Scholarlink

Background <p>In orthopedics and trauma surgery, with increased qualification and experience physicians’ work shifts from direct patient care toward administrative and organizational tasks.</p> Objective <p>Analysis of the distribution of time between direct patient contact and administrative tasks across different hierarchical levels as well as its significance for physicians’ self-perception and the quality of care. The students’ perspective is also highlighted.</p> Material and methods <p>Narrative review incorporating international time distribution studies as well as literature on job satisfaction, moral stress and structural conditions.</p> Results <p>Resident physicians spend most of their time in direct patient contact, while administrative and organizational tasks dominate as the hierarchical level increases. This shift is a&#xa0;reflection of modern medicine and is structurally necessary, yet it can conflict with the medical self-image.</p> Conclusion <p>Administrative tasks are an expression of medical responsibility and quality assurance. At the same time, their expansion leads to a&#xa0;reduction in patient-centered activities and can impair motivation and satisfaction.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Je erfahrener die Ärzte, desto seltener am Patienten

  • 期刊论文

  • 发表日期：

    2026年7月23日

查看全文
  • Carlotta Cherouny

摘要

Background

In orthopedics and trauma surgery, with increased qualification and experience physicians’ work shifts from direct patient care toward administrative and organizational tasks.

Objective

Analysis of the distribution of time between direct patient contact and administrative tasks across different hierarchical levels as well as its significance for physicians’ self-perception and the quality of care. The students’ perspective is also highlighted.

Material and methods

Narrative review incorporating international time distribution studies as well as literature on job satisfaction, moral stress and structural conditions.

Results

Resident physicians spend most of their time in direct patient contact, while administrative and organizational tasks dominate as the hierarchical level increases. This shift is a reflection of modern medicine and is structurally necessary, yet it can conflict with the medical self-image.

Conclusion

Administrative tasks are an expression of medical responsibility and quality assurance. At the same time, their expansion leads to a reduction in patient-centered activities and can impair motivation and satisfaction.