Berlin - After long debates between the federal government and the federal states about the future design of medical studies, the conference of health ministers of the federal states () has now announced the first cornerstones of the master plan for medical studies 2020.
Five questions to Regina Feldmann , put ver tre ten de chairman of the KBV.
< strong> DÄ: Ms. Feldmann, in future the practical year (PJ) will be divided into four sections of three months each, and in this way mandatory quarter will be introduced in outpatient care. What do you think of these key points of the master plan? Regina Feldmann: I very much welcome these key points because they strengthen outpatient medicine. The KBV has been calling for this for long time and this requirement.
The medical course is almost exclusively university-oriented and clinic-centered. Diagnostics and treatment have largely moved into outpatient care in recent years and are rarely offered in the university sector.
Of course, the reality of care must also arrive in training. How are we to win prospective doctors for outpatient medicine, especially for general medicine, if they have no insight at all during their studies?
That is why we see the PJ in the outpatient area as absolutely necessary.
DÄ: The students have always spoken out against PJ compulsory section in general medicine. Now they do not necessarily have to complete the quarter there, but in future an examination (M3) in general medicine will be mandatory for everyone after the PY. Does so much coercion make sense for the image of general medicine? Feldmann: Unfortunately, general medicine has been neglected by universities for long time. An indication of this is the fact that the number of chairs for general medicine has only increased in recent years without these having already been set up comprehensively and sufficiently at all medical university locations.
We keep finding: Nobody questions or describes it as compulsion that internal medicine or surgery are compulsory quarters in medical studies. Why shouldn't this self-evident also apply to general medicine?
We mustn't forget: Most people in Germany are cared for in general medicine, and around 80 percent of all patient problems are solved in the family doctor's practice.
DÄ: It is currently still open which outpatient training locations should be recognized.In your opinion, should the university outpatient departments and emergency services also be involved? Feldmann: Training should take place where the supply takes place. I am particularly interested in outpatient and basic medical care. It is therefore important that the training also takes place in the general practices of general practitioners and general practitioners.
DÄ: Are there enough quality-assured outpatient training locations throughout Germany for all PJers? Feldmann: The training locations are selected and supervised by the universities. However, I share the view that it is not problem to provide sufficient number of practices to be trained. The and the statutory health insurance associations have already offered their support here.
DÄ: It is currently still open whether country doctor quota for applicants for medical studies should be anchored in the master plan. The health ministers at least stick to this demand and want each country to be free to introduce its own country doctor quota. But wouldn't such quota even degrade the subject?
Feldmann: I find the very idea that country doctor quota could have "degrading" effect - to put it mildly - very strange . The work as country doctor still represents one of the greatest challenges in medicine today.
It is about care needs and problems that we have to solve. It does not matter whether these are questions of patient care in the country or in the city.