

The training of medical students was the focus of this year's medical faculty in Mainz. In particular, the university physicians discussed the number of future students as well as new admission procedure for studying.

Will we need more doctors in Germany in the future than before in order to secure the care of the population? That was the question that was at the center of this year's 79th Ordinary Medical Faculty Conference (oMFT) in Mainz and that was raised there on May 31 and June 1 by the deans of the 38 medical faculties, medical students and representatives of the medical profession, health insurers and politics controversial.
For several years there has been complaint about shortage of young doctors, especially in the field of general practitioners and in rural regions. There have also been countermeasures: The master plan for medical studies 2020, which is intended to promote the training of students in general medicine, was decided year ago - at least on paper. "We are still waiting for the amendment to medical studies to be implemented," criticized Luca Salhöfer from the Federal Representation of Medical Students in Germany (bvmd). "The financing has still not been clarified."

“There is increasing pressure from politicians to offer solutions for more medical study places and against the shortage of country doctors,” said the President of the Medical Faculty Conference (MFT), Prof. Dr. rer. nat. Heyo K. Kroemer. However, the current political discussion is mainly about quantity, he criticized. As result, new medical courses, second campuses from established medical faculties and various other collaborations would arise. This tendency should be viewed in differentiated manner: "It is important that the quality of the academic training of future doctors is maintained," emphasized Kroemer.
A few weeks ago the medical profession also called for an increase in the number of medical study places been renewed. The 121st German Medical Conference in Erfurt called for an increase of 6,000 places. Dr. med. Günther Matheis, President of the State Medical Association of Rhineland-Palatinate, underpinned this at the oMFT in Mainz and called for an increase of ten to 15 percent in the number of places: "That is justified," he emphasized.
The training of medical students was the focus of this year's medical faculty in Mainz. In particular, the university physicians discussed the number of future students as well as new admission procedure for studying.

Will we need more doctors in Germany in the future than before in order to secure the care of the population? That was the question that was at the center of this year's 79th Ordinary Medical Faculty Conference (oMFT) in Mainz and that was raised there on May 31 and June 1 by the deans of the 38 medical faculties, medical students and representatives of the medical profession, health insurers and politics controversial.
For several years there has been complaint about shortage of young doctors, especially in the field of general practitioners and in rural regions. There have also been countermeasures: The master plan for medical studies 2020, which is intended to promote the training of students in general medicine, was decided year ago - at least on paper. "We are still waiting for the amendment to medical studies to be implemented," criticized Luca Salhöfer from the Federal Representation of Medical Students in Germany (bvmd). "The financing has still not been clarified."

“There is increasing pressure from politicians to offer solutions for more medical study places and against the shortage of country doctors,” said the President of the Medical Faculty Conference (MFT), Prof. Dr. rer. nat. Heyo K. Kroemer. However, the current political discussion is mainly about quantity, he criticized. As result, new medical courses, second campuses from established medical faculties and various other collaborations would arise. This tendency should be viewed in differentiated manner: "It is important that the quality of the academic training of future doctors is maintained," emphasized Kroemer.
A few weeks ago the medical profession also called for an increase in the number of medical study places been renewed. The 121st German Medical Conference in Erfurt called for an increase of 6,000 places. Dr. med. Günther Matheis, President of the State Medical Association of Rhineland-Palatinate, underpinned this at the oMFT in Mainz and called for an increase of ten to 15 percent in the number of places: "That is justified," he emphasized."Due to the demographic change and changed work models, we need more heads." med. Peter Heinz, Chairman of the Board of Directors of the Rhineland-Palatinate Association of Statutory Health Insurance Physicians, from the resident area. He pleaded for more incentives to settle in rural areas.
Prof. Dr. med. Ferdinand Gerlach. For the chairman of the Advisory Council on the Assessment of Developments in the Health Care System, neither demands for “more money” nor for “more doctors” are suitable approaches. "Rather, it is first necessary to reduce the blatant oversupply in the inpatient and outpatient specialist areas," he said in Mainz. There is no shortage of medical specialists in Germany, just maldistribution. “90 percent of all specialist approvals take place in one of the 77 specialist areas; only ten percent of young doctors achieve degree as generalist, ”he criticized. one of the highest in international comparison and is also increasing significantly every year. The cause of the perceived lack of doctors is "hamster wheel" in which doctors and patients in this country are. This is shown by the low number of doctors per 1,000 days in hospital. "This is consequence of the high number of cases," analyzed Gerlach. Gerlach demanded that one must consistently orientate oneself to medical needs and forego unnecessary services. "Only when we have eliminated the structural problems can we decide whether we really need to train more doctors."

The Bavarian State Minister for Science and Art, the former chair for gynecology at the Technical University of Munich, Prof. Dr. med. Marion Kiechle, sees misdistribution of doctors as causal problem. “General medicine must be strengthened,” she said in Mainz. Bavaria has therefore opted for country doctor quota. In addition, the Standing Conference of the Ministers of Education and Cultural Affairs (KMK) worked flat out on the cornerstones for new admission procedure for medical studies, reported Kiechle. Decisions on this would be made in mid-June. Initial considerations, however, resulted in dispensing with the waiting time quota as means of access to medical studies. "The most valid criterion is still the high school graduation mark," said the doctor."Due to the demographic change and changed work models, we need more heads." med. Peter Heinz, Chairman of the Board of Directors of the Rhineland-Palatinate Association of Statutory Health Insurance Physicians, from the resident area. He pleaded for more incentives to settle in rural areas.
Prof. Dr. med. Ferdinand Gerlach. For the chairman of the Advisory Council on the Assessment of Developments in the Health Care System, neither demands for “more money” nor for “more doctors” are suitable approaches. "Rather, it is first necessary to reduce the blatant oversupply in the inpatient and outpatient specialist areas," he said in Mainz. There is no shortage of medical specialists in Germany, just maldistribution. “90 percent of all specialist approvals take place in one of the 77 specialist areas; only ten percent of young doctors achieve degree as generalist, ”he criticized. one of the highest in international comparison and is also increasing significantly every year. The cause of the perceived lack of doctors is "hamster wheel" in which doctors and patients in this country are. This is shown by the low number of doctors per 1,000 days in hospital. "This is consequence of the high number of cases," analyzed Gerlach. Gerlach demanded that one must consistently orientate oneself to medical needs and forego unnecessary services. "Only when we have eliminated the structural problems can we decide whether we really need to train more doctors."

The Bavarian State Minister for Science and Art, the former chair for gynecology at the Technical University of Munich, Prof. Dr. med. Marion Kiechle, sees misdistribution of doctors as causal problem. “General medicine must be strengthened,” she said in Mainz. Bavaria has therefore opted for country doctor quota. In addition, the Standing Conference of the Ministers of Education and Cultural Affairs (KMK) worked flat out on the cornerstones for new admission procedure for medical studies, reported Kiechle. Decisions on this would be made in mid-June. Initial considerations, however, resulted in dispensing with the waiting time quota as means of access to medical studies. "The most valid criterion is still the high school graduation mark," said the doctor.She correlates most strongly with academic success - that was also her experience as an examiner in medical state exams.
By the end of 2019, the states must have agreed on new admission procedure for medical studies, after the Federal Constitutional Court (BVerfG) has ended last year had declared the current allocation of university places to be partly unconstitutional. "We did not want to determine too much with our judgment so as not to petrify the legal situation," explained the Vice President of the BVerfG, Prof. Dr. jur. Ferdinand Kirchhof. In general, however, the court was of the opinion that the Abitur grade was arrested with good prognosis for suitability, he said in Mainz. An individual selection process of the university (AdH) is also permitted - provided it is structured and takes into account at least one eligibility criterion beyond the Abitur grade. "I am sure that there will be many ways open when it comes to the design," he said.
Prof. Dr. med. Bernhard Marschall, Managing Director of the Institute for Education and Study Affairs at the University of Münster, has concerns: "The range of future students will be very narrow just because of the currently announced elimination of the waiting time quota," he said. He predicted particularly major problems with regard to the AdH procedure, which is coordinated via the service platform of the University Admissions Foundation. "After December 2019, we may not be able to carry out any selection process at the universities at all because the foundation cannot convert its software so quickly," he said. A prospect that Kroemer described as "scandalous" and medical student Salhöfer as "unacceptable". "The timely implementation of the requirements of the BVerfG must not fail due to technical defects", stated Prof. Dr. med. Andrew Ullmann, member of the German Bundestag (FDP). “This is where the federal government is called upon. There is an urgent need for action. ” Dr. med. Eva Richter-Kuhlmann

3 questions. . .
Prof. Dr. med. Marion Kiechle, Bavarian State Minister for Science and Art
What would you like to achieve in your new office for university medicine?
University medicine will be with you faced numerous expectations. Its aim is to train as many general practitioners as possible for rural areas. At the same time, we need even more highly motivated researchers who, for example, as clinician scientists, shape our medicine of tomorrow. Finding good compromise here is important to me.She correlates most strongly with academic success - that was also her experience as an examiner in medical state exams.
By the end of 2019, the states must have agreed on new admission procedure for medical studies, after the Federal Constitutional Court (BVerfG) has ended last year had declared the current allocation of university places to be partly unconstitutional. "We did not want to determine too much with our judgment so as not to petrify the legal situation," explained the Vice President of the BVerfG, Prof. Dr. jur. Ferdinand Kirchhof. In general, however, the court was of the opinion that the Abitur grade was arrested with good prognosis for suitability, he said in Mainz. An individual selection process of the university (AdH) is also permitted - provided it is structured and takes into account at least one eligibility criterion beyond the Abitur grade. "I am sure that there will be many ways open when it comes to the design," he said.
Prof. Dr. med. Bernhard Marschall, Managing Director of the Institute for Education and Study Affairs at the University of Münster, has concerns: "The range of future students will be very narrow just because of the currently announced elimination of the waiting time quota," he said. He predicted particularly major problems with regard to the AdH procedure, which is coordinated via the service platform of the University Admissions Foundation. "After December 2019, we may not be able to carry out any selection process at the universities at all because the foundation cannot convert its software so quickly," he said. A prospect that Kroemer described as "scandalous" and medical student Salhöfer as "unacceptable". "The timely implementation of the requirements of the BVerfG must not fail due to technical defects", stated Prof. Dr. med. Andrew Ullmann, member of the German Bundestag (FDP). “This is where the federal government is called upon. There is an urgent need for action. ” Dr. med. Eva Richter-Kuhlmann

3 questions. . .
Prof. Dr. med. Marion Kiechle, Bavarian State Minister for Science and Art
What would you like to achieve in your new office for university medicine?
University medicine will be with you faced numerous expectations. Its aim is to train as many general practitioners as possible for rural areas. At the same time, we need even more highly motivated researchers who, for example, as clinician scientists, shape our medicine of tomorrow. Finding good compromise here is important to me.
A new faculty is being built in Augsburg, second campus in Bayreuth - are there enough places in medicine?
How many places in medicine are really necessary is highly complex question, It is not for nothing that working group of the Health and Education Ministers' Conference will deal with it. Regardless of this, however, the Free State of Bavaria has made advance payments and has already exceeded the demand for ten percent increase.
You are now also member of the Conference of Ministers of Education and Cultural Affairs of the federal states: How is it going? the implementation of the master plan for medical studies 2020?
We are all eagerly awaiting the report on the financial and capacitive effects of the Master Plan Medical Studies 2020, which is planned for autumn. But I would like to emphasize that the implementation of many measures to improve teaching is another enormous financial challenge for which represents university medicine. That is why the Standing Conference has always emphasized that this will only be possible with additional funds. The federal government is also called upon here.