General Practitioner
Practitioner or General Practitioner is a since the CPE regulations from 1992 no longer newly assigned job title for a practitioner without an obligatory to use the title "Specialist" training.
Historical background
The development of medical science in the first half of the 19th century with the mandatory academic training of doctors as well as the increasingly self-evident habit among the population to seek medical advice in the event of illness led to the increasing importance of the medical profession, without the state Regulations kept pace with this development. In 1852 in Prussia the standard class “pract. Doctor “with academic training and state license to practice medicine. From this, however, no progress had resulted for the economic security and the reputation of the medical profession, since charlatans and self-appointed miracle healers could continue to do mischief unimpaired. Prussian doctors were treated on an equal footing with civil servants. They had to take a professional oath on the king, prepare quarterly reports and use a medical fee for their invoices. Section 200 of the Prussian Penal Code (1851) obliged them to provide free help to those in need (courier compulsory). These obligations were demanded of them without corresponding rights such as B. regular income, a secure pension and participation in medical policy matters.
Today's regulation
Anyone who has completed a specific three-year advanced training course in general medicine or who was called a general practitioner as a resident physician on January 1, 1990, may continue to use it, as can the physician who began the aforementioned advanced training course before January 1, 2003 completed before January 1, 2006. Since 2003, it has no longer been possible to establish a practice as a contract doctor without further training as a specialist in Germany. Within the framework of European harmonization (implementation of Directive 93/16 / EEC ) the term “general practitioner” was replaced by the general practitioner.
Since then, the “specialist in general medicine ” or the “specialist in internal and general medicine” has been a prerequisite for a general practitioner practice with health insurance approval . Doctors who have not completed specialist training can continue to establish themselves in a private practice . In exceptional cases , such as in the on-call medical service (to which you are obliged), in emergencies or at a practice substitute, you can bill the health insurance companies for the services you have provided for patients with statutory health insurance.
In Switzerland, “general practitioner” is the minimum title for specialists and can be obtained after three years of further training.