The medical education has as its goal, after the approbation as a doctor (or after the granting of the license to practice medicine) as part of a multi-year occupation under the guidance of the training empowered or authorized doctors on the basis of training regulations (WBO) specialized knowledge, To acquire experience and skills for defined medical activities. This also includes the number of diagnostic and therapeutic interventions specified.
The further training regulations are drawn up by the respective regional medical association . As a rule, however, these are closely based on the (sample) training regulations that are adopted by the German Medical Association . According to the 2003 revision, continuing medical education distinguishes three types of qualifications:
- Specialist: The medical association awards the title of specialist , for example specialist in general medicine, specialist in neurology , specialist in urology or specialist in anesthesiology , after examination of further training with authorized doctors in a specialty . In some areas, various specialist titles can be obtained, for example in surgery (specialist in vascular surgery , specialist in general surgery, etc.)
- Focus: A focus indicates a specialization within a specialty, example: Specialist in pediatric and adolescent medicine with a focus on pediatric cardiology . "Focus" does not mean that the specialist spends most of his time in this activity. He can also work on a side job in the "focus", as is often the case with a specialist in psychiatry with a focus on forensic psychiatry .
- Additional designation: The additional designation can be acquired by doctors in various fields. They differ significantly in terms of the scope of further training and requirements. Examples are the additional designations of emergency medicine , acupuncture , diabetology, etc. The additional designation replaces the previous specialist knowledge and other further training designations. The previous acquisition of a specialist title may be necessary, depending on the additional title.
The WBO for doctors also includes examination regulations. After the revision of 2003, oral examinations have to be carried out at all three levels to determine the success of further training. At least one member of the examination committee, which is usually made up of four doctors, must use the designation whose qualifications are being checked. Since 2003, this has also been mandatory for newly introduced names. However, since the designation has been newly introduced, there can of course not yet be a suitable examiner to use the designation. This is why these tests are carried out in practice without doctors with recognized specialist competence. The consequences of these examination regulations for the medical care of the population cannot be foreseen for terms that have been newly introduced since 2003.
The currently valid (sample) training regulations (in force since November 15, 2018) stipulate staff interviews and the keeping of a logbook at least once a year . The aim is to create a national standard that not only improves teaching, but also makes it easier for doctors in further training to switch from one federal state to another. The (sample) logbooks published by the German Medical Association have now been further developed by some specialist societies . It is important that the (sample) training regulations are not legally binding for the individual medical associations.
Earlier training regulations also provided for the acquisition of specialist knowledge for certain examination methods ( x-rays , bronchoscopy , laboratory tests, duplex sonography , etc.). Optional advanced training courses were carried out and certified , for example, in internal medicine for clinical geriatrics and intensive care medicine . In a sense, these are “small focal points”. Specialist customers and optional training courses are still valid, but will no longer be reissued. Some of them have been absorbed into additional training.
- Information on further training by the German Medical Association
- (Sample) further training regulations 2018 of the German Medical Association
- The new training regulations - staff interviews and logbook Article in: Hessisches Ärzteblatt 2/2008 (69): 90–91 (PDF file; 2.71 MB)
- Medical Association: (Sample) further training regulations 2018. Accessed on February 9, 2020 .