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Differences in training among prehospital emergency physicians in Germany
Matthias Bollinger1,2, C Mathee2,3, A D Shapeton4,5
1Department of Anesthesiology, Intensive Care, Emergency Medicine and Pain Therapy, Schwarzwald-Baar Hospital, Klinikstr. 11, 78052 Villingen-Schwenningen, Germany.
Notfall & Rettungsmedizin
|April 18, 2022
Summary
Physician training in Germany
Area of Science:
- Emergency Medicine
- Medical Education
- Physician Training
Background:
- Germany employs an interdisciplinary, physician-based emergency medical service.
- Variations in physician training may result in differing levels of expertise.
Purpose of the Study:
- To evaluate the experience levels of prehospital emergency physicians.
- To determine the number of manual procedures completed by physicians from various specialties upon training completion.
Main Methods:
- Physicians estimated the number of procedures performed for 26 manual skills post-board examination.
- Results were compared against established recommendations and learning curve data.
Main Results:
- Anesthesiologists performed significantly more endotracheal intubations (direct and video laryngoscopy) than surgeons or internists.
- Surgeons reported limited experience with non-invasive ventilation, external pacemakers, and electrical cardioversion compared to other specialties.
- Procedure numbers for some skills varied significantly between primary specialties, with recommendations not always met.
Conclusions:
- Significant differences in procedural experience exist among prehospital emergency physicians based on their primary specialty.
- Inconsistent procedural volumes suggest potential gaps in expertise for certain skills.
- Establishing a minimum procedural volume should be a prerequisite for board certification in prehospital emergency medicine.
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