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- Title
Die nächste Generation der Allgemeinmedizin.
- Authors
Ko, Jonathan; Krug, Katja; Förster, Christian; Jähnig, Tanja; Bischoff, Martina; Becker, Christine; Schwill, Simon
- Abstract
Background: To promote the quality and efficiency of postgraduate specialization in general practice (GP), competence centers (KW)were established throughout Germany according to § 75a SGB V. In 2017 the KW Baden-Württemberg (KWBW) emerged from the former postgraduate training program Verbundweiterbildungplus Baden- Württemberg. The aim of this study was to analyze the participants of the KWBW in order to draw conclusions about the target group and to allow a benchmarking with other GP trainees. Methods: In 2016 an ongoing observational study was initiated at the KWBW. New participants complete a self-developed questionnaire with 54 (to maximum 62) items upon entry covering topics on sociodemographic background, studies/qualifications, postgraduate medical training, future plans and lateral recruitment (if applicable). A descriptive data-analysis of the years 2016--2022was performed. Results: N= 884/929 GP trainees participated (participation rate 95.2%). The mean age was 34 years (Q1; Q3; [min-max]:31; 38 [24-65]). 72.6% (n= 642) were female, 84.2% (n= 741) were married or in a committed partnership. 56.9% (n= 503) were parents. The average high school grade was 1.6 (Q1; Q3; [min-max]: 1.2; 2.0 [1.0--3.4]), 61.7% (n= 475) had completed amedical dissertation (Dr.med.). 24.5% (n= 217)were in their first or second year of training, 50.9%(n= 450) in their third to fifth year of training and 23.8% (n= 210) were graduates fromother medical specialties (lateral recruits). 55.7% (n= 492) were working full-time, 33.7% (n= 298) part-time and 10.5% (n= 93) were without employment. After the specialist exam, 97.8% (n= 847) planned to work in GP and 91.9% (n= 791) planned to stay in Baden-Württemberg. Thirty percent (n= 259) planned to work in a rural medical practice. 37.9% (n= 331) planned to become selfemployed, 9.1%(n= 79) excluded self-employmentwhile the majority (52.1%; n= 462) was undecided. Conclusions: The results presented allow further comparative studies. The KWBW attracts GP trainees that plan to work in primary care in Baden-Württemberg. Many of them have not yet decided whether to work self-employed or not. Therefore direct entry frommedical school into GP-specialization must be fostered.
- Subjects
BADEN-Wurttemberg (Germany); GERMANY; MEDICAL specialties &; specialists; MEDICAL practice; RURAL planning; FULL-time employment; ELEMENTARY schools
- Publication
ZFA: Zeitschrift für Allgemeinmedizin, 2023, Vol 99, Issue 7, p357
- ISSN
0937-6801
- Publication type
Article
- DOI
10.1007/s44266-023-00114-3