German junior doctors in Britain Training in Germany is unstructured

BMJ 1994; 309 doi: https://doi.org/10.1136/bmj.309.6958.881 (Published 01 October 1994) Cite this as: BMJ 1994;309:881
  1. B C Bende
  1. Rathbone Hospital, Liverpool L13 4AW
  2. Humares (Human Resource Consultants),* Winchester SO23 8TA.

    EDITOR, - Hans-Jurgen Bartz and Winfried Kahlke point out that German doctors look for alternatives to work in Germany.1 As a German doctor working in Britain, I agree that the time spent as an “Arzt im Praktikum” is poorly paid, with doctors receiving only one third of the usual salary. They receive no structured training and are often expected to work with minimal supervision at an early stage, carrying out duties unacceptable for British house officers - for example, reporting electroencephalograms from their first day in neurology. The whole of this period can be spent in a single specialty and counts towards specialisation; it therefore does not provide any opportunity for gaining general experience or training outside that specialty.

    Bartz and Kahlke …

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