{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T18:39:49Z","timestamp":1793126389816,"version":"4.5.0"},"reference-count":13,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Eine qualitativ hochwertige medizinische Behandlung von herzchirurgischen Patienten erfordert den Einsatz und die Rekrutierung von qualifiziertem Personal mit besonderem Blick auf die Fluktuation. Dieser Aspekt gestaltet sich unter den aktuellen Gegebenheiten des Fachkr\u00e4ftemangels wie auch den Rahmenbedingungen im deutschen Gesundheitswesen zunehmend schwieriger. Durch die Einbindung von Physician Assistants (PA) in herzchirurgischen Fachabteilungen kann das bestehende Personalkonzept innovativ, bedarfsgerecht und insbesondere nachhaltig erg\u00e4nzt werden. Die jahrzehntelange Erfahrung aus anglo-amerikanischen L\u00e4ndern belegt, dass mit einem PA-System eine hochwertige medizinische Behandlungsqualit\u00e4t nicht nur stabilisiert, sondern potenziell sogar verbessert werden kann. Gleichzeitig k\u00f6nnen \u00c4rzte in der herzchirurgischen Facharzt-Weiterbildung von allt\u00e4glich anfallenden T\u00e4tigkeiten ohne \u00e4rztlichen Vorbehalt entlastet werden und somit freiwerdende Ressourcen f\u00fcr eine fundierte und vielf\u00e4ltige Facharztweiterbildung nutzen. Auch positive Effekte auf \u00f6konomische Faktoren der Institution sind denkbar. Die erforderliche Delegation von \u00e4rztlichen T\u00e4tigkeiten auf nicht-\u00e4rztliche Mitarbeiter ist in Deutschland bereits jetzt gesetzlich verankert, ohne dass es spezifische, auf den Physician Assistant ausgerichtete rechtliche Rahmenbedingungen gibt. Die verbindliche Festlegung der T\u00e4tigkeiten f\u00fcr einen PA durch medizinische Fachgesellschaften sind in diesem Zusammenhang eine wichtige Aufgabe. In diesem Positionspapier werden unter Er\u00f6rterung der medizinischen, rechtlichen und \u00f6konomischen Aspekte T\u00e4tigkeiten f\u00fcr Physician Assistants in der Herzchirurgie strukturiert dargelegt.<\/jats:p>","DOI":"10.1055\/s-0041-1740534","type":"journal-article","created":{"date-parts":[[2021,12,29]],"date-time":"2021-12-29T00:04:04Z","timestamp":1640736244000},"page":"136-142","source":"Crossref","is-referenced-by-count":8,"title":["Positionspapier der Deutschen Gesellschaft f\u00fcr Thorax-, Herz- und Gef\u00e4\u00dfchirurgie zum Einsatz von Physician Assistants in der Herzchirurgie"],"prefix":"10.1055","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2753-1456","authenticated-orcid":false,"given":"Christoph","family":"Starck","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Herz-, Thorax- und Gef\u00e4\u00dfchirurgie, Deutsches Herzzentrum Berlin, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Beckmann","sequence":"additional","affiliation":[{"name":"Deutsche Gesellschaft f\u00fcr Thorax-, Herz- und Gef\u00e4\u00dfchirurgie, Langenbeck-Virchow-Haus, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"B\u00f6ning","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Herz- und Gef\u00e4\u00dfchirurgie, Universit\u00e4tsklinikum Giessen, Giessen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Gummert","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Thorax- und Kardiovaskularchirurgie, Herz- und Diabeteszentrum Nordrhein-Westfalen, Bad Oeynhausen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sven","family":"Lehmann","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Herzchirurgie, Klinikum Links der Weser, Bremen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcus","family":"Hoffmann","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum Mannheim, Mannheim, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"H\u00fcttl","sequence":"additional","affiliation":[{"name":"Rechtsanwaltskanzlei Dr. Heberer & Kollegen, M\u00fcnchen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Markewitz","sequence":"additional","affiliation":[{"name":"Deutsche Gesellschaft f\u00fcr Thorax-, Herz- und Gef\u00e4\u00dfchirurgie, Langenbeck-Virchow-Haus, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Borger","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinik f\u00fcr Herzchirurgie, Herzzentrum Leipzig, Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Volkmar","family":"Falk","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Herz-, Thorax- und Gef\u00e4\u00dfchirurgie, Deutsches Herzzentrum Berlin, Berlin, Germany"},{"name":"Klinik f\u00fcr Kardiovaskul\u00e4re Chirurgie, Charit\u00e9 Universit\u00e4tsmedizin Berlin, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,12,28]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1016\/j.athoracsur.2005.07.031","article-title":"Physicians assistants in cardiothoracic surgery: a 30-year experience in a university center","volume":"81","author":"V H Thourani","year":"2006","journal-title":"Ann Thorac Surg"},{"issue":"06","key":"ref2","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1007\/s00113-018-0505-8","article-title":"Physician Assistants in der Chirurgie: Ein junges Berufsbild aus Absolventensicht","volume":"121","author":"M Hoffmann","year":"2018","journal-title":"Unfallchirurg"},{"key":"ref6","first-page":"109","article-title":"Physician Assistant - 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