Hausarzt oder Spezialist im In- oder Ausland?

Abstract

This study investigated the career preferences of medical graduates in Germany with regard to discipline, place and position after the completion of postgraduate training. We also investigated differences in career options according to gender and region of study (former German Federal Republic vs. former German Democratic Republic).The study is based on a standardised postal survey among all last year medical students in the medical faculties of Erlangen, Giessen, Hamburg, Heidelberg, Cologne, Leipzig and Magdeburg in 2009. 2 107 persons were contacted and 1 012 (48%) participated in the survey.96% of participants stated their intention to pursue a postgraduate training in a medical discipline, and only 0.4% denied such an objective. 7% of the graduates preferred a career towards general practice, and a similar percentage preferred general internal medicine which usually also leads to a primary care activity. 84% aimed at becoming a medical specialist. In total, 28% intended to work in a specialist practice, and 10% in a general practice. Only one-fifth of the latter aimed at working in a countryside setting. 7% aimed at starting postgraduate training outside of Germany, and 8% preferred to work outside Germany after completion of the postgraduate training. In both cases, Switzerland was by far the most preferred country.The results contradict the thesis that young graduates are reluctant to enter clinical medicine. Working abroad is within the scope of less than 10% of the graduates. A dramatic difference between the demand for general practitioners and the career intentions of medical graduates is observed. Measures to increase the attractiveness of primary care, especially in the countryside, are urgently needed.

Learning processes and learning problems in German postgraduate medical education

“…Due to limitations of scope, reference must be made here to other KarMed publications [ 11 ], [ 12 ], [ 13 ], [ 14 ], [ 15 ], [ 16 ]. For the specific problems of PGE for primary care, we refer to separate publications [ 17 ], [ 18 ].…”

Facharztpräferenzen von Medizinstudierenden im Kontrast zum Bedarf an Allgemeinmedizinern in Sachsen

“…Informationen zu Weiterbildungspräferenzen von Medizinstudierenden sind für die Planung der ärztlichen Versorgung der Bevölkerung notwendig. International [14][15][16][17][18] und national [2,[4][5][6][19][20][21][22][23][24][25][26] gibt es viele Untersuchungen zu Häufigkeiten, Gründen, Eins tel l u nge n u n d Vo r s tel l u nge n zu r Fa ch a r z tp rä fe r e nz Allgemeinmedizin, jedoch ist ein Vergleich internationaler Studienergebnisse nur limitiert möglich, da Ausbildungs-, Weiterbildungs-und Gesundheitssysteme sich international unterscheiden [2,22]. Wie auch diese Studie bestätigt, gehören im deutschsprachigen Raum nach wie vor die Chirurgie, die Innere Medizin, die Pädiatrie, die Allgemeinmedizin und die Anästhesiologie zu den beliebtesten Facharztpräferenzen [1,2,19,25,27].…”

“…Dass der Bedarf an Hausärzten steigt, ist nach wie vor aufgrund des demographischen Wandels und der Entwicklung der aktuellen Arztzahlen absehbar [1][2][3][4][5][6]. In Deutschland präferieren zwischen 6,9-12,4 % der Medizinstudierenden das Fach Allgemeinmedizin [1,2,6,19,22]. Während in Städten die Zulassungen für Niederlassungen sehr beschränkt sind, sind besonders in ländlichen Regionen stärkere Probleme bei der Nachwuchsgewinnung zu erwarten.…”

“…Hier wären Untersuchungen zur Qualität der Ausbildung und zum weiteren Werdegang hilfreich. Ausgangspunkt könnten bisherige Studien darstellen [6,[40][41][42]. Des Weiteren wären prospektive Untersuchungen bei Studierenden in der Facharztweiterbildung für Innere Medizin zu Intentionen sich hausärztlich niederzulassen notwendig.…”

Comparison of the Specialist Medical Training in Internal Medicine between Germany, Austria and Switzerland: An Overview

“…For German physicians, Switzerland is followed by Austria as the most popular migrant countries (BÄK, 2016a;Kopetsch, 2010, Statistisches Bundesamt, 2011 In Germany, emigration is caused by unsatisfactory working conditions both in the inpatient as well as in the outpatient sector (van den Bussche et al, 2012).…”