Cardiothoracic Surgical Residency comparison - Germany v USA

Quantitative comparison of case requirements by US and German medical boards: 

(figures represent number of cases)

Application deadline - 15/09/2014

Application deadline - 15/09/2014

Postgraduate medical residency in Germany:


A private hospital group of acute, specialist and rehabilitation clinics based in Germany is currently offering an innovative program for medical graduates with Level B2 certificate from Goethe Institute. 

The eligible candidates will join the hospital in Germany for a 6-month program in January 2015.

During the first 3 months, the hospital will improve candidates' German language skills up to level C1. The emphasis will be on medical language skills.

For the following 3 months, the candidates will work in the hospital under the guidance of a mentor and learn German medical skills.

The total duration of the language + practical skills training is 730 hours.

The candidates will be provided with a single/double bedroom + 3 meals + 100 Euros monthly allowance

Also, during the program, the candidates will have an opportunity to get exposure in all major Medical, Paramedical and Surgical specialties.

Upon successful completion of the program, based on performance, the candidates may be offered a full-time position as an 'Assistant Physician' in the specialty of their choice at one of the hospitals.

Minimum requirements:
- MBBS
- German language proficiency: Level B2 Certificate from Goethe Institute

Note:
Only those candidates who have secured a fully-paid 'Assistant Physician' position in an approved German hospital are eligible to complete the residency (5 - 6 years) and achieve the title of 'Specialist' in Germany.

Please contact me for further information.

Shreyas Brahmbhatt (+91 8866692909)

31,000 immigrant doctors are practicing in Germany

Orthopedic Surgery Residency comparison - Germany v USA

Medical License examination in Germany (Specialist Language Test)

Specialist Language Examination procedure

The specialist language examination should be as practically relevant as possible. All elements are already known from the daily work in the hospital. The examination relates only to the specialist language and not to the basic medical knowledge.

For the specialist language examination, it is not relevant whether a wrong diagnosis is made or an incorrect treatment option is given. Only the language used when dealing with the respective situation is included in the evaluation.

The 60-minute examination is divided into 3 sections of 20 minutes each.

Doctor - patient discussion

Documentation

Doctor - doctor discussion

1. Doctor - patient discussion

The examinee holds an anamnesis interview with a patient. The role of the patient is played by an actor. However, the examinee is to treat him like a normal patient. In this way, the doctor - patient interview can be simulated as it is known from everyday treatment.

This method ensures that each examinee receives an equally difficult case.

The anamnesis interview is carried out exactly as learnt during the degree. After the examinee has formed ​​a picture of the patient, he explains his suspected diagnosis and gives the patient suggestions for further diagnosis and treatment. He should explain to the patient what he considers to be useful measures and respond to questions.

It should be observed that patients are unfamiliar with medical terminology. It is important that the patient can understand the doctor to be tested properly and well.

2. Documentation

In the second section, the examinee is to transfer the anamnesis to an anamnesis sheet. For this, the candidate receives a ready-made form from the Medical Association, as is used, in principal, in every hospital in the area of the chamber.

3. Doctor-doctor discussion

The third section of the examination simulates the situation of a ward round. Here the examinee meets two doctors (for example, a chief physician and a senior physician). The examinee gives the doctors a structured description of the patient seen in section 1.

The discussion partners are doctors, so no layman’s language is to be used, but rather, medical terminology for communication. It is important to clarify the information about the patient in a carefully structured approach. In so doing, the examinee should also explain his own assessment of the situation and his ideas for further treatment.

After the patient presentation, the two doctors will ask some questions on this. The medical colleagues can also submit further documentation on the patient to the examinee for him to evaluate.

Assessment of the examination

Each examinee is assessed by three examiners. The examiners work with structured assessment sheets. After completing the examination, the assessment sheets of the individual examiners are collected and analysed centrally. Each sheet contains a maximum of 20 points. This means that each examinee can attain a maximum of 60 points. To pass the specialist language examination, 60 percent of the maximum number of points, or at least 36 points have to be achieved.

Aids during the examination

At the start of the examination, each examinee is provided with an empty notepad and a pen. The notes are not included in the assessment of the examination. Other aids are not permitted. Also, no luggage, handbags, jackets, coats or the like may be taken into the examination rooms.

During the examination, telephone calls and any contact with uninvolved persons is considered cheating and will lead to failure of the examination.

Pass / fail

The result of the examination is given to the examinee on the day of the examination and the competent district government notified. Further processing takes place there.

The examination is considered passed if the examinee attains at least 60 percent (at least 36 points) of the maximum number of points possible.

The examination is considered failed if the examinee attains less than 60 percent (less than 36 points) of the maximum number of points possible.

In case of failure, the specialist language examination can be repeated several times. The examinee is sent information on re-examination by the Medical Association straightaway.

Learn German online for free!

Deutsche Welle - Germany's International broadcaster - offers an excellent resource for those who wish to learn German online for free.

Please follow this link:

http://www.dw.de/learn-german/s-2469

Germany is dependent on immigration

In the latest issue of Germany's premier magazine Der Spiegel, an interview with Reiner Klingholz, Director of Berlin Institute for Population and Development, was published. 

Here is the excerpt from the interview:

SPIEGEL: According to your study, Germany is dependent on immigration.

Klingholz: Baby-boomers, those born in years when childbirths were up, are now approaching retirement age. Around the year 2030, twice as many people will retire annually as the number of young people entering the labor market. Neither will companies be able to survive without immigration nor will it be possible to finance social welfare systems.

SPIEGEL: Can immigration put a stop to the significant demographic changes that are taking place?

Klingholz: No, but it can cushion the blow. It is true that immigrants tend to be between the ages of 20 and 30 when they arrive and they tend to have slightly more children on average than natives -- they make the entire population younger. But they get older too, and the birthrate among immigrant groups tends to drop to the low rate present here within one generation.  

Germany needs an extra 4600 doctors

Germany is short of doctors with its lack of GPs increasing by 30 percent in one year. Rural areas are the worst affected, a report released on Friday suggested.

There were 2,600 too few general practitioners working in 2013 – an increase of 600 since 2012, the Welt newspaper reported.

On top of this, the National Association of Statutory Health Insurance Physicians (KBV) study said that 2,000 specialists were also lacking. Of these, 1,250 were psychiatrists.

“The numbers show how urgently we need doctors for primary care,” said KBV spokesman Roland Stahl.

In Germany there are around 52,000 general practitioners' clinics and 66,400 specialist clinics – 22,000 of which are psychiatric. Most of these are concentrated in towns and cities, meaning the countryside is lacking in services.

Both eastern and western states are affected, with practises emptying as more doctors retire and new ones are not there to take their place. This leaves, Welt said, particularly old people at a disadvantage.

If there are no doctors, this often means that pharmacies and physiotherapists also shut, according to the KBV. It said that by 2021, 51,000 general practitioners and specialists will have retired.

Stahl added that the KBV was trying to lure younger doctors into the countryside with financial incentives. 

http://www.thelocal.de/20131227/germany-lacks-4600-doctors

Postgraduate medical residency in Germany

(No prior German language skills needed to join the program) 

A private hospital group of acute, specialist and rehabilitation clinics based in Germany has tied up with a University in Germany which runs an innovative 1-year program for foreign medical graduates with no prior German language skills. 

The suitable candidates will join the University in Germany for the 1-year program in October 2014. 

During the program the participants will go through intensive German language classes at the university in the mornings. The participants will be prepared up to level C1 and will appear in the exam at the end of the program. 

Following the language classes, the participants will spend time at the local hospital as an observer and gain valuable practical German medical skills as well as learn about the German healthcare system. While at the hospital, the participants will have an opportunity to get exposure in all major Medical, Paramedical and Surgical specialties. 

Upon successful completion of the program, based on performance, the candidates may be offered a full-time position as an 'Assistant Physician' in the specialty of their choice at one of the group hospitals. 

The salary of an ‘Assistant Physician’ ranges from 2500 € - 4000 € a month depending on the candidates’ previous work experience. 

Only after securing a full-time position as an ‘Assistant Physician’, a candidate can complete the postgraduate medical residency (5 – 6 years) and achieve the title of ‘Specialist’ in Germany. 

Minimum requirements: 
- MBBS 

Please contact me for further information 

Shreyas Brahmbhatt (+918866692909)

Shortage of doctors in Germany

"Shortage of doctors in Germany is going to intensify", Dr Martina Wenker, The Vice President of the German Medical Association (Bundesärztekammer - BÄK)

https://www.study-in.de/en/study/degree-subjects/medicine/--21249

Postgraduate medical residency in Germany

A private hospital group of acute, specialist and rehabilitation clinics based in Germany is currently offering an innovative program for medical graduates with Level B2 certificate from Goethe Institute. 

I am Shreyas Brahmbhatt. I am based in Vadodara, Gujarat and I am responsible for all the due diligence of Indian applicants for the program. 

The eligible candidates will join the hospital in Germany for a 6-month program on 01/07/2014 

During the first 3 months, the hospital will improve candidates' German language skills up to level C1. The emphasis will be on medical language skills. 

For the following 3 months, the candidates will work in the hospital under the guidance of a mentor and learn German medical skills. 

The total duration of the language + practical skills training is 730 hours. 

The candidates will be provided with a single/double bedroom + 3 meals + 200 Euros monthly allowance 

Also, during the program, the candidates will have an opportunity to get exposure in all major Medical, Paramedical and Surgical specialties. 

Upon successful completion of the program, based on performance, the candidates may be offered a full-time position as an 'Assistant Physician' in the specialty of their choice at one of the hospitals. 

Minimum requirements: 
- MBBS 
- German language proficiency: Level B2 Certificate from Goethe Institute 

Note: 
Only those candidates who have secured a fully-paid 'Assistant Physician' position in an approved German hospital are eligible to complete the residency (5 - 6 years) and achieve the title of 'Specialist' in Germany. 

Please contact me for further information. 

Shreyas Brahmbhatt (+91 8866692909)

List of available specialties in Germany

Specialty	Speciality competence	Duration (years)
1. Anaesthesiology	Anaesthetist	5
2. Anatomy	Anatomist	4
3. Industrial Medicine Occupational Medicine	Specialist in Industrial Medicine Specialist in Occupational Medicine	5
4. Ophthalmology	Ophthalmologist	5
5. Biochemistry	Biochemist	4
6. Surgery	6.1 Specialist in General Surgery	6 (2 + 4)
	6.2 Vascular Surgeon	6 (2 + 4)
	6.3 Cardiac Surgeon	6 (2 + 4)
	6.4 Paediatric Surgeon	6 (2 + 4)
	6.5 Orthopaedic and Trauma Surgeon	6 (2 + 4)
	6.6 Plastic and Aesthetic Surgeon	6 (2 + 4)
	6.7 Thorax Surgeon	6 (2 + 4)
	6.8 Visceral Surgeon	6 (2 + 4)
7. Ob & Gyn	7.1 Gynaecologist & Obstetrician	5
	7.2 Gynaecological Endocrinology and Reproductive Medicine	8 (5 + 3)
	7.3 Gynaecological Oncology	8 (5 + 3)
	7.4 Special Obstetrics and  Perinatal Medicine	8 (5 + 3)
8. ENT Medicine	8.1 ENT specialist	5 (2 + 3)
	8.2 Speech, Voice and Paediatric Hearing Disorders - Phoniatrician	5 (2 + 3)
9. Dermatological & Venereal Diseases	Dermatologist and Venereologist	5
10. Human Genetics	Human Geneticist	5
11. Hygiene and Environmental Medicine	Hygiene and Environmental Medical Specialist	5
12. Internal & General  Medicine	12.1 Internist (General Practioner)	5
	12.2 Internist:	5
	12.3.1– Internist and Angiologist	6
	12.3.2–Internist and Endocrinologist and Diabetologist	6
	12.3.3– Internist and Gastroenterologist	6
	12.3.4– Internist and Haematologist and Oncologist	6
	12.3.5– Internist and Cardiologist	6
	12.3.6– Internist and Nephrologist	6
	12.3.7– Internist and Pneumologist	6
	12.3.8 – Internist and Rheumatologist	6
13. Paediatrics	13.1 Paediatrician	5
	Subspecialties:
	13.2 Paediatric Haematology and Oncology	8 (5 +3)
	13.3 Paediatric Cardiology	8 (5 +3)
	13.4 Neonatology	8 (5 +3)
	13.5 Neuropaediatrics / Child Neurology	8 (5 +3)
14. Paediatric Psychiatry & Psychotherapy	Paediatric Psychiatrist and Psychotherapist	5
15. Laboratory Medicine	Laboratory Medicine Specialist	5
16. Microbiology, Virology &  Infection Epidemiology	Microbiologist, Virologist and Infection Epidemiologist	5
17. Oral and Maxillofacial  Surgery	Oral and Maxillofacial Surgeon	5
18. Neurosurgery	Neurosurgeon	6
19. Neurology	Neurologist	5
20. Nuclear Medicine	Nuclear Medicine Specialist	5
21. Public Health	Public Health Specialist	5
22. Pathology	22.1 Neuropathologist	6 (2 + 4)
	22.2 Pathologist	6 (2 + 4)
23. Pharmacology	23.1 Clinical Pharmacologist	5 (2 + 3)
	23.2 Pharmacologist and Toxicologist	5 (2 + 3)
24. Physical Medicine and  Rehabilitation	Physical Medicine and Rehabilitation Specialist (Physiatrist)	5
25. Physiology	Physiologist	4
26. Psychiatry and  Psychotherapy	26.1 Psychiatrist and Psychotherapist	5
	26.2 Forensic Psychiatrist	8 (5 + 3)
27. Psychosomatic Medicine & Psychotherapy	Psychosomatic Medicine Specialist and Psychotherapist	5
28. Radiology	28.1 Radiologist	5
	Subspecialties:
	28.2  Paediatric Radiology	8 (5 + 3)
	28.3 Neuroradiology	8 (5 + 3)
29. Forensic Pathology	Forensic Pathologist	5
30. Radiation Therapy	Radiation Therapist Radiation Oncologist	5
31. Transfusion Medicine	Transfusion Medicine Specialist	5
32. Urology	Urologist	5