{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T14:47:42Z","timestamp":1770821262994,"version":"3.50.1"},"reference-count":27,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T00:00:00Z","timestamp":1733961600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zentralbl Chir"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Die rasante Entwicklung der minimalinvasiven Chirurgie (MIS) und der roboterassistierten Chirurgie (RAS) erfordert eine standardisierte Weiterbildung, um eine qualitativ hochwertige Patientenversorgung sicherzustellen. In Deutschland mangelt es bislang an einem einheitlichen Curriculum, das diese spezialisierten F\u00e4higkeiten vermittelt. Ziel dieser Arbeit ist eine Konsensfindung f\u00fcr die Entwicklung eines bundesweiten Curriculums f\u00fcr MIS und RAS mit der anschlie\u00dfenden Umsetzung der konsentierten Inhalte.<\/jats:p><jats:p>Ein modifiziertes Delphi-Verfahren wurde angewandt, um einen Konsens unter nationalen Expert*innen f\u00fcr MIS und RAS zu erzielen. Der Prozess umfasste eine Literaturrecherche, eine Onlineumfrage und eine Expertenkonferenz.<\/jats:p><jats:p>Alle 12 eingeladenen Expert*innen nahmen an der Umfrage teil, erreichten prim\u00e4r in 73% und sekund\u00e4r im Rahmen der Expertenkonferenz bei 95 von 122 Fragen (77,9%) einen Konsens. Die Pr\u00e4ferenz f\u00fcr ein Basiscurriculum als Fundament, auf dem spezialisierte Module aufbauen k\u00f6nnen, wurde besonders deutlich. Die Ergebnisse unterst\u00fctzen die Entwicklung eines integrierten Curriculums f\u00fcr MIS und RAS, das eine schrittweise Ausbildung vom theoretischen Wissen \u00fcber E-Learning-Module bis hin zu praktischen Fertigkeiten in Dry-Lab-Simulationen und im OP beinhaltet. Betont wurde die Notwendigkeit, das klinische Urteilsverm\u00f6gen und die Entscheidungsfindung durch gezieltes Assessment w\u00e4hrend der Lernkurve zu f\u00f6rdern, um eine effektive Anwendung der erlernten F\u00e4higkeiten in der klinischen Praxis sicherzustellen. Einigkeit bestand auch dar\u00fcber, dass die Ausbildungsinhalte anhand objektiver Leistungsbewertungen gem\u00e4\u00df dem Prinzip der Proficiency-based Progression (PBP) auf den Kompetenzerwerb\n        der Lernenden abgestimmt werden m\u00fcssen. Die kontinuierliche Aktualisierung des Curriculums, um es an den neuesten technologischen Stand anzupassen, wurde als wesentlich erachtet.<\/jats:p><jats:p>Die Studie unterstreicht die dringende Notwendigkeit eines standardisierten Weiterbildungscurriculums f\u00fcr MIS und RAS in Deutschland, um die Patientensicherheit zu erh\u00f6hen und die Qualit\u00e4t der chirurgischen Versorgung zu verbessern. F\u00fcr die Implementierung eines solchen Curriculums besteht ein breiter Expertenkonsens. Ein solches Curriculum zielt darauf ab, eine zeitgem\u00e4\u00dfe und international konkurrenzf\u00e4hige einheitliche Qualit\u00e4t der Ausbildung zu gew\u00e4hrleisten und die Attraktivit\u00e4t der chirurgischen Ausbildung zu steigern.<\/jats:p>","DOI":"10.1055\/a-2386-9463","type":"journal-article","created":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T23:56:46Z","timestamp":1734047806000},"page":"35-49","source":"Crossref","is-referenced-by-count":4,"title":["Modifiziertes Delphi-Verfahren zur Konsensfindung f\u00fcr die Konzeption eines bundesweiten Curriculums f\u00fcr minimalinvasive und roboterassistierte Chirurgie in Deutschland (GeRMIQ)"],"prefix":"10.1055","volume":"150","author":[{"given":"Tobias","family":"Huber","sequence":"first","affiliation":[{"name":"Klinik f\u00fcr Allgemein-, Viszeral- und Transplantationschirurgie, Universit\u00e4tsmedizin der Johannes Gutenberg-Universit\u00e4t Mainz, Mainz, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Weber","sequence":"first","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Allgemein-, Viszeral-, Thorax- und Gef\u00e4\u00dfchirurgie, Universit\u00e4tsklinikum Bonn, Bonn, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felix","family":"Nickel","sequence":"first","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Allgemein-, Viszeral- und Thoraxchirurgie, Universit\u00e4tsklinikum Hamburg-Eppendorf, Hamburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hanno","family":"Matthaei","sequence":"first","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Allgemein-, Viszeral-, Thorax- und Gef\u00e4\u00dfchirurgie, Universit\u00e4tsklinikum Bonn, Bonn, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felix","family":"von Bechtolsheim","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Viszeral-, Thorax- und Gef\u00e4\u00dfchirurgie, Medizinische Fakult\u00e4t und Universit\u00e4tsklinikum Carl Gustav Carus, \u00a0Technische Universit\u00e4t Dresden, Dresden, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sven","family":"Flemming","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Allgemein-, Viszeral-, Transplantations-, Gef\u00e4\u00df- und Kinderchirurgie, Universit\u00e4tsklinikum W\u00fcrzburg, W\u00fcrzburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hans Friedrich","family":"Fuchs","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Allgemein-, Viszeral- und Tumorchirurgie, Universit\u00e4tsklinikum K\u00f6ln, K\u00f6ln, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marian","family":"Grade","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Allgemein-, Viszeral- und Kinderchirurgie, Universit\u00e4tsmedizin G\u00f6ttingen, G\u00f6ttingen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Hummel","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Allgemeine Chirurgie, Viszeral-, Thorax- und Gef\u00e4\u00dfchirurgie, Universit\u00e4tsmedizin Greifswald, Greifswald, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Krautz","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Allgemein- und Viszeralchirurgie, Universit\u00e4tsklinikum Erlangen, Erlangen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Stockheim","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinik f\u00fcr Allgemein-, Viszeral-, Gef\u00e4\u00df- und Transplantationschirurgie, Universit\u00e4tsklinikum Magdeburg, Magdeburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Thomaschewski","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Chirurgie, Universit\u00e4tsklinikum Schleswig-Holstein, Campus L\u00fcbeck, Kiel, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dirk","family":"Wilhelm","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Chirurgie, Technische Universit\u00e4t M\u00fcnchen, School of Medicine and Health, M\u00fcnchen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f6rg C.","family":"Kalff","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Allgemein-, Viszeral-, Thorax- und Gef\u00e4\u00dfchirurgie, Universit\u00e4tsklinikum Bonn, Bonn, 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