The Teaching of General Practice in Germany – Well Prepared for the Changes to the ÄAppO?
DOI: 10.3238/zfa.2012.0497-0505german translation / full article
Background: The changes to the Medical Licensing Regulations (ÄAppO) announced in July this year by the Federal Ministry of Health (BMG) represent a significant challenge for family practice at universities in Germany. The capacity for training medical students in primary care needs to be expanded significantly. Against this background, we are going to illuminate the current state of affairs and the future potential of family medicine ten years after the introduction of the 2002 ÄAppO.
Methods: In a collaboration of the Association for Medical Education (GMA), the Association of University Professors of Family Practice (GHA) and the German Society of General Practice and Family Medicine (DEGAM), a nationwide survey and analysis was carried out on the status quo of the teaching of family medicine in Germany.
Results: In our reference year 2010, about 10,000 students were trained in FP surgeries in block courses and at the same time 316 students did a 4-month period of their Practical Year (PJ) in family medicine. In this period, 1165 PJ places were available, corresponding to places for 12% of the students of a year. Approximately 4500 surgeries were used in training, nearly 10% of all FP surgeries available. The obligatory structural quality requirements for these practices increased significantly from the time they are used for block placements to their use in the PJ. The same applies to introductory and accompanying didactic events.
Conclusions: The introduction of block placements in family practice has been implemented at a high level of quality. A large number of training places are already available for training during PJ. Given adequate advance notice and appropriate accompanying measures, it should be possible to significantly increase the number of training surgeries expanding capacities to meet the new requirements. At the same time, the standards in training should be discussed again as part of the revised requirements.