university hospital Freiburg
|university hospital Freiburg|
|place||Freiburg in Breisgau|
|management||Board of Directors, represented by Frederik Wenz (Senior Medical Director and Chairman of the Board), Anja Simon (Commercial Director), Helmut Schiffer (Nursing Director) and Norbert Südkamp (Acting Dean of the Medical Faculty)|
|Affiliation||Albert Ludwig University of Freiburg|
The Freiburg University Hospital is a hospital in Freiburg im Breisgau . Measured by the number of doctors employed, it is the fourth largest clinic in Germany and belongs to the Albert Ludwig University of Freiburg, which was founded in 1457 . It was certified by KTQ in 2005 and recertified in 2008 as one of the first university clinics in Germany. Further successful recertifications took place in 2011 and 2014.
The Freiburg University Medical Center is spread over three locations:
- The central clinic is located on the outskirts of the Stühlinger district in the west of the city.
- The external clinics for psychiatry, child and adolescent psychiatry, psychosomatics and dermatology are located on Hauptstrasse in the northern district of Herdern .
- The medical-theoretical institutes (anatomy, biochemistry, physiology, forensic medicine) are housed in the “institute quarter” of the university in the Neuburg district.
The "Lorenzring" is characteristic of the central clinic, the arrangement of various clinic buildings built between 1926 and 1942 in a closed ring around a large green area. The Second World War prevented the completion of the overall concept. After extensive destruction in the war, the existing buildings were rebuilt from 1948 according to the same plans. In the years that followed, the range of clinics was expanded in the style of the construction period, including the dental clinic, the eye clinic with an ear, nose and throat clinic and the neurocenter.
The University Hospital has been participating in the NAKO ( National Cohort ) since 2014 . The NAKO is a Germany-wide long-term study. A separate center was set up at the clinic for this study, making Freiburg one of the largest locations for this study.
facts and figures
The university clinic combines health care, research and teaching in its buildings. With around 12,000 employees, it is the largest employer in southern Baden according to its own information. The number of beds is around 1,600 planned beds in 110 wards.
There are around 73,000 patient admissions and 820,000 outpatient visits every year. Around 1000 outpatients are treated every day. The Case Mix Index , which indicates the average case severity, was 1402.
Not included are the 129 beds of the subsidiary, Clinic for Oncological Rehabilitation - UKF Reha gGmbH, which is located in the tumor biology building complex.
The figures from the University Heart Center Freiburg Bad Krozingen are also not included. At both locations combined, this has a total of 424 beds, around 1,600 employees and carries out around 21,500 inpatient and 44,000 outpatient treatments.
If you take the total number of all clinics belonging to the University Hospital as a basis, you get 2169 beds and around 14,200 employees. About 95,000 inpatients and 865,000 outpatients are treated annually.
The contract of the Medical Director Jörg Rüdiger Siewerts, who has headed the hospital since 2010, ended on October 31, 2018. Since January 2019, Frederik Wenz has been the new Medical Director of the Freiburg University Medical Center.
The University of Freiburg was founded in 1457 by Archduke Albrecht VI. founded by Austria . In 1751 the medical faculty took over the care of the poor in the Gerberau hospital and in 1780 the general hospital in the Collegium Sapientiae in the Herrenstrasse was established. In 1829 the Clinical Hospital opened in Albertstraße and from 1868 to 1911 the women's, eye, children's, surgery and polyclinic were built in what is now the institute quarter.
In addition, the psychiatric clinic opened in the suburb of Herdern in 1887 .
In 1922 the garrison hospital in Herdern was converted into a skin clinic and from 1926 to 1931 the New Medical and Surgical Clinic was built on Hugstetter Strasse. The nursing was carried out by nuns of the Vincentian nuns. In 1938 and 1939, the sculptors Emil Stadelhofer , Ulrich Kottenrodt and Helmuth Hopp created the figure cycle Die Ages . It consists of six sandstone figures with a height of 1.90 meters each and is still in the arch of the clinic today. During the Second World War , on November 27, 1944, almost all institutes and clinics were destroyed by a heavy air raid on the city. The surgical, medical and gynecological clinics were then rebuilt in 1948 and 1953. After 1953, the overall planning and construction of further clinics in the area of Hugstetter Strasse followed. After Hermann Krauss had already done thoracic surgery, Werner Overbeck took over cardiac surgery as a specialty. In 1998 the university clinic was converted into an institution with legal capacity under public law.
The Freiburg "Comprehensive Cancer Center" (CCCF) was founded in 2006 and in the same year was recognized by the German Cancer Aid as a "Top Oncological Center". In 2009, a center of excellence for chronic immunodeficiency was founded as part of a Germany-wide tender by the Federal Ministry of Education and Research. The gradual modernization of the Freiburg women's clinic began in 2008. The emergency center, which was built in the north of the university hospital for 42.15 million euros, has been in operation since August 2012. The new building also houses three intensive care units, new cardiac catheterization laboratories and cardiology treatment rooms. Another helicopter landing pad was built on the roof of the new extension, which is designed for helicopters up to 12 tons (e.g. heavy army helicopters).
On April 1, 2012, the university clinic merged with the Bad Krozingen Heart Center to form the Freiburg-Bad Krozingen University Heart Center . For the next few years, the University Clinic Freiburg plans to build a new children's clinic on the area between the gynecological clinic, neurocenter and radiation clinic as part of a master plan, as well as expanding the surgical clinic with a new operative center with 24 operating theaters. This extension is to be built on the previous area of the Robert Koch Clinic. In July 2017, the city received the building application for the children's clinic. The 140 million euros for this must come entirely from state funds. At the end of February 2018, the city issued permits for building demolition and tree felling southwest of the women's clinic along Breisacher Straße. The groundbreaking ceremony took place in October 2018 and the clinic should be ready in spring 2022.
Clinics and Institutes
The university hospital has 15 clinics and 12 institutes.
- Anaesthesiology and Intensive Care Medicine
- Dermatology and venereology
- Ear, nose and throat medicine
- Internal Medicine
- Neurology and neurophysiology
- Medical supplies
- Mental illness
- Radiological diagnosis and therapy
- Dentistry, oral and maxillofacial medicine
- University Heart Center Freiburg-Bad Krozingen
- Movement and occupational medicine
- Evidence in Medicine
- Experimental cardiovascular medicine
- Human genetics
- Infection Prevention and Hospital Hygiene
- Clinical chemistry and laboratory medicine
- Medical biometrics and medical informatics
- Medical microbiology and hygiene
- Musicians' medicine
- Prevention and tumor epidemiology
- Forensic medicine
- Transfusion medicine and gene therapy
University Heart Center Freiburg-Bad Krozingen GmbH
The University Heart Center Freiburg-Bad Krozingen consists of all cardiovascular areas of the University Hospital Freiburg, as well as the Heart Center Bad Krozingen. A cooperation agreement already existed, but on April 1, 2012 the two clinics were merged. This created one of the largest heart centers in Germany. The merger created more treatment and research options in both clinics, which has made the heart center not only one of the largest, but also one of the leading heart centers in Germany.
Because the UHZ got into further economic difficulties as a result of the COVID-19 pandemic , the state of Baden-Württemberg and the two shareholders of the UHZ agreed in May 2020 on framework conditions for a complete takeover by the university hospital that had been planned for a long time. The contract was signed on July 28, 2020 after the university hospital took over the shares of co-partner Benedikt Kreutz Verein .
Research and Teaching
According to the changing needs of modern medicine , research priorities have been set up or are being newly established at the clinic. This is the only way to put the latest medical findings and treatment methods into practice. The five main research areas at the Freiburg University Medical Center are immunology and infectious diseases, molecular cell research and regenerative medicine, epigenetics and functional genetics, neurosciences, oncology and functional imaging.
The Cancer Center Freiburg - CCCF (Comprehensive Cancer Center Freiburg) at the University Hospital was established in March 2007 along with three other cancer hospitals ( University Hospital Carl Gustav Carus Dresden , Cologne University Hospital , University Hospital Tübingen ), of the German Cancer Aid as oncology awarded top center and since then a total of three Million euros funded. A new building for the tumor center began in 2015, the topping-out ceremony was celebrated in July 2016, and the 65 million euro building opened on May 3, 2019. 3,000 inpatients and 55,000 outpatients are to be treated there every year.
In 2008, the Center for Chronic Immunodeficiency (CCI) - a joint initiative of the University of Freiburg, the University Hospital and the Max Planck Institute for Immunobiology - has been established. The CCI treats patients with immunodeficiency (immune deficiency). An interdisciplinary team of physicians and biologists, basic scientists and clinicians researches the causes, diagnosis and treatment of these rare diseases.
The anesthesiological intensive therapy unit is a so-called sedation - free intensive care unit . The use of sedatives such as benzodiazepines should be reduced in order to avoid complications such as delirium or post-traumatic stress disorder . The aim is to achieve a value around zero on the Richmond Agitation Sedation Scale , which makes it possible, for example, for endotracheally intubated patients to walk across the ward.
Research at the University Hospital is also linked to research in general in the city of Freiburg. The clinic works closely with the Max Planck Institute for Immunobiology and Epigenetics and with institutes of the Fraunhofer Society . In addition, the clinic relies on studies that support the research work. It even has its own study center. The studies enable the university clinic to quickly implement findings on new treatment methods. The German Register of Clinical Studies is also located at the University Medical Center Freiburg.
The University Medical Center Freiburg also offers the students of the Medical Faculty of the Albert-Ludwigs-University the opportunity to participate in the research projects right from the start. In addition, great importance is attached to keeping the teaching as close to the patient as possible.
In addition to university teaching, the clinic also participates in training for non-medical professions in the health sector. It operates schools, has places for trainees in the salaried and workers' area and employs interns. The Academy for Medical Professions has a total of around 800 training positions. The following professions can be learned at the schools of the Academy of Medicine:
- Health and nursing
- Health and pediatric nursing
- Health and Nursing Aid
- Surgical assistance
- Technical anesthesia assistance
- Midwives and maternity care
- Medical-technical laboratory assistant
- Medical-technical radiology assistant
- physical therapy
- Bachelor of Business Administration course
- Bachelor's degree in nursing science
The clinic also has 23 apprenticeships with currently around 120 trainees in commercial, technical and industrial professions, such as plant mechanics, warehouse logistics specialists or cooks.
There are 15 academic teaching hospitals in the region that belong to the Freiburg University Clinic. These include the regional association of church hospitals , the Diakonissenkrankenhaus Karlsruhe-Rüppurr , the Schwarzwald-Baar Clinic Villingen-Schwenningen , the Municipal Clinic Karlsruhe , the St. Vincentius Clinics Karlsruhe , the District Hospital Lörrach , the Helios Clinic in Titisee-Neustadt and the Hegau-Bodensee- Clinic .
Doping and fraud allegations
The University Clinic Freiburg has also become known worldwide in sports medicine , which was largely built up by Herbert Reindell and Joseph Keul . As full professor of internal medicine and sports medicine at the University of Freiburg, Joseph Keul was repeatedly criticized because he was accused of not only researching, but also promoting , illicit doping manipulation . As early as 1977, doping researcher Werner Franke accused Keul of playing down the side effects of anabolic steroids .
Doctors in this field were also Armin Klümper as well as Lothar Heinrich and Andreas Schmid. Both Klümper (sports traumatology, radiology) and Heinrich and Schmid (sports medicine) were accused of having administered doping agents to the athletes they care for. Heinrich and Schmid were dismissed from the university hospital in May 2007 because of these allegations. The sports physician Georg Huber, who provided medical care for road riders from the Association of German Cyclists and who was, among other things, an association doctor for the disabled sports association, the German Ski Association and a doctor at the Paralympics , was suspended from duty. Huber had confessed to administering testosterone to a U-23 road cyclist before 1990 . As a result of the incidents, the university and clinic management initiated a legal and technical review of the departments concerned.
In December 2009 the university hired the criminologist from the University of Leuven and mafia expert Letizia Paoli to chair a commission to deal with the past of doping at the university hospital. She later threatened to resign from the university because she did not see herself being adequately supported in her work by the university's rectorate. The six-member commission is also charged with examining scientific work since the 1950s. The Swiss anatomist and sports physician Hans Hoppeler , a member of the commission, assumed at the beginning of 2015 that if one and the same research results were published multiple times as “scientific doping”, this would have personal consequences.
In the late 1990s, a cancer researcher at the Freiburg University Clinic, Roland Mertelsmann , fell into the twilight. He was involved in a science falsification scandal involving Marion Brach and Friedhelm Herrmann . Wolfram Brugger and Lothar Kanz were study leaders. Released from allegations of falsification in a press release by the DFG on May 4, 2001 entitled Tübingen Cancer Researcher . it says: In view of the serious personal disadvantages that both scientists suffered from widely published but unconfirmed allegations, the main committee of the DFG did not consider a future-oriented sanction for scientific misconduct to be held against both to be appropriate. The DFG sees the cause for the identified deficiencies primarily in inexperience and inadequate precautions for quality assurance. Both are no longer given today.
Hans Peter Friedl , Medical Director of the Clinic for Trauma Surgery at the Freiburg University Medical Center from 1997 to 2000, was found guilty of negligent bodily harm in three cases and one of willful bodily harm in one case by the Freiburg Regional Court in 2003. For several years he had been responsible for a whole series of serious medical malpractice without internal control mechanisms on the part of the clinic management having counteracted this.
As a result of the investigations by Letizia Paoli, there was soon suspicion of plagiarism against several scientists in the sports medicine department of the clinic. These included Professors Aloys Berg, Gerrit Simon, Arno Schmidt-Trucksäss and Joachim Staiger. The University of Freiburg also started investigations against the head of the sports medicine department, Hans-Hermann Dickhuth , and sports medicine specialist Ulrike Korsten-Reck, on suspicion of plagiarism . After a corresponding review, the habilitation committee of the medical faculty confirmed the suspicion against Korsten-Reck on December 11, 2014. The sports medicine specialist then returned her title. In December 2014 it became known that the former lecturer and former doctor of the German national cycling team Yorck Olaf Schumacher returned his habilitation without giving reasons after a report by Spiegel magazine .
On the basis of the examination of his habilitation by the evaluation commission led by Letizia Paoli, the suspicion of plagiarism against the sports doctor Hans-Hermann Dickhuth was confirmed. Dickhuth had already come under fire in early 2011 when the Freiburg Institute for Sports Medicine was investigated for allegedly supporting doping among cyclists - he was acquitted of all allegations. As a result of the renewed examinations, however, his habilitation was revoked on October 14, 2013. His wife's doctoral thesis had also been checked in the course of investigations by the "Committee for Honesty in Science". Passages, graphics and tables from Dickhuth's habilitation thesis were identical in several papers that he had supervised. A total of seven doctoral students, whose dissertations had been examined more closely, were suspected of plagiarism when it was found that they matched Dickhuth's habilitation thesis. Based on these more than 30 years old processes, it could not be proven which of the works was the original text. The investigations continued until summer 2018 - the doctoral committee then came to the decision that all doctoral degrees would remain recognized. Dickhuth himself had already agreed with the University of Freiburg in 2014 that his status as a retired civil servant would be retained despite his professor's title being withdrawn.
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