UEMS Germany Manpower 2016 Certified Trainer Examiner State

UEMS Germany Manpower 2016

Certified Trainer / Examiner State Chamber of Physicians ENT Subspeciality (not mandatory) such as Plastic Surgery State Chamber of Physicians Board Examination ENT Sub-Specialist ENT Training 5 years in clinic (37 Universities / 185 ENT clinics) and/or public practise; Logbook State Chamber of Physicians Board Examination ENT Specialist Final Clinical Year (University-Hospitals) University Medical School Basic 2 y + Clinical Science 3 y State Licensing Examination Licence to practice Medicine (Approbation) Regulation of the Licensing of Doctors ( App. OÄ School - General Certificate of Aptitude for Higher Education (Abitur) Governmental System Continous Medical Education Self Administration System Medical Education & ENT Training in Germany

Medical Education & ENT Training in Germany 36 Medical Schools in Germany (Medical Faculties) 80. 000 Medical Students 10. 000 First Semester Students (Freshmen) pa 6. 000 Graduated pa Final Clinical Year (University-Hospitals) University Medical School Basic 2 y + Clinical Science 3 y State Licensing Examination Licence to practice Medicine (Approbation) Regulation of the Licensing of Doctors ( App. OÄ School - General Certificate of Aptitude for Higher Education (Abitur) Governmental System Source: Chenot JF. Undergraduate medical education in Germany. GMS Ger Med Sci. 2009; 7: Doc 02.

Diversity of Physicians Germany 2015 (Numbers in Thousand)

Diversity of Physicians Germany 2015 (Numbers in Thousand) retired employed inpatient private practice Numbers in Thousands outpatient residents & senior consultants

Physicians Density (One working Physician to Number of Inhabitant)

Average Age of Doctor in Clinic and Private Practice

Development of Foreign Doctors in Germany Highest Increase from Middle-East (Syria) and Africa

la nd Sy rie n No rd Ira a n Af mer gh ik an a ist an ss Ru Ru Gr mä ie ni ch en en Ös lan te d rre ich Po le Un n g Bu arn lga rie Ts n ch I t al ec i e hi Sl sc ow n he a Re ke Ni pu i ed bl er ik la n Sp de Fr anie an n kr e Kr ich oa tie Lit n au e Ve Be n re in Lu lgi igt xe en es m Ko bu ni rg gr e Le ich ttl an Zy d p Po ern rtu Sc g hw al ed Fin en n Da lan ne d Slo mar w k en ie Es n tla nd Irl an d M al ta Foreign Doctors in Germany Foreign Physician in Germany 2015 4500 4000 3500 3000 2500 2000 1500 1000 500 0

Most foreign doctors work in clinics inpatient outpatient

German ENT Scientific Society: 4800 German ENT Professional Association: >5500 Highly organised!

How ENT doctors work Clinical own private practice

Outpatient: ENT Specialists vs All Physicians

Outpatient: ENT Specialists vs All Physicians

ENT Specialists: Clinic vs own Private Practice

ENT Specialists: Clinic vs Own Private Practice

ENT Departments 1541 ENT specialists in 185 university and municipital hospitals (decreasing number of hospitals and beds!)

Attending Physicians 1380 ENT specialists in 487 small ENT Units/Hospitals

Attending Physicians 25% ENT have <10 beds to operate

ENT Specialist per 100. 000 Inhabitants

Female ENT Over all doctors 17, 91%

We are getting older similar to other doctors

Do we have enough replacement? Clinical ENT and their Age after ENT-Exam ENT Exams do not meet the needed numbers for replacement