{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T02:52:20Z","timestamp":1791600740310,"version":"4.3.4"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2024,6,12]],"date-time":"2024-06-12T00:00:00Z","timestamp":1718150400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,6,12]],"date-time":"2024-06-12T00:00:00Z","timestamp":1718150400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Medizinische Hochschule Hannover (MHH)"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Chirurgie"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Hintergrund<\/jats:title>\n                    <jats:p>Die chirurgische Weiterbildung steht bereits jetzt vor erheblichen Herausforderungen. Durch die geplante Krankenhausstrukturreform kommen neue b\u00fcrokratische und organisatorische H\u00fcrden hinzu, die zu einem erheblichen Qualit\u00e4tsverlust der chirurgischen Weiterbildung f\u00fchren k\u00f6nnen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Fragestellung<\/jats:title>\n                    <jats:p>Das vorliegende Positionspapier beschreibt aktuelle und zuk\u00fcnftige Herausforderungen f\u00fcr die chirurgische Weiterbildung und identifiziert m\u00f6gliche Ansatzpunkte und Chancen f\u00fcr ihre Weiterentwicklung vor dem Hintergrund der geplanten Krankenhausstrukturreform.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material und Methoden<\/jats:title>\n                    <jats:p>F\u00fcr die Erarbeitung dieses Positionspapiers wurden durch ein Gremium aus Vertreterinnen und Vertreter der Jungen Foren der Deutschen Fachgesellschaften der chirurgischen F\u00e4cher aktuelle Probleme und Herausforderungen des derzeitigen Weiterbildungssystems identifiziert, kritisch diskutiert und ein Forderungskatalog f\u00fcr ein zukunftsf\u00e4higes Weiterbildungskonzept formuliert.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>Die geplante Ambulantisierung und Zentralisierung wurden als zentrale Herausforderungen f\u00fcr die chirurgische Weiterbildung identifiziert. Die \u00e4rztliche Weiterbildung muss bei allen Reformbestrebungen konsequent und von Anfang an mitgedacht werden. Neben einer transparenten und aufwandsgerechten Finanzierung der Weiterbildung fordern wir die Einbeziehung der Fachgesellschaften sowie eine Beachtung der sozialen Rahmenbedingungen f\u00fcr den chirurgischen Nachwuchs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Schlussfolgerungen<\/jats:title>\n                    <jats:p>Der von der Politik forcierte Strukturwandel der Krankenhauslandschaft in Deutschland birgt die Gefahr, dass es zu einem weiteren Qualit\u00e4ts- und Erfahrungsverlust in der chirurgischen Versorgung und Weiterbildung kommt. Gleichzeitig bietet das geplante Reformvorhaben aber die einzigartige Chance, bestehende Probleme aufzugreifen und die chirurgische Weiterbildung zukunftsf\u00e4hig weiterzuentwickeln.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00104-024-02113-x","type":"journal-article","created":{"date-parts":[[2024,6,12]],"date-time":"2024-06-12T10:02:06Z","timestamp":1718186526000},"page":"539-545","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Herausforderungen und Chancen f\u00fcr die chirurgische Weiterbildung","Challenges and options for advanced training in surgery"],"prefix":"10.1007","volume":"95","author":[{"given":"Frederik","family":"Schlottmann","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabine","family":"Drossard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Dey Hazra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beate","family":"Blank","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marit","family":"Herbolzheimer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joscha","family":"Mulorz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliane","family":"Kr\u00f6plin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"Huber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Panagiotis","family":"Doukas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Najla","family":"Sadat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miriam","family":"R\u00fcsseler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Romina","family":"R\u00f6sch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederic","family":"Bouffleur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Lif Keller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerrit","family":"Freund","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,6,12]]},"reference":[{"key":"2113_CR1","unstructured":"Blum K, L\u00f6ffert S, Schumacher L (2023) DKI Krankenhaus Index \u2013 Herbstumfrage 2023. https:\/\/www.dki.de\/fileadmin\/user_upload\/2023_11__Krankenhaus-Index_-_Herbstumfrage_2023.pdf. 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