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<p>Residency training in orthopedics and trauma surgery is shifting internationally from time-based to competency-based models. In German-speaking countries, training is fixed at 6&#xa0;years and structured by operative case catalogues. However, key limitations persist: residents are granted limited operative autonomy and face a&#xa0;high burden of nonmedical tasks. In the German curriculum, the shoulder is explicitly represented through a&#xa0;minimum of 20&#xa0;arthroscopic procedures, whereas the elbow lacks a&#xa0;dedicated category and is only indirectly captured. Consequently, operative exposure in this area depends heavily on institutional case distribution and may be entirely lacking. Compared with international standards, requirements are more differentiated and often linked to higher procedural volumes.</p>

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Aktueller Stand der Weiterbildung in Orthopädie und Unfallchirurgie mit Fokus auf die Schulter- und Ellenbogenchirurgie

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年3月9日

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  • Sebastian Lappen,
  • Elisabeth Böhm,
  • Kamila Colmsee,
  • Tobias Gruber,
  • Tamara Babasiz,
  • Julia Högl,
  • Christina Lorenz,
  • Larissa Eckl

摘要

Residency training in orthopedics and trauma surgery is shifting internationally from time-based to competency-based models. In German-speaking countries, training is fixed at 6 years and structured by operative case catalogues. However, key limitations persist: residents are granted limited operative autonomy and face a high burden of nonmedical tasks. In the German curriculum, the shoulder is explicitly represented through a minimum of 20 arthroscopic procedures, whereas the elbow lacks a dedicated category and is only indirectly captured. Consequently, operative exposure in this area depends heavily on institutional case distribution and may be entirely lacking. Compared with international standards, requirements are more differentiated and often linked to higher procedural volumes.