Postgraduate medical training in Germany: A narrative review
The structure and content of the training phase following completion of medical school, referred to in most countries as postgraduate medical training, varies between countries. The purpose of this article is to give national and international readers an overview of the organisation and structure of...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | deu |
| Published: |
German Medical Science GMS Publishing House
2022-11-01
|
| Series: | GMS Journal for Medical Education |
| Subjects: | |
| Online Access: | http://www.egms.de/static/en/journals/zma/2022-39/zma001570.shtml |
| _version_ | 1811219745028964352 |
|---|---|
| author | Sierocinski, Elizabeth Mathias, Leonard Freyer Martins Pereira, Julia Chenot, Jean-François |
| author_facet | Sierocinski, Elizabeth Mathias, Leonard Freyer Martins Pereira, Julia Chenot, Jean-François |
| author_sort | Sierocinski, Elizabeth |
| collection | DOAJ |
| description | The structure and content of the training phase following completion of medical school, referred to in most countries as postgraduate medical training, varies between countries. The purpose of this article is to give national and international readers an overview of the organisation and structure of postgraduate medical training in Germany.The content and duration of postgraduate training in Germany are stipulated by state medical boards, officially termed associations (). In a periodically updated decree, the federal German medical association () provides a template for postgraduate medical training structure (), which is adapted by the state medical associations. Admission to postgraduate medical training in Germany takes place by way of open, free-market selection. Based on the traditional assumption that junior doctors acquire all necessary clinical skills “on the job”, formal education in the form of seminars, lectures, or preorganised, detailed rotation plans through various specialties or wards is largely absent. Requirements for postgraduate medical training focus on the fulfilment of broad categories of rotations rather than specific content or gaining competencies. With few exceptions, no structured educational programs with curricular learning objectives exist. Limited funding impedes program development and expansion. Junior doctors bear the primary organisational responsibility in their training, which often results in extended training times and dissatisfaction. Structured training programs which prioritise skill-building and formal education are needed to support junior doctors and ensure their competence in primary and specialty care. |
| first_indexed | 2024-04-12T07:31:04Z |
| format | Article |
| id | doaj.art-32703e2891af4b13b3af3bc695686083 |
| institution | Directory Open Access Journal |
| issn | 2366-5017 |
| language | deu |
| last_indexed | 2024-04-12T07:31:04Z |
| publishDate | 2022-11-01 |
| publisher | German Medical Science GMS Publishing House |
| record_format | Article |
| series | GMS Journal for Medical Education |
| spelling | doaj.art-32703e2891af4b13b3af3bc6956860832022-12-22T03:42:04ZdeuGerman Medical Science GMS Publishing HouseGMS Journal for Medical Education2366-50172022-11-01395Doc4910.3205/zma001570Postgraduate medical training in Germany: A narrative reviewSierocinski, Elizabeth0Mathias, Leonard1Freyer Martins Pereira, Julia2Chenot, Jean-François3Greifswald University Medical Center, Institute for Community Medicine, Department of General Practice, Greifswald, GermanyGreifswald University Medical Center, Institute for Community Medicine, Department of General Practice, Greifswald, GermanyGreifswald University Medical Center, Institute for Community Medicine, Department of General Practice, Greifswald, GermanyGreifswald University Medical Center, Institute for Community Medicine, Department of General Practice, Greifswald, GermanyThe structure and content of the training phase following completion of medical school, referred to in most countries as postgraduate medical training, varies between countries. The purpose of this article is to give national and international readers an overview of the organisation and structure of postgraduate medical training in Germany.The content and duration of postgraduate training in Germany are stipulated by state medical boards, officially termed associations (). In a periodically updated decree, the federal German medical association () provides a template for postgraduate medical training structure (), which is adapted by the state medical associations. Admission to postgraduate medical training in Germany takes place by way of open, free-market selection. Based on the traditional assumption that junior doctors acquire all necessary clinical skills “on the job”, formal education in the form of seminars, lectures, or preorganised, detailed rotation plans through various specialties or wards is largely absent. Requirements for postgraduate medical training focus on the fulfilment of broad categories of rotations rather than specific content or gaining competencies. With few exceptions, no structured educational programs with curricular learning objectives exist. Limited funding impedes program development and expansion. Junior doctors bear the primary organisational responsibility in their training, which often results in extended training times and dissatisfaction. Structured training programs which prioritise skill-building and formal education are needed to support junior doctors and ensure their competence in primary and specialty care.http://www.egms.de/static/en/journals/zma/2022-39/zma001570.shtmlpostgraduate medical trainingpostgraduate medical educationresidencyspecialty trainingcurriculumregulations |
| spellingShingle | Sierocinski, Elizabeth Mathias, Leonard Freyer Martins Pereira, Julia Chenot, Jean-François Postgraduate medical training in Germany: A narrative review GMS Journal for Medical Education postgraduate medical training postgraduate medical education residency specialty training curriculum regulations |
| title | Postgraduate medical training in Germany: A narrative review |
| title_full | Postgraduate medical training in Germany: A narrative review |
| title_fullStr | Postgraduate medical training in Germany: A narrative review |
| title_full_unstemmed | Postgraduate medical training in Germany: A narrative review |
| title_short | Postgraduate medical training in Germany: A narrative review |
| title_sort | postgraduate medical training in germany a narrative review |
| topic | postgraduate medical training postgraduate medical education residency specialty training curriculum regulations |
| url | http://www.egms.de/static/en/journals/zma/2022-39/zma001570.shtml |
| work_keys_str_mv | AT sierocinskielizabeth postgraduatemedicaltrainingingermanyanarrativereview AT mathiasleonard postgraduatemedicaltrainingingermanyanarrativereview AT freyermartinspereirajulia postgraduatemedicaltrainingingermanyanarrativereview AT chenotjeanfrancois postgraduatemedicaltrainingingermanyanarrativereview |