what do ''they'' expect from you as "Assistenzarzt'' (Resident) In Germany?

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Gigo

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Hi guys, just need you advise/opinion about following topic, I am going to work as Assitenzarzt in Germany, what should I expect from ''them'' (my supervisor? my colleagues? my boss?) what level do they expect? how ''they'' interact with you? etc. I will be very thankful for any kind of advise of info

cheers
 

somerhave

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That is hard to answer because it depends entirely on what field you are in, what Klinik you are at and who your bosses and colleagues are. In general, Assistenzaerzte are starting after one practical year where they gather experience. You are expected to pretty much do everything your patients need from the start (intake, treatment plan, patient notes etc). There is supervision but the amount varies greatly. It is also usual that the Assistenzaertze draw blood, insert catheters, do lumbar punctures etc (depending on specialty).

I found the first year very challenging and I often felt like I was in way over my head with far too little supervision. Most of my colleagues felt the same regardless of specialty or Klinik. Despite being "thrown in cold water" it did get easier with time. I have had great bosses (Oberaerzte and Chefaerzte) that are very helpful and approachable as well as some that created very malignant working environments.

Sorry I can't help you more. It may be best to ask the other Assistants at the Klinik you will be working at. They can let you know what the work environment is like.
 
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ahmedd

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115 views and no reply? :D common people :D

yes it happens alot on the international forums , to answer your question , i amnt 100% sure, i am in the same boat as you, i am studying german and going to be (hopefuly) an assistenarzt in germany , what i can tell you is that i had a friend who was older than me with 3 years and he didnt have any idea about medicine etc ... and didnt much study and barely passed his exams , and now its been more than 2 years since he is working as an assistenarzt in Germany (A.I.T), thats why i have a good feeling about going there, if he made it,am sure anyone can :))))):laugh::laugh: ... so best of luck ... for both of us to make it there
 

ahmedd

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hi ,good to have your opinion here, please tell me more about the general surgery(chirurgie) ?how is it there as an assistenarzt ? first 6 months (of probation) how does it go? i heard you cant operate first 2 years not even as a second or third hand. please tell me more if you have information about chirurge assistenarzt, also since you are there , i will be applying in 2013 because i want to perfect my language as best as possible before risking to come and fail, do you think in late 2013 i will find an opening in general surgery ? is there still that great of demand ?
 

somerhave

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I unfortunately can't say much about your chances or general demand because I am now working in the US and have been away from Germany for several years. I was not in surgery but I am certain that you will be assisting in operations from the very start. During practical year (still officially in medical school) you spend 4 months in surgery and most of that time you are the third assistant in operations. Good luck and sorry that I can't help more.
 

BigPizza

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How easy is to get an Assistenzarzt position in Germany as a non-EU citizen?
 

ahmedd

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Thanks man , i appreciate your input on the subject, if i had the chance to make my residency in USA i would , but i am an EU citizen so it would be easier for me in Germany and closer to my family , if you still have time to check the forum , can you tell me how you think is the medical care and surgery in Germany compared to USA ? also the biggest fear i have is Lawsuits, especially in Surgery, and some people say that you can operate in Germany and make stuff without any Oberarzt or Facharzt watching over you,so if say you did a small tiny mistake then you will have a Lawsuit and lose your "apporbation" in that land or maybe in whole germany or europe , if you still got the time, please tell us more . Thank you
 

ahmedd

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How easy is to get an Assistenzarzt position in Germany as a non-EU citizen?
not to dissapoint or anything , but it is getting very hard these days , i am an Eu citizen and am afraid i wont find a position there, i know for a non Eu citizen with a EU medical degree its possible, but you dont get "approbation" you get "berufeserlaubnis" ,and every year you have to make a new "berufeserlaubnis" ( medical work permit) , with "approbation" it means you are considered equal with a native german and once you get the "approbation" you have it parmanent,and it can be revoked only if there is a law suit or something , so if you are not an EU citizen but you studied in an EU university, and you want something like Internal medicine or ATI , then you have a chance,and you can make it, i had a friend in this situation and he made it, but if you are not an EU citizen and you didnt study in an Eu university then its very hard,and you must pass a medical exam in Germany for them to recognize your medical degree . thats about all i know ,i am sorry i cant help more.
 

BigPizza

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Thanks for sharing.

not to dissapoint or anything , but it is getting very hard these days , i am an Eu citizen and am afraid i wont find a position there, i know for a non Eu citizen with a EU medical degree its possible, but you dont get "approbation" you get "berufeserlaubnis" ,and every year you have to make a new "berufeserlaubnis" ( medical work permit) , with "approbation" it means you are considered equal with a native german and once you get the "approbation" you have it parmanent,and it can be revoked only if there is a law suit or something , so if you are not an EU citizen but you studied in an EU university, and you want something like Internal medicine or ATI , then you have a chance,and you can make it, i had a friend in this situation and he made it, but if you are not an EU citizen and you didnt study in an Eu university then its very hard,and you must pass a medical exam in Germany for them to recognize your medical degree . thats about all i know ,i am sorry i cant help more.
 

Xenophonte

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115 views and no reply? :D common people :D

Hi, I have the same question, but in Psychiatry.
I like Psychiatry in German Hospitals, because Germany has a long tradition in that field
Any suggestions? Which Hospital is the best in Germany in Psychiatry.?
 

Gigo

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I talked with lots of people about it and all that they say is 1) there is a high demand virtually in every specialty 2)you have to be good in German 3)working atmosphere greatly depends on your chief.
 

med_heidelberg

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While it is easier to get into highly competitive specialties in Germany than it is in the US, it can still be difficult to break into certain specialties and locations. Peds is highly desired in Germany and very difficult to get into, as is Ob-Gyn. Radiology is moderately competitive there as well. Location is probably the main determining factor than specality: getting a job in Munich or Berlin is much more difficult than smaller cities and/or less desired areas.

Fluency in both spoken and written German is an absolute must. You should be good enough with the language that it does not hinder your ability to provide optimal patient care. Before signing a contract, try to find out as much as you can about the place, including the chief of the department and how high the attrition rate is. In surgical specalties make sure you will be able to actually do procedures instead of only working on the floor. I have seen many people relegated to the floors and giving virtually no OR time.
 

BigPizza

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While it is easier to get into highly competitive specialties in Germany than it is in the US, it can still be difficult to break into certain specialties and locations. Peds is highly desired in Germany and very difficult to get into, as is Ob-Gyn. Radiology is moderately competitive there as well. Location is probably the main determining factor than specality: getting a job in Munich or Berlin is much more difficult than smaller cities and/or less desired areas.

Fluency in both spoken and written German is an absolute must. You should be good enough with the language that it does not hinder your ability to provide optimal patient care. Before signing a contract, try to find out as much as you can about the place, including the chief of the department and how high the attrition rate is. In surgical specalties make sure you will be able to actually do procedures instead of only working on the floor. I have seen many people relegated to the floors and giving virtually no OR time.

Is there a website with a list of residency German residency positions listed? How residency positions are advertised in Germany? Thanks
 

collinsaboloje

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I want to ask something about cardiology residency in belgium (preferably dutch part) since i m a non-EU 5th yr med student in ukraine.. i will graduate next yr june

1. For cardiology, how long is the residency?
2. for cardiology, which university or hospital that I should apply for medical residency?
3. what are the requirements? as i am ready to fulfill any
4. is it easy to get into the system?
4. do i get paid in the course of doing my residency?
5.what are my chances as a medical student(graduate) from ukraine.
6. after my graduation next yr, can i immediately put in for the residency or do they require any level of experience?



kindly help guys..
 

ghmd

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I talked with lots of people about it and all that they say is 1) there is a high demand virtually in every specialty 2)you have to be good in German 3)working atmosphere greatly depends on your chief.

As it has been said: the demand for certain specialisations very much depends on the location.
At the moment, it is quite easy to get a job in rural areas.

It is also correct that you have to be able to talk and write in German - fluently.
That might be a little problem in some regions where people have an accent.
 
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