Ka. Lehmann et Jh. Schultz, Anaesthesiology education and training in Germany. Results from a representative questionnaire, ANAESTHESIS, 50(4), 2001, pp. 248-261
The aim of the present investigation, initiated ed by the German Academy of
Education in Anaesthesiology (DAAF), was to obtain valid information about
education and training strategies of German anaesthetists, in order to hig
hlight weaknesses and strengths for better planning and performance of futu
re efforts in this area. For this reason, a questionnaire with 23 items was
distributed to 2000 German anaesthetists during the years 1993-1995 and of
these 1290 questionnaires could then be evaluated (response rate 64.5%). T
he most important means of education and training were classical media such
as text books and journals. Modern techniques such as videos, tapes or com
puter-assisted anaesthesia simulators were poorly used. Refresher courses,
repetitoria and hospitations in other departments were, despite infrequent
use, considered to be effective means of education and training and should
be made more available. Systematic theoretical education was provided parti
cularly seldom in most hospitals. Respondents considered anaesthetic compli
cations and mishaps, intensive care and pain medicine to be the main top to
pics for continuing medical education. German anaesthetists seem highly mot
ivated for education and training and spend on average about 5.5 h per week
for personal learning and refreshing,a figure that is quite comparable to
international standards. Hospital and department heads are mostly believed
to have positive attitudes to education and training. Most respondents were
in favour of strict rules for education and training measures, which inclu
des the obligation to prove their certified attendance (as yet not required
in Germany). On the other hand,the majority voted against making the conti
nued recognition as a specialist in anaesthesiology dependent on completion
of a performance control.