Expectations and Views of the Next Generation of Family Physicians

DOI: 10.3238/zfa.2021.0060-0065

german translation / full article

Bernadett Hilbert, Julia Born, Hannah Haumann

Keywords: Junge Allgemeinmedizin Deutschland (JADE) career in family medicine family medicine young doctors

BackgroundConsidering recent developments and changes in the German health care sector it is important to be aware of the views and wishes of young family physicians. The Young Family Medicine Germany (“Junge Allgemeinmedizin Deutschland”; JADE) is a German network of young and future family physicians. So far, little is known about the members of JADE, their socio-demographics, characteristics of their post-graduate specialty training as well as their visions and expectations concerning their own future as family doctors.MethodsOnline-based, explorative survey of all members of JADE.Results213 members participated in the survey. Most of them were doctors in post-graduate specialty training (DST) (n = 149; 70 %). DST were predominantly female (n = 115; 82 %), on average 37 years old and in the later stage of specialty training. 62 % of DST were enlisted in Competence Centers for Continuing Education in Family Medicine (“Kompetenzzentrum Weiterbildung”). Most DST lived in the federal states Bavaria (n = 55; 39 %), North Rhine-Westphalia (n = 14; 10 %) and Baden-Württemberg (n = 13; 9 %). In addition to rotations in internal medicine (n = 80; 63 %) DST most often chose surgery rotations (n = 36; 28 %). More than half of DST (n = 84; 60 %) worked in cities with more than 20,000 inhabitants. The compatibility of career and family life as well as the work atmosphere were the most relevant aspects regarding job satisfaction and opening an own practice in the future. Most DST could imagine having an own practice and settling in a rural area in the future. 42 % (n = 59) of DST earned between 4000 and 4800 euro a month, whereas the gross monthly income of 58 % exceeded 4800 euro. ConclusionsThe results concerning job satisfaction and the willingness to open an own family practice matched other surveys of German future family physicians. Apart from family medicine, most DST underwent training in internal medicine, rarely choosing other fields. This will be most likely changed by the new education guideline for specialty training (“Musterweiterbildungsordnung”). The relatively new structure of Competence Centers for Continuing Education in Family Medicine (“Kompetenzzentrum Weiterbildung”) seems to be received well by DST. In regard to wage agreements with municipal hospitals and the financial funding of future family physicians our study indicated a relative underpayment of DST. Therefore, adjustments of wage levels of DST seem absolutely essential. Improved networking among DST within the JADE and the Competence Centers for Continuing Education in Family Medicine could play a vital role to achieve this goal.Keywords young doctors; family medicine; Junge Allgemeinmedizin Deutschland (JADE); career in family medicine

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