{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T16:26:27Z","timestamp":1792513587289,"version":"4.5.0"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2025,3,17]],"date-time":"2025-03-17T00:00:00Z","timestamp":1742169600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2025,3,17]],"date-time":"2025-03-17T00:00:00Z","timestamp":1742169600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"name":"Medizinische Hochschule Hannover (MHH)"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Chirurgie"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Hintergrund<\/jats:title>\n                    <jats:p>Die Krankenhausstrukturreform durch das Krankenhausversorgungsverbesserungsgesetz (KHVVG) ver\u00e4ndert ab 2025 die medizinische Versorgungslandschaft in Deutschland grundlegend. Ambulantisierung und sektoren\u00fcbergreifende Versorgungsmodelle werden die chirurgische Weiterbildung erheblich beeinflussen. Insbesondere Weiterbildungsverb\u00fcnde zwischen Kliniken und ambulanten Einrichtungen werden als zentrale L\u00f6sung diskutiert, um die chirurgische Weiterbildung zu sichern.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Fragestellung<\/jats:title>\n                    <jats:p>Ziel des vorliegenden Positionspapieres ist es, die W\u00fcnsche und Forderungen des chirurgischen Nachwuchses an eine Verbundweiterbildung zu formulieren. Diese sollen den beteiligten Akteurinnen und Akteuren als Leitfaden f\u00fcr eine erfolgreiche Umsetzung dienen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material und Methoden<\/jats:title>\n                    <jats:p>Das Positionspapier basiert auf Diskussionen der Jungen Foren chirurgischer Fachgesellschaften und Berufsverb\u00e4nde, Analysen aktueller Weiterbildungsmodelle und Erfahrungen aus Pilotprojekten. Es beschreibt Ma\u00dfnahmen, die eine sektoren\u00fcbergreifende, strukturierte Weiterbildung mit klaren rechtlichen, finanziellen und didaktischen Rahmenbedingungen f\u00f6rdern.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>Erfolgreiche Modelle, wie die Rotation in ambulante Einrichtungen, zeigen positive Effekte auf Weiterbildung und Praxiserfahrung. Notwendige Schritte umfassen arbeitsrechtliche Vereinfachungen, transparente Curricula, eine ad\u00e4quate und verl\u00e4ssliche Finanzierung sowie eine zertifizierte didaktische Qualifikationen der Weiterbildenden. Pilotprojekte unterstreichen das Potenzial intersektoraler Kooperationen, w\u00e4hrend unzureichende rechtliche und finanzielle Strukturen als Haupthindernisse identifiziert werden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Schlussfolgerungen<\/jats:title>\n                    <jats:p>Die Einf\u00fchrung verbindlicher Weiterbildungsverb\u00fcnde ist essenziell, um die chirurgische Versorgung und Weiterbildung zu sichern. Neben politischem Handeln zur Finanzierung und Anpassung der Rahmenbedingungen wird die Initiative von Kliniken und ambulanten Einrichtungen ben\u00f6tigt. Langfristig sollte die chirurgische Weiterbildung in Deutschland ein Exzellenzmerkmal werden.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00104-025-02269-0","type":"journal-article","created":{"date-parts":[[2025,3,17]],"date-time":"2025-03-17T13:34:46Z","timestamp":1742218486000},"page":"568-573","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Zeit, dass sich was dreht: Was muss der qualitativ hochwertige chirurgische Weiterbildungsverbund von morgen bieten?","Time for change: what must the high-quality surgical training network of tomorrow offer?"],"prefix":"10.1007","volume":"96","author":[{"given":"Frederik","family":"Schlottmann","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Schaaf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Romina Maria","family":"R\u00f6sch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria E.","family":"Dey Hazra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marit","family":"Herbolzheimer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabine","family":"Drossard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louisa","family":"Schuffert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benedikt J.","family":"Braun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah Lif","family":"Keller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arash","family":"Motekallemi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joscha","family":"Mulorz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hruy","family":"Menghesha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Lawson McLean","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"Huber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederic","family":"Bouffleur","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":[[2025,3,17]]},"reference":[{"key":"2269_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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