title: [Daily routine in orthopedics and traumatology - results of a nationwide survey of residents].
abstract: BACKGROUND
  The subject orthopedics and traumatology suffers by a loss of attractiveness which results in a lack of young blood. The aim of this study of the Youth Forum of the German Society of Orthopedics and Traumatology (DGOU) is to register the working conditions of residents in orthopedics.
  
  
  METHODS
  In the months September and October 2013 we performed a survey on members of the following German societies: German Society of Orthopedics and Traumatology (DGOU), German Society of Traumatology (DGU) and the German Society of Orthopedics and Orthopedic Surgery (DGOOC), (age < 40). Our questionnaire includes 15 questions.
  
  
  RESULTS
  We achieved 28,9 % (n = 331) answered questionnaires. The mean working time per week is 55 hours. 73 % of all participants do more than 5 emergency services per month. 52 % are more than 3 times on duty for 24 hours. Only 13 % of all residents have well ordered working hours. Normally working time is divided into three parts: one third for bureaucracy, one for operation theatre and the last for other activities (e.g. ward round). 35,6 % do only one surgery per week, 12 % do not perform any surgeries. An annual report is performed only in 45 %. A structured concept of training only exists in 16 % of all hospitals. In addition to clinical work 45 % are involved in scientific projects, mostly in their spare-time. Finally 58 % of all surgeons would still recommend orthopedics and traumatology.
  
  
  CONCLUSIONS
  In order to maintain orthopedics and traumatology as an attractive it is necessary to implement flexible working time models and to reorganize and improve training-concepts.
authors.affiliation: Klinik für Orthopädie und Unfallchirurgie, Krankenhaus Rummelsberg - ein Haus der Sana Kliniken AG, Schwarzenbruck.
authors.forename: D
authors.initials: D
authors.lastname: Merschin
authors.affiliation: Klinik für Unfallchirurgie und Orthopädie, BG-Unfallklinik Ludwigshafen.
authors.forename: M
authors.initials: M
authors.lastname: Münzberg
authors.affiliation: Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster.
authors.forename: R
authors.initials: R
authors.lastname: Stange
authors.affiliation: Abteilung für Unfallchirurgie, Plastische und Wiederherstellungschirurgie, Universitätsmedizin Göttingen.
authors.forename: J P
authors.initials: JP
authors.lastname: Schüttrumpf
authors.affiliation: Allgemeine und Traumachirurgie, Berufsgenossenschaftliche Unfallklinik Murnau.
authors.forename: M
authors.initials: M
authors.lastname: Perl
authors.affiliation: Klinik für Orthopädie, Unfallchirurgie und Sporttraumatologie, Kliniken der Stadt Köln gGmbH.
authors.forename: M
authors.initials: M
authors.lastname: Mutschler
mesh_terms: D000328:Adult; D003625:Data Collection; D005260:Female; D005858:Germany; D006801:Humans; D007396:Internship and Residency; D007588:Job Satisfaction; D008297:Male; D009985:Orthopedics / Q000706:statistics & numerical data*; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D014194:Traumatology / Q000706:statistics & numerical data*; D014940:Work Schedule Tolerance; D057188:Workflow; D016526:Workload; D055815:Young Adult