Orthopaedics and Trauma Surgery in Germany in 2023 - Will We Have Sufficient Doctors in the Future?

Abstract

There has been a growing shortage of physicians in Germany in recent years. In this study, we analyse the situation facing orthopaedic hospitals and trauma centres.Between 22 November and 5 December 2022, a web-based questionnaire was sent out by the Academy of the German Trauma Society (AUC) and by the Society of Leading Orthopaedic and Trauma Surgeons (VLOU).The questionnaire was answered by 185 heads of department. Of the responses, 20% came from university hospitals or major trauma centres, and a third from regional or local clinics. More than half of the hospital departments (55%) had a median of 2.7 vacant doctor positions. Among those hospitals, 47% had a vacant position for a consultant, 33% for a board-certified specialist, and 89% for a junior doctor. Within the university hospitals, only one third had vacant doctor positions. The responding heads of department gave negative feedback regarding the number of applications, the qualifications of young doctors, and their motivation for scientific work (in university hospitals).More than half of the responding hospitals had vacant doctor positions. If we are to counteract the growing shortage of doctors in orthopaedics and trauma surgery, the number of clinical doctors in general and the working conditions in hospitals have to be improved. Teaching hospitals should try to improve the training of medical students with a view to inspiring greater motivation to work in orthopaedics and trauma surgery.

Fig. 1

Classification of hospitals.

Fig. 2

Distribution of responding clinics according to the first 2 digits of the postcode.

Fig. 3

Assessment of the applicant situation.

Abb. 1

Einordnung der Krankenhäuser.

Abb. 2

Verteilung der antwortenden Kliniken nach den ersten 2 Stellen der Postleitzahlen.

Abb. 3

Einschätzung der Bewerbersituation.