The doctors' union demands the preservation of collective bargaining agreements in the hospital for the outpatient sector. In addition, doctors in the public health service should also benefit from doctor-specific collective agreements.
The venue was well chosen: "It all started here in the Düsseldorf Hilton Hotel", Rudolf Henke recalled at the start of the 125th Annual General Meeting of the Marburger Bund (MB) , where eight years ago the medical union conducted the first independent negotiations for doctor-specific collective agreements with the association of local employers' associations. This is good omen for the meeting, said the MB federal chairman - “after all, our collective agreements have significantly improved the working and pay conditions of doctors in the clinics”.
No employed doctor is willing to forego the freedom gained in 2005 and 2006 to allow his union to negotiate collective agreements autonomously, said Dr. med. Heidrun Grid later made it clear: “We can enforce this again if we have to,” announced the President of the Bremen Medical Association.
With resolution, the delegates appealed to the federal government to accept the increased diversity of trade unions and No law to pass "that hinders or even leverages the free trade union activity of members of the Marburger Bund and hundreds of thousands of employees in other professional unions". The announcement of the grand coalition to "fix the principle of collective bargaining according to the company-related majority principle" contradicts the basic right of the coalition and ignores the established case law of the Federal Labor Court. The basic right of freedom of association includes the right to strike: “It cannot be in the interest of the Federal Government to introduce law that turns the orderly relationships of collective bargaining in the companies upside down, sets permanent majority-finding processes in motion and sets massive processes in motion Creates legal uncertainty, ”says the MB chairman. "We don't want to be under anybody else's knack", emphasized Henke, alluding to the fact that Verdi usually has the most members in hospitals.
The doctors' union demands the preservation of collective bargaining agreements in the hospital for the outpatient sector. In addition, doctors in the public health service should also benefit from doctor-specific collective agreements.
The venue was well chosen: "It all started here in the Düsseldorf Hilton Hotel", Rudolf Henke recalled at the start of the 125th Annual General Meeting of the Marburger Bund (MB) , where eight years ago the medical union conducted the first independent negotiations for doctor-specific collective agreements with the association of local employers' associations. This is good omen for the meeting, said the MB federal chairman - “after all, our collective agreements have significantly improved the working and pay conditions of doctors in the clinics”.
No employed doctor is willing to forego the freedom gained in 2005 and 2006 to allow his union to negotiate collective agreements autonomously, said Dr. med. Heidrun Grid later made it clear: “We can enforce this again if we have to,” announced the President of the Bremen Medical Association.
With resolution, the delegates appealed to the federal government to accept the increased diversity of trade unions and No law to pass "that hinders or even leverages the free trade union activity of members of the Marburger Bund and hundreds of thousands of employees in other professional unions". The announcement of the grand coalition to "fix the principle of collective bargaining according to the company-related majority principle" contradicts the basic right of the coalition and ignores the established case law of the Federal Labor Court. The basic right of freedom of association includes the right to strike: “It cannot be in the interest of the Federal Government to introduce law that turns the orderly relationships of collective bargaining in the companies upside down, sets permanent majority-finding processes in motion and sets massive processes in motion Creates legal uncertainty, ”says the MB chairman. "We don't want to be under anybody else's knack", emphasized Henke, alluding to the fact that Verdi usually has the most members in hospitals.
Underfunded clinics
Two days before At the first meeting of the federal-state commission on hospital reform, the 125th MB general assembly called on politicians to create solid financial basis for the hospitals, saying that the use of the DRG system no longer meets today's requirements in terms of operating costs. The underfunding of the hospitals in terms of investment is downright dramatic and has to be resolved at last.
Using the example of further medical training, Henke illustrated the problems that the underfunding of the clinics leads to Structured further training for medical colleagues. "The investment hole is swallowing up further training," said Henke. The federal-state working group must find solution for this.
There In the opinion of the MB chairman, the results of the latest MB survey among members who are currently in further training or who have recently completed it confirm that further medical training is suffering from tight hospital budgets. 23 percent of those questioned stated that they were predominantly instructed in further training by other doctors. The majority (53 percent) are primarily instructed by senior physicians, 18 percent receive their instruction from specialists and only three percent from senior physicians. The respondents were also dissatisfied with the provision of training content. 63 percent said they could only be insufficiently acquired in everyday clinical practice. 58 percent have to learn the prescribed content outside of regular working hours.
The demand of the MB to also represent employed doctors in the outpatient sector in the union is controversial. In doing so, the doctors' union is primarily targeting doctors who complete part of their training in the practices of established doctors. This possibility is to be expanded according to the will of politics and the medical profession. The problem, however, is that there is no employer organization in the established sector with which the MB can bargain collectively. The National Association of Statutory Health Insurance Physicians (KBV), as corporation with compulsory members, does not see itself as eligible for tariffs, explained Henke. He can understand that. An alternative is to conclude such contracts with network of medical professional associations. With these, however, the request of the MB does not meet with much approval. At its spring meeting at the beginning of May, the German Association of General Practitioners instead made commitment to improve the working conditions of further training assistants in general practitioners' practices.png ">
Underfunded clinics
Two days before At the first meeting of the federal-state commission on hospital reform, the 125th MB general assembly called on politicians to create solid financial basis for the hospitals, saying that the use of the DRG system no longer meets today's requirements in terms of operating costs. The underfunding of the hospitals in terms of investment is downright dramatic and has to be resolved at last.
Using the example of further medical training, Henke illustrated the problems that the underfunding of the clinics leads to Structured further training for medical colleagues. "The investment hole is swallowing up further training," said Henke. The federal-state working group must find solution for this.
There In the opinion of the MB chairman, the results of the latest MB survey among members who are currently in further training or who have recently completed it confirm that further medical training is suffering from tight hospital budgets. 23 percent of those questioned stated that they were predominantly instructed in further training by other doctors. The majority (53 percent) are primarily instructed by senior physicians, 18 percent receive their instruction from specialists and only three percent from senior physicians. The respondents were also dissatisfied with the provision of training content. 63 percent said they could only be insufficiently acquired in everyday clinical practice. 58 percent have to learn the prescribed content outside of regular working hours.
The demand of the MB to also represent employed doctors in the outpatient sector in the union is controversial. In doing so, the doctors' union is primarily targeting doctors who complete part of their training in the practices of established doctors. This possibility is to be expanded according to the will of politics and the medical profession. The problem, however, is that there is no employer organization in the established sector with which the MB can bargain collectively. The National Association of Statutory Health Insurance Physicians (KBV), as corporation with compulsory members, does not see itself as eligible for tariffs, explained Henke. He can understand that. An alternative is to conclude such contracts with network of medical professional associations. With these, however, the request of the MB does not meet with much approval. At its spring meeting at the beginning of May, the German Association of General Practitioners instead made commitment to improve the working conditions of further training assistants in general practitioners' practices.The delegates decided on code in which the trainers voluntarily undertake to comply with certain quality standards. This also includes the payment of salary based on the collective agreement for municipal clinics.
"It is good if such code is adhered to," said MB chairman Henke. “Such code would have been better worked out with us.” However, Henke welcomed the fact that the general practitioner association had spoken out against compulsory outpatient training in all basic care subjects. "You would feel more reassured if several associations expressed themselves in this way," said Henke. The MB categorically rejects such an obligation, which the KBV in particular continues to discuss. Before any changes are made to the training regulations, the legal basis for financing outpatient training must first be created, Henke emphasized. He believes it is the best model if the doctor earns his salary in further training from the services he has provided. This is basically how it works in hospitals.
Financing further training
"The medical work performed by doctors in further training is an inseparable part of the overall medical performance of the institution providing further training," it says on this in resolution of the general meeting. The latter is thus able to offer high quality further training. However, the resolution also expressly emphasizes that the performance of further training assistants is “an indispensable part of the care of the population”, both inpatient and outpatient. At the same time, the general meeting criticizes the fact that the additional costs of the training facilities are not financed either in the hospital or in the practices. "Further training takes place within the medical work, but has to be supervised," explained grid. This increased effort has to be compensated - in all training facilities.
In addition to the training assistants in the outpatient area, doctors in the public health service (ÖGD) are also struggling with financial disadvantages. Therefore the MB called on the public employers to give up their "refusal" attitude and to include the doctors in the ÖGD in the doctor-specific collective agreements of the doctors' union. “We are not administrators. We are doctors ”, emphasized Anne Bunte, head of the Cologne health department - long applause from the delegates followed. Because of the collective wage allocation to the area of administration, the doctors in the ÖGD have been cut off from the salary development of the other doctor groups for years. There is now an increasing shortage of staff in the public health service.The delegates decided on code in which the trainers voluntarily undertake to comply with certain quality standards. This also includes the payment of salary based on the collective agreement for municipal clinics.
"It is good if such code is adhered to," said MB chairman Henke. “Such code would have been better worked out with us.” However, Henke welcomed the fact that the general practitioner association had spoken out against compulsory outpatient training in all basic care subjects. "You would feel more reassured if several associations expressed themselves in this way," said Henke. The MB categorically rejects such an obligation, which the KBV in particular continues to discuss. Before any changes are made to the training regulations, the legal basis for financing outpatient training must first be created, Henke emphasized. He believes it is the best model if the doctor earns his salary in further training from the services he has provided. This is basically how it works in hospitals.
Financing further training
"The medical work performed by doctors in further training is an inseparable part of the overall medical performance of the institution providing further training," it says on this in resolution of the general meeting. The latter is thus able to offer high quality further training. However, the resolution also expressly emphasizes that the performance of further training assistants is “an indispensable part of the care of the population”, both inpatient and outpatient. At the same time, the general meeting criticizes the fact that the additional costs of the training facilities are not financed either in the hospital or in the practices. "Further training takes place within the medical work, but has to be supervised," explained grid. This increased effort has to be compensated - in all training facilities.
In addition to the training assistants in the outpatient area, doctors in the public health service (ÖGD) are also struggling with financial disadvantages. Therefore the MB called on the public employers to give up their "refusal" attitude and to include the doctors in the ÖGD in the doctor-specific collective agreements of the doctors' union. “We are not administrators. We are doctors ”, emphasized Anne Bunte, head of the Cologne health department - long applause from the delegates followed. Because of the collective wage allocation to the area of administration, the doctors in the ÖGD have been cut off from the salary development of the other doctor groups for years. There is now an increasing shortage of staff in the public health service.
The delegates think the German government's offensive to improve the quality of medical care is good. "At the same time, however, we see the danger that the positive intention could be lost in further bureaucratisation," says resolution that was approved at the request of Dr. med. Susanne Johna was caught. "Anyone who really wants to improve the medical care of the population should start personnel offensive," emphasized the chairwoman of the MB State Association of Hesse in verbal contribution. The connection between understaffing and the increase in the frequency of errors has now been proven.
Jens Flintrop, Heike Korzilius
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