1. UEMS Germany Manpower 2016

2. 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

3. 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) 80.000 Medical Students 10.000 First Semester Students (Freshmen) pa 6.000 Graduated pa Source: Chenot JF. Undergraduate medical education in Germany. GMS Ger Med Sci. 2009;7:Doc02.

4. Diversity of Physicians Germany 2015 (Numbers in Thousand)

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

6. Physicians Density (One working Physician to Number of Inhabitant)

7. Average Age of Doctor in Clinic and Private Practice

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

9. Foreign Doctors in Germany

10. Most foreign doctors work in clinics outpatient inpatient

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

12. How ENT doctors work Clinical own private practice

13. Outpatient: ENT Specialists vs All Physicians

15. ENT Specialists: Clinic vs own Private Practice

16. ENT Specialists: Clinic vs Own Private Practice

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

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

19. Attending Physicians 25% ENT have <10 beds to operate

20. ENT Specialist per 100.000 Inhabitants

21. Female ENT Over all doctors 17,91%

22. We are getting older similar to other doctors

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