Download PDF
Rofo 2020; 192(05): 458-470
DOI: 10.1055/a-1047-1075
Academic Radiology
© Georg Thieme Verlag KG Stuttgart · New York

Work and Training Conditions of German Residents in Radiology – Results from a Nationwide Survey Conducted by the Young Radiology Forum in the German Roentgen Society

Article in several languages: English | deutsch
Thekla H. Oechtering   *   **
1   Department of Radiology and Nuclear Medicine, University Hospital Schleswig-Holstein, Campus Lübeck, Germany
,
Nikolaos Panagiotopoulos
1   Department of Radiology and Nuclear Medicine, University Hospital Schleswig-Holstein, Campus Lübeck, Germany
,
Martin Völker
2   German Roentgen Society „Deutsche Röntgengesellschaft”, Berlin, Germany
,
Stefan Lohwasser
2   German Roentgen Society „Deutsche Röntgengesellschaft”, Berlin, Germany
,
Stephan Ellmann   *
3   Department of Radiology, University Hospital Erlangen, Germany
,
Isabel Molwitz   *
4   Department for Diagnostic and Interventional Radiology and Nuclear Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
,
Corinna Storz   *
5   Department of Diagnostic and Interventional Radiology, University Hospital Tübingen, Germany
,
Hinrich Winther   *
6   Department of Diagnostic and Interventional Radiology, Hannover Medical School, Hannover, Germany
,
Michel Eisenblaetter   *
7   Department of Radiology, Freiburg University Hospital, Freiburg, Germany
,
Gerald Antoch   **
8   Institute of Diagnostic and Interventional Radiology, Heinrich-Heine-University, Düsseldorf, Germany
,
Stefan O. Schönberg   **
9   Institute of Clinical Radiology and Nuclear Medicine, University Medical Center Mannheim, Germany
,
Jörg Barkhausen   **
1   Department of Radiology and Nuclear Medicine, University Hospital Schleswig-Holstein, Campus Lübeck, Germany
,
Frank Anton   **
10   eAircraft, Siemens AG, Erlangen, Germany
,
Stefan Neumann   **
11   Radiologie am St.-Joseph-Stift, Bremen, Germany
,
Günter Layer   **
12   Institute of Diagnostic and Interventional Radiology, Ludwigshafen Municipal Hospital, Ludwigshafen, Germany
,
Arnd Doerfler   **
3   Department of Radiology, University Hospital Erlangen, Germany
,
Friederike Koerber   **
13   Institute of Diagnostic and Interventional Radiology, University Hospital Cologne, Cologne, Germany
,
Johannes Wessling   **
14   Department of Radiology, Clemenshospital GmbH Münster, Germany
,
Michael Wucherer   **
15   Institute of Medical Physics, Nuremberg Hospital, Nürnberg, Germany
,
Matthias Raspe
16   Department of Infectious Diseases and Respiratory Medicine, Charité – University Hospital Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany
› Author Affiliations
Further Information

Publication History

01 July 2019

09 October 2019

Publication Date:
09 January 2020 (online)

Also available at
   Permissions and Reprints

Abstract

Purpose Good training is the basis for high job satisfaction and high-quality patient care in radiology. The aim of this survey was to record the current state of working conditions for residents in radiology training in Germany and to focus on the aspects of training and psychosocial workload. The description of the actual state should help to identify possible problem areas and to develop improvement approaches.

Materials and Methods At the beginning of 2018, we sent an electronic questionnaire to the German Roentgen Society (DRG), the German Association of Chairmen in Academic Radiology (KLR), the Chief Physician Forum of the DRG (CAFRAD) and the Forum of Registered Radiologists (FUNRAD) with the request to forward it to radiology residents. With 63 questions, the questionnaire covered seven essential areas of medical working and training conditions. In order to ensure interdisciplinary comparability, most questions were identical to previous surveys among residents of other disciplines.

Results 643 residents started the survey. 501 (78 %) questionnaires were fully processed and included in the final analysis. 65 % of respondents were satisfied with their current job situation. At the same time, shortcomings, especially with regard to the reconciliation of family and work as well as scientific and clinical work, became clear. Only 36 % of participants with children were satisfied with the compatibility of family and work at their workplace. Only 31 % of the researchers were satisfied with their research conditions. In addition, residents experienced a high psychosocial workload.

Conclusion Job satisfaction is high among radiology residents in direct comparison to other disciplines. However, based on this survey, adjustments to working conditions and training in radiology seem necessary to maintain the health of the physicians concerned, to encourage motivation for scientific work and to enhance development opportunities, especially for women, through a better compatibility of work and family life. The present survey identifies strategies and leadership tools that can help to achieve this.

Key Points: 

Residents in radiology training ...

  • have a relatively high job satisfaction.

  • experience a high psychosocial workload.

  • evaluate the compatibility of family and work as in need of improvement.

  • are interested in research, but evaluate research conditions as insufficient

Citation Format

  • Oechtering TH, Panagiotopoulos N, Völker M et al. Work and Training Conditions of German Residents in Radiology – Results from a Nationwide Survey Conducted by the Young Radiology Forum in the German Roentgen Society. Fortschr Röntgenstr 2020; 192: 458 – 469

Key words

ER-ratio - working conditions - psychosocial workload - continuing education - resident - radiology

* Young Radiology Forum.


** German Roentgen Society.


 

  • References

  • 1 Richter-Kuhlmann E. Nachwuchsärzte: Getrieben im Alltag. Dtsch Artzebl; 2018: 114
    PubMedSearch in Google Scholar
  • 2 Hillienhof A. Weiterbildung: Junge Ärzte stemmen sich gegen Ökonomisierung. Dtsch Artzebl; 2018: 115
    PubMedSearch in Google Scholar
  • 3 Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften (AWMF). Medizin und Ökonomie – Maßnahmen für eine wissenschaftlich begründete, patientenzentrierte und ressourcenbewusste Versorgung. 2018
    PubMedSearch in Google Scholar
  • 4 Bündnis Junge Ärzte (BJÄ). Positionspapier des Bündnisses Junge Ärzte zur Arbeitsverdichtung im deutschen Gesundheitssystem. Der Internist 2014; 11: 1342-1343
    PubMedSearch in Google Scholar
  • 5 Bündnis Junge Ärzte (BJÄ). Positionspapier: Vereinbarkeit von Familie und Karriere – Wo bleibt der Wandel in den Köpfen?. Der Internist 2016; 3: 273-274
    PubMedSearch in Google Scholar
  • 6 Bündnis Junge Ärzte (BJÄ). Positionspapier: Junge Ärzte wollen forschen – gegen den Attraktivitätsverlust der akademischen Forschung. Der Internist 2015; 7: 820-821
    PubMedSearch in Google Scholar
  • 7 Buddeberg-Fischer B, Klaghofer R, Stamm M. et al. Work stress and reduced health in young physicians: prospective evidence from Swiss residents. International archives of occupational and environmental health 2008; 82: 31-38 . doi:10.1007/s00420-008-0303-7
    CrossrefPubMedSearch in Google Scholar
  • 8 Thomas LR, Ripp JA, West CP. Charter on Physician Well-being. JAMA: the journal of the American Medical Association 2018; 319: 1541-1542 . doi:10.1001/jama.2018.1331
    PubMedSearch in Google Scholar
  • 9 Fahrenkopf AM, Sectish TC, Barger LK. et al. Rates of medication errors among depressed and burnt out residents: prospective cohort study. BMJ (Clinical research ed) 2008; 336: 488-491 . doi:10.1136/bmj.39469.763218.BE
    CrossrefPubMedSearch in Google Scholar
  • 10 Klein J, Grosse FrieK, Blum K. et al. Psychosocial stress at work and perceived quality of care among clinicians in surgery. BMC health services research 2011; 11: 109 . doi:10.1186/1472-6963-11-109
    CrossrefPubMedSearch in Google Scholar
  • 11 Joachim SC, Bitziger D, Arnold H. et al. Die Arbeits- und Weiterbildungssituation junger Ärztinnen und Ärzte in Deutschland – eine zusammenfassende Analyse von Befragungsergebnissen aus sechs Fachrichtungen. Das Gesundheitswesen 2019; efirst
    Thieme ConnectPubMedSearch in Google Scholar
  • 12 Raspe M, Muller-Marbach A, Schneider M. et al. Arbeits- und Weiterbildungsbedingungen deutscher Assistenzärztinnen und -ärzte in internistischer Weiterbildung. Dtsch Med Wochenschr 2016; 141: 202-210 . doi:10.1055/s-0041-109329
    Thieme ConnectPubMedSearch in Google Scholar
  • 13 Raspe M, Vogelgesang A, Fendel J. et al. Arbeits- und Weiterbildungsbedingungen deutscher Assistenzärztinnen und -ärzte in internistischer Weiterbildung: eine zweite bundesweite Befragung durch die Nachwuchsgruppen von DGIM und BDI. Dtsch Med Wochenschr 2018; 143: e42-e50 . doi:10.1055/a-0543-4544
    Thieme ConnectPubMedSearch in Google Scholar
  • 14 Lam CZ, Nguyen HN, Ferguson EC. Radiology Resident’ Satisfaction With Their Training and Education in the United States: Effect of Program Directors, Teaching Faculty, and Other Factors on Program Success. Am J Roentgenol American journal of roentgenology 2016; 206: 907-916 . doi:10.2214/Am J Roentgenol.15.15020
    PubMedSearch in Google Scholar
  • 15 Falkai P, Roth-Sackenheim C, Bergmann F. DGPPN-Umfrage zur Vereinbarkeit von Familie und Beruf. 2012 In: https://docplayer.org/14369587-Dgppn-umfrage-zur-vereinbarkeit-von-familie-und-beruf.html
    PubMedSearch in Google Scholar
  • 16 Leineweber C, Wege N, Westerlund H. et al. How valid is a short measure of effort-reward imbalance at work? A replication study from Sweden. Occupational and environmental medicine 2010; 67: 526-531 . doi:10.1136/oem.2009.050930
    CrossrefPubMedSearch in Google Scholar
  • 17 Siegrist J, Wege N, Puhlhofer F. et al. A short generic measure of work stress in the era of globalization: effort-reward imbalance. International archives of occupational and environmental health 2009; 82: 1005-1013 . doi:10.1007/s00420-008-0384-3
    CrossrefPubMedSearch in Google Scholar
  • 18 Arnold H, Meyer CP, Salem J. et al. Weiterbildungs- und Arbeitsbedingungen urologischer Assistenzarzte in Deutschland: Ergebnisse einer GeSRU-Umfrage von 2015. Urologe A 2017; 56: 1311-1319 . doi:10.1007/s00120-017-0495-0
    CrossrefPubMedSearch in Google Scholar
  • 19 Hos D, Steven P, Dietrich-Ntoukas T. Situation der Assistenzärztinnen und -ärzte in der Ophthalmologie in Deutschland. Der Ophthalmologe 2015; 112: 498-503 . doi:10.1007/s00347-015-0030-x
    CrossrefPubMedSearch in Google Scholar
  • 20 Bitzinger D, Raspe M, Schulte K. et al. Evaluation der Arbeits- und Weiterbildungsbedingungen im Fachgebiet Anästhesiologie in Deutschland. Anästh Intensivmed 2017; 58: 429-440
    PubMedSearch in Google Scholar
  • 21 Siegrist K, Rödel A, Hessel A. et al. Psychosoziale Arbeitbelastungen, Arbeitsunfähigkeit und gesundheitsbezogenes Wohlbefinden: Eine empirische Studie aus der Perspektive der Geschlechterforschung. Das Gesundheitswesen 2006; 68: 526-534 . doi:10.1055/s-2006-927073
    Thieme ConnectPubMedSearch in Google Scholar
  • 22 Panagioti M, Geraghty K, Johnson J. et al. Association Between Physician Burnout and Patient Safety, Professionalism, and Patient Satisfaction: A Systematic Review and Meta-analysis. JAMA Intern Med 2018; 178: 1317-1330 . doi:10.1001/jamainternmed.2018.3713
    CrossrefPubMedSearch in Google Scholar
  • 23 Albrecht L, Maurer MH, Seithe T. et al. Development of Report Turnaround Times in a University Department of Radiology during Implementation of a Reformed Curriculum for Undergraduate Medical Education. RoFo: Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin 2018; 190: 259-264 . doi:10.1055/s-0043-118482
    Thieme ConnectPubMedSearch in Google Scholar
  • 24 Dettmer S, Fischer V, Paessens C. et al. Who will be the Radiologists of Tomorrow? A survey of radiology during the “Practical Year” in Germany. RoFo: Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin 2017; 189: 967-976 . doi:10.1055/s-0043-112338
    Thieme ConnectPubMedSearch in Google Scholar
  • 25 Verhelle F, Goossens P, Vandenbroucke F. et al. Is efficient home working in the area of radiology a myth or a reality?. ECR; 2011
    PubMedSearch in Google Scholar
  • 26 The Royal College of Radiologists. Sustainable future for diagnostic radiology: flexible home working. London: 2015 Ref No. BFCR(15)13
    PubMedSearch in Google Scholar
  • 27 Juncke D, Braukmann J, Heimer A. Väterreport. Vater sein in Deutschland heute. Berlin: Bundesministerium für Familie, Senioren, Frauen und Jugend; 2018
    PubMedSearch in Google Scholar
  • 28 Bitzinger D, Raspe M, Schulte K. et al. Evaluation der Arbeits- und Weiterbildungs-bedingungen im Fachgebiet Anästhesiologie in Deutschland. Ergebnisse einer bundesweiten Befragung. Anästh Intensivmed 2014; 58: 429-440
    PubMedSearch in Google Scholar
  • 29 Deutsche Forschungsgemeinschaft DFG. Klinische Forschung. Denkschrift. Weinheim: WILEY-VCH Verlag GmbH; 1999
    Search in Google Scholar
  • 30 Wissenschaftsrat. Empfehlungen zu forschungs- und lehrförderlichen Strukturen in der Universitätsmedizin (Drs. 5913-04). Berlin: 2004
    PubMedSearch in Google Scholar