UEMS Germany Manpower 2016

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

Medical Education & ENT Training in Germany School - General Certificate of Aptitude for Higher Education (Abitur) Final Clinical Year (University-Hospitals) Final Clinical Year (University-Hospitals) University Medical School Basic 2y + Clinical Science 3y University Medical School Basic 2y + Clinical Science 3y State Licensing Examination Licence to practice Medicine (Approbation) Regulation of the Licensing of Doctors ( AppOÄ State Licensing Examination Licence to practice Medicine (Approbation) Regulation of the Licensing of Doctors ( AppOÄ Governmental System 36 Medical Schools in Germany (Medical Faculties) Medical Students First Semester Students (Freshmen) pa Graduated pa Source: Chenot JF. Undergraduate medical education in Germany. GMS Ger Med Sci. 2009;7:Doc02.

Diversity of Physicians Germany 2015 (Numbers in Thousand)

Numbers in Thousands employed retired inpatientoutpatient private practiceresidents & senior consultants Diversity of Physicians Germany 2015 (Numbers in Thousand)

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

Foreign Doctors in Germany

Most foreign doctors work in clinics outpatient inpatient

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

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 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