Bitzinger, D. and Raspe, M. and Schulte, K. and Larmann, J. (2017) Evaluation of the occupational and advanced professional training conditions in the field of anaesthesiology in Germany. ANASTHESIOLOGIE & INTENSIVMEDIZIN, 58. pp. 429-440. ISSN 0170-5334, 1439-0256
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Background: The demographic change, the progressing economisation in German hospitals and numerous other changes have sustainably influenced the conditions of the physicians' occupational and advanced professional training in recent years and created dissatisfaction as among resident physicians well as criticism of the system. As yet, however, hardly any data exist that captures this criticism quantitatively or describes it in a national or anaesthesiological context. Methods: The Young Scientists Working Group (WAK\AtiN) and Young Anaesthesiology" of the German Society of Anaesthesiology and Intensive Care Medicine (DGAI) as well as the Young BDA" of the Professional Association of German Anaesthetists (BDA) conducted an online-based survey of all resident physicians who were members of these organisations. The questionnaire covered five essential conflict fields of anaesthesiological work and advanced professional training conditions. In addition, the "Occupational Gratification Crisis Model" was applied to assess the psychosocial work stress. Results: A total of 895 resident physicians took part in the survey. According to the survey participants, advanced professional training and qualifications, family and research friendly work conditions came off badly under conditions of a highly intensified daily work routine. The influence of economic considerations is definitely perceptible. 79 percent of all resident physicians reported that their further qualification in the field of medicine would suffer from the progressive economisation (e.g. short transition periods). The psychosocial work stress of the physicians questioned was felt to be very high. One fraction of physicians drew personal consequences (e.g. job change, moving into other professions). Conclusions: Based on the data collected, adjustments of occupational and further professional training conditions in the specialised field of anaesthesiology appear to be necessary in order to assure the health of the resident physicians affected, the quality of patient health care provisions and the attractiveness of the specialist medical area in the future.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | EFFORT-REWARD IMBALANCE; INTERNAL-MEDICINE; SAMPLE-REGULATION; WORK STRESS; EDUCATION; PHYSICIANS; RESIDENTS; DISTRESS; ERRORS; HEALTH; Postgraduate Medical Education; Working Conditions; Work Strain; Economical Pressure; Effort-reward Imbalance; Evaluation |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Anästhesiologie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 14 Dec 2018 13:16 |
| Last Modified: | 26 Feb 2019 11:47 |
| URI: | https://pred.uni-regensburg.de/id/eprint/1576 |
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