Postgraduate training in general practice in Germany: A narrative review

Postgraduate training varies significantly both between countries and among medical specialties within a nation, due to differences in medical education and health care systems. We aim to provide detailed information about postgraduate training in general practice. This narrative review is based on a selective literature review, supplemented by legal texts and information from official institutions. Postgraduate training is strongly influenced by Germany's federal governmental structure, funding regulations and lack of structured programmes attached to academic bodies. This system allows for freedom in career choice, and the organisation of education and training after medical school. However, it presents significant challenges for workforce planning. Additionally, it places a heavy organisational burden on the individual trainee, who is responsible for organising their own rotations and ensuring that all necessary skills are acquired during training. In response to an increasing shortage in general practitioners, recent years have seen new developments such as the establishment of competence centres and coordination offices. Nevertheless, further improvements are necessary to guarantee up-to-date training, so that future general practitioners can meet the growing challenges of medical care.