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http://doi.org/10.25358/openscience-6068Full metadata record
| DC Field | Value | Language |
|---|---|---|
| dc.contributor.author | Huber, Tobias | - |
| dc.contributor.author | Richardsen, I. | - |
| dc.contributor.author | Klinger, C. | - |
| dc.contributor.author | Mille, M. | - |
| dc.contributor.author | Roeth, A. A. | - |
| dc.contributor.author | Dörner, Johannes | - |
| dc.contributor.author | Drewes, Sebastian | - |
| dc.contributor.author | Fabig, Stefan | - |
| dc.contributor.author | Gaedcke, Jochen | - |
| dc.contributor.author | Günter, Patricia J. | - |
| dc.contributor.author | Jauch, Dominik | - |
| dc.contributor.author | Koch, Franziska | - |
| dc.contributor.author | Lenzen, Jana | - |
| dc.contributor.author | Obst, Marianne | - |
| dc.contributor.author | Orthaus, Ulrike | - |
| dc.contributor.author | Schacke, Vivien | - |
| dc.contributor.author | Schassen, Christian von | - |
| dc.contributor.author | Scheurer, Laura | - |
| dc.contributor.author | Schmitz, Sophia | - |
| dc.contributor.author | Scholtes, Ben | - |
| dc.contributor.author | Schreier, Johanna | - |
| dc.contributor.author | Sommer, Nils P. | - |
| dc.contributor.author | Uhlmann, Dirk | - |
| dc.contributor.author | Wobith, Maria | - |
| dc.contributor.author | Zaczek, Michael | - |
| dc.date.accessioned | 2021-06-21T07:57:52Z | - |
| dc.date.available | 2021-06-21T07:57:52Z | - |
| dc.date.issued | 2020 | - |
| dc.identifier.uri | https://openscience.ub.uni-mainz.de/handle/20.500.12030/6077 | - |
| dc.description.abstract | INTRODUCTION Due to technological changes, working time restrictions and the creation of specialized centers, surgical training has changed. A competence-based learning technique of surgical skills is the sub-step practice approach, which has been proven important in nationwide opinion surveys. The aim of this prospective multi-center trial was to determine the status quo of the sub-step concept in Germany. METHODS Over 6 months, the voluntarily participating centers evaluated the following index procedures: laparoscopic cholecystectomy (LCHE), laparoscopic and open sigmoid resection, minimally invasive inguinal hernia repair, thyroid resection and pylorus-preserving pancreaticoduodenectomy (PPPD). Patients with private insurance were excluded. The detailed sub-steps were documented as well as the reason why these were not performed. In addition, an online survey regarding the sub-step concept was performed before and after the study. RESULTS In total, 21 centers included 2969 surgical procedures in 2018 for final analyses. While 24.4% of the procedures were performed by residents, sub-steps were performed in 22.2%. LCHE was most often performed completely by residents (43.3%), and PPPD revealed the highest rate of performed sub-steps (43.3%). Reasons for not assisting sub-steps to residents were often organizational and other reasons. After an initial increase, the number of performed sub-steps decreased significantly during the second half of the survey. The opinion survey revealed a high importance of the sub-step concept. The number of resident procedures was overestimated, and the number of performed sub-steps was underestimated. After the study, these estimations were more realistic. CONCLUSION Even though the sub-step practice concept is considered highly important for surgical education, it needs to be put into practice more consequently. The current data suggest a low participation of surgical residents in the operating room, although the participating hospitals are most likely highly interested in surgical education, hence their voluntary participation. Conceptual changes and a control of surgical education are needed. | en_GB |
| dc.language.iso | eng | de |
| dc.rights | CC BY | * |
| dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | * |
| dc.subject.ddc | 610 Medizin | de_DE |
| dc.subject.ddc | 610 Medical sciences | en_GB |
| dc.title | See (n)one, do (n)one, teach (n)one : reality of surgical resident training in Germany | en_GB |
| dc.type | Zeitschriftenaufsatz | de |
| dc.identifier.doi | http://doi.org/10.25358/openscience-6068 | - |
| jgu.type.dinitype | article | en_GB |
| jgu.type.version | Published version | de |
| jgu.type.resource | Text | de |
| jgu.organisation.department | FB 04 Medizin | de |
| jgu.organisation.number | 2700 | - |
| jgu.organisation.name | Johannes Gutenberg-Universität Mainz | - |
| jgu.rights.accessrights | openAccess | - |
| jgu.journal.title | World journal of surgery | de |
| jgu.journal.volume | 44 | de |
| jgu.pages.start | 2501 | de |
| jgu.pages.end | 2510 | de |
| jgu.publisher.year | 2020 | - |
| jgu.publisher.name | Springer | de |
| jgu.publisher.place | New York, NY | de |
| jgu.publisher.uri | https://doi.org/10.1007/s00268-020-05539-6 | de |
| jgu.publisher.issn | 1432-2323 | de |
| jgu.organisation.place | Mainz | - |
| jgu.subject.ddccode | 610 | de |
| jgu.publisher.doi | 10.1007/s00268-020-05539-6 | |
| jgu.organisation.ror | https://ror.org/023b0x485 | |
| Appears in collections: | JGU-Publikationen | |
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| File | Description | Size | Format | ||
|---|---|---|---|---|---|
 | huber_tobias-see_(n)one_do-20210614105555405.pdf | 614.2 kB | Adobe PDF | View/Open |