Frankfurt am Main - The 118th German Medical Association has warned against restricting the freedom of medical therapy through mandatory “program medicine”. With any standardization of medical action through treatment paths, standard operating procedures and internal hospital care instructions, the implementation must remain exclusively with the treating doctor.
The 118th German Medical Association supports efforts to contain multi-resistant germs . As part of the model tests for pre-inpatient screening before elective surgery, the care of affected patients in the hospital should be improved.
The 118th German Medical Association rejects the management of medical structures for patients care to clinics, hospitals or other facilities by members of other professions. Due to their professional code, doctors are not allowed to receive instructions on medical issues from non-doctors, the MPs made clear.
The 118th German Medical Association asked the Federal Joint Committee (G-BA) to consider the complexity of the doctor when creating guidelines for measuring and presenting the quality of care - Keep an eye on the patient relationship . Accordingly, he should promote “quality assurance with sense of proportion”. In addition, the 118th German Medical Association has demanded proof of clear patient benefit of statutory measures before their adoption. Analogous to the benefit assessment of medical procedures, laws and sub-statutory regulations that affect the medical profession should also be subjected to such an assessment.
Against the background of the crash of the Germanwings machine, the 118th German Doctors' Day for the restoration of the Data protection in aviation medicine . All aviation doctors are now obliged to submit anonymous medical forms to the Federal Aviation Office. However, these would have to be signed by the pilots. This is blatant breach of data protection, criticized the Doctors' Day.
In further motion for resolution, the medical profession called on the clinic management to specifically promote women doctors . "Although the proportion of female medical students is over 50 percent, the proportion of female doctors decreases considerably the higher you go up in the decision-making level of the clinic," the MPs criticized. In addition, the clinics should reduce career barriers for doctors with family responsibilities.
In addition, the German Medical Association called for more planning security for doctors at clinics .The federal and state governments should therefore significantly increase the number of permanent jobs in the medical field and stipulate contract terms for fixed-term contracts. One possibility for this is the planned amendment of the Science Time Contract Act (WissZeitVG).
The employers were asked to ensure correct documentation of the hours worked . So far, nothing sufficient has happened to guarantee the objective documentation stipulated in the Working Hours Act, criticized the members of the 118th German Medical Association. The responsible supervisory authorities should make their inspection mechanisms more effective and effectively sanction violations, demanded the MPs.
The appeal of the German Medical Association was made to politicians and employers to focus more on psychosocial risk factors and corporate health to strengthen management . Mentally overburdened employees often received advice or professional help too late, the MPs criticized. In particular, the interface between outpatient medical care and the occupational physicians in the companies needs to be improved.
The 118th German Doctors' Conference has urged the further development and flexibilization of medical care for mentally ill . The politically responsible should discuss and initiate appropriate measures on the basis of the "Position Paper of the German Medical Association on Medical Psychotherapy" together with the German Medical Association.
The 118th German Medical Association has advocated an expansion of framework requirements pronounced on the training and activities of academic health professions . Starting with the job description of the physician assistant, the joint working group of the German Medical Association and the National Association of Statutory Health Insurance Physicians should include other specialist professions. The working group is to develop principles for the integration of further health professions into patient care.
The 118th German Medical Association has decided in favor of uniform national test criteria for testing the objectivity of training content. The medical self-image requires training content free of ideological and economic interests.
In further motion, the MPs spoke against the sale of training positions . The German Hospital Association, the Association of University Hospitals in Germany and their member associations were asked to ensure equal treatment with regard to the employment requirements and working conditions of foreign guest doctors in further training.In the future, scholarships should only be used to acquire the necessary German language skills and for courses to prepare for an upcoming knowledge test.
Doctors must have the language skills required for the job . The 118th German Medical Association called for this as prerequisite for the granting of license to practice medicine or professional license. The federal states were asked to check the competent use of the language based on language level C1. At the same time, funding opportunities for better integration of foreign doctors would have to be created.
The members of parliament urged the Federal Government to increase the competence of the organization “Doctors Without Borders e. V. “to be observed and used in the fight against epidemics and pandemics . Their information should be included in the political decisions promptly.
In addition, the MPs called on the legislature and the universities to introduce modern and practice-oriented teaching nationwide from the start of studies . This should include larger practical parts and cross-subject and cross-knowledge lessons. "The current reality of care should be taken into account - here in particular both the inpatient and outpatient activities of doctors with different aspects," says the motion for resolution.
The 118th German Medical Association also spoke in favor of one Strengthening the scientific competence in medical studies . Against this background, legislators and universities should further develop medical training. This creates the basis for well-founded scientific understanding in later medical work as well as for further employment in research. In further application, the medical profession opposed the dismantling of the chairs for medical informatics. She called on the federal states and the medical faculties to maintain and expand the requirements for the increasingly important training in the field of medical informatics.
In addition, the MPs voted for promotion of training and further education in Department of Hygiene and Environmental Medicine pronounced. The Medical Faculty Day should work towards the universities to retain existing chairs for hygiene. Where these have already been abolished, corresponding chairs would have to be newly established.
The 118th German Medical Association has asked the federal and state governments to change the capacity law so that medical students with partial study places after the the first section of the medical examination can seamlessly switch to the clinical semester. For the transition period, the faculties should improve bridging options when waiting for full study place.The application to other faculties must also be made easier.
The 118th German Medical Association has asked the legislature to adapt the BAföG to PJ sections abroad . Those parts of the practical year that medical students spend abroad should also be recognized as worthy of funding, regardless of their duration.
In addition, the 118th German Medical Association advocated unrestricted mobility during the practical year strong> a. The medical faculties and state examination offices should implement the requirements of the medical license to practice nationwide through corresponding implementation provisions. "This also includes the option of serving at least two tertials abroad," says the application.
The 118th German Medical Association has advocated worldwide ban on cyber attacks , especially on health care institutions. The health network is highly sensitive network. An attack could therefore quickly endanger and frighten the population. "That is why this network in particular should be given special protection," says the motion for resolution.