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Mass exodus of the white coat

take almost half of a cohort's not the medical profession. The renegade is it often better than their counterparts in the hospitals: The economy pays higher salaries - and endless overtime remain an exception as "Spiegel Online" (16.12.2005) requires.

actually wanted to become a bishop Joachim surgeon. At 28 he had a PhD in his pocket and spent most of the day on the operating table. Until he was even on the table. At 29, he had a severe herniated disc suffered, partly because of the long, sloping forwards standing in the OR. Three years later, he underwent surgery. Bishop was looking for a professional alternative, especially since he got to see his then one year old daughter due to weekend and night shifts are rare.

The doctor took the car manufacturer Opel has a job as assistant to the specialist in occupational medicine. The training lasted two years. His colleagues scoffed: "The bishop goes into early retirement." The Department of Health had a bad reputation. But Bishop was on his way, undeterred.

now heads the 44-year-old health management at the BMW Group in Munich. He has the professional leadership of almost 30 occupational physicians and is part of upper management. His wife and two children now see him during the week, not more frequently than before. But he has no more late nights and weekends are usually free.

"Often you need a personal shock, thus changing his situation fundamentally," Bishop said today. It is understandable that many young doctors compete to escape from the clinics. For months doctors representative storm run against the working conditions and low pay in the clinics - most recently with a strike at the Berlin Charité.

Junior doctors are smeared

at 1 October 2005, the federal civil service pay scale BAT by the collective agreement Public Service TVöD was replaced. Anyone who has been employed against clinic doctor was allowed to be pleased with a financial vested interests.

are smeared young doctors who have hatched after the date in the white coat and slip are. The Marburger Bund has calculated that a 29-year-old married doctor over a period of ten years exactly earn less than € 31298.46 to bat time.

At BMW the other hand, captures a young engineer with an average of about 4000 € to gross and will rarely have to work 60 hours a week. For sorgt die strikte Einhaltung der Arbeitsschutzgesetze. "Bei uns wird medizinische Prävention ernst genommen, die Arbeitsfähigkeit der Mitarbeiter erhalten", betont Bischof.

In der Klinik hatte er auch unter dem "Nasenfaktor" gelitten: "Man ist in seinem beruflichen Fortkommen auf Gedeih und Verderb dem Wohl und Wehe des Chefarztes ausgeliefert", berichtet er aus dem Klinikalltag. Darunter leiden viele junge Mediziner.

"Heute kann ich Dinge umsetzen, die mir wichtig sind", meint auch Anthony Lauw. Der 32 Jahre alte Mediziner war in der Unfallchirurgie und arbeitet seit gut zwei Jahren bei Novartis Pharma in Nürnberg, jetzt als verantwortlicher Produktmanager für einen Blood pressure medicines. manage working flexible means for Lauw quality of life that he did not know before.

loss rate of 41%

According to the Federal Medical Council is the shrinkage rate of doctors from their jobs at 41 percent. In 1997 11.700 students had received a medical degree, in the final in 2003 but only started their 6802 physician-in-training site in fact.

The study dropout rate among medical professionals is very low. The rest leave; in the economy or abroad. 6300 German doctors are working in foreign hospitals, mostly for better money. A study by the UK Department of Health showed that German hospital doctors in an international comparison low wage earners. In 2004 there were in Germany about 306 500 physicians, including 146 000 hospital doctors. The Marburger Bund has been warning years before the shortage of doctors.

the shortage of doctors now feel even Joachim Bischof: "If we advertise a job, we receive fewer applications than they were two or three years." This is not safe in the company: BMW is one of the most sought after graduates by employers in this country. The occupational health had improved their standing strong now, said Bishop. "The job prospects for medical students have become much worse," he explains the falling interest am Arztberuf.

Dass Ärzte auch außerhalb von Klinikmauern Menschen helfen können, davon ist Korinna Pilz fest überzeugt. Nach ihrem Biologiestudium ging sie in die Forschung und studierte nebenher Medizin. Ihr Ziel war es, an der Schnittstelle zwischen Medizin und Biologie zu arbeiten. "Nach mehreren Jahren Arbeit im Krankenhaus hat sich aber herausgestellt, dass sich der Klinikalltag nicht mit dem Forschungsalltag verbinden lässt", sagt die 39-jährige im Rückblick. Heute arbeitet sie beim Pharmaunternehmen Merck in Darmstadt und ist zuständig für internationale Studien eines neuen Krebsmedikaments.

Cheese Fondue Without A Fondue

errors in the future in Germany, the doctors

I-Newswire,
2005-11-07 - Bonn/Hamburg

errors in the future in Germany, doctors

In Mecklenburg-Western Pomerania and in the Saxon Switzerland, it is already down almost a doctor, because he reckons there with little earning potential.

Another reason that might be missing in German hospitals from January 2005, the white coat, the new labor law requiring such duty must be regarded in future as working time. This is at least the German Hospital Federation (DKG) http://www.dkgev.de, which warns of a "massive manpower crisis." The new rules should not come into force. Otherwise, you need to 27,000 new doctors. The doctors' union Marburger Bund (MB) http://www.marburger-bund.de called that number, according to the newspaper Die Welt http://www.welt.de as a "lie." With suitable working hours up to an additional 7,000 doctors are needed.

But it could have been worse for the doctors. In the current mirror http://www.spiegel.de says the physician and health researcher Matthias Schrappe a "farewell to the demigod in white" forward. The demands of the clinic doctors to get 30 percent more pay, Schrappe has not only completely unrealistic, but also for the expression of a deep identity crisis. "The self-understanding of the medical profession is called into question," the doctor who http://www.uni-wh.de since September 2005 as a full-time dean at the University of Witten-Herdecke operates.

Today the young doctors were missing the future prospects. Because of licensing restrictions set up a lucrative big city practice is hardly possible. And as a specialist in the hospital there were fewer opportunities for advancement, since only 10,000 positions are awarded to chief physician.

"The entire health care system faces enormous changes," said Michael Sander, CEO of the consulting firm Lindauer TCP Terra Consulting Partners GmbH http://www.terraconsult.de and Board of CareHelix Institute of Management and dialogue in health care (CIM) http://www.carehelix-institut.de.

The medical profession in hospital is becoming a normal service. This is not a world à la Black Forest clinic where there are demigods in white and a lot of love affairs and romances. Hospital doctors of today to provide services under the aspects of transparency and quality assurance. "

addition, the need comes with the love of money. German hospital doctors obtain an annual salary of 56 455, one of 116 077 French, Dutch and American even earn 175 155 267 993 U.S. dollars. In addition to the comparatively low annual salaries German hospital doctors and the rampant loss of image raises the strict hierarchical order in German hospitals problems. "This is a classic management problem. Certainly, today the small hospital doctors do not wash over the weekend the car of a prominent physician.

Not only Frank Ulrich Montgomery, head of the doctors' union Marburger Bund, speaks of conditions such as in the Prussian field hospital. A better and more modern personnel management would it easier for specialists in the clinics significantly, perhaps 30 years to stay in a house without ever chief doctor. When high work stress, relatively low earnings and promotion prospects and a poor social climate come together, this will hardly motivating, "is the view of Marc Emde, a member of the church staff in consultation http://www.kirchconsult.de Cologne. The future prospects are not very rosy, however: Schrappe forecasts that still expect a long simmering conflict sei.Sollten you have questions about our releases, please contact the author. I-Newswire.com No information on press releases we publish notices only and do not give yourself write.

more information
medienbüro.sohn

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burns the hut ablaze

Because of a letter to the CDU in Saxony came Nünchritz Social Security Orosz Roda in the village inn.

The hut is burning brightly. In the latest two years, we have an acute shortage of doctors in the county. "So the assessment of the country doctor, Dr. Wolfgang Klemm Glaubitz the visit from Social Security last week in Helma Orosz Roda. "Of the 68 doctors in Riesa-30 Großenhain their license until 2007, returning to old age. ..

Weird Snot Came Out Of Y Nose

general practices - unfortunately not for sale

Growing shortage of doctors makes the goodwill of more and more cases, an end

general practices - unfortunately not for sale

Jost Küpper

for general practitioners and family physicians was for years a sure thing. they handed over to the successor to its practice of paying in cash for the so-called ideal practical value. The financial contract physician look-up is due to the shortage of doctors but more often not take place.

Dr. Joachim Calles, family doctor Roth churches in Kronach out, since a few months, a rather strange list. On the list you will find places such as court, Kronach, Waidhaus or Neustadt bei Coburg. But spots like Gundelsdorf / Kronach, Steinbach / Wald, Pressig, Hausen or White City will be called. They are all located in the Bavarian Upper Franconia. that call, she presented at this year's Bavarian Medical Assembly in Coburg, has a deplorable reason: In all of these communities sought in the past three months by a family doctor for a successor - and was not so successful. Calles, medical chief district of Upper Franconia, defends tooth and nail behind the fates of individuals a single model assumed. But the message is clear: the shortage of doctors has arrived in Bavaria. shortage of doctors - that is for many viewers is still a purely east German phenomenon: Yes, there has to be paid in Saxony a bush allowance of up to 60,000 € to attract family doctors in medical orphaned villages. Yes, as the KV Thüringen tinkering in Ohrdruf (Landkreis Gotha) on a GP practice in-house. But something does not exist in the West. are As Dr. Calles and the affected family doctors of Upper Franconia certainly quite different opinion. And if Doctores in the Rhineland, Lower Saxony and Baden-Württemberg think this they would surely nothing, they should listen to two aspects of the family doctor shortage in the economic miracle of Bavaria. goodwill: up to 50 percent of annual sales Aspect 1: If no successor ready to experience the donor family doctor a financial fiasco. 20 to 50 percent expect an annual turnover, so savvy practice broker, a successor shall pay to the transferor for the ideal value practices, also known as "Good Will" titled. If we add, for example, at a general practice (second group: Family doctor internists) in the country with a bill of over 1,000, can be a Corridor for the SHI annual sales 160000-220000 € emanate. Of these, then 20 to 50 percent are missing for retirement. A disturbing scenario not only in Bavaria. Aspect 2: The idea that "it can not hit me", destroyed in the Bavarian Medical Assembly of the local chamber vice president, Dr. Max Kaplan, general practitioner from Pfaffhausen / Unterallgäu. Many props to his description also apply to other regions. Kaplan's provocative brand stitch in Coburg was the statement that "young doctors do not practice in villages. Particularly affected was the occupation of Hausarztes. Insbesondere ländliche Regionen litten immer stärker unter einem entsprechenden Nachwuchsmangel. Die Gründe dazu stehen im Kasten ÄP-Hintergrund. Die Überalterung der Hausärzte Parallel dazu muss im Freistaat nach Kaplan eine Überalterung bei den Hausärzten konstatiert werden. Die Altersstruktur-Statistik zeige deutlich, dass der Altersgipfel bei Hausärzten um die 55 Jahre liege, so dass in den nächsten zehn bis 15 Jahren die Hälfte aller rund 10.000 Hausärzte ausscheiden werde. Der Kammervize hat noch einen fachspezifischen Trend ausgemacht: „Besorgniserregend ist dies mainly because the number of newly issued awards in general medicine from year to year decline. 1996, 331 physicians have received recognition for general practitioners, their numbers amounted in 2004 to 252nd " From the newly created" a specialist in internal medicine and general hoped, "Kaplan appeared to be no turnaround. It is clear from the fact that in the coming 15 years some 5,200 family doctors to retire while to come "at the basis of the latest figures from 2004 only 3,800 new doctors into the system. This deficit of about 1,400 family doctors and the loss the junior practitioners by the state result in getting more and more willing to levy Established to hear this, "family practice - unfortunately not for sale. This bad news is not limited to Bavaria. AEP BACKGROUND working week of 65 hours They are to hold, according to Bavaria Kammerzive Kaplan, the reasons why young family doctors from practicing in the country: Longer working hours by the primary -medical care with a 24-hour presence as well as night and weekend services (hours worked per week: 55-65 hours, emergency services 75 per year). Lower income opportunity than other contracted physicians. In particular, the differences in the reimbursement of speaking and device-name drugs. Constantly deteriorating work conditions and Bürokratismuswahn list medicine (consultation fee, DMP, cash requests, ICD-encryption). In addition there are different models of care and budget pressures in the pharmaceutical and medicine sector. Declining quality of life and thus ever-smaller reconciling family and working life through extra work at lower and lower medical care density. AEP-INTERVIEW ... by Dr. Axel Munte, head of the FAs of Bavaria (KVB), on physician shortage of family doctors in rural areas in Bavaria. Munte itself is registered doctor, internist (Gastroenterology) in a medical center in Munich-Harlaching. "We try draufzusatteln, the EBM" AEP: Critics say that was for the Free State reported lack of family doctors merely a phantom, the medical officials to mislead the public invented had . Munte: The easy not to hear properly. Of course there is still no comprehensive family doctor shortage in non-metropolitan areas in Bavaria. But there are very worrying developments in the country. And please take a look once the age structure of our family doctors to! In five to six years, which is pitch-dark when we do nothing. Ok - the problem is detected. How about now with recipes from the KVB it? There's a whole package. We call in Bavaria last chairs of general practice, and - so it is faster - the realization of endowed chairs. We call more training places and facilities for more pictures, a liberalization of the professional law for contract doctors, so that even in second practice in a medically underserved, but can open locked area, we ... ... tackle the issue of money but rather because it is not on. Not likely. It must also improve her earning potential. And so we will try of statewide draufzusatteln EBM in primary care shortage areas. But there's still the possibility of structural contracts. This is sound countermeasures. Others hope to settle the much more profane. The AOK will, for example, a doctor's mandatory year in the country prior to the establishment! And what's the point? Each year a new doctor or a new doctor! Patients will thank you. Equally impossible is it to send buses with mobile practitioner team through problem areas. And who really gives me a guarantee that a start-up funding as in Saxony, the long-term care physicians actually holds the spot? They are pure Notnägel, but no real alternatives.

2005-10-20 Source: www.aerztlichepraxis.de

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It was once

.. a country - long before our time - in which there were real doctors. They wore white coats

had a stethoscope hanging around his neck and were able to examine patients with their own senses. These doctors were like going to university professors had to "heard" and "clinical teachers" learned. If their coats were stained with blood and then other body fluids. If these doctors went to training, they learned about MS, HWI and BSP. It says in the announcement that these doctors sometimes voluntarily spent a night in hospital because they are their few, but seriously wanted to take care of sick patients. They should also not for everyone, "Pipifax" have been ringing off the bed. It has even paid well, and their reputation among the people was considerable. People tell the past.

But then, times changed. The doctors who wanted to be wearing what, now suits, kept time sheets in his hand and the manual could recite by heart of process management. The Flekken on their clothes - if there were any - were now of ballpoint ink or copier toner. In their training they learned about DRG, QM and KTQ. These doctors were sometimes voluntarily at night in their offices, to extensively analyze where and how to save even more places in the hospital. They were very well paid and enjoyed a high reputation - in the hospital management. People tell the present.

But one day, dared one of the few remaining white-coat to rebel against the conditions in the hospitals. This courageous physician from the north of the Republic fought for the other white coat that on-time had to be working. Tra, what a shout of joy among the rank and file. Finally, it should not be exploited.

But unfortunately played the superiors will not: instead of ducats for additional posts easily go on, was - of course personal-and therefore cost neutral - introduced for all shifts. As a result, physicians without a suit now had more leisure time, but this only rarely share with their families or friends because they usually slept during the day (they had worked for weeks only at night). For them, even that was certainly not as bad as they anyway did not have enough money to pursue their usual leisure activities. Due to the shift they still had only their basic salary (plus a few meager allowances). And they were not allowed to work part time. Rest period was now once rested.

But now learned the white coat while working in many languages kennen. Denn ihre Kollegen kamen nur noch selten aus dem eigenen Land – dort wollte niemand mehr Arzt werden –, sondern aus Polen, der Tschechischen Republik, Russland, Indien und Pakistan. Multikulti am Krankenbett.

Blöd war das nur für die Patienten, die wie Oma Müller nun rein gar nicht mehr verstanden, was Herr oder Frau Doktor – die nun auch noch jeden Tag andere waren – auf der viel zu kurzen Visite nun eigentlich von und mit ihnen wollten.

Allerdings fiel das gar nicht so sehr ins Gewicht, weil Oma Müller nach den neun Monaten Wartezeit so unendlich froh war, endlich einen Termin für den Einbau ihrer neuen Hüfte bekommen zu haben (den sie jedoch selbst bezahlen musste).

The many controllers, DRG officer and full-time medical director just cost more than could be saved with domestic working hours and foreign workers. People tell the future.

Dr. Michael Field

Techdecklive Skatepark Skate

of: www.uni-without-aerzte.de

The medical work in hospitals, especially in university hospitals is through excessive bureaucratization (DRG / OPS), dramatic condensation of work by staff shortages, significant increase in performance numbers, and unrealistic legal framework (Working Hours Act) and, not least through a miserable decades financial reward curative medical activities (-7.5% compared to 3% of other academics in the public service), has degenerated into such an unattractive job that fewer doctors are choosing this path.

returns more than 20% of a cohort of exam-curative medical activities permanently back. Among physicians in practice there is full employment, without foreign immigration counterparts obtained today a decreasing number of staff physicians with serious consequences for the qualitative and quantitative health care and research in Germany.

particular, the academic medicine is in danger and can not continue to internationally competitive levels be! As a result of the force from 01.01.2006 Working Time Act, it will again be dramatic loss of income of salaried physicians, bringing the total to speak of a manifest disregard medical activity by the employer.

The current working conditions endanger patient safety, academic medicine and research in Germany and are contrary to a performance-payment of medical activity. Given its unparalleled commitment to individual patients and society as a whole, doctors are not willing to accept this any longer!

source: http://www.uni-ohne-aerzte.de

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"Marburger Bund" threatens unprecedented doctors strike

press release

Berlin, 24 October 2005 - No. 49/05

Marburger Bund threatens community hospitals with strike wave

few days after the massive medical demonstrations for a separate wage contract, the doctors' union Marburger Bund (MB) decided to strengthen the protest activities clearly. "The arrogant behavior of the local hospital employers to our request for collective bargaining is not acceptable," the first Chairman of the Marburger Bund, Frank Ulrich Montgomery. To move the local employers' association (MCA) to yield, habe die Tarifkommission des mb beschlossen, Maßnahmen einzuleiten, um in kommunalen Krankenhäusern Ärztestreiks durchzuführen.

Hintergrund der Streikvorbereitung sei eine Empfehlung der VKA an die kommunalen Krankenhäuser, ausnahmslos alle Ärzte – auch Marburger Bund-Mitglieder – in den neuen Tarifvertrag öffentlicher Dienst (TVöD) überzuleiten, der am 1. Oktober 2005 den Bundes-Angestelltentarifvertrag (BAT) ablöst hat.

Da der mb jedoch den neuen Tarifvertrag nicht unterzeichnet hat, gelte für seine 90.000 Mitglieder weiterhin der BAT. Die Ärztegewerkschaft bezeichnet den TVöD als „ärztefeindlich“, da er zu will result in dramatic loss of income.

Montgomery. "Force with the decision to all doctors in the TVöD to do our obligatory peace has gone out to employers," If the MCA immediately show willingness to talk to local hospitals would be covered by an unprecedented wave of strikes.

for the 22,000 doctors in university hospitals of the Marburger Bund already negotiated with the employers association of German states (TdL) over a collective contract doctors.

"I warn the MCA against the militancy and determination of the doctors be underestimated in municipal hospitals. Hospital doctors do not want to be exploited and under paid more, "said Montgomery. The Marburger Bund offer the MCA to fair collective bargaining for a doctor just collective agreement. Target had better working conditions and higher salaries.

Runing Shoes Narrrow High Arch

Keywords: shortage of doctors (from wikipedia.de)

As was said in the 80's and 90's constantly threatened by a glut of doctors makes nowadays widely in many European countries, wide-scale disillusionment and is replaced by the fear of an impending shortage of physicians.

Those forecasts that horror scenarios of armies seeking work Doctors predicted at the time, and thus knowingly destabilized an entire generation of young, have proved how the numbers, not true. It was predicted an army of up to 60,000 unemployed white coats.
It is therefore to suspect in retrospect that this ultimately flawed predictions were guided by interest in a significant extent.

labor market: full employment for physicians
The medical labor market is currently at full employment. The unemployment rate is about 2%. Currently there are approximately 6140 registered job seeker doctors. Compared to the current social conditions one must know that it is this number at about 80% (ie 4,800 persons) for pure short-term unemployment of up to a maximum of 3 months. So the time period that one must take into account for a change. There remain about 1,200 doctors, which are most likely to act Fachärzt which, for various reasons (eg children's education) do not have a job.

• The current demand for hospital places alone is differently 3000-6000. He is so far not to fill the existing national medical supply.
  
  indicators the shortage of doctors
  Der Ärztemangel in Deutschland deutet sich aktuell durch folgende Indikatoren an:
  stetig zunehmende Überalterung der Vertragsärzteschaft
  stetige Abnahme der absoluten Zahl der Ärztinnen und Ärzte unter 35 Lebensjahren (Nachwuchsindikator!)
  stetig sinkende Zahl praktizierender Hausärzte in überwiegend ländlichen Regionen
  geringerer Zugang junger Ärzte bei den Ärztekammern nach Abschluss des Studiums
  steigende Zahl von Ärzten, die nicht mehr in der Patientenversorgung tätig sein wollen
  zunehmende Niederlassungsscheu junger Ärztinnen und Ärzte
  steigende Zahl an Studienabbrechern und Studienfachwechslern
  steigende Zahl ärztlicher Emigranten in das europäische und aussereuropäische Ausland
  
• Ursachen des Ärztemangels
  All diesen Indizien liegt nicht nur die stetig sich verschlechternde wirtschaftliche Perspektive des Arztberufes zu Grunde. Die seit Jahren andauernde, bewusst herbeigeführte und ständig wiederholte mediale Hetze gegen "die Ärzte" als Inbegriff der Korruption und Ausbeutung von Patienten trägt nun fürchterliche Früchte.
  Mit der Zielvorgabe der Erhaltung sozialstaatlicher Prinzipien werden Gelder, mit denen medizinische Leistungserbringer ( Ärzte , Krankenhäuser , Apotheker , Pharma Industry and others) have been paid, more budgeted, patronized regulated and bureaucratic.
• 
  There is criticism that in turn funds into a bloated and increasingly-expanding health insurance and administrative machinery be directed and an honorary doctor's activities, as well as for patient care is no longer available.
• 
  Expert also suspect for some time, is that the reduction in the number of doctors politically desirable and the consequences are quite calculated as "unacceptable". With the end of the East-West-conflict social benefit systems are not in mutual competition system. The ideology question seems decided for some time, a system question is not current.
  For this reason, the social, state-oriented welfare schemes for the private sector be reduced to market conditions-based, profit-maximizing health-care providers. Thus, a possible calculus. The boundaries seem to date from this yet explored. At least audible protests are rarely available. At most, the Catholic Church has already expressed your position on this clear.
  
• forecasts of physician development
  number In February 2004 said the German Federal Medical Council this situation, which affects mainly the eastern provinces . As a household word, the term "Uckermark syndrome is traded. It will also increasingly gaps in the outpatient sector in western Germany expected. Thus, lack of medical in northern Bavaria also been reported as such in South Württemberg or in North Baden. Also in Lower Saxony, the Eifel and the extreme northwest of the Republic of reaching out to reports of shortages of doctors. Particularly striking example of the deficiency appears currently in Torgau (Saxony) on.
  The National Association of Ambulatory Health (KBV) apparently followed the action. About their motivations may be speculated. Currently it has already, with much anxious undertone, published its third study on the number of medical development in D, because your a political securing task is given and you apparently fears you meet your obligations imposed by law can not. In this case threatens state substitute performance possibly even termination of the corporation by federal decision.
  took last year the number of doctors across Germany Although erenut by 1% to 304 000 to, but growth was slightly lower than in previous years. In East Germany
  the number of doctors fell in toto to 1,3 Prozent.
  Da 17% der niedergelassenen Ärzte über 60 Jahre alt sind, kommt es in Zukunft, so die Befürchtungen, möglicherweise zu Engpässen bei der fach- und hausärztlichen Versorgung. Die sinkende Zahl neu im Inland tätiger Ärztinnen und Ärzte ist u.a. auch dadurch bedingt, dass etwa ein Viertel der Absolventen eine Tätigkeit außerhalb der Patientenversorgung sucht und auch findet.
  Die Bundesärztekammer (BAEK) sieht den wichtigsten Grund, verfolgt man Ihre Veröffentlichungen, für sinkende Attraktivität des Arztberufes in den Arbeitsbedingungen, welche offenbar zunehmend inakzeptabel geworden sind. Die Überreglementierung der Gesundheitssysteme führe zu vielen unbezahlten Überstunden und damit verbundener Demotivierung.
  Vor dem Hintergrund des zunehmenden Morbiditätsrisikos einer alternden Gesellschaft ist die Entwicklung durchaus problematisch. Oft besteht, offenbar als Folge dieser Entwicklung in vielen Landkreisen de facto bereits keine Möglichkeit zur freien Arztwahl mehr. Dies könnte zu einem Gewöhnungseffekt in der Bevölkerung führen, um die Versorgung künftig in Medizinischen Versorgungszentren ( MVZ ) zu konzentrieren, eine Entwicklung welche die Niederlassung in freier Praxis ersticken müsste.
  
• Ärztemangel im Ausland
  Zahlreiche europäische Neighboring countries have in recent years, possibly on purpose, too few doctors trained and advertise now for quite some time German junior doctors to significantly better economic conditions in their countries from.
  Of particular importance here, the European neighbors of the United Kingdom, Norway, Sweden and Finland. Shortage of physicians is also reported from Belgium, even Australia, if we may believe the current media reports.
  
• Foreign doctors in Germany
  The gaping holes in Germany are currently conducting a number of foreign doctors from Poland, Czech Republic, Russland, Moldavien, der Ukraine und beispielsweise aus Usbekistan befüllt. Diese ärztlichen Wanderarbeiter beginnen Ihre Karriere oft in den fünf neuen Ländern um dann, bereits nach kürzester Zeit Ihre berufliche Wanderung, der besseren Karrierechancen und des damit verbundenen besseren Verdienstes wegen, gen Westen fortzusetzen.
  Man spricht bereits von einer OST-WEST Ärztewanderung, was nicht Ziel einer verantwortungsbewussten Sozialpolitik sein kann.
  
• Folgen des Ärztemangels
  Die augenscheinlichsten Folgen des aktuellen Nachfragemarktes ist seitens der Ärztinnen und Ärzte die wöchentlich lauter vernehmbaren Forderungen nach Stärkung Their economic position. It is legitimate, here the laws of the market in a free society to have to get used. These requirements are, therefore, a long run, result in the intended success.
  Regarding the willingness to medical school is currently made mostly the same reasons again an influx of applicants seen what the numerus clausus rates again intensified.
  The number of the available places, however, it appears the attentive look at the ZVS Homepage, some citizens to a single but important set screw, not changed. It is currently unchanged for 6-7 years, every year approximately 8440 new registrations study. Thank
  is apparently also missed the fact that each year the number of new registrations for years before that date was at 11,000. The shortage of physicians is thus entirely induced state to the major parts and thus wanted.
  
  
• previous actions against doctors lack
  The recent actions of those responsible are exhausted in fact poor and mainly in rhetorical action. A real approach to problem solving, the rising crisis is for the knowledgeable observer is not yet apparent.
  
  Links
  http://www.arbeitsagentur.de
  http://www.aerzteblatt.de
  http://www.kbv.de
  http://www.zvs.de
  http://aerztemangel.blogspot.com/

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Doctors - Buhmännder the nation?

interesting collection of material

http://www.wernerschell.de/cgi-bin/forum/YaBB.cgi?board=patientenrecht; action = display; num = 1114495295

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NIGERIA: Doctors strike

doctors' strike in NigeriaABUJA. Thousands of patients for several days you can not receive medical care in Nigeria, because doctors and nurses and male nurses on strike. So far, the work stoppages at the larger hospitals in the capital Abuja are limited. It threatens to expand Streiks.Betroffen of the strikes are primarily hospitals, in which were all non-essential part of operations canceled. The reason for the strikes: the Nigerian Health Ministry refuses to halten.Es was on a negotiated fee with the medical professional organizations increase agreed to pay doctors and nurses retrospectively about 22 percent higher fees and salaries. After completion of the negotiations, the Health Ministry, however, made a surprise U-turn and refused to recognize the new collective bargaining agreement. Already in August, Nigerian doctors had refused their work. This had led to chaotic conditions in the hospitals and clinics in the country out. Health Political observers expect that will collapse sooner or later the whole health sector in Africa's most populous country, it should not quickly come to an agreement with the Health Ministry.