doctor

from Wikipedia, the free encyclopedia
Doctor listening to a patient (2011)
Äskulapstab : symbol of the medical and pharmaceutical prior
The sick woman ( Jan Steen , around 1666)

A doctor or a health care professional is a medically trained and to exercise the medicine approved person. The medical profession is considered the prevention ( prevention ), detection ( diagnosis ), treatment ( therapy ) and aftercare of diseases , ailments or health problems and also includes forming activities.

Doctors put themselves at the service of health and are committed to moral and ethical principles in their actions (see, for example, the Geneva Declaration of the World Medical Association ). The variety of diseases and treatment options has led to a large number of specialties and further differentiations in human and veterinary medicine (see the list of medical specialties ).

Designations

The term doctor ( Middle High German  arzāt, arzet, artzt , Dutch arts ; related to " Arznei ") moved from the Latin scholarly language to German during the Middle Ages , via the Latinized variant archiater (late Latin also arciater ) of the Greek ἀρχίατρος archiatros , classical pronunciation [ arkʰíatros ], consultant ',' personal physician '(since the 2nd century the official title of personal physicians at court and for public bestallten community physicians), a composition of ἀρχή ark [ arkʰɛː ], German , domination' , command 'and ἰατρός iatros [ iatrós ], German 'doctor' . The original Greek word ἰατρός or the Latinized form -iater appears as a word component in many technical language compound words: iatrogenic "caused by medical action"; Psychiatrist "soul doctor"; Pediatrician “pediatrician” etc. The word found its way into other languages ​​through Middle High German, such as Latvian ārsts , Estonian arst .

The Germanic term for the medical profession ( Old High German  lâchi ) is for example in Danish læge , in Swedish läkare , in English leech ' leech ' (see Bald's Leechbook ), or in the German family name Lachmann and has spread into other languages, e.g. B. Finnish lääkäri , Irish Dochtúir leighis . In Polish lekarz and Czech lékař , the Germanic root is connected with a Slavic suffix ( -arz , -ař ).

The Latin name medicus 'doctor' (originally as a general professional designation independent of the level of training; since the 10th century then differentiated from chirurgicus or chirurgus , the surgeon ), or a form derived from it, is mainly found in the Romance languages , for example Italian medico , Spanish médico , Portuguese médico , Romanian medic , French médecin , but under Romance influence also in other languages: Basque mediku , English medic . To distinguish from the (not yet in the 18th century "full doctorate") chirurgicus was also the term medicus purus ( "pure Doctor") used (efforts to unite the surgery with the "medicine", translated roughly in the middle of the 18th century a). The term physicus usually meant an academically trained doctor (see English physician ).

In many languages, the doctor is colloquially after his mostly guided academic degree Doctor called. From the 13th century onwards, lay doctors working in folk medicine were also occasionally referred to as doctors .

To the medical profession

history

The role of doctor is one of the oldest known to man . Medical History seen the medical profession arose (deprecated also Arzttum ) from the prior healers who have been among the priests of antiquity were found. The first written evidence of the medical profession comes from Mesopotamia and was published in the 3rd millennium BC. Written in BC.

The training of doctors of antiquity found in so-called medical schools (z. B. School of Kos , School of Knidos , Alexandrian school ) instead of the (z. B. in terms of their knowledge to different medical theories methodologists , pneumatics , Hippocratics ) and philosophical Aligned currents (e.g. Epicureans , Stoics ).

The modern training of doctors began in the 18th century with the expansion of scientific knowledge and the introduction of systematic practical teaching at the bedside.

Uniform examination regulations (see also licensing regulations ) for doctors first existed in Germany in 1883.

In 2014, the proportion of women doctors in the total number of working doctors had already risen to 45.5 percent, although the proportion of women at the start of their studies in 2015 was almost two thirds.

Salus aegroti suprema lex (“The well-being of the sick is the top priority”) was the norm for doctors into the 21st century . The patient's right to self-determination has also been added in the case law .

Health and disease behavior

While the physical health of male doctors appears to be comparable to that of the general male population, the physical health of female doctors appears to be better than that of the general female population.

With regard to mental health, it is noticeable that depression and addictions are more common among doctors than in the rest of the population. Another clinical picture that frequently occurs in doctors is burnout syndrome , which can already be detected in medical students at an increased rate.

Several studies have shown an increased rate of suicide among doctors compared to the general population . The increased relative risk of committing suicide compared to the normal population was 1.1–3.4 for doctors and 2.5–3.7 for women doctors. Since in most of the studies only a small number of suicides were examined, the confidence intervals for the true value of the risk increase were wide. It is believed that a significant number of suicides are not recorded because they are mistakenly labeled as poisonings or accidents . Of the various professional specializations, psychiatrists , anesthetists and general practitioners in particular are affected by an increased suicide rate. Various factors are discussed as causes of the increased risk of suicide. A personality profile with obsessive-compulsive features can lead to a depressive disorder as a result of job demands. The difficulties of reconciling family and career aspirations can lead to exhaustion and depression, especially for doctors . Addictions (such as alcohol , drug and medication addiction ), which are more common among doctors, are usually associated with depression and an increased suicide rate. This risk profile established for doctors is independent of their occupation and applies to most suicides.

Psychological problems often correlate with time pressure and a lack of autonomy in the workplace as well as stressful patient-doctor relationships . Doctors are less likely to be on sick leave and show under-utilization of medical care services. Doctors often treat themselves. However, treating one's own mental disorders independently is often ineffective.

Patron saint

Because of their medical profession, the holy twin brothers Cosmas and Damian are among other things the patron saints of doctors. Another patron saint is St. Pantaleon , one of the fourteen helpers in need .

National

Germany

Legal classification of the occupation

In Germany (since 1935) the doctor has been one of the liberal professions and has been a classic chamber profession (since 1887) .

Doctors are subject to state monitoring of approval ( license to practice medicine in Germany, see below in other EU countries) and, among other things, the law on doctor's advertising , which means extensive restrictions in publication and publications. As a rule, doctors are not liable to their patients for the success of their actions, but can be obliged to pay compensation to them from the point of view of medical liability .

The free exercise of medicine is in Germany only allows licensed doctors. Non-medical practitioners are also allowed to treat the sick with defined restrictions , whereby the clearly defined limits must be observed. As an exception, special areas of diagnostics and therapy are also carried out (mostly at the request of doctors) by members of the health professions .

From the time of the medical license to practice medicine, the doctor is allowed to use the legally protected designation "doctor" and receives with it the state permission for self-dependent and independent medical activity. The nationwide uniform license to practice medicine regulates the previously successfully completed at least six years of medical studies with regard to the duration and content of the training in the individual subjects, as well as the exams. The study of medicine includes a. three exams and one year of practical experience (so-called “practical year”). From October 1988 to October 2004, in order to obtain a full license, an additional 18-month, low-paid work as a doctor in an internship under the supervision of a licensed doctor was required by law. Usually, a licensed doctor works for several years as an assistant doctor at further training facilities recognized by the State Medical Association (such as hospitals in 1956 , 35.6% were privately owned in 2015; less often individual large practices) in order to receive credit for further training in one or more specialist areas of medicine and possibly follow up In addition, to take a specialist examination with at least four years of further training. The requirements for this are regulated in the advanced training regulations of the state medical associations. Resident doctors work in private practices , if necessary with several doctors in a professional group (formerly: group practice) or practice group (see also Contract Doctor Law Amendment Act ). Fee -based doctors work on a fee basis for various clinics or resident doctors.

Every doctor is a notifiable compulsory member of the medical association (of the federal state) in whose area he lives or carries out his medical activity. In 2012, 459,021 doctors were registered with the state medical associations in Germany. To treat those insured by statutory health insurance , the doctor needs a license ( specialist in his own practice) or authorization (as a doctor in a hospital or similar institution ) and is then also a compulsory member of the Association of Statutory Health Insurance Physicians in the district where he is based . The Ambulatory Health approval have 135,388 doctors (end of 2008): independent 58,095 family doctors and 77,293 specialists. 146,300 doctors are employed in the clinics. At the end of 2013, 35,893 foreign doctors were working in Germany, more often in the east. In 2013, the number of employed doctors in Germany was 357,252.

Under criminal law, medical interventions are equated with bodily harm . This is not an offense when the consent of the person being treated for a reconnaissance present and the action is taken on the status of the current medical knowledge (§§ 223 ff. StGB ). Exceptions exist if the patient is unable to communicate his decision due to his or her condition (e.g. unconsciousness ) and if the intervention is not carried out there is a risk of negative health consequences or even death of the patient. In addition, people who are restricted or unable to consent, such as B. children or, in certain cases, mentally ill people are treated against their will. There are strict legal regulations and procedures for this, in which, in addition to the doctor, other institutions, e.g. B. Local court or legal guardian , participate in the decision.

Before the Act to Combat Corruption in the Health Care System came into force , resident doctors who were licensed to provide statutory medical care did not meet the criteria of Section 299 of the Criminal Code, as, according to the decision of the Federal Court of Justice (BGH) of March 29, 2012, they were neither public officials i. S. d. § 11 I No. 2c StGB still as an agent of the statutory health insurance i. S. d. § 299 StGB acted. The loophole in the law was closed from June 4, 2016 by adding § 299a StGB (bribery in the health care system) and § 299b StGB (bribery in the health care system), as well as changing § 300 and § 302 StGB.

Since April 1, 2012, the granting of the license to practice medicine no longer depends on nationality (amendment of § 3 BAÖ by § 29 of the law to improve the determination and recognition of professional qualifications acquired abroad ).

Competencies and duties

The prescription of prescription drugs and most invasive measures are exclusively reserved for licensed doctors in Germany. In doing so, he is personally obliged to adhere to the recognized scientific standards and medical ethical guidelines. The Geneva Declaration was based on the Hippocratic oath in 1948 . Doctors are also subject to special regulations, such as professional and ethical law , which is also linked to the Geneva Convention . In particular, compliance with medical confidentiality in accordance with Section 203 of the Criminal Code is also laid down in criminal law .

Academic degrees

For historical reasons, there are different medical degrees in Germany. In contrast to the specialist title, these do not indicate a special professional competence, but serve as evidence of a scientific achievement in a medical field:

  • Dr. med. - Here, following the state examination or the medical diploma ( GDR ), a medical doctorate was carried out. In contrast to other fields of study, it is common in medicine to start the dissertation while studying . The doctorate only takes place after graduation. Details are regulated in the doctoral regulations of the universities.
  • Dr. med. dent. - doctor medicinae dentariae (Doctor of Dentistry)
  • Dr. rer. medic. / Dr. rer. med. - "Doctor of theoretical medicine", "Doctor of medical sciences", "Doctor of medical sciences" or a comparable designation.
  • Dipl.-Med. - The degree of medical doctor from GDR times (acquired 1971 to 1990) is still often to be found in the new federal states. According to various experts, this degree is related to the workload of the acquisition with the Dr. med. to compare the Federal Republic at that time.
  • Dr. med. habil. - For a habilitation in medicine, medical work and independent research work as well as completion of the habilitation process are necessary. Then the academic titles Privatdozent and, if necessary, after several years, adjunct professor are awarded, provided that courses are regularly offered at a university. Graduates who do not belong to a university can be appointed as honorary professors for corresponding services .
  • Dr. sc. med. - This evenly matched habilitation degrees - awarded in the GDR from 1971 to 1990 - was during the so-called B Promotion acquired.

Treatment time

According to a study by the Institute for Quality and Efficiency in Health Care , German doctors have the shortest consultation times in Europe for each patient, despite longer working hours. It is 30% lower than the European average.

Clinicians spend around 44% of their time writing and taking minutes (as of 2014/2015). According to a project report by the Federal Statistical Office from August 2015, medical, psychotherapist and dental practices spend an average of 96 days a year on fulfilling information obligations, whereby this value represents the total time required by all practice employees and includes all information obligations, including those of joint self-administration.

According to the Germany-wide MB online survey of the Marburger Bund “MB Monitor” from 2017, 66% of hospital doctors are of the opinion that they do not have enough time to treat their patients.

income

The incomes of doctors in Germany vary because the range of medical activities is broad. There are also differences in working hours among doctors, especially between those who work clinically (for example, 24-hour shifts and a high number of overtime hours) and those who work in private practice (high proportion of “non-medical” work due to being self-employed).

Resident doctors

According to the Zi-Praxis-Panel of the Central Institute for Statutory Health Insurance in Germany (2017 annual report) on the economic situation and the framework conditions in statutory medical care from 2013 to 2016, the mean value of the annual surplus per practice owner in 2016 was around 170,000 euros .

Mean values ​​of the annual surpluses per practice owner (according to medical specialty) in Germany in 2016:

Area of ​​Expertise
Average values ​​of the annual surpluses per practice owner in 2016 ( rounded to EUR thousand )
General medicine and internal medicine (family doctor) 174,000 EUR
Anesthesiology 173,000 EUR
Ophthalmology 275,000 EUR
surgery 187,000 EUR
dermatology EUR 221,000
gynecology 174,000 EUR
Ear, nose and throat medicine 188,000 EUR
Internal medicine - gastroenterology EUR 260,000
Internal medicine - cardiology EUR 255,000
Internal medicine - pulmonology 280,000 EUR
Internal medicine - without or with several focuses EUR 222,000
Internal medicine - other specialties EUR 300,000
Paediatrics 180,000 EUR
Child and Adolescent Psychiatry 165,000 EUR
Neurology, Neurology and Psychiatry 194,000 EUR
neurology 186,000 EUR
Nuclear medicine EUR 343,000
Orthopedics 206,000 EUR
Physical and rehabilitative medicine 130,000 EUR
psychiatry 130,000 EUR
Psychosomatic medicine and psychotherapy EUR 86,000
psychotherapy 80,000 EUR
radiology EUR 348,000
urology EUR 211,000
Comprehensive practices EUR 284,000

In order to counteract a shortage of country doctors , the federal government wanted to increase the income of country doctors in a new "Supply Act" in 2011 . Among a large number of laws, the Statutory Health Insurance Supply Structure Act 2012 and June 2015 was the law to strengthen supply in statutory health insurance .

Clinically active doctors

The average salaries of clinically active doctors differ greatly depending on the respective positions:

Average annual salary 2018
position ( rounded to the nearest thousand EUR )
chief doctor 290,000 EUR
Senior physician 130,000 EUR
Specialist 84,000 EUR
Assistant doctor 68,000 EUR

External presentation and advertising

In addition to the strict legal requirements for the practice of his profession, the doctor is also subject to extensive regulations and laws when it comes to the external presentation or advertising of his services and his practice. In contrast to other branches, doctors are absolutely prohibited from promoting or comparing advertising. Since the 105th German Medical Association in 2002, factual, job-related information about your work has been permitted. The main criterion is the protective interest of the responsible patient. The individual health service introduced in 1998 was controversial .

statistics

At the end of 2006 there were around 407,000 doctors registered in Germany, 95,700 of whom were not doctors (see figure). 59,000 general practitioners and 60,600 specialists were approved by the health insurance fund. 148,300 doctors were employed in the hospitals.

In 2011 there were around 342,100 working doctors and around 107,300 doctors without medical activity in Germany. There was one working doctor for every 239 inhabitants.

Structure of the medical profession, D 2006

The chronological development can be read from the following table and the illustration.

Development of the medical profession, D 1996-2006
As of December 31 of
the year
Doctors
reported
working stationary outpatient Family doctors outpatient
specialists
1996 343,600 279,400 135,300 112,700
1997 350,800 282,700 134,600 115,000
1998 357,700 287,000 135,800 124,600
1999 363,400 291.200 137,500 126,000
2000 369,300 294,700 139,500 128,500
2001 375.200 297,900 142,300 130,000 59,700 56,300
2002 381,300 301,000 143,800 131,300 59,000 57,800
2003 388.200 304,100 145,500 132,400 59,000 58,600
2004 394,400 306,400 146,300 133,400 59,000 58,900
2005 400,600 307,600 146,500 134,800 59,100 59,200
2006 407,000 311,300 148,300 136,200 59,000 60,600

The total number of licensed physicians also includes physicians who are no longer employed and physicians who are not physicians. The German Medical Association and the National Association of Statutory Health Insurance Physicians have counted 385,149 doctors in Germany who were medically active in 2017, and 6,542 doctors more than last year. The proportion of women continued to rise and reached 46.8% in 2017, after 46.5% in the previous year. The proportion of older doctors also continued to rise. In 2017, 18.4% of doctors were 60 years of age or older (2016: 17.9%). In 2017, a total of 172,647 doctors were contracted doctors, i.e. working as residents, self-employed or employed by a contract doctor.

Visits to the doctor : German adults (between 18 and 79 years of age) visit the doctor 9.2 times a year on average.

Austria

In Austria , when you graduate, you are initially a doctor of all medicine (Doctor medicinae universae / Dr. med. Univ. ). In the meantime, contrary to the name, it is not a doctoral degree, but a diploma degree similar to the Magister or the graduate engineer. Before the 2002/03 winter semester, medical studies in Austria were doctoral studies, which also had transitional regulations. The actual doctoral degree in medicine ( Doctor scientae medicinae or Dr. scient. Med. ) Can since then be acquired in a three-year doctoral program following the diploma course.

You are only allowed to work independently as a doctor if various (defined) disciplines have been completed for three years as part of the “rotation” and the work has been positively assessed by the respective department head. Then another final exam has to be taken. With this you have acquired the “jus practicandi”, i.e. the authorization to practice independently as a general practitioner. Alternatively, the (usually six-year) training to become a specialist can take place immediately after graduation, after which an examination must again be taken. Many specialists complete or partially complete the cycle before the start of their training. It has become common practice in Austria to complete the general practitioner training beforehand. Many hospitals only employ resident doctors who have completed regular training, as they are allowed to do night or weekend shifts alone. Doctors from other EU countries can apply for recognition as licensed doctors .

On December 14, 2010, the EU Commission published a notice of amendment to Directive 2005/36 / EC , Appendix 5.1.1 in its Official Journal C377 / 10 . published, according to which from this point on all graduates of the Austrian medical studies have already completed their basic diploma with their doctorate and thus start an independent activity or training as a specialist within the entire EU and EEA area as well as Switzerland and Liechtenstein under the same conditions as local medical professionals allowed to. Until then, medical professionals from Austria only had the right to automatic crediting of their diploma in the other member states after completing their training to become a general practitioner or specialist.

The ( established ) doctor is one of Austria's liberal professions (professions of public importance).

Doctors in Austria: professional profile (2012)
in % per 100,000 PE / PE per doctor
Doctors overall 41,183 487/205
authorized to exercise their profession independently. 34,363 83% 406/246
Doctors with employer (DG, with TA: hospital staff) 28,650 70% 339/295
Doctors with ordination (ORD: resident Ä.) 16,673 40% 197/508
Resident Physicians 1,822 04%
Regular doctors (TA: in training) 6,820 17% (24% of DG)
exclusively employed Ä. 15,886 39% (55% of DG)
Doctors with ORD and DG 5,962 14% (36% of ORD / 21% of DG)
exclusively resident Ä. 10,711 26% (64% of ord)
Statutory health insurance physicians (KA, ORD with KK contract) 8,406 20% (49% of ord) 99/1007
Statutory health insurance physicians with GKK contracts (large employee funds) 7,028 17% (41% of ORD / 84% of KA)
Doctors without a health insurance contract ( elective doctors , private doctors ) 8,667 21% (51% of ORD) 102/976
  • The quota of just under 5 doctors per 1000 inhabitants is one of the highest density of doctors in Europe and one of the highest in the world.
  • Quota of residents with statutory health insurance physicians: Since there is compulsory insurance in Austria, 99% of the population pay health insurance. The quota is therefore representative.
Medical treatment
2011 Change from 2010
Cases of statutory medical assistance per insured person 6.85 −1.7%
Costs per contract doctor help € 50.56 0.7%

further education

Doctors in Austria have to complete 50 hours of advanced training per year, which is checked every 5 years by the Medical Association.

Switzerland

In 2017, around 36,700 (36,900, depending on the source) doctors worked in Switzerland, of which around 15,200 (42%) women and 21,400 (58%) men, 51% in the outpatient and 47% in the inpatient sector , around 12,600 (34%) were foreigners (ie without Swiss citizenship ).

Qualification, training

In Switzerland , after completing the six-year degree with the state examination, one is initially a federally certified doctor and as such is authorized to work as an assistant doctor in hospitals and medical practices .

The further training to become a specialist ( specialist ) authorized to practice independently takes between 3 (“ general practitioner ”) and 8 years after graduation, depending on the subject . In order to obtain a specialist title, a specialist examination must also be taken. Thereafter, the doctor may call himself a “specialist for ⟨specialist area FMH ”.

The respective professional association checks whether every specialist is fulfilling his / her obligation to further training (60–100 hours per year depending on the specialist area). [ref. complete]

Admission, medical practices

The authorization to practice the profession at the expense of the health insurance companies is granted by the Central Health Insurance Association Santésuisse , but is only a formality with the appropriate qualifications.

The permission to open a practice is regulated by the cantons. However, there is currently a practice opening stop, [ref. add] which restricts the professional practice at the expense of the health insurance companies. Only with proof of need, e.g. B. when taking over a practice, admission is possible. [ref. complete]

Working time law for assistant and senior physicians

Since January 1, 2005, after long struggles , the nationwide Working Hours Act and thus the maximum weekly working hours of 50 hours stipulated therein (Art. 9 ArG, maximum weekly working hours) have been in force for assistant doctors and senior physicians at Swiss hospitals . Although it is significantly higher than the usual working hours in Switzerland (38.5–42.5 hours), it was a certain step forward - up until then there were employment contracts with the phrase “Working hours are based on the needs of the hospital”. common, which meant that working hours of more than 60 or 70 hours per week had to be worked without financial compensation. The remuneration of the assistant doctors was therefore at the level of the nursing staff in the upper management (nursing services).

Hierarchy of hospitals, professional chambers

The senior physicians and chief physicians are not subject to this Working Hours Act. They are also significantly higher financially in terms of total remuneration.

This hierarchical separation, which is primarily due to historical reasons, is also shown by the separate professional chambers of the hospital doctors VLSS and VSAO . On the other hand, the older FMH Medical Association is open to all qualified doctors, as is the specialist medical associations. Membership is voluntary, in contrast to other countries such as Germany or Austria.

Wages, income

References: FMH / NZZ / VSAO

In Switzerland (still in 2017/18) there is hardly any transparency with regard to the income situation - in general and also in the medical field. Whereby applies - the higher the position, the less transparency. However, reliable information "seeps through". The hospital management has recently been trying to increase transparency. Like the Zurich University Hospital which is currently “checking” whether and in what form it should disclose the doctor's wages in the future.

Half of the doctors in Switzerland work in the hospitals. Radiologists, cardiologists, gastroenterologists, intensive care physicians and urologists are particularly well paid there. At the lower end of the pay scale are psychiatrists, paediatricians and doctors from the field of physical medicine and rehabilitation. The normal wages are ( p. A. ):

  • Senior physician - between 120,000 and 360,000 CHF
  • Head doctor - between CHF 200,000 and CHF 600,000
  • Head physician - between CHF 250,000 and 750,000.

This information from a consulting company corresponds to that of the Association of Leading Hospital Doctors in Switzerland ( VLSS ) - in one of its surveys, the senior doctors declared the following average wages:

  • Head physicians - around CHF 370,000
  • Head doctors - around CHF 290,000.

In addition to the basic wages and bonuses, especially for management doctors, there are additional fees for treatment of patients with additional insurance in the inpatient area and for those with basic and additional insurance in the outpatient area. For head physicians, this can be up to 9 times the basic wage. "Individual chief physicians come to annual wages of 2 million francs or more," says a consultant, who also criticizes that the chief physicians can often determine how the fees are distributed.

See also

literature

  • Wolfgang U. Eckart: History of medicine. 5th edition. Springer, Berlin a. a. 2005, ISBN 3-540-21287-6 . ( Relatively concise and easily legible scientific presentation of the overall topic )
  • Wilhelm Haberling , Franz Huebotter, Hermann Vierordt (edit.): Biographical lexicon of outstanding doctors of all times and peoples. 2nd Edition. Urban & Schwarzenberg, Berlin / Vienna 1929–1935.
  • Markus Vieten: Via medici book series: Career planner, doctor or what you can do with studying medicine. Thieme Verlag, Stuttgart 2003, ISBN 3-13-116105-1 .
  • Vittoria Bucknall, Suendoss Burwaiss, Deborah MacDonald, Kathy Charles, Rhys Clement: Mirror mirror on the ward, who's the most narcissistic of them all? Pathologic personality traits in health care. In: Canadian Medical Association Journal. 187, 2015, pp. 1359-1363.
  • Ralf Bröer: Medical Legislation / Medical Law. In: Werner E. Gerabek , Bernhard D. Haage, Gundolf Keil , Wolfgang Wegner (eds.): Enzyklopädie Medizingeschichte. Walter de Gruyter, Berlin / New York 2005, ISBN 3-11-015714-4 , pp. 942-950.
  • Werner E. Gerabek, Bernhard D. Haage, Gundolf Keil, Wolfgang Wegner (eds.): Encyclopedia of medical history. De Gruyter, Berlin / New York 2005, ISBN 3-11-015714-4 , in particular pp. 105–108 (key words doctor […] ) and pp. 121–123 ( training, medical. )
  • Giovanni Maio : Doctor's picture. In: Werner E. Gerabek u. a. (Ed.): Encyclopedia of medical history. 2005, pp. 106-108.
  • Reinhard Platzek: Obliged to heal. For the direction of medical action. In: Dominik Groß , Monika Reininger: Medicine in History, Philology and Ethnology: Festschrift for Gundolf Keil. Königshausen & Neumann, 2003, ISBN 3-8260-2176-2 , pp. 199–202.
  • Wolfgang Wegner: Doctor. In: Werner E. Gerabek u. a. (Ed.): Encyclopedia of medical history. 2005, p. 105 f.

Web links

Wiktionary: doctor  - explanations of meanings, word origins, synonyms, translations
Commons : Doctor  - Collection of pictures, videos and audio files

National:

Individual evidence

  1. a b Bernhard Dietrich Haage: Medical Literature of the Teutonic Order in the Middle Ages. In: Würzburg medical history reports. Volume 9, 1991, pp. 217-231, here: p. 222.
  2. detailed information on the etymology ( Memento of March 8, 2005 in the Internet Archive )
  3. ^ Fritz Linder: 150 Years of Heidelberg Surgery. In: H. Schipperges (ed.): Heidelberger Jahrbücher. Volume 12, Springer, Berlin / Heidelberg 1968, ISBN 3-540-04172-9 , pp. 1-15 ( summary ).
  4. Ferdinand Sauerbruch : Lecture "Description of the history of surgery, its position in the present and the importance of this branch of medicine", given in the Prussian Academy of Sciences. In: Hans Rudolf Berndorff : A life for surgery. Obituary for Ferdinand Sauerbruch. In: Ferdinand Sauerbruch: That was my life. Kindler & Schiermeyer, Bad Wörishofen 1951; used: Licensed edition for Bertelsmann Lesering, Gütersloh 1956, p. 456–478, here: p. 460–478, p. 463–468 (among other things for the surgeon as a "cutting doctor" and for the medicus purus as a "mouth doctor").
  5. Heinrich Schipperges : To distinguish the "physicus" from the "medicus" in Petrus Hispanus. In: III ° Congresso Nacional de Historia de la Medicina (Valencia 1969). III (1972), pp. 321-327.
  6. ^ Theodor Kirchhoff : Overviews of the history of German insane care in the Middle Ages. In: General journal for psychiatry and psychiatric forensic medicine. Volume 87, 1887, Issue 1, pp. 61-103, here: p. 102.
  7. ^ Johann Hermann Baas: The historical development of the medical status and the medical sciences. Berlin 1896.
  8. Duden: Doctorship, being a doctor .
  9. Doctor and alternative practitioner - One story, two ways. ( Memento from February 25, 2007 in the Internet Archive ) In: servana.de
  10. ^ Bernhard D. Haage, Wolfgang Wegner: Medicine in the Greek and Roman antiquity. In: Werner E. Gerabek , Bernhard D. Haage, Gundolf Keil , Wolfgang Wegner (eds.): Enzyklopädie Medizingeschichte. De Gruyter, Berlin / New York 2005, ISBN 3-11-015714-4 , pp. 915-920; here: p. 918.
  11. ^ Giovanni Maio : Education, medical (modern times). In: Werner E. Gerabek, Bernhard D. Haage, Gundolf Keil, Wolfgang Wegner (eds.): Enzyklopädie Medizingeschichte. De Gruyter, Berlin / New York 2005, ISBN 3-11-015714-4 , p. 122 f., Here: p. 122.
  12. ^ Ralf Bröer: Medical legislation / medical law. In: Werner E. Gerabek, Bernhard D. Haage, Gundolf Keil, Wolfgang Wegner (eds.): Enzyklopädie Medizingeschichte. Walter de Gruyter, Berlin / New York 2005, ISBN 3-11-015714-4 , pp. 942–950, here: p. 943.
  13. Frau Doktor takes over from Herr Doktor. In: welt.de , February 27, 2016.
  14. Ernst Kern : Seeing - Thinking - Acting of a surgeon in the 20th century. ecomed, Landsberg am Lech 2000, ISBN 3-609-20149-5 , p. 199 f.
  15. ^ A b R. Tyssen: Health problems and the use of health services among physicians: a review article with particular emphasis on Norwegian studies. In: Ind Health . 45 (5), Oct 2007, pp. 599-610. PMID 18057803 .
  16. ^ Jürgen von Troschke: Doctor's role. In: Bernhard Strauss, Uwe Berger, Jürgen von Troschke, Elmar Brähler : Textbook Medical Psychology and Medical Sociology. Hogrefe Verlag, Göttingen 2004, ISBN 3-8017-1032-7 , p. 332.
  17. TL Schwenk, L. Davis, LA Wimsatt: Depression, stigma, and suicidal ideation in medical students. In: JAMA. Volume 304, Number 11, September 2010, pp. 1181-1190, ISSN  1538-3598 . doi: 10.1001 / jama.2010.1300 . PMID 20841531 .
  18. Thomas Bronisch : Suicidality of psychotherapists. In: Otto F. Kernberg , Birger Dulz, Jochen Eckert: WE: Psychotherapists. 1st edition. Schattauer, Stuttgart 2006, ISBN 3-7945-2466-7 , pp. 116-117.
  19. E. Schernhammer: Taking their own lives - the high rate of physician suicide. In: The New England Journal of Medicine . Volume 352, Number 24, June 2005, pp. 2473-2476, ISSN  1533-4406 . doi: 10.1056 / NEJMp058014 . PMID 15958803 .
  20. K. Püschel, S. Schalinski: Too little help for themselves - doctors at risk of suicide. In: Archives for Criminology. Volume 218, Number 3-4, Sep-Oct 2006, pp. 89-99, ISSN  0003-9225 . PMID 17067089 .
  21. C. Reimer, S. Trinkaus, HB Jurkat: Suicidality among doctors. In: Psychiatric Practice. Volume 32, Number 8, November 2005, pp. 381-385, ISSN  0303-4259 . doi: 10.1055 / s-2005-866903 . PMID 16308801 .
  22. M. Wolfersdorf: Suicide and suicide prevention for female and male physicians. In: MMW Fortschr Med. 149 (27-28), Jun 28, 2007, pp. 34-36. PMID 17715662 .
  23. Friedbert Ficker : Patron saints of doctors and pharmacists. In: Bayerische Staatszeitung. Volume 20, No. 9, local supplement Our Bavaria. 1971.
  24. ^ Ralf Bröer: Medical legislation / medical law. P. 943.
  25. BÄK model training regulations. In: bundesaerztekammer.de , October 23, 2015, accessed on November 9, 2017.
  26. Number of doctors in Germany 2012. In: bundesaerztekammer.de , accessed on November 9, 2017.
  27. Medical statistics of the German Medical Association as of December 31, 2008. In: bundesaerztekammer.de , accessed on November 9, 2017.
  28. Foreign doctors. In: bundesaerztekammer.de , December 31, 2013. Retrieved on November 9, 2017.
  29. Number of the week. In: FAS April 20, 2014, p. C1.
  30. Fine: Doctor implants cattle bones against the patient's wishes. In: Spiegel Online . May 5, 2009, accessed December 26, 2014 .
  31. BGH-GS decision of March 29, 2012 - GSSt 2/11, BeckRS 9998, 126831. In: openjur.de
  32. Amendment to Section 3 of the Federal Doctors' Ordinance of April 1, 2012 , buzer.de
  33. Lothar Markus: Medical degree: 35 years of humiliation of East German doctors . In: Deutsches Ärzteblatt . tape 101 , no. 36 . Deutscher Ärzte-Verlag , September 3, 2004, p. A-2372 / B-1992 / C-1920 .
  34. Press release: The German health system in international comparison. In: iqwig.de
  35. Clinicians spend 44 percent of their time on documentation. In: aerzteblatt.de. March 24, 2015, accessed August 30, 2017 .
  36. More time for treatment - simplification of procedures and processes in medical and dental practices. (PDF) Federal Statistical Office, 2015, accessed on January 7, 2018 . Part I, Chapter “1 Summary”, p. 20.
  37. MB Monitor 2017: Too little time for patients, too much bureaucracy work. Marburger Bund Hessen, July 6, 2017, accessed on August 30, 2017 .
  38. a b Central Institute for Statutory Health Insurance Care in the Federal Republic of Germany (Zi): Zi-Praxis-Panel, Annual Report 2017: Economic situation and framework conditions in statutory health care from 2013 to 2016. 8th year. Berlin June 12, 2019, p. 11, table 1: Income, expenses and annual surplus in thousands of euros per owner in the years 2013 to 2016 ( PDF: 2.4 MB, 132 pages on zi.de).
  39. Country doctors should earn more. In: Rheinische Post. May 9, 2011.
  40. Salaries in clinics by position. Praxisarzt.de
  41. ^ Medical care in Germany. ( Memento from February 22, 2013 in the Internet Archive ) In: arzt-und-apotheke.net , accessed on February 22, 2013.
  42. may, EB: Medical statistics - more doctors, trend towards employment. In: Deutsches Ärzteblatt . Volume 115, Issue 14, April 6, 2018, p. A621.
  43. N. Weber: Are half of all doctor's visits unnecessary? In: Spiegel Online. September 14, 2016.
  44. ^ The doctoral program N201 in Vienna. (No longer available online.) In: meduniwien.ac.at. Archived from the original on February 26, 2010 ; Retrieved December 26, 2014 .
  45. wegweiser.ac.at
  46. Interview - Martin Andreas - Turnus, specialist training. In: aerztezeitung.at. January 25, 2011, accessed December 26, 2014 .
  47. Communication from the Commission - Notification of evidence of training - Directive 2005/36 / EC on the recognition of professional qualifications (Annex V) (PDF) . In: Official Journal of the European Union . December 14, 2010.
  48. Austrian Medical Association: Perception Report 2011 and 2012 - Healthcare under the microscope. Vienna February 2013, section number of doctors working in Austria (structural analysis December 2012). P. 17 ( PDF; 2.1 MB ( Memento from August 10, 2014 in the Internet Archive ) In: lbg.at ).
  49. In Europe only Greece had a higher density of doctors than Austria in 2009; OECD 2011, according to doctors: needs and training positions 2010 to 2030 . Paper on a study by Gesundheit Österreich GmbH on behalf of the Ministry of Health and the Ministry of Science and Research in cooperation with the Austrian Medical Association, press conference, July 20, 2012, Press Center for the Ministry of Social Affairs, section inventory analysis. P. 4 ( PDF ( Memento from August 1, 2014 in the Internet Archive ) bmg.gv.at).
  50. Statistics Austria: Yearbook of Health Statistics 2011.
  51. Doctors not obliged to provide resuscitation training orf.at, May 12, 2018, accessed on May 12, 2018.
  52. FMH physician statistics . Web of the Association of Swiss Doctors ( FMH ), fmh.ch
  53. Statistics doctors . ( admin.ch [PDF; accessed October 31, 2019]). Web of the Federal Office of Public Health ( FOPH ), bag.admin.ch
  54. Art. 9, Maximum weekly working hours in: SR 822.11 Federal Act on Work in Industry, Commerce and Trade (Labor Act, ArG) in the Systematic Collection of Federal Law (SR) , on admin.ch
  55. a b Labor Law (Assistant and Senior Physicians), on the VSAO website , Association of Swiss Assistant and Senior Doctors, vsao.ch
  56. Working hours in Switzerland , on the web of the cross-border commuter-employee-employer association ( GAAV ), gaav.de (gaav.ch)
  57. a b Income relationships - creating transparency . Web FMH , fmh.ch; Doctors' income: transparency needs facts . (PDF) Editorial, Swiss Medical Journal. No. 10, 2018, on Web FMH , fmh.ch; Income study: the end of the beginning! ( Memento from January 7, 2016 in the Internet Archive ) (PDF) Editorial, Swiss Medical Journal. No. 31–32, 2013, on Web FMH , fmh.ch
  58. a b Simon Hehli, Jan Hudec: The wages of Swiss doctors differ . In: NZZ . 10/31/17
  59. VSAO , Association of Swiss Assistant and Senior Doctors, vsao.ch; Salary . VSAO Zurich, on vsao-zh.ch