scholarly journals Surgery during pregnancy – results of a German questionnaire

2020 ◽  
Vol 5 (1-2) ◽  
pp. 21-26
Author(s):  
Frauke Fritze-Büttner ◽  
Bettina Toth ◽  
Astrid Bühren ◽  
Katja Schlosser ◽  
Stefanie Schierholz ◽  
...  

AbstractObjectivesWorldwide, not only the number of female medical students, but also of female surgeons increases. Simultaneously, younger generations take a closer look to their work-life balance. With this in mind, it seems necessary to evaluate the expectations of female surgeons in particular with respect to pregnancy during their surgical career.MethodsTherefore, a nationwide survey was conducted in Germany from July to December 2016 under the auspices of the German Society of Surgery as well as the Professional Board of German Surgeons. The questionnaire involved 2,294 female surgeons and 1,843 complete records were evaluated.ResultsOf the analyzed answers, 62% of the women (n=781) were operating during pregnancy. The joy of surgery (91.6%), followed by team spirit (57.1%), were the main motivations to perform operations while pregnant. Operative activity decreased from 30.8% in the first 3 months of pregnancy to 21.5% during the last three months. Regarding the possible complaints, e.g., leg edema, back pain, premature labor and vaginal bleeding, there were no significant differences between the women with or without activity in the operating room. Sick leave due to pregnancy (1–10 days) was stated by 40.4% of respondents.ConclusionDespite strong legal regulations for pregnant surgeons, the survey showed that most female surgeons are eager to operate despite their pregnancy. The results also demonstrate no significant differences regarding complications during pregnancy- or pregnant-dependent absence from work. Hospitals and surgical departments are asked to establish proper working conditions for pregnant surgeons and pregnancy should not be an obstacle for a career in surgery.

2021 ◽  
Author(s):  
Rawan Harun ◽  
Reem Almustafa ◽  
Zainab AlKhalifah ◽  
Abdullah Namazi ◽  
Abdalmohsen Albaqami ◽  
...  

Abstract Background and purposeRole models in the medical field are professional and experienced persons whose actions unconsciously inspire juniors to strive to be like them. To our knowledge, no studies have examined whether having a female surgical role model has influenced women to pursue a surgical career in Saudi Arabia. Hence, we sought to evaluate the effect of having a female surgical role model and the presence of female surgeons on female surgical residents and their choice of surgery as a career.MethodsWe employed a cross-sectional, survey- based study design, conducted between June 2020 and January 2021, in which female surgical residents completed a questionnaire on their perceptions and influence of role models in general surgery specialty at the time they pursuit a career in surgery.ResultsA total of 51 respondents (78.5%) completed the questionnaire. The majority of them (78.4%) had a role model and (19.6%) indicated that their role model was a female. Of those who had a role model, (67.5%) agreed that they had a positive influence on their surgical career choice. Clinical and operation skills were reported as the most important factor to be considered about role models. Working directly with a male surgical consultant and female surgical residents left a positive influence but this did not reach a statistical significance.ConclusionPersonal exposure to role models can have a positive influence on female surgical residents in choosing a surgical career. provide a appropriate role models as well as formal mentorship programs are warranted, that would allow female trainees to interact with senior surgeon mentors, thereby drawing attention to the field of surgery.


2018 ◽  
Vol 39 (03) ◽  
pp. 284-303 ◽  
Author(s):  
Thomas Müller ◽  
Heike Martiny ◽  
Eberhard Merz ◽  
Jens Döffert ◽  
Matthias Wüstner ◽  
...  

AbstractMicrobial contamination of ultrasound probes for percutaneous or endoscopic use is common. However, infectious diseases caused by transmission of microorganisms by US procedures have rarely been reported. In Germany, legal regulations address hygiene in ultrasound procedures. Based on these regulations and the available literature, an expert panel of the German Society of Ultrasound in Medicine (DEGUM) has formulated sophisticated recommendations on hygienic measures in percutaneous and endoscopic US, including US-guided interventions.


PLoS ONE ◽  
2013 ◽  
Vol 8 (2) ◽  
pp. e55189 ◽  
Author(s):  
Wakako Umene-Nakano ◽  
Takahiro A. Kato ◽  
Saya Kikuchi ◽  
Masaru Tateno ◽  
Daisuke Fujisawa ◽  
...  

2017 ◽  
Vol 27 (03) ◽  
pp. 228-233 ◽  
Author(s):  
Carmen Dingemann

AbstractIn medical schools throughout Europe, women make up an increasing proportion of graduates entering the medical profession. Even though this phenomenon is also found in the surgical profession, women are still clearly underrepresented. However, it has been demonstrated that women are equally qualified as men, and are as eager as men to aim for a surgical career.In general, a career in surgery has significant lifestyle implications for both men and women. In particular, women meet challenges such as pregnancy, maternity, and responsibility for childcare that compete with pressures of time and expectations of productivity. Further complicating the situation, there is a huge complexity of national legislation dealing with maternity and parental leave within Europe. Owing to this legal inconsistency, a strong demand on targeted policies and guidelines has increased particularly among the surgical staff.The scarcity of female role models and mentors has also been discussed as a possible explanation for the underrepresentation of women in academic surgery. Even in the 21st century, the advancement of women into leading positions of academic surgery and major surgical societies is still limited. An updated view of leadership development, the promotion of female surgeons in academic surgery, and identifying barriers to women entering this field are crucial to correcting the existing gender inequities.This contribution aims to highlight the current situation of women in academic surgery, outline findings on gender disparities, and define persistent obstacles to the advancement of women in surgery. In addition, this review presents new possibilities and provides approaches to overcome the underrepresentation of female surgeons. In current literature, there is only little information concerning the situation of female pediatric surgeons. Therefore, this article mainly relies on available data on the female surgeon in general.


2018 ◽  
Vol 4 (1) ◽  
pp. 64-76
Author(s):  
Grzegorz Rachwał

Abstract The aim of this article is to characterize the German minority press market in Poland in the period of 1989-2017. The article constitutes a discussion regarding terms that are key for the undertaken subject, i.e., “national minority”, “ethnic minority” and “the press of national and ethnic minorities”; furthermore, a typology of the functions of these media is presented. The analysis covered the socio-political framework of the functioning of minority media, as well as legal regulations at the level of publishing activities of national and ethnic minorities and the support of the Polish state towards publishing initiatives of minorities from 1989 to the present day. The article also constitutes an overview of German minority press issued in 1989 - 2017 in the Polish state. Characteristics of the periodicals contain information about their creation, presentation of graphic layout and publishing formula, as well as the thematic profile of the published contents. Approximating the German minority in Poland, the author attempts to answer the question of what role the German press once played in the Polish German society, and what is its role today, as well as who are the recipients of the German press in Poland today, what is its current condition and what are the prognoses for its development in the short and longer term. The conducted research applied technical analysis and analysis of press content. The study uses a number of sources. These include state documents published in journals of law, in various types of bulletins, reviews and in the on-line version.


2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
S Dawo ◽  
R Laloo ◽  
S Haughton ◽  
M Rangaraju

Abstract Aim To identify medical students’ career aspirations and describe their perceptions of pursing a surgical career at two English medical schools, in order to better understand declining surgical recruitment rates. Method Seventy-seven medical students consented to complete anonymous pre- and post-course questionnaires on career aspirations and promoting and deterring factors for a surgical career. Surveys were completed by medical students attending three one-day surgical revision courses organised and led by junior doctors. Results Seventy-seven medical students completed pre- and post-course questionnaires with a median age of 25 years (IQR 24-27). Respondents were 58.4% female and 58.7% were final year medical students. Their specialty career aspirations included medicine (27%), general practice (19.5%) and surgery (19.5%). Most students (68%) felt that time spent in the operating theatre was their most memorable surgical experience while 41.3% of students reported observing and assisting in theatres enhanced their interest in surgery. Only 20.5% of students spent extra time outside of their placements in surgery. The most common deterring factors for a surgical career included poor work-life balance (37.3%), high competition rates (28%) and a personality mismatch (12.9%) among students and surgeons. Conclusions One in 5 students was interested in pursuing a surgical career. Facilitating early hands-on operating theatre exposure for medical students and addressing the perceived issues with poor work-life balance may promote a career in surgery. This could help to tackle declining recruitment rates in surgical specialty training. Further research is required to determine how specific experiences at medical school, such as shadowing and mentorship, influence career choice.


Author(s):  
Angela Dawn McGregor ◽  
Spencer Beasley ◽  
Jonathan A. Williman

Abstract Introduction Although pediatric surgery in Australasia has a higher proportion of women than any other surgical specialty, women remain underrepresented. There is concern that residual impediments may still deter women from choosing this specialty as a career option. Materials and Methods A survey of years 2 to 6 medical students, with focused analysis on those who selected pediatric surgery as their most (or least) attractive surgical specialty and the characteristics they deemed important when considering a surgical career. Results The survey was completed by 357 students of whom 50 selected pediatric surgery as their most attractive surgical specialty and 12 as their least attractive surgical specialty, at equal gender rates. The specialty was not perceived as being prestigious, well paid, or one that emphasized technical skill but was perceived as having good work-life balance, when compared with the other surgical specialties. Those who selected pediatric surgery as their most attractive specialty were otherwise less likely to choose a career in surgery. Conclusion Pediatric surgery is perceived as being less aligned to characteristics stereotypically associated with males and more with those characteristics associated with females. Overall, it seems to be more female friendly than other surgical specialties. It would behove the pediatric surgical community to better understand how it is perceived, so that perceptions can be aligned to reality and gender diversity can be increased.


Author(s):  
Shibu Mathew ◽  
Christian Fraebel ◽  
Victoria Johnson ◽  
Saboukh Abdelgwad ◽  
Nikita Schneider ◽  
...  

Abstract Background Since the outbreak of the coronavirus disease 2019 (COVID-19) pandemic, various strategies have been taken worldwide to reduce the risk of infection. As part of the amendment to the Infection Protection Act, elective medical interventions were restricted, leading to a change in patient care. However, the consequences of the lockdown on the treatment of rhythmological patients in Germany remains unclear. Objectives The aim of this study was to analyze the reduction in rhythmological interventions and the patient care situation using a nationwide survey during the first lockdown period. Methods A survey was sent to all electrophysiological centers certified by the German Society of Cardiology. Here, the treatment volume of tachycardia and bradycardia and their invasive therapy were surveyed before and during the lockdown period. Furthermore, the number of patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) treated at these centers and the incidence of cardiac arrhythmias was also recorded. Results Participating centers performed a total of 24,648 ablation procedures/year and represent approximately 34% (24,648/72,548) of the estimated German ablation treatments. The majority of these centers (33/40; 82.5%) were so-called primary COVID-19 hospitals (level-1). Overall, the number of ablations and pacemaker implantations were reduced by 41% and 18% respectively. Due to postponed ablation procedures and pacemaker implantations, 22/40 (55%) centers reported a worsening of clinical symptoms or early re-hospitalization of their patients. Conclusion These results demonstrate a significant decline in elective rhythmological procedures during the lockdown, as required by the German Federal Government. At the same time, however, more than half of the participating centers reported an increase in patient re-hospitalizations due to postponed procedures.


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