[Advanced training of general and visceral surgeons in life-saving emergency surgery : Results of a survey among participants of a surgery course].

Fortbildung von Allgemein- und Viszeralchirurgen in der lebensrettenden Notfallchirurgie : Ergebnisse einer Umfrage unter Operationskursteilnehmern.
Abdominal trauma Damage control surgery Shooting injuries Stab wounds Terror attack trauma

Journal

Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen
ISSN: 1433-0385
Titre abrégé: Chirurg
Pays: Germany
ID NLM: 16140410R

Informations de publication

Date de publication:
Dec 2020
Historique:
pubmed: 22 4 2020
medline: 15 12 2020
entrez: 22 4 2020
Statut: ppublish

Résumé

Due to a decreasing number of emergency procedures for body cavity injuries, surgical training is inadequate and current educational concepts must be reconsidered. The German Society for General and Visceral Surgery has set up a surgical training course in 2014 to overcome this shortage. In order to assess the eligibility, needs, benefits and success of such a training format, participants were asked to evaluate the program. All participants evaluated the course during participation and were later asked to answer an online survey regarding their age, gender, level of surgical education, surgical discipline, level of care of the hospital, emergency surgical experience and frequency of performing emergency surgery, participation in other programs, experiences after participating in the course, rating of the current training curriculum and funding of such courses. Out of 142 participants 83 replied to the online survey. Over 90% reported a lasting positive influence of the course on emergency surgical skills. More than half of the responders remembered a clinical situation which they successfully managed due to the skills they gained during the course. Surgeons experienced in emergency treatment felt significantly more benefit than less experienced colleagues. A consultancy position, the level of care of the hospital, age and sex of the participants did not influence the overall benefits reported. The majority of responding surgeons were in favor of including such a training course in surgical education and stipulated public financial support. Course formats that mediate emergency surgery strategies and skills are established and well accepted. Training of surgeons in life-saving emergency surgery is in the public interest and is also partly the responsibility of society.

Sections du résumé

BACKGROUND BACKGROUND
Due to a decreasing number of emergency procedures for body cavity injuries, surgical training is inadequate and current educational concepts must be reconsidered. The German Society for General and Visceral Surgery has set up a surgical training course in 2014 to overcome this shortage. In order to assess the eligibility, needs, benefits and success of such a training format, participants were asked to evaluate the program.
MATERIAL AND METHODS METHODS
All participants evaluated the course during participation and were later asked to answer an online survey regarding their age, gender, level of surgical education, surgical discipline, level of care of the hospital, emergency surgical experience and frequency of performing emergency surgery, participation in other programs, experiences after participating in the course, rating of the current training curriculum and funding of such courses.
RESULTS RESULTS
Out of 142 participants 83 replied to the online survey. Over 90% reported a lasting positive influence of the course on emergency surgical skills. More than half of the responders remembered a clinical situation which they successfully managed due to the skills they gained during the course. Surgeons experienced in emergency treatment felt significantly more benefit than less experienced colleagues. A consultancy position, the level of care of the hospital, age and sex of the participants did not influence the overall benefits reported. The majority of responding surgeons were in favor of including such a training course in surgical education and stipulated public financial support.
CONCLUSION CONCLUSIONS
Course formats that mediate emergency surgery strategies and skills are established and well accepted. Training of surgeons in life-saving emergency surgery is in the public interest and is also partly the responsibility of society.

Identifiants

pubmed: 32313966
doi: 10.1007/s00104-020-01170-2
pii: 10.1007/s00104-020-01170-2
pmc: PMC7716888
doi:

Types de publication

Journal Article

Langues

ger

Sous-ensembles de citation

IM

Pagination

1044-1052

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Auteurs

C Güsgen (C)

Klinik für Allgemein- Viszeral- und Thoraxchirurgie, Bundeswehrzentralkrankenhaus Koblenz, Koblenz, Deutschland.

F Anger (F)

Klinik und Poliklinik für Allgemein‑, Viszeral‑, Transplantations‑, Gefäß- und Kinderchirurgie, Universitätsklinikum Würzburg, Würzburg, Deutschland.

T Hauer (T)

Klinik für Allgemein- und Viszeralchirurgie, Bundeswehrkrankenhaus Berlin, Berlin, Deutschland.

A Willms (A)

Klinik für Allgemein- Viszeral- und Thoraxchirurgie, Bundeswehrzentralkrankenhaus Koblenz, Koblenz, Deutschland.

H J Buhr (HJ)

Deutsche Gesellschaft für Allgemein- und Viszeralchirurgie, Berlin, Deutschland.

C-T Germer (CT)

Klinik und Poliklinik für Allgemein‑, Viszeral‑, Transplantations‑, Gefäß- und Kinderchirurgie, Universitätsklinikum Würzburg, Würzburg, Deutschland.

R Schwab (R)

Klinik für Allgemein- Viszeral- und Thoraxchirurgie, Bundeswehrzentralkrankenhaus Koblenz, Koblenz, Deutschland.

J F Lock (JF)

Klinik und Poliklinik für Allgemein‑, Viszeral‑, Transplantations‑, Gefäß- und Kinderchirurgie, Universitätsklinikum Würzburg, Würzburg, Deutschland. lock_j@ukw.de.

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Classifications MeSH