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Nachwuchsförderung in der Anästhesiologie: attraktive Gestaltung der Famulatur

BACKGROUND: Practical experiences in clinical traineeships can shape the later specialty choice of medical students. KEY QUESTION: The following study aimed to find factors in anesthesiological clinical traineeship that encourage students to specialize in the field. MATERIAL AND METHODS: As part of...

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Autores principales: Scheffel, D., Wirkner, J., Adler, S., Wassilew, G., Dragowsky, K., Seemann, R., Fröhlich, S., Kasch, R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Medizin 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9068631/
https://www.ncbi.nlm.nih.gov/pubmed/35507045
http://dx.doi.org/10.1007/s00101-021-00936-5
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author Scheffel, D.
Wirkner, J.
Adler, S.
Wassilew, G.
Dragowsky, K.
Seemann, R.
Fröhlich, S.
Kasch, R.
author_facet Scheffel, D.
Wirkner, J.
Adler, S.
Wassilew, G.
Dragowsky, K.
Seemann, R.
Fröhlich, S.
Kasch, R.
author_sort Scheffel, D.
collection PubMed
description BACKGROUND: Practical experiences in clinical traineeships can shape the later specialty choice of medical students. KEY QUESTION: The following study aimed to find factors in anesthesiological clinical traineeship that encourage students to specialize in the field. MATERIAL AND METHODS: As part of a nationwide online survey conducted by the working group for education of the German Association for Orthopedics and Trauma Surgery (Deutsche Gesellschaft für Orthopädie und Unfallchirurgie, DGOU), study participants (n = 479) answered questions about their minimum 4‑week traineeship in anesthesiology. The information on items was analyzed in six content categories: 1) integration into the team, 2) acquisition of skills, 3) teachers, 4) quality of teaching, 5) structure of teaching and 6) satisfaction with the clinical internship. The respondents were subdivided into 4 groups by answering the question “Could you imagine an elective in anesthesiology during the final year (PJ)” with “Yes, I have made this decision after the clinical traineeship” (JdF, n = 212, 44%), “No I have decided against an elective during the final year after the traineeship” (NdF, n = 56, 12%), “Yes I have decided for an elective in anesthesiology before the internship” (JvF Yes: n = 144, 30%) and “No, I have decided against an elective in anesthesiology before the internship” (NvF: n = 67, 14%). Answers of the participants regarding the six content categories were compared between the four groups. RESULTS: The survey reached all medical faculties in Germany and included participants with an average age of 25.8 years and a balanced gender ratio. There were significant differences between satisfied and dissatisfied students in all four subgroups. Of the 479 respondents, 211 (44%) were already set regarding their decision of choosing anesthesiology as an elective during the final year before the clinical traineeship. Of the respondents 268 (56%) were influenced by the internship, 212 (44%) of them positively. In total, 81% of the trainees rated the internship as “satisfying”. Students who were satisfied with the overall internship and who spoke in favor of the PJ elective in anesthesiology differed significantly from the other groups in the categories of team integration, skills acquisition, structure and quality of teaching. The teaching of practical skills and specialist knowledge as well as the integration into diagnostics and treatment planning promoted the recruitment of young people. DISCUSSION: The positively evaluated anesthesiology internship promotes later specialty choice, with quality and structure of the teaching affecting student satisfaction. Trainees who were attracted by anesthesiology gave better overall ratings and acquired more skills during the course of the internship. In order to win aspiring doctors for anesthesiology, the medical team has to integrate trainees well and support the acquisition of practical skills and specialist knowledge. In addition, didactics and practical relevance should be given high priority.
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spelling pubmed-90686312022-05-07 Nachwuchsförderung in der Anästhesiologie: attraktive Gestaltung der Famulatur Scheffel, D. Wirkner, J. Adler, S. Wassilew, G. Dragowsky, K. Seemann, R. Fröhlich, S. Kasch, R. Anaesthesist Originalien BACKGROUND: Practical experiences in clinical traineeships can shape the later specialty choice of medical students. KEY QUESTION: The following study aimed to find factors in anesthesiological clinical traineeship that encourage students to specialize in the field. MATERIAL AND METHODS: As part of a nationwide online survey conducted by the working group for education of the German Association for Orthopedics and Trauma Surgery (Deutsche Gesellschaft für Orthopädie und Unfallchirurgie, DGOU), study participants (n = 479) answered questions about their minimum 4‑week traineeship in anesthesiology. The information on items was analyzed in six content categories: 1) integration into the team, 2) acquisition of skills, 3) teachers, 4) quality of teaching, 5) structure of teaching and 6) satisfaction with the clinical internship. The respondents were subdivided into 4 groups by answering the question “Could you imagine an elective in anesthesiology during the final year (PJ)” with “Yes, I have made this decision after the clinical traineeship” (JdF, n = 212, 44%), “No I have decided against an elective during the final year after the traineeship” (NdF, n = 56, 12%), “Yes I have decided for an elective in anesthesiology before the internship” (JvF Yes: n = 144, 30%) and “No, I have decided against an elective in anesthesiology before the internship” (NvF: n = 67, 14%). Answers of the participants regarding the six content categories were compared between the four groups. RESULTS: The survey reached all medical faculties in Germany and included participants with an average age of 25.8 years and a balanced gender ratio. There were significant differences between satisfied and dissatisfied students in all four subgroups. Of the 479 respondents, 211 (44%) were already set regarding their decision of choosing anesthesiology as an elective during the final year before the clinical traineeship. Of the respondents 268 (56%) were influenced by the internship, 212 (44%) of them positively. In total, 81% of the trainees rated the internship as “satisfying”. Students who were satisfied with the overall internship and who spoke in favor of the PJ elective in anesthesiology differed significantly from the other groups in the categories of team integration, skills acquisition, structure and quality of teaching. The teaching of practical skills and specialist knowledge as well as the integration into diagnostics and treatment planning promoted the recruitment of young people. DISCUSSION: The positively evaluated anesthesiology internship promotes later specialty choice, with quality and structure of the teaching affecting student satisfaction. Trainees who were attracted by anesthesiology gave better overall ratings and acquired more skills during the course of the internship. In order to win aspiring doctors for anesthesiology, the medical team has to integrate trainees well and support the acquisition of practical skills and specialist knowledge. In addition, didactics and practical relevance should be given high priority. Springer Medizin 2022-05-04 2022 /pmc/articles/PMC9068631/ /pubmed/35507045 http://dx.doi.org/10.1007/s00101-021-00936-5 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open Access Dieser Artikel wird unter der Creative Commons Namensnennung 4.0 International Lizenz veröffentlicht, welche die Nutzung, Vervielfältigung, Bearbeitung, Verbreitung und Wiedergabe in jeglichem Medium und Format erlaubt, sofern Sie den/die ursprünglichen Autor(en) und die Quelle ordnungsgemäß nennen, einen Link zur Creative Commons Lizenz beifügen und angeben, ob Änderungen vorgenommen wurden. Die in diesem Artikel enthaltenen Bilder und sonstiges Drittmaterial unterliegen ebenfalls der genannten Creative Commons Lizenz, sofern sich aus der Abbildungslegende nichts anderes ergibt. Sofern das betreffende Material nicht unter der genannten Creative Commons Lizenz steht und die betreffende Handlung nicht nach gesetzlichen Vorschriften erlaubt ist, ist für die oben aufgeführten Weiterverwendungen des Materials die Einwilligung des jeweiligen Rechteinhabers einzuholen. Weitere Details zur Lizenz entnehmen Sie bitte der Lizenzinformation auf http://creativecommons.org/licenses/by/4.0/deed.de (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Originalien
Scheffel, D.
Wirkner, J.
Adler, S.
Wassilew, G.
Dragowsky, K.
Seemann, R.
Fröhlich, S.
Kasch, R.
Nachwuchsförderung in der Anästhesiologie: attraktive Gestaltung der Famulatur
title Nachwuchsförderung in der Anästhesiologie: attraktive Gestaltung der Famulatur
title_full Nachwuchsförderung in der Anästhesiologie: attraktive Gestaltung der Famulatur
title_fullStr Nachwuchsförderung in der Anästhesiologie: attraktive Gestaltung der Famulatur
title_full_unstemmed Nachwuchsförderung in der Anästhesiologie: attraktive Gestaltung der Famulatur
title_short Nachwuchsförderung in der Anästhesiologie: attraktive Gestaltung der Famulatur
title_sort nachwuchsförderung in der anästhesiologie: attraktive gestaltung der famulatur
topic Originalien
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9068631/
https://www.ncbi.nlm.nih.gov/pubmed/35507045
http://dx.doi.org/10.1007/s00101-021-00936-5
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