Kommunikationsprüfung ausländischer Ärzte in Deutschland: Patientenkommunikationstest

Farhan, Nabeel; Leonhart, Rainer; Puffe, Lydia; Boeker, Martin; Wirsching, Michael

doi:10.1055/s-0035-1564181

Cited by 2 publications

(2 citation statements)

References 17 publications

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“…with regard to the interpretation of equivalency). This has been particularly disputed with regard to language requirements that for some states have been criticized as too soft [ 52 ]. For that reason the Conference of Health Ministers recommended in 2014 the implementation of uniform requirements, including a C1-level command (according to the European Framework of Reference for Languages) of the technical language needed in the medical context [ 53 ].…”

Section: Introductionmentioning

confidence: 99%

Medical professionalism of foreign-born and foreign-trained physicians under close scrutiny: A qualitative study with stakeholders in Germany

et al. 2018

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Hospitals in Germany employ increasing numbers of foreign-born and foreign-trained (FB&FT) physicians. Studies have investigated how FB&FT physicians experience their professional integration into the German healthcare system, however, the perspectives of stakeholders working with and shaping the work experiences of FB&FT physicians in German hospitals have so far been neglected. This study explores relevant stakeholders’ opinions and attitudes towards FB&FT physicians—which likely influence how these physicians settle in—and how these opinions were formed. We conducted a qualitative interview study with 25 stakeholders working in hospitals or in health policy development. The interviews were analyzed within a constructivist research paradigm using methods derived from Grounded Theory (situational analysis as well as open, axial and selective coding). We found that stakeholders tended to focus on problems in FB&FT physicians’ work performance. Participants criticized FB&FT physicians’ work for deviating from presumably shared professional standards (skill or knowledge and behavioral standards). The professional standards invoked to justify problem-focused statements comprised the definition of an ideal behavior, attitude or ability and a tolerance range that was adapted in a dynamic process. Behavior falling outside the tolerance range was criticized as unacceptable, requiring action to prevent similar deviations in the future. Furthermore, we derived three strategies (minimization, homogenization and quality management) proposed by participants to manage deviations from assumed professional standards by FB&FT physicians. We critically reflect on the social processes of evaluation and problematization and question the legitimacy of professional standards invoked. We also discuss discriminatory tendencies visible in evaluative statements of some participants as well as in some of the strategies proposed. We suggest it will be key to develop and implement better support strategies for FB&FT physicians while also addressing problematic attitudes within the receiving system to further professional integration.

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Section: Introductionmentioning

confidence: 99%

Medical professionalism of foreign-born and foreign-trained physicians under close scrutiny: A qualitative study with stakeholders in Germany

et al. 2018

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“…While research does not directly address the relationship between migration and burnout/ WLB in physicians, studies connect mental health problems and stress in expats and foreign born workers [21][22][23]. Others show that physicians with a migration background (MB) may experience problems related to patient communication [24], social integration and relationships [25,26]. In this article, we want to fill a gap in the literature by analyzing the connection between MB and physician burnout and work-life balance in Germany.…”

Section: Introductionmentioning

confidence: 99%

Burnout and work-life balance among physicians: the role of migration background

Hussenoeder

Bodendieck²,

Conrad

et al. 2021

J Occup Med Toxicol

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Background We want to analyze the effect of migration background (MB) on physician burnout and work-life balance. Methods In September 2019, physicians from various specialties answered a questionnaire on work and health. We analyzed a subsample of 526 physicians that were working full time in a hospital, 14% with an MB and 47.9% were female. Results Multivariate analysis showed that physicians with an MB exhibit significantly less favorable scores on all three burnout dimensions, and this effect persisted in the regression analysis after adding age, gender, and marital status as control variables. There were no differences with regard to work-life balance. Conclusions To our knowledge, our study is the first one to suggest that MB plays a significant role in physician mental health. Future research will benefit from identifying the factors behind that connection, e.g., problems related to acculturation, communication and social integration, which can then be addressed by policymakers in order to maintain and improve the medical infrastructure.

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Kommunikationsprüfung ausländischer Ärzte in Deutschland: Patientenkommunikationstest

Cited by 2 publications

References 17 publications

Medical professionalism of foreign-born and foreign-trained physicians under close scrutiny: A qualitative study with stakeholders in Germany

Medical professionalism of foreign-born and foreign-trained physicians under close scrutiny: A qualitative study with stakeholders in Germany

Burnout and work-life balance among physicians: the role of migration background

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