Specialist
A specialist (also (in Switzerland) specialist or area doctor) is a doctor with recognized further training in a medical specialty.
Specialist may stay in Germany only one doctor call of a multi-year, currently and in accordance with EU requirements in full-time for at least five years of education completed and a specialist examination before a State Medical Association has successfully completed. The state medical associations issue further training regulations in their area of responsibility, which are based on the (sample) further training regulations of the German Medical Association, on the duration, further training content and crediting of previous periods.
meaning
When treating a patient, the specialist standard applies in Germany , i. H. Treatment must be provided by a carefully working specialist doctor in accordance with the recognized standard of scientific medicine. In hospitals where night and weekend work is carried out by assistant doctors without a specialist doctorate, this is guaranteed by the permanent on-call duty of a specialist.
The acquisition of the title Specialist since 1993 requirement for admission as a contract physician of the statutory health insurance . Until then it was also possible to practice as a general practitioner .
In the area of some state medical associations, efforts have been made to abolish general internal medicine as an independent field and instead to introduce the field names internal and general medicine and, in parallel, specialist titles for the individual focus names (e.g. internal medicine and cardiology for cardiology or internal medicine and Gastroenterology for gastroenterology ). Due to a lack of acceptance and the tense situation in primary care in rural areas , however, this was partially reversed and the “old” specialist in internal medicine, sometimes with modified training, was reintroduced.
Specialist types
General medicine
Clinical subjects
- surgery
- Dermatology and venereology
-
Gynecology and obstetrics
- Gynecological endocrinology and reproductive medicine
- Gynecological oncology
- Special obstetrics and perinatal medicine
- Ear, nose and throat medicine
-
Internal Medicine
- General practitioner internist
- Specialist internist
- Angiology
- Endocrinology and Diabetology
- Gastroenterology
- Hematology and oncology
- cardiology
- Nephrology
- Pulmonology
- rheumatology
- geriatrics
-
Pediatrics ( Pediatrics )
- Pediatric Hematology and Oncology
- Pediatric cardiology
- Neonatology
- Neuropaediatrics
- Child and adolescent psychiatry and psychotherapy
- Clinical pharmacology
- Oral and maxillofacial surgery (license required as a dentist )
- Neurosurgery
- Neurology (in some ÄK neurology possible together with psychiatry )
- Emergency medicine (no independent specialist in Germany)
- Nuclear medicine
- Ophthalmology
-
Orthopedics
- Focus on rheumatic orthopedics
- Special orthopedic surgery
- Physical and Rehabilitative Medicine
- Psychiatry and psychotherapy (in some ÄK neurology together with neurology possible)
- Psychosomatic medicine and psychotherapy (formerly psychotherapeutic medicine )
- radiology
- Forensic medicine
- radiotherapy
- Transfusion medicine
- urology
Clinical-theoretical subjects
- anatomy
- Occupational medicine
- biochemistry
- Human genetics
- Hygiene and environmental medicine
- Laboratory medicine
- Microbiology , virology and infection epidemiology
- Neuropathology
- Public healthcare system
- pathology
- Pharmacology and toxicology
- physiology
Statistical overview
Working doctors in the Federal Republic of Germany, broken down according to doctor groups:
Specialist title | Late 2007 | Late 2008 | Late 2010 | at the end of 2012 | Late 2017 | Change from 2007 to 2010 |
---|---|---|---|---|---|---|
Without subject area | 91,861 | 93,593 | 98,346 | 102,468 | 113.817 | + 7.1% |
Internal Medicine | 42,744 | 42,730 | 43,955 | 46.995 | 53,362 | + 2.8% |
General medicine | 40,980 | 41,722 | 43.103 | 43,304 | 43,524 | + 5.2% |
surgery | 19,430 | 19,441 | 19,786 | 20,066 | 21,459 1 | + 1.8% |
Anesthesiology | 17,891 | 18,327 | 19,413 | 20,836 | 24,301 | + 8.5% |
Gynecology and Obstetrics | 15,950 | 16,134 | 16,599 | 17,147 | 18,427 | + 4.1% |
Paediatrics | 11,788 | 11,973 | 12,503 | 13,179 | 14,703 | + 6.1% |
Orthopedics | 9,618 | 10.161 | 11,380 | 12,840 | 15,532 | + 18.3% |
Psychiatry and psychotherapy | 7,499 | 7,856 | 8,663 | 9,485 | 11,037 | + 15.5% |
radiology | 6,631 | 6,690 | 6,989 | 7,379 | 8,533 | + 5.4% |
Ophthalmology | 6,613 | 6,638 | 6,805 | 6,980 | 7,497 | + 2.9% |
Otorhinolaryngology | 5,566 | 5,566 | 5,696 | 5,922 | 6,295 | + 2.3% |
Skin-and venereal diseases | 5.114 | 5,180 | 5,314 | 5,519 | 5,944 | + 3.9% |
urology | 4,950 | 5,040 | 5,204 | 5,388 | 5,936 | + 5.1% |
Other specialties (e.g. neurology, occupational medicine) | 28,277 | 28,646 | 29,843 | 34,782 | + 5.5% | |
Total number of medical doctors | 314,912 | 319,697 | 333,599 | 348,695 | 385.149 | + 5.9% |
Not medically active | 98,784 | 101,989 | 105.491 | 120,865 | + 6.7% |
1: Without a specialist in orthopedics / specialist in orthopedics and trauma surgery
See also
Web links
- German Medical Association (Germany)
- Medical associations of the federal states (Germany)
- Association of Swiss Doctors FMH
Individual evidence
- ↑ Specialist who . Duden online , accessed on January 22, 2014.
- ^ Glossary of Health Policy ( Memento of February 21, 2013 in the Internet Archive ), Association of Statutory Health Insurance Physicians , accessed on January 22, 2014.
- ↑ D. Schulenburg: The specialist standard. In: Rheinisches Ärzteblatt , No. 4/2008, p. 13 (PDF) .
- ↑ aekno.de
- ↑ https://www.bundesaerztekammer.de/fileadmin/user_upload/downloads/pdf-Ordner/Weiterbildung/MWBO-16112018.pdf#page69 Retrieved on: February 4, 2019
- ↑ German Medical Association : Medical statistics from previous years. 2018, accessed January 8, 2018 .
- ↑ Medical statistics as of December 31, 2017 (PDF; 1.4 MB) In: www.bundesaerztekammer.de. German Medical Association, accessed on December 7, 2018 .