Shortage of doctors should come to an end

shortage of doctors should come to an end

Martin burger (27) comes from the steigerwald region, is studying medicine in saarland – and has now returned to his home region for his clinical traineeship. Famulatur is the name given to the four-month compulsory internship for doctors.
He is very enthusiastic about the practice of the family doctors on the eichelberg in burgebrach. He wants to expand his knowledge and practical skills and sees his requirements fully met: the practice can offer various options for GP care.
The rooms are modern, coarse and equipped with laboratory, function rooms, lung function measurement, ECG, ultrasound, etc. Complementary and alternative medicine is also offered, from drops to acupuncture. And – last but not least – martin burger attaches great importance to famulating in a teaching practice. Since october 2015, the gps at eichelberg have been a teaching practice for the medical faculty of the university of erlangen-nurnberg. This also ensures effectiveness and care as well as "teaching" and learning by doing.
Martin burger finances his medical studies himself: by accompanying the emergency doctor on duty and by serving on the ambulance, because he is already a trained rescue assistant. The days are quite long this way, but the work is fun and gives him a lot of experience.

The networked practice

Martin burger also likes the rolling system of famulatur in practice. Every doctor takes time for him, explains facts and teaches him theoretically and practically new things. He is allowed to apply the knowledge he has acquired as far as possible on his own. Martin burger's conclusion: exactly the right practice.
The practice, run by matthias dreyer, jorg kerling and dirk rohde, not only works as a partner with the steigerwaldklinik in burgebrach as part of a specialist group, but also works closely with the specialist center in the same building.
Around 350 physicians in private practice are involved in ensuring medical care in the area. A concept of security for the district is being worked out. Local and regional politics are also involved in the process.
The steigerwaldklinik burgebrach has about 120 beds, treats about 5200 inpatients and another 6000 outpatients every year. Joint quality circles between physicians in private practice and clinicians are standard practice. Medical consultations are also possible in the event of difficult cases. Rontgen and other devices, labs etc. Are shared by practices and hospital. This ensures short waiting times for the patients as well as rapid further treatment.

From famulant to specialist

Not only martin burger thinks this is excellent. An older famulant of the practice at the eichelberg currently makes his specialist training in the steigerwaldklinik. And the current training assistant will join the practice after completing her specialist training. So the motto of the family practice could well be: come as a famulant, leave as a specialist. Martin burger's interest in general medicine is aroused in any case.
From dreyer's point of view, the reason for the lack of physicians is the ever decreasing working hours per capita, which will decrease even more as more young female physicians settle down in their practices. Own needs like family and work-life-balance play a rough role. At the same time, it is important to respond not only to the needs of patients, but also to their wishes. Offers such as a practice dependence or a transport service to the doctor's office were not accepted by the population. Patients don't just want one doctor on site, they want a variety of specialists.
And they want to be flexible. Therefore, they either drive themselves or have relatives or neighbors drive them, often combining this with other activities such as shopping.
In the future, dreyer is convinced that it will no longer be realistic to have a doctor in private practice in every town. There will be a centralization towards coarser practices, as has already happened in the GP practice at eichelberg.

Diagnosis by cell phone

Telematic consultations for minor problems are done in a very simple way: photos of wounds or similar are sent by cell phone to the attending physician, who can immediately decide what measures to take. The transmission of the relevant patient data is unnecessary. 

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