also improve quality in patient care.
© 2020 Juliane Kröplin et al., published by De Gruyter, Berlin/Boston.

Entities:  

Keywords:  competency-based training; leadership; management; mentoring; skills lab; surgical training

Year:  2020        PMID: 33506099      PMCID: PMC7790178          DOI: 10.1515/iss-2020-0024

Source DB:  PubMed          Journal:  Innov Surg Sci        ISSN: 2364-7485


  32 in total

1.  Coping with complexity: educating for capability.

Authors:  S W Fraser; T Greenhalgh
Journal:  BMJ       Date:  2001-10-06

2.  Education of health professionals for the 21st century: a global independent Commission.

Authors:  Zulfiqar A Bhutta; Lincoln Chen; Jordan Cohen; Nigel Crisp; Tim Evans; Harvey Fineberg; Julio Frenk; Patricia Garcia; Richard Horton; Yang Ke; Patrick Kelley; Barry Kistnasamy; Afaf Meleis; David Naylor; Ariel Pablos-Mendez; Srinath Reddy; Susan Scrimshaw; Jaime Sepulveda; David Serwadda; Huda Zurayk
Journal:  Lancet       Date:  2010-04-03       Impact factor: 79.321

3.  Surgical crisis management skills training and assessment: a simulation[corrected]-based approach to enhancing operating room performance.

Authors:  Krishna Moorthy; Yaron Munz; Damien Forrest; Vikas Pandey; Shabnam Undre; Charles Vincent; Ara Darzi
Journal:  Ann Surg       Date:  2006-07       Impact factor: 12.969

4.  Management training of physician executives, their leadership style, and care management performance: an empirical study.

Authors:  Sudha Xirasagar; Michael E Samuels; Thomas F Curtin
Journal:  Am J Manag Care       Date:  2006-02       Impact factor: 2.229

5.  [Surgical Training in Germany: Desire and Reality].

Authors:  S Axt; J Johannink; P Storz; S T Mees; A A Röth; A Kirschniak
Journal:  Zentralbl Chir       Date:  2016-06-22       Impact factor: 0.942

6.  A human factors analysis of technical and team skills among surgical trainees during procedural simulations in a simulated operating theatre.

Authors:  Krishna Moorthy; Yaron Munz; Sally Adams; Vikas Pandey; Ara Darzi
Journal:  Ann Surg       Date:  2005-11       Impact factor: 12.969

7.  Simulation-based training for trauma resuscitation among ACS TQIP-Pediatric centers: Understanding prevalence of use, associated center characteristics, training factors, and implementation barriers.

Authors:  Aaron R Jensen; Cory McLaughlin; Carolyn F Wong; Katie McAuliff; Avery B Nathens; Erica Barin; Daniella Meeker; Henri R Ford; Randall S Burd; Jeffrey S Upperman
Journal:  Am J Surg       Date:  2018-06-18       Impact factor: 2.565

Review 8.  Medical leadership, a systematic narrative review: do hospitals and healthcare organisations perform better when led by doctors?

Authors:  Robyn Clay-Williams; Kristiana Ludlow; Luke Testa; Zhicheng Li; Jeffrey Braithwaite
Journal:  BMJ Open       Date:  2017-09-24       Impact factor: 2.692

9.  The association between mentoring and training outcomes in junior doctors in medicine: an observational study.

Authors:  John Ong; Carla Swift; Nicholas Magill; Sharon Ong; Anne Day; Yasseen Al-Naeeb; Arun Shankar
Journal:  BMJ Open       Date:  2018-09-21       Impact factor: 2.692

10.  [Generation Y in surgery-the competition battle for talent in times of talent shortage].

Authors:  Kristian Nikolaus Schneider; Max Masthoff; Georg Gosheger; Nikolas Schopow; Jan Christoph Theil; Bernhard Marschall; Jürgen Zehrfeld
Journal:  Chirurg       Date:  2020-11       Impact factor: 0.955

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  1 in total

Review 1.  [Fridays for future! - All days for surgery! : Thoughts of young surgeons on a modern promotion of the next generation].

Authors:  Tobias Huber; Florentine Hüttl; Benedikt Braun; Beate Blank; Stefanie Schierholz; Tobias Fritz; Juliane Kroeplin
Journal:  Chirurg       Date:  2022-02-07       Impact factor: 0.955

  1 in total

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