Skills training and simulation in orthopedic and trauma surgery specialist training. Consequences of the amended model training regulations

After 6 years of development, the amended regulations for medical education were adopted by the German Medical Assembly in May 2018. The aim of the amendment is to move away from apredominantly chronologically standardized further training towards acontent standardized further training with simultaneous definition of competence objectives. The level of competence required for admission to the examination should be continuously recorded and documented in an electronic logbook. Failure to achieve the training objective will result in the admission to the examination being refused. These high requirements seem to be attainable only if cognitive and action competences can be acquired before and during training in the real environment of the operating theatre in astandardized setting.