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[Specialist training quo vadis?]

M Krusche1, P Sewerin2, A Kleyer3

  • 1Medizinische Klinik mit Schwerpunkt Rheumatologie und Klinische Immunologie, Charité Universitätsmedizin, Charitéplatz 1, 10117, Berlin, Deutschland. martin.krusche@charite.de.

Zeitschrift Fur Rheumatologie
|August 31, 2019
PubMed
Summary
This summary is machine-generated.

German rheumatology training shows declining numbers and significant deficits in practical skills and supervision. The new medical training and further education regulations (MWBO) aim to improve structured training and address these issues.

Keywords:
Advanced trainingInvestigation techniquesModel continuing training regulationsSpecialist numbersTeach to target

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Area of Science:

  • Rheumatology
  • Medical Education
  • Germany

Background:

  • Revision of German medical training regulations (MWBO) in May 2018 impacts rheumatologist training.
  • Need for an overview of the current advanced medical training landscape for German rheumatologists.

Purpose of the Study:

  • Assess the strengths and weaknesses of current rheumatology continuous education in Germany.
  • Analyze the number of newly trained rheumatology specialists.
  • Evaluate training conditions for assistant physicians.

Main Methods:

  • Quantitative and qualitative analysis of rheumatology training in Germany.
  • Determined specialist numbers from 2015-2017 via regional medical associations.
  • Conducted a nationwide online survey of 71 assistant physicians on training conditions.

Main Results:

  • Specialist numbers decreased from 53 (2015) to 43 (2016, 2017).
  • Physicians rated training 3.1/6; only 19.4% had regular mentoring, 41.7% on-the-job evaluations.
  • Deficits noted in joint ultrasonography (22.8% not practicing, 20% monthly) and structured training (46.6%), with a lack of supervision (33.3%).

Conclusions:

  • A declining trend in newly qualified rheumatology specialists necessitates investment in medical education.
  • Current medical training in Germany exhibits deficits requiring improvement.
  • The new MWBO offers potential for structured training guidelines based on "Teach to Target" principles.