I've been working in a small town in rural Australia and we've recently hired a new anaesthetist who was trained in Germany. Unfortunately we've had a lot of trouble with him as he didn't really get on with the other staff members and his skills and knowledge certainly did not reflect what was written on his CV. My question (as a matter of curiosity), as I have kept quiet about this as work - do they do things differently in Germany? How could a consultant / attending supposedly perform worse than a 1st year registrar? Is this just him or is the system different and they have a different scope of practice?