Archive for the ‘Germany’ Category

Bundesaerztekammer supports government plans for reform of medical education

Wednesday, October 26th, 2011

Bundesaerztekammer supports government plans for reform of medical education

The coalition engages the change in licensing regulations with longstanding demands to the medical profession.

Berlin, 30.09.2011

“In order to obtain out of motivated medical students practical trained medical graduates who actually understand the medical profession, we must reform requirements for training doctors urgently. German “doctor-days” have been for a long time a more practical approach in the study, family-friendly conditions and new regulations are demanded for the state exam. Now also the legislator is considering appropriate changes in the medical licensing regulations” said the president of the Federal Chamber of Physicians Dr. Frank Ulrich Montgomery.

By the Federal Ministry of Health presented draft bill amending the licensing regulations for physicians provides the abolition of the highly controversial “Hammerexamination”. Instead, the written part of the second section of the medical examination before the practical year will be relocated. “The fact that future physicians acquire the necessary theoretical knowledge before the internship year in which they acquire the practical skills, is didactically very useful”, praised Montgomery.

The BAK- president stressed that the draft amendment also contains the appropriate measures to combat the shortage of physicians. “It is particularly important that the medical students should be brought closer to the work of family doctors. Anyone who has studied the insight into the interesting and diverse range of healthcare activities provided by family doctors, is more likely later to decide to consider a career in the general practice”, said Montgomery. The flanking position of the medical boards will enable students and young doctors the opportunity for partial training and education in the countryside. This contract could reduce fears and prejudices.

“The proposed changes in licensing regulations can also help ensure that more students successfully complete their training and therefore there will be more available junior doctors. The proposed new regulation that by request allows the practical year to be attended part-time, gives many students the chance to find the harmony between family and studying”, stated Montgomery. It would also be good if in the future the practical year could be obtained outside of the University Hospital or its associated teaching hospitals. This would expand the choices available to students, thereby also increasing the opportunities for hospitals in the country, to win junior doctors for patient care. Positive, said the BAK president that in the future in addition to palliative care pain medicine should be explicitly included in the licensing regulations.

Source of the article here:


Tuesday, October 25th, 2011

Without constant recruiting of foreign doctors East Germany would have no sustainable medical care. Although the Federal Chamber of Physicians is not considering it permanent solution, Saxony, Thuringia and Co. go on promotional tours in countries such as Austria, Hungary, Poland, etc. in order to attract foreign doctors.

If the television series “A Country Doctor” did not exist, it would have had to be invented for this place. The town Waldheim is a province in the best sense, idyllically situated on the river Zschopau, located right between Chemnitz, Dresden and Leipzig. The houses around the square beam freshly renovated, the town hall along with its tower lights in the sun, and diagonally across the street on a two-story house is a brass plate: “Dr. Peter Laub MD, specialist in general medicine.”

“It was love at first sight between me and this place”, says Dr. Laub. A year ago I took over the practice here in Waldheim Niedermarkt, after moving here from Hungary at the age of 39. The fact that he is from Hungary is easy to notice from his accent and from all the Hungarian professional books on his desk. Practice is of course entirely in German. “I’m getting better with each passing day,” he says proudly. Laub is a stocky, jovial man who pursues his work in jeans and a blue shirt, but by wearing a stethoscope around the neck he makes it clear who’s the doctor.

Laub grew up in Budapest, where he studied medicine and worked at the university hospital as a pediatrician, and six years in his own practice. But the city became too much, it was loud and hectic, and the stress added by the madness of the Hungarian health system had to end: “The bureaucracy is worse than here, you get no help, but penalties are immediate if we cross over the budget”. In school, Laub learned German and English, and he really wanted to follow a colleague to Great Britain, just as a agency invited him to a roud trip to Bavaria, Thuringia and Saxony.

They looked at medical practices that sought an urgent successor, and as Laub and his wife Waldheim saw, they quickly knew that they wanted to stay: “We immediately decided!” His predecessor had been there for years, unsuccessfully looking for a successor and continued to practice despite age and health problems. It took half a year, until Laub had all his permits and approvals for Germany. After that he moved with his wife and three children from Budapest to Waldheim. The next day there was a grand opening celebration, attended by the mayor, fellow doctors, directors of the surrounding hospitals and of course the patients.



Tuesday, October 25th, 2011



Berlin 25.08.2011

The President of the Federal Chamber of Physicians, Dr. Frank Ulrich Montgomery wants to combat the shortage of physicians in the country with a change in licensing regulations. We want to send as many as possible students to train for a few weeks to a country doctor’s office or in a rural hospital,” said Montgomery to the Dusseldorf “Rheinische Post” (08/25/2011).

“This requires the licensing regulations to change so that the medical associations will be involved in the care of medical students.” Those who get their education in the rural areas, tend to settle in the rural areas.

Montgomery also called for a reform that involves the financing of the health system. “A well financed health care system needs a mix of funding allocation, tax subsidies, and in my personal opinion, a stock of capital,” he said. “The capital stock should be fueled by a premium of the insured. We need to finance the health system so that it is less dependent on the economy and also responds to the demographic development.”

Montgomery für Medizinerausbildung auf dem Land

Berlin, 25.08.2011

Der Präsident der Bundesärztekammer, Dr. Frank Ulrich Montgomery, will den Ärztemangel auf dem Land mit einer Änderung der Approbationsordnung bekämpfen. „Wir wollen möglichst viele Studenten für einige Wochen zur Ausbildung in eine Landarztpraxis oder in ein ländliches Krankenhaus schicken“, sagte Montgomery der Düsseldorfer „Rheinischen Post” (25.08.2011). „Dafür muss die Approbationsordnung so geändert werden, dass die Ärztekammern in die Betreuung von Medizinstudenten eingebunden werden.“ Wer im ländlichen Raum seine Weiterbildung gemacht habe, lasse sich auch eher im ländlichen Raum nieder.

Montgomery forderte zudem eine Reform der Finanzierung des Gesundheitssystems. „Ein solide finanziertes Gesundheitssystem braucht einen Mix aus Umlagefinanzierung, Steuerzuschüssen und nach meiner persönlichen Meinung einem Kapitalstock“, sagte er. „Der Kapitalstock sollte sich aus einer Prämie der Versicherten speisen.“ Zur Begründung sagte Montgomery: „Wir brauchen eine Finanzierung des Gesundheitssystems, die weniger von der Konjunktur abhängig ist und auch auf die demografische Entwicklung reagiert.“

Source of the article here:


Tuesday, October 25th, 2011

Montgomery: “ Finally, a future-oriented health policy”

Berlin, 03.08.2011

The new coverage law finally enables the start of a future-oriented health policy, instead of persisting with the old patterns,”said BAK-President Dr. Frank Ulrich Montgomery to the German media today as a result of the Cabinets vote on the law of healthcare structure.

The law will help ensure that doctors get where people need the urgently. But that would cost money, of course. “ We simply must get away from the thaught that healthcare is a social gift, and that doctors are altruicstic,” said Montgomery. Therefore there is a need to create incetives so that doctors would want to settle on the Countryside and provide medical care for the patients there. “Even doctors want to earn money, which is legitimate, and we want to have good and motivated doctors,” said the BAK-President.

The debate that had financial incentives to doctors as one of possible the reasons for premium increases, made Montgomery give the following statement: “ As long as we have in politics an unconditional performance bond for all people at all time and the financeing for the health insurance comes only from labor incomes, increases in contribution will be mentained,” stressed the BAK-President. With the shortage of physicians has this nothing to do.

Montgomery: “Endlich eine zukunftsorientierte Gesundheitspolitik”

Berlin, 03.08.2011

“Mit dem neuen Versorgungsgesetz wird endlich eine zukunftsorientierte Gesundheitspolitik gemacht, statt in alten Denkschablonen zu verharren“, sagte BAK-Praesident Dr. Frank Ulrich Montgomery dem Deutschlandfunk zur heutigen Kabinettsabstimmung uber das Versorgungsstrukturgesetz.

Das Gesetz werde dazu beitragen, dass Aerzte dorthin kommen, wo die Menschen sie dringend brauchen. Doch das koste naturlich Geld. „ Wir mussen schlicht und einfach mal davon wegkommen, zu glauben, dass die Gesundheitsversorgung ein Sozialgeschenk ist und dass Aerzte altruistisch arbeiten“, so Montgomery. Deshalb mussten Anreize geschaffen werden, damit es Aerzten Spass macht, sich auf dem Land niederzulassen und die Patienten dort zu versogen. „ Auch Aerzte wollen geld verdienen, das ist legitim, und wir wollen gute und motivierte Aerzte haben“, erklaerte der BAK-Praesident.

Der Debatte, dass finanzielle Anreize fur Aerzte der Grund fur Beitragserhohungen seien konnten, erteilt Montgomery aine Absage: „So lange wir in der Politik ein uneingeschraenktes Leistungsversprechen fur alle Menschen zu alle Zeiten haben, gleichzeitg uns nur aus der gesetzlichen Krankenversicherung, aus den Arbeitseinkommen finanzieren, so lange wird es Beitragssatzerhohungen in Deutschland geben“, betont der Paesident der Bundesaerztekammer. Mit am Aerztemangel habe das nichts zu tun.

Source of the article here:


Monday, October 24th, 2011

This is a list of German fun facts you might not know about. Some of them might sound unbelievable and weird to outsiders but you must know that this is the truth!

Fun fact no. 1: Best of both worlds

There are over 82 million persons living in Germany, making it one of the most densly populated countries in the world. Even though they are so densly populated, the Germans have succeded to keep 1/3 (31%) of the country covered with forests and woodland. And, as you rarely see buildings on top of the mountains, you have the feeling of being surrounded by green vegetation and wilderness close by, making Germany one of the most beautiful countries in Europe.

Fun fact no. 2: Public transport

The working week in Germany also includes Saturday. So, when you are looking at the schedule for the bus or the train and it is written “Werktage”, they mean Saturday too, even though most stores close at 1 pm on Saturday. The mail is also delivered on Saturday mornings.

Fun fact no. 3: Luxury cars

Even though they have one of the best public transport systems in the world, a lot of Germans own a car. They love cars. Just think about famous brands such as BMW, Mercedes-Benz, Porsche, and the Autobahn where you can drive with speeds up to 300Km/hour!

Fun fact no. 4: Castles

There are hundreds of castles in Germany. Some are still inhabited by aristocratic families, others have been transformed in hotels and restaurants, some in museums and others are left in ruins. All have a particular charm and are a major tourist attraction.

Fun fact no. 5: Bread diversity

You would have to try out one type of bread per day for about a whole year in order to be able to taste them all! There are over 300 different kinds of bread in Germany.

Fun fact no. 6: Beer heaven

Germans love beer. They rank second in world wide beer consumption per person after Ireland. Bier is considered food in Bayern, where the normal size beer-glass is the Maas is 1 liter. Germany is the cheapest place in Europe to buy beer, but also the most difficult in which to make a choice. There are over 1.500 brands and types of beer in the country.

Fun fact no. 7: Football fan paradise

There are more football fan clubs in Germany than anywhere else in the world.
Fun fact no. 8: The kingdom of dogs
Dogs are kings in Germany! They can go just about everywhere: first class restaurants, trains and buses and even clothing shops and bookstores. But NOT in a Metzgerei (butchers) and rarely in a Konditorei or a Bakerei. They even have their own pools.

Fun fact no. 9: Paprika!

Germans love Paprika, and not just the spice, the vegetable too, but only the red one. And they put Hungarian Paprika in just about everything.

Fun fact no. 10: About toilet paper…

Toilet paper in Germany has the softness and consistency of paper towels back home. I think that Germans don’t believe in softness for the… butt.

Fun fact no. 11: Oktoberfest!

The biggest Beer Festival in the world is of course the Oktoberfest in Munich, Bavaria, where the size of the beer glass is not 500ml but a whole liter, the Mass!

Bavaria has also the oldest Brewery of Germany still in operation, funded in 1040 by the Benedictine monks in Freising, the Weihenstephan Brewery. It is possibly the oldest still in operation in the world!

As mentioned earlier, there are many types of beer in Germany: from the blond Pils (pilsener) to the very dark DunklesBier and Schwarzbier, all very good and cheap. Even the smallest region usually has its own brewery.

To get ONE beer in Germany, you show your thumb. To show your first finger means that you want 2 beers: one with the thumb, and one with the finger. So, unless you really want 2 beers, be careful what finger you show!

Source of the article:

Germany struggles with doctor deficiency – doctors consider UNFAIR gross wages starting at 4000 euro/month

Monday, October 24th, 2011

Click here for videos from the event:

At the symposium “Demographic change and medical care in Germany”, representatives of doctors, hospitals, federal and state ministries as well as medical students, discussed about the causes of doctor shortage, the future demand for doctors, and the expectations of young doctors. Together, the participants want to address the most pressing problems and identify possible solutions.
“Once again, we need to free the path into the medical profession”. The framework for the medical profession must be redesigned in such a manner that aspiring doctor their vocation rediscover in the care and treatment of patients. It’s about the motivation of an entire generation of doctors. “A society aspirin at a long life needs doctor in clinics and practices and not in other professional fields”, warned Prof. Dr. Jörg-Dietrich Hoppe, president of the Federal Chamber of Physicians, on the symposium of the Federal Chamber of Physicians.
“More and more doctors choose to migrate to alternative occupations or go abroad. The number of those who finish their studies successfully, but then not get into the training at the hospital is frighteningly high: about 20%. Perceived as an unfair pay and the frequent incompatibility of work and family act as a deterrent for the doctors of tomorrow. We urgently need to reduce these barriers for new entrants, “demanded BÄK Vice President Dr. Frank Ulrich Montgomery. The framework should change, if one wants to accept no increase in the numbers of waiting lists, multi-tier health system as an expression of the defect and a thinning of outpatient care in the area. “If we want to inspire the young people back to our work, we need to adjust the conditions to fit their needs”, said Montgomery.

“The trend towards shorter working hours and the so-called feminization of the medical profession also requires that the already lower volume of work needs to be spread over several heads. However, at the same time as the workload increases, there is an increasing compression of work overload and lack of motivation of doctors”, said Dr. Christopher Fox, Executive Director of the Federal Chamber of Physicians. “We finally need to appreciate the medical work, more jobs in hospitals, reducing overtime and bureaucracy, better pay and finally more offers for child care in the hospitals”, said Fuchs.

Auf dem Symposium „Demografischer Wandel und ärztliche Versorgung in Deutschland“ diskutierten Vertreter von Ärzteschaft, Krankenhäusern, Bundes- und Landesministerien sowie der Medizinstudierenden über die Ursachen des Ärztemangels, den zukünftigen Bedarf an Ärzten und die Erwartungen der Nachwuchsmediziner. Gemeinsam wollen die Teilnehmer die dringlichsten Probleme ansprechen und mögliche Lösungsansätze aufzeigen.
„Wir müssen den Weg in den Arztberuf wieder frei machen. Die Rahmenbedingungen für den Arztberuf müssen endlich so gestaltet werden, dass die angehenden Ärzte in der Betreuung und Behandlung von Patienten wieder ihrer Berufung finden. Es geht um die Motivation einer ganzen Generation nachwachsender Ärztinnen und Ärzte. Eine Gesellschaft des langen Lebens braucht Ärzte in Klinik und Praxis und nicht in anderen Berufsfeldern, sonst bricht die Versorgung ein“, mahnte Prof. Dr. Jörg-Dietrich Hoppe, Präsident der Bundesärztekammer, auf dem Symposium der Bundesärztekammer
„Immer mehr ausgebildete Ärzte entscheiden sich gegen eine kurative Tätigkeit und wandern in alternative Berufsfelder oder ins Ausland ab. Die Zahl derjenigen, die ihr Studium erfolgreich beenden, dann aber nicht in die Weiterbildung am Krankenhaus einsteigen, ist erschreckend hoch: ca. 20 Prozent. Eine als ungerecht empfundene Bezahlung und die häufige Unvereinbarkeit von Beruf und Familie wirken abschreckend. Diese Hürden für Berufseinsteiger müssen wir dringend abbauen“, forderte BÄK-Vizepräsident Dr. Frank Ulrich Montgomery. Die Rahmenbedingungen müssten sich ändern, wenn man keine Zunahme von Wartelisten, Mehrklassenmedizin als Ausdruck des Mangels und eine Ausdünnung der ambulanten Versorgung in der Fläche akzeptieren will. „Wenn wir die jungen Menschen wieder für unsere Arbeit begeistern wollen, müssen wir die Bedingungen auch ihren Bedürfnissen anpassen“, so Montgomery.
„Der Trend zur Arbeitszeitverkürzung und die sogenannte Feminisierung der ärztlichen Profession bedingen zudem, dass das schon gesunkene Arbeitsvolumen auf mehrere Köpfe verteilt werden muss. Da aber zeitgleich die Arbeitslast steigt, kommt es zu einer zunehmenden Verdichtung von Arbeit, Überlastung und Demotivation von Ärzten“, sagte Prof. Dr. Christoph Fuchs, Hauptgeschäftsführer der Bundesärztekammer. Gerade aber weil sich der Versorgungs- und Finanzierungsbedarf insbesondere der älteren Patienten schon bald deutlich erhöhen wird, müsste jetzt umgesteuert werden. „Wir brauchen endlich eine Wertschätzung ärztlicher Arbeit, mehr Stellen in den Kliniken, Abbau von Überstunden und Bürokratie, eine bessere Bezahlung und endlich mehr Angebote für die Kinderbetreuung in den Krankenhäusern“, so Fuchs.