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

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
• 2 Hillienhof A. Weiterbildung: Junge Ärzte stemmen sich gegen Ökonomisierung. Dtsch Artzebl; 2018: 115
• 3 Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften (AWMF). Medizin und Ökonomie – Maßnahmen für eine wissenschaftlich begründete, patientenzentrierte und ressourcenbewusste Versorgung. 2018
• 4 Bündnis Junge Ärzte (BJÄ). Positionspapier des Bündnisses Junge Ärzte zur Arbeitsverdichtung im deutschen Gesundheitssystem. Der Internist 2014; 11: 1342-1343
• 5 Bündnis Junge Ärzte (BJÄ). Positionspapier: Vereinbarkeit von Familie und Karriere – Wo bleibt der Wandel in den Köpfen?. Der Internist 2016; 3: 273-274
• 6 Bündnis Junge Ärzte (BJÄ). Positionspapier: Junge Ärzte wollen forschen – gegen den Attraktivitätsverlust der akademischen Forschung. Der Internist 2015; 7: 820-821
• 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
• 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
• 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
• 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
• 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
• 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
• 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
• 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
• 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
• 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
• 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
• 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
• 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
• 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
• 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
• 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
• 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
• 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
• 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
• 26 The Royal College of Radiologists. Sustainable future for diagnostic radiology: flexible home working. London: 2015 Ref No. BFCR(15)13
• 27 Juncke D, Braukmann J, Heimer A. Väterreport. Vater sein in Deutschland heute. Berlin: Bundesministerium für Familie, Senioren, Frauen und Jugend; 2018
• 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
• 29 Deutsche Forschungsgemeinschaft DFG. Klinische Forschung. Denkschrift. Weinheim: WILEY-VCH Verlag GmbH; 1999
• 30 Wissenschaftsrat. Empfehlungen zu forschungs- und lehrförderlichen Strukturen in der Universitätsmedizin (Drs. 5913-04). Berlin: 2004