Surgical technologist

Surgical- Technical Assistant (CTA ) is a health professional career in Germany. Surgically Technical Assistant lead after 3 years, successfully completed school education are transferred to them specialized assistance tasks in medical and operational technical areas, such as in the operation area, the outpatient clinic, the surgical ward, under the supervision of a physician through.

The education and examination regulations were adopted on 1 October 2007 from the Medical School academia chirurgica GmbH in cooperation with the German Society of Surgery ( DGCH ). State recognition is required by the Association, but is confronted with opposition from the ranks of the German Society of Anaesthesiology and Intensive Care Medicine ( DGAI ).

In the particular application hospitals CTAs relieve the medical profession through the acquisition delegable medical activities.

Requirements for participation in the training

In agreement with the German Society for Surgery is a prerequisite for access to training the general higher education.

Duration and structure of the training

The three -year training are recognized CTA schools as a course with theoretical and practical instruction as well as with an integrated practical training in the future tasks.

The training must at least 1900 hours of theoretical training and practical instruction and 3,000 hours of practical training in the teaching hospitals.

Contents of the training

Among others, the following subjects are taught:

  • General and Visceral Surgery
  • Anatomy and Physiology
  • Apparatus customer
  • Arzneimittellehre
  • Professional expertise
  • Data collection, coding and control in the hospital
  • Gynecology
  • Physiology
  • Urology
  • Minimally invasive surgery
  • Jurisprudence
  • General and special pathology
  • Psychology
  • Microbiology and Hygiene including sterile technical qualification course I
  • Medical English
  • Medical physics and chemistry, including radiation protection course
  • Traumatology and Orthopedics

Exam tests

The exam tests comprise a practical, written and an oral part. If you pass the exam tests the candidate a certificate and a certificate of having passed the examination will be handed out.


One of the tasks of a CTA include

  • The special patient positioning
  • Op - assistant
  • The preparation of the tissues under appropriate use of surgical instruments
  • Helping with layered wound closure
  • The use of knotting techniques
  • Blood samples
  • Removal of drainage systems
  • Place of transurethral Blasenverweilkathetern
  • Assistance in diagnostic and therapeutic measures (eg auscultation, ultrasonography, etc.)
  • The execution history
  • Creating medical reports
  • Postoperative wound care
  • The encoding operations and patients (DRG)
  • Insert the venous indwelling catheter

CTA is not only active in the operating theater but also in the station.

Criticism of the profession

CTAs take on tasks that were previously carried out by junior doctors as part of their education. One fear is that here escape by budding surgeons necessary experience and routine in the operating room. The reclassification of medical assistant positions at CTA locations is certainly real.

Another question is the extent to which a physician is allowed to transmit at all activities to a CTA.

Contrary to the trend of more academic in health care ( eg nursing or midwife) here a profession was even created outside the existing education system (vocational school, technical school, college, university). The job description does so at the moment only in Germany. The skills of a trained CTAs are similar to those of the historical profession of the lower surgeon.

Some CTAs understand the training as well preparatory waiting position at a university.

Also still open, the continuing education opportunities for trained CTAs. Of course, continuing education part of the job, but there is no formal career opportunities require some work dead end.

It is also difficult the distinction between care, the medical profession and the CTAs.

Of course, the profession was not introduced without reason: The shortage of doctors (especially declining interest in surgery) and rising health care costs are a serious problem and the CTA, however, a possibility to control.

Certain problems such as state recognition, training opportunities and the legal regulation of the powers of the CTAs are related and will be clarified over time. Decisive for CTAs today and CTAs in training will also be the exact form of state recognition: Will the current financial statements equal footing with government financial statements do not ( fully), the CTAs are today faced with a problem. Some schools address the issue of state recognition, in which they recognize ( eg the theory ) for the qualification OTA or ATA parts of their education.