Alexander Pfeil1,2, Martin Krusche3,4, Fabian Proft3,5, Diana Vossen3,6, Jürgen Braun7, Xenofon Baraliakos3,7, Michael N Berliner3,8, Gernot Keyßer3,9, Andreas Krause3,10, Hanns-Martin Lorenz3,11, Bernhard Manger3,12, Florian Schuch3,13, Christof Specker3,14, Jürgen Wollenhaupt3,15, Anna Voormann3,16, Martin Fleck3,17,18. 1. Kommission Fort- und Weiterbildung der Deutschen Gesellschaft für Rheumatologie, Berlin, Deutschland. alexander.pfeil@med.uni-jena.de. 2. Klinik für Innere Medizin III, Funktionsbereich Rheumatologie und Osteologie, Universitätsklinikum Jena, Am Klinikum 1, 07747, Jena, Deutschland. alexander.pfeil@med.uni-jena.de. 3. Kommission Fort- und Weiterbildung der Deutschen Gesellschaft für Rheumatologie, Berlin, Deutschland. 4. Sektion für Rheumatologie und Entzündliche Systemerkrankungen, Universitätsklinikum Hamburg-Eppendorf (UKE), Hamburg, Deutschland. 5. Abteilung für Rheumatologie, Medizinische Klinik für Gastroenterologie, Infektiologie und Rheumatologie, Campus Benjamin Franklin, Charité Universitätsmedizin, Berlin, Deutschland. 6. Rheinisches Rheumazentrum Meerbusch-Lank, St. Elisabeth Hospital, Meerbusch, Deutschland. 7. Rheumazentrum Ruhrgebiet, Ruhr-Universität Bochum, Herne, Deutschland. 8. Rheumatologie und Geriatrie, Helios Klinikum Berlin-Buch, Berlin, Deutschland. 9. Department für Innere Medizin, Klinik für Innere Medizin II, Universitätsklinikum Halle, Halle (Saale), Deutschland. 10. Klinik für Innere Medizin, Abteilung Rheumatologie, klinische Immunologie und Osteologie, Immanuel Krankenhaus Berlin, Berlin, Deutschland. 11. Sektion Rheumatologie, Medizinische Klinik V, Universitätsklinikum Heidelberg, Heidelberg, Deutschland. 12. Medizinische Klinik 3, Rheumatologie und Immunologie, Universitätsklinikum Erlangen, Friedrich-Alexander Universität Erlangen-Nürnberg, Erlangen, Deutschland. 13. Internistische Praxisgemeinschaft Rheumatologie - Nephrologie, Erlangen, Deutschland. 14. Klinik für Rheumatologie und Klinische Immunologie, Evangelisches Krankenhaus Kliniken Essen-Mitte, Essen, Deutschland. 15. Immunologikum Hamburg, Hamburg, Deutschland. 16. Deutsche Gesellschaft für Rheumatologie, Berlin, Deutschland. 17. Klinik und Poliklinik für Innere Medizin I, Universitätsklinikum Regensburg, Regenburg, Deutschland. 18. Asklepios Klinikum Bad Abbach, Klinik und Poliklinik für Rheumatologie/Klinische Immunologie, Bad Abbach, Deutschland.
Abstract
BACKGROUND: In the next few years many general practitioners and specialists will retire. As in other disciplines the question arises in rheumatology whether sufficient training positions are available to maintain or expand the supply of care according to demand. Therefore, the German Society of Rheumatology (DGRh) has assigned its committee for education and training to review the currently available training opportunities in Germany. The aim of this work is the quantitative survey of the training capacity to become a specialist in internal medicine and rheumatology. METHODS: Within the framework of this study, a survey was conducted via the homepages of the 17 state medical associations to determine the postgraduate medical officers, their place of work and the duration of their postgraduate training capabilities. Based on the data, a nationwide survey of training positions was conducted. RESULTS: Specialized rheumatology training is established at 229 training centers in Germany, whereby data from 187 training sites were available for analysis. The training locations are distributed as followed: 52.4% clinical sector and 47.6% outpatient sector. In total, 478.4 training positions are available in Germany (clinical sector: 391.4 and outpatient sector: 87) and 17.2% of the positions (clinical sector: 11.4% and outpatient sector: 43.1%) are not occupied. CONCLUSION: Based on this study, it can be shown that most of the continuing education positions are available in the clinical sector. In contrast, half of the training positions in the outpatient area are not filled. In order to improve the training situation, it is essential to integrate outpatient colleagues into the training program. This presupposes that further training is supported or financed by the healthcare system. In this context, optimal rheumatological care must be permanently guaranteed throughout Germany in order to provide sufficient care for the approximately 2 million patients with inflammatory rheumatic diseases.
BACKGROUND: In the next few years many general practitioners and specialists will retire. As in other disciplines the question arises in rheumatology whether sufficient training positions are available to maintain or expand the supply of care according to demand. Therefore, the German Society of Rheumatology (DGRh) has assigned its committee for education and training to review the currently available training opportunities in Germany. The aim of this work is the quantitative survey of the training capacity to become a specialist in internal medicine and rheumatology. METHODS: Within the framework of this study, a survey was conducted via the homepages of the 17 state medical associations to determine the postgraduate medical officers, their place of work and the duration of their postgraduate training capabilities. Based on the data, a nationwide survey of training positions was conducted. RESULTS: Specialized rheumatology training is established at 229 training centers in Germany, whereby data from 187 training sites were available for analysis. The training locations are distributed as followed: 52.4% clinical sector and 47.6% outpatient sector. In total, 478.4 training positions are available in Germany (clinical sector: 391.4 and outpatient sector: 87) and 17.2% of the positions (clinical sector: 11.4% and outpatient sector: 43.1%) are not occupied. CONCLUSION: Based on this study, it can be shown that most of the continuing education positions are available in the clinical sector. In contrast, half of the training positions in the outpatient area are not filled. In order to improve the training situation, it is essential to integrate outpatient colleagues into the training program. This presupposes that further training is supported or financed by the healthcare system. In this context, optimal rheumatological care must be permanently guaranteed throughout Germany in order to provide sufficient care for the approximately 2 million patients with inflammatory rheumatic diseases.
Authors: Gernot Keyßer; Christoph G O Baerwald; Maren Sieburg; Konrad Boche; Alexander Pfeil; Thomas A Kupka; Kirsten Lüthke; Frank Heldmann; Peter Oelzner; Leonore Unger; Martin Aringer Journal: Z Rheumatol Date: 2019-06 Impact factor: 1.372
Authors: Hanns-Martin Lorenz; Sonja Froschauer; Regina Hanke; Bernhard Hellmich; Andreas Krause; Heinz-Jürgen Lakomek; Ina Kötter; Johannes Strunk; Anna Voormann; Silke Zinke Journal: Z Rheumatol Date: 2022-04-07 Impact factor: 1.530