Posts Tagged ‘medicine’

What is psychosomatic medicine?

Friday, June 5th, 2015

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Psychosomatic medicine focuses on the interactions between mind and body and the powerful ways in which emotional, mental, social and spiritual factors can directly affect health.

Psychosomatic medicine focuses on the study and treatment of those emotional disturbances that are manifested as physical disorders. The term psychosomatic emphasizes essential unity of the psyche and the soma, a combination rooted in ancient Greek medicine. Common disorders caused at least partly by psychological factors include childhood asthma, certain gastrointestinal problems, hypertension, endocrine disturbances, diabetes, and possibly even heart disease.

Psychosomatic medicine deals with:

  • Clinical situations where mental processes act as a major factor affecting medical outcomes.
  • illnesses due to the interaction of the mind and the body
  • physical diseases which have a mental component derived from the stresses and strains of everyday living ex. lower back pain, high blood pressure
  • the influence that the mind has over physical processes
  • disabilities that are based on intellectual infirmities, rather than actual injuries or physical limitations, (somatoform disorders)
  • physical illness with their biopsychosocial aspects e.g. cancer diseases
  • physiological and functional disorders as response to psychological or physical trauma e.g. posttraumatic stress disorder and adjustment disorders
  • Conversion disorders physical symptoms , which go back to unconscious conflicts
  • Hypochondria
  • disturbed health behavior and its consequences (e.g. smoking)
  • mental disorders associated with physical discomfort: depression, anxiety disorders
  • mental illness, which have physiological effects : eating disorders, personality disorders

Psychosomatic medicine treatments are necessary in 3 different situations:

  1. The patients who have both a mental (psychiatric) illness and a medical illness, and these illnesses complicate the symptoms and management of each other
  2. The patients who have a psychiatric problem that is a direct result of a medical illness or its treatment, such as having depression due to cancer and its treatment.
  3. Somatoform disorders. Somatoform disorders are psychiatric disorders that are displayed through physical problems. In other words, the physical symptoms people experience are related to psychological factors rather than a medical cause.

Some examples:

  • Conversion disorder
  • Somatization disorder
  • Hypochondriasis
  • Body dysmorphic disorder
  • Pain disorder

Treatment types

  • psychotherapeutic conversation
  • dynamical psychotherapy
  • psychoanalyze
  • analytical group therapy
  • family therapy
  • suggestive therapy
  • hypnosis
  • body centered therapy
  • self-help groups

 

Advantages of residency training in psychosomatic medicine

Psychosomatic medicine and Psychotherapy is an exciting and new growing medical specialty with a fast and constant evolution. It offers a new point of view regarding the correlation between physical and (somatic) illness and psychiatric factors that create somatic illnesses without physical substance. An interesting aspect is the fact that a psychosomatic medicine and Psychotherapy practitioner has the opportunity to conduct psychiatric evaluations and treatments for mentally healthy individuals without having to interact with common psychiatric patients.

In Germany psychosomatic primary care is compulsory part of training in all specialties. All practicing physicians need to complete an 80-hour course of basic psychosomatic care (psychosocial diagnostic interview, psychotherapeutic interventions, and relaxation techniques). The most common training method in psychosomatic medicine is based on the Balint groups method, in which a group of doctors, therapists and Psychologists consult with each other regarding the treatments of the patients and the treatment relationships.

The residency training lasts 5 years and the required rotations are the following:

  • 1 year psychiatry and psychotherapy (6 months can be spent in the department of child and adolescent psychiatry)
  • 1 year Internal medicine
  • 3 years in psychosomatics

If you start a residency in psychosomatic medicine and want to change your specialty, you can get some part of your residency training in psychosomatic medicine recognized in the following specialties:

  • Anesthesiology – 12 Months
  • Surgery – 6 Months
  • Gynecology – 6 Months (training in psychosomatics is mandatory)
  • Human genetics – 12 Months
  • Internal medicine and general medicine – 12 Months (training in psychosomatics is mandatory)
  • Pediatrics and adolescent medicine – 6 Months
  • Child and adolescent psychiatry and psychotherapy – 12 Months
  • Neurology – 12 Months
  • Physical Medicine & Rehabilitation
  • Psychiatry -12 Months
  • Pathology – 12 Months
  • Pharmacology – 12 Months
  • Radiology – 12 Months

Supra specialties of psychosomatic medicine are:

  • Psychoanalysis
  • Psychotherapy
  • Rehabilitations medicine
  • Acupuncture
  • Allergology
  • Occupational medicine
  • Geriatrics
  • Homeopathy

 

What does it mean to be a doctor in the field of Psychosomatic Medicine?

Wednesday, April 16th, 2014

 

 

Being a healthcare recruiting agency with a lot of vacant positions in the field of Psychosomatic medicine and Psychotherapy in Germany we are often asked by our candidates:

  • “Is this specialty similar to other specialties in other countries?”
  • “What does a doctor do if he chooses to start his residency program in the field of Psychosomatic?”
  •  “Why should I be interested in following this specialty?”

The field of psychosomatic medicine and Psychotherapy is a relative new specialization that was established in Germany in 1992 after realising the need for such medical specialists. Currently the field is only present in Germany and Austria.

The residency program covers:

  • 3 years of psychosomatic and psychotherapy
  • 1 year of psychiatry
  • 1 year of internal medicine

Psychosomatic medicine includes:

  • Diagnosis of psychosomatic illnesses
  • Psychotherapeutic treatment
  • Prevention and rehabilitation

In order to become a specialist doctor in the field of Psychosomatic Medicine, one must complete the 5 years of residency. At least 1500 hours of psychotherapeutic treatment must be provided by the physician in training with respective minimum numbers for individual psychotherapies of different lengths (short-term therapy, shoulder length therapies, long-term therapy), group therapy, couple and family therapy.

Specialist training for Psychosomatic Medicine and Psychotherapy includes:

  • ethical, scientific and legal foundations of medical practice
  • the medical evaluation
  • the measures of quality assurance and quality management, including the error and risk management
  • medical interviewing, including family counselling
  • psychosomatic Basics
  • interdisciplinary collaboration
  • the etiology, pathophysiology and pathogenesis of diseases
  • the Enlightenment and the documentation of findings
  • the laboratory-based detection methods
  • medical emergency situations
  • the principles of pharmacotherapy, including the interactions of drugs and drug abuse
  • the general pain management
  • the care of seriously ill and dying
  • interdisciplinary indications for further diagnostic tests-including the differential indication and interpretation of radiological findings related to territorial issues
  • psychosocial, environmental and cross-cultural influences on health
  • the prevention, detection, treatment and rehabilitation psychotherapeutic psychosomatic diseases and disorders including family counseling, addiction and suicide prevention
  • the practical application of scientifically recognized psychotherapy procedures and methods, especially cognitive behavioral therapy or psychodynamic psychotherapy
  • the indication for socio-therapeutic measures
  • Detection and treatment of behavioral problems in childhood and adolescence
  • Basics of detection and treatment of internal diseases that require a psychosomatic treatment
  • Detection and treatment of mental-physical interactions in chronic diseases, such as cancer, neurological, cardiac, orthopedic and rheumatic diseases as well as metabolic and autoimmune diseases
  • psychiatric history and diagnostic assessment
  • the area-based drug therapy, with particular reference to the risks of drug abuse
  • the detection and psychotherapeutic treatment of psychogenic pain syndromes
  • autogenic training or progressive muscle relaxation or hypnosis
  • the implementation of supportive and psycho-educational therapies for somatic health
  • Foundations in behavioral therapy and psychodynamic psychotherapy
  • Crisis interventions under supervision
  • 35 double hours Balint group or interaction-related casework
  • psychosomatic-psychotherapeutic consulting and liaison service

 

Why should you consider becoming a specialist doctor in the field of Psychosomatic medicine and Psychotherapy?

Psychosomatic medicine and Psychotherapy is an exciting and new growing medical speciality with a fast and constant evolution. It offers a new point of view regarding the correlation between physical and (somatic) illness and psychiatric factors that create somatic illnesses without physical substance.

An interesting aspect is the fact that a Psychosomatic medicine and Psychotherapy practitioner has the opportunity to conduct psychiatric evaluations and treatments for mentally healthy individuals without having to interact with common psychiatric patients.

One can be certain that Psychosomatic medicine and Psychotherapy practitioners will be more and more sought after in the near future!

Interested in working in the field of Psychosomatic medicine and Psychotherapy?

Check out this job description!

 

 

 

 

The German experience of a young Romanian Surgeon

Tuesday, December 11th, 2012

Once Romania entered the European Union in 2007, significant advantages for the highly skilled and educated were created with the liberalization of the labor-market.

Gabriel B. lives in Germany since 2007, and is currently in the 5th residency year as a General Surgeon. After graduating medicine in 2007, Gabriel moved to Nordrhein-Westfalen in a city with about 25 000 inhabitants in order to start his medical career.

The hospital in which Gabriel is currently working, benefits of 150 beds for inpatient care and 59 beds for the surgical department. Offering high quality diagnostic and therapeutic procedures with comprehensive and modern medical equipment, combining high tech medical care with humanity and personal attention is a high priority of the hospital. The hospital benefits from:

  • CT scanner
  • Ultrasound devices
  • High quality video and X-ray systems
  • Zeus and Cicero devices

“Starting off in a smaller city and a smaller hospital is ideal for foreign doctors. Accommodation with the system and integration in the medical team is the key factor and one of the hospitals focal points when it comes to foreign doctors. Colleagues are patient and helpful, soon I felt like part of the team”, stated Gabriel.

“Social integration is also not an issue. Living in a smaller city, and working with people for people, especially in the respected field of medicine grants you rapid recognition. People greet me on the street, so we get to know each other resulting to mutual respect and of course friendship.

But, of course social integration does not only mean receiving recognition, it also means sharing interests. For example Germans value their gardens, spending a decent amount of their time gardening and making their front and back gardens esthetic. Of course they also love their home, their cars, their sports and to travel,” added Gabriel.

“The home environment is another plus. I enjoy getting to live in a two story house with a beautiful front and back garden in a nice and peaceful neighborhood. I don’t live by myself in the whole house, I have upstairs neighbors but its ok we don’t bother one another, the house has different entrances so we don’t have to bump into one another unless we want to”, stated Gabriel.

A common misconception is created when it comes to thinking about smaller cities. People think that smaller cities bring no opportunities for leisure and entertainment, schools and employment for the rest of the family.

“I can honestly say that in a radius of 20km you can find everything! Pharmacies, schools, kindergartens, cinemas, theaters, malls, stores like H&M or Zara, restaurants ranging from Chinese, Italian and Turkish to restaurants with traditional German food, and of course McDonalds and Burger King.

Sports and other outdoors leisure activities are also easily accessible. Tennis courts, football fields, swimming-pools and indoor swimming pools are close by. Spas and Gyms are easily accessible. Besides all the above, Nordic walks, hiking and biking are sought after activities here in Germany”, stated Gabriel.

Getting from A to B

“One of the most important things about Germany is its infrastructure. Airports, highways, freeways, bike lanes, public transport… they all seem to eat up the distance between different cities, counties and even different countries. No wonder the Germans love to travel!” stated Gabriel.

“I can honestly say I’m proud to make part of the community in the city I live and work in”, Gabriel B.

Professions that pay off abroad!

Thursday, November 15th, 2012

Romanians working in the field of healthcare earn up to an average of 9 times as much working abroad than in their home country. Healthcare specialists are not the only professionals that earn significantly more abroad than in Romania. An article published by Economica.net illustrates the current fields that pay at least 3 times as much in Western Europe.

Salaries in the healthcare sector can be 22 times higher abroad that in Romania!

The average gross salary in Healthcare in Romania for the month of September 2012 was about 400 Euros. Employers in Denmark offers currently for healthcare professionals that can reach gross wages of 9300 Euros, approximately 22 times as much as employers in Romania.

A specialist doctor in France earns a gross wage of about 4000 Euros per month.

Employers in Germany offer gross wages for specialist doctors similar to the ones in France, somewhere around 4000-6000 Euros per month.

But not only has the healthcare sector offered such advantages abroad.

For example:

  • Salaries offered in constructions are almost 5 times bigger in western Europe
  • Professional drivers earn 4 times as much in western Europe
  • Employees in the textile industry earn about 4 times as much in western Europe
  • Carpenters are paid 4 times as much abroad
  • Forrester workers earn up to 3 times as much in western Europe

 

Source of the article here

Nobel Prize for Medicine 2012

Tuesday, October 9th, 2012

Stockholm – British researcher John Gurdon and Shinya Yamanaka of Japan won this year’s Nobel Prize in medicine on Monday for discovering that mature, specialized cells of the body can be reprogrammed into stem cells – a discovery that scientists hope to turn into new treatments.

Scientists want to harness the reprogramming to create replacement tissues for treating diseases like Parkinson’s and for studying the roots of diseases in the laboratory.

The prize committee at Stockholm’s Karonlinska institute said the discovery has “revolutionized our understanding of how cells and organisms develop.”

Gurdon showed in 1962 that the DNA from specialized cells of frogs, like skin or intestinal cells, could be used to generate news tadpoles. That showed the DNA still had its ability to drive the formation of all cells of the body.

More than 40 years later, in 2006, Yamanaka showed that a surprisingly simple recipe could turn mature cells back into primitive cells, which in turn could be prodded into different kinds of mature cells.

Basically, the primitive cells were the equivalent of embryonic stem cells, which had been embroiled in controversy because to get human embryonic cells, human embryos had to be destroyed. Yamanaka’s method provided a way to get such primitive cells without destroying embrios.

“The discoveries of Gurdon and Yamanaka have shown that specialized cells can turn back the development clock under certain circumstances,” the committee said. “These discoveries have also provided new tools for scientists around the world and led to remarkable progress in many areas of medicine.”

 

Gurdon, 79, has served as a professor of cell biology at Cambridge University’s Magdalene College and is currently at the Gurdon Institute in Cambridge, which he founded. Yamanaka, born in 1962, worked at the Gladstone Institute in San Francisco and Nara Institute of Science and Technology in Japan.

Goran Hansson, the secretary of the prize committee, says he had reached both winners before the announcement.

“I spoke to both laureates on the phone and they’re equally happy and that they look forward to coming to Stockholm.”

The medicine award was the first Nobel Prize to be announced this year. The physics award will be announced Tuesday, followed by chemistry on Wednesday, literature on Thursday and the Nobel Peace Prize on Friday.

 

How do you think this discovery is going to revolutionize medicine?

 

 

 

Source of the article

The New EYE-PHONE for Eye-doctors

Friday, October 5th, 2012

Yes! You read it right. It’s all about the new Eye-Phone not the iPhone, although an iPhone can become an Eye-phone… The Eye-Phone in the picture above is the “brain-child” of a young British doctor in cooperation with a Finnish phone company.

Andrew Bastawrous from the London School of Hygiene and tropical Medicine connected to the telephone an Ophthalmoscope. So, he can take pictures of the ocular fundus. The device is not only cheaper than the standard ophthalmological practice equipment, it is also more mobile!

The Eye-Phone can be used anywhere. For example, in Africa, where blindness is often but ophthalmologist are scarce. The findings can be easily communicated to any medical center via E-mail or wireless LAN.

Source of the article

Choosing a German State

Thursday, October 4th, 2012

Recently, we held a short survey designed to better understand our candidates’ wishes and desires when it comes to moving abroad and starting a career as a foreign doctor in a foreign land.
The survey was relatively simple with just two separate questions.

  1. In which country would you rather see yourself working as a doctor?
  2. In which German state would you like to live and work as a doctor?

Although some candidates prefer different countries or areas, some not even in Europe most of them seem to be interested in Germany.

Although Germany is the most sought after destination, it has its own “hot spots”, such as the land Bayern.

This outcome can just raises the following question: “Why?”.

All German states have state of the art hospitals, all German states have great infrastructure, and some German states have even an easier dialect than Boarisch (the German dialect spoken in Bayern).

Of course some of you may have friends or family in some states and that would justify your decision when picking a specific region.
For some people of course the distance from their homeland plays a key role, so here is something you might not know.

As in antiquity all roads led to Rome, for the East-West medical highway all roads lead to Vienna, thus we invite you to take a closer look to the maps below and pinpoint the distance form your country and hometown to any German state and city.

 

The first map represents the map of Europe and all circles have Vienna as an epicenter. 

The second map is a close-up of the first map with focus on Germany so that you can see all German cities and states in the 300km, 450km, 600km, 750km and 900km distance radius of Vienna:

  • 300km radius: 
    Part of Bayern, including cities such as Passau, Deggendorf, Bad Füssing.
  • 300-450km radius:
    Part of Bayern, including cities such as München, Augsburg, Ingolstadt, Regensburg, Nürnberg, Erlangen.
    Part of Thüringen, including cities such as Grea.
    Most of Sachsen, including cities such as Zwickau, Plauen, Chemnitz, Dresden, Leipzig, Radeberg, Görlitz.
    Part of the state Brandenburg, including cities such as Cottbus, Lüben.
  • 450-600km radius:
    Most of Baden-Württemberg, including cities such as Albstadt, Ulm, Stuttgart, Karlsruhe, Pforzheim, Heidelberg.
    Part of Bayern, including cities such as Würzburg and Schweinfurt.
    Part of Hessen, including cities such as Darmstadt, Frankfurt am Main, Kassel, Schlitz, Fulda.
    Part of Thüringen including cities such as Erfurt, Suhl, Weimar, Mühlhausen.
    Part of Niedersachsen, including cities such as Göttingen, Brunswick.
    Sachsen Anhalt, with cities such as Halle, Dessau, Magdeburg, Stendal.
    Part of Brandenburg, with cities such as Potsdam, Rathenow, Neuruppin, Schwedt.
    Berlin
    Part of Mecklenburg-Vorpommern, with cities such as Neustrelitz.
  • 600-750km radius:
    Part of Baden-Württemberg, with cities such as Freiburg.
    Saarland, with cities such as Saarbrucken.
    Rheinland-Pfalz, with cities such as Kaiserlautern, Worms, Trier, Koblenz.
    Part of Hessen, including cities such as Wiesbaden, Wetzlar.
    Part of Nordrhein-Westfalen, including Bonn, Köln, Siegen, Remschied, Dortmund, Münster, Bielfeld.
    Part of Nidersachsen, icluding cities such as Hanover, Celle, Verden, Soltau, Uelzen, Lüneburg.
    Bremen.
    Hamburg.
    Part of Schleswig-Holstein, with cities such as Ahrensburg, Lübeck.
    Part of Mecklenburg-Vorpommern, with cities such as Schwerin, Rostock, Greifswald, Stralsund, Barth, Bergen.
  • 750-900km radius:
    Part of Nordrhein-Westfalen, with cities such as Düsseldorf, Duisburg, Essen.
    Part of Niedersachsen, with cities such as Osnabruck, Oldenburg, Lingen, Cuxhaven.
    Part of Schleswig-Holstein, with cities such as Kiel, Schleswig, Flensburg.

 

We would be more than delighted if you would tell us your preferences regarding working as a doctor in Germany!

EGV Recruiting

Switzerland accommodation guide

Tuesday, September 18th, 2012

Further searching for great content for our blog, we found a superb website designed to offer info’s for people moving to Switzerland!

In this blog post we here at EGV Recruiting, sum the site up in one short blog entry designed to help you find out more about living and working in Switzerland!

The website www.neu-in-zuerich.ch offers info’s on a variety of topics starting with:

Language:

  • It is important to know that although most of Switzerland is a German speaking country, standard German is only used in writing. Each canton has its specific dialect.
  • In this segment, it is explained why good understanding of the German language is important in day to day life. For those without German language skills solutions are offered in terms of institutions providing German language courses.
  • Face it! If you want to become one with the Swiss you must learn their language!

Education 

  • In this segment, the importance of education is underlined. For example public schools in Zurich have a high standard and are free of cost until completion of the compulsory schooling, as is the Gymnasium which prepares pupils for university.
  • “Without Education nothing is possible” – Everyone who looks for a job and does not undergo any training, has far less opportunities on the job market. This is where apprenticeships become important. Usually, most teenagers that have completed their obligatory schooling do a 3 or 4 year professional apprenticeship.

Health:

  • Health care in Switzerland is generally considered as very good. One thing you should take into account is that you only go to the hospital if there is an absolute emergency. You first have to consult your GP. If it is necessary they can then refer you to a specialist or to the hospital. Pharmacies can also help you a lot.

Transport:

  • This segment describes the highlights of the public transport system in and around Zurich as one of the best in the world.
  • Foreign driving licenses have to be transcribed! You can get your license transcribed within one year after arriving.

Social system:

  • Swiss citizens are very well insured. In addition for private insurances for possessions and a liability insurance which you should set up, and the obligatory health insurance, there are a number of employment insurances.

Customs and traditions:

  • The Swiss are generally very friendly. Words such as “Please”, Thank you” and “Could I perhaps” go a long way. When it comes to friendship, the Swiss rarely make the first step and therefore it takes a long time to get to learn them. Friendships are taken quite seriously once they are established.
  • One can say modern Switzerland has a lack of traditions, especially in the urban regions. There are large and small folk festivals, markets and even cattle shows in many places but this no longer has anything to do with tradition.

Neighborhood:

  • This section explains the fact that being a small country with a high population density, rents are the most common accommodations. Owning property is much rarer.
  • Living in housing buildings and rents comes with its own set of rules! Complaints appear from situations such as barking dogs, loud music, crying children, mess in the staircase, use of other’s parking spaces, etc.

Family and children:

  • Swiss families are generally small. A father, mother and one or two children is normal. Single parents are also becoming increasingly more common in the cities.
  • Equality between women and men is widespread just like in every average western European country.

Work:

  • People generally work 5 days a week, which corresponds to approx. 42 hours. Certain industries have other regulations. Nowadays there are also many part-time positions. Employees have a multitude of rights and do not have to put up with everything from their employer. You can find information on guidelines from your professional association and your labor union.

Leisure:

  • Switzerland is a country that combines water, mountains, city and nature like in no other place in the world. Weather hanging out in bars or sport clubs, hiking or spending time with the family is your cup of tea then be sure to choose Switzerland.

Environment:

  • The Swiss are proud of living in a clean country. Do not throw your rubbish on the ground and not out of the car window. There are special rubbish bags or fee stamps for household waste in all communities. This finances waste disposal and people are required to recycle glass, metal and paper. If you have a compost heap you can dispose of kitchen waste there.

 

Would you like living in Switzerland?

Bulgarian parliament passed amendments to human medicine act

Friday, September 7th, 2012

Sofia 4 September 2012.

Bulgarian parliament passed Tuesday the amendments to the Medical Products in Human Medicine Act.

The draft bill for amendments and supplements to the act, filed by the Council of Ministers, was adopted with 91 votes “for”, 2 votes “against” and 18 abstentions.

The amendments proposed by MP Vanyo Sharkov with the Blue coalition and a group of MPs, were turned down.

Before the draft bill was voted on, Bulgarian Minister of Health, Desislava Atanasova said that the government’s motives for amendments to the draft bill concern the medical safety rules.

“These amendments require serious change, which concern the fake medical products. I hope that the amendments will be backed by all parliamentary groups, because they involve the safety of all Bulgarian patients. “

In her words, the establishment of a national council on prices and reimbursement aims at establishing a central body, which should monitor, register and update the prices of the medical products and compare them to those in the rest of the EU countries.

“Only in a week we have drastic decrease of 5% to 75% of 74 new medical products,” stated the minister.

 

Source of the article

Romania: European Funds for Rural Medical Practices

Tuesday, September 4th, 2012

The representatives of the Romanian Ministry of Health announce the medical professionals that intend to establish medical practices in the rural districts that they can obtain non reimbursable financing for the work they perform.

The funds are being allocated via the National Rural Development Program, conducted by the European Agriculture Fund for Rural Development (FEADR/ Fondul European Agricol pentru Dezvoltarea Rurala).

Enrollment for funding started this week, and the sum of money available for this program is 134.668.992 Euros as stated in the announcement of the call for projects financed by the FEDR.

 

According to the program, medics, and also businesses in the rural region can obtain funding in order to realize investments in human health services, ambulatory medical assistance, dentistry, general medical assistance, specialized medical assistance and also in other fields.

In order to obtain the grant, one has to write a project following the precise specifications in the Company Guide in question. These info’s and guides are handed out in printed format at any official APDRP regional or county centers.

 

The projects can be submitted between the 3rd -28th September at the county headquarters of APDRP, from Monday to Friday between 09:00 – 14:00. In the last day of the program session the projects can be submitted only till 12:00 o’clock.

 

Source of the article here