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Although the high quality German healthcare system is not comparable
to
the British, the "establishment" problems and the Junior`s needs to me
seem very similar:
The physicians leading their own "walk-in centres" are rather unhappy about
politics, both of the Ministery for Health Affairs and about their
self-administration, especially about Kassenaerztliche Bundesvereinigung
= the administration responsible for the financial and organisational
conditions of Health care for "public insuranced" (more than 90% of
population).
The established doctors, because they lose income, and because the quality of
their diagnostic procedures and their treatment is going to be
controlled; the younger ones, because the less qualified older GPs and
Specialists seem to try to stretch the time until it will go by merit
and not by "restricting working possibilities for the more qualified"
and paying Junior`s doing Seniors` work "with just that what
administration and insurance companies pay to me for that purpose".
In addition, at the hospitals, the Juniors` situation is even worse:
often, 70 to 80 hours of work / week , over 30 of these without salary,
with a large amount of Juniors working full-time being paid for half a
job.
In order to improve quality of treatment outside the hospitals, here,
we have for years not admitted to public healthcare doctors that we are Specialists. So, the Juniors keep their mouth shut; they need their
Junior jobs. The GP is a Specialist, too, needing 4 - 5 years of
clinical experience in Internal Medicine and surgical disciplines. Fatal
political error: These middle-aged and young physicians are put together
with less qualified GPs of the former generation, who have been never
asked a single question concerning their knowledge for 18 , 20, or 25
years. Guess, to which generation the self administration leaders
belong? And guess, what the 70,000 unemployed young doctors will do and
will earn, when it goes by merit.
You do not have to publish this. Just read it. In Germany, they know my
opinion.I am really happy to announce my "walk-in centre" from 1 August
on. And that it will be far from a University hospital, as it was not
possible to get it IN THERE.
Global problems need global thinking
Although the high quality German healthcare system is not comparable
to
the British, the "establishment" problems and the Junior`s needs to me
seem very similar:
The physicians leading their own "walk-in centres" are rather unhappy about
politics, both of the Ministery for Health Affairs and about their
self-administration, especially about Kassenaerztliche Bundesvereinigung
= the administration responsible for the financial and organisational
conditions of Health care for "public insuranced" (more than 90% of
population).
The established doctors, because they lose income, and because the quality of
their diagnostic procedures and their treatment is going to be
controlled; the younger ones, because the less qualified older GPs and
Specialists seem to try to stretch the time until it will go by merit
and not by "restricting working possibilities for the more qualified"
and paying Junior`s doing Seniors` work "with just that what
administration and insurance companies pay to me for that purpose".
In addition, at the hospitals, the Juniors` situation is even worse:
often, 70 to 80 hours of work / week , over 30 of these without salary,
with a large amount of Juniors working full-time being paid for half a
job.
In order to improve quality of treatment outside the hospitals, here,
we have for years not admitted to public healthcare doctors that we are Specialists. So, the Juniors keep their mouth shut; they need their
Junior jobs. The GP is a Specialist, too, needing 4 - 5 years of
clinical experience in Internal Medicine and surgical disciplines. Fatal
political error: These middle-aged and young physicians are put together
with less qualified GPs of the former generation, who have been never
asked a single question concerning their knowledge for 18 , 20, or 25
years. Guess, to which generation the self administration leaders
belong? And guess, what the 70,000 unemployed young doctors will do and
will earn, when it goes by merit.
You do not have to publish this. Just read it. In Germany, they know my
opinion.I am really happy to announce my "walk-in centre" from 1 August
on. And that it will be far from a University hospital, as it was not
possible to get it IN THERE.
Competing interests: No competing interests