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Postgraduate medical training in Germany: A narrative review

2022/11/15 by Elizabeth Sierocinski, Leonard Mathias, Sierocinski, Elizabeth +5 · 1 citation
Medicine · #Curriculum #Facharztausbildung #Innovations in Medical Education #Medical Education and Admissions #Medicine and health #Musculoskeletal Disorders and Rehabilitation #Vorschriften #curriculum #postgraduate medical education #postgraduate medical training #postgraduierte medizinische Ausbildung #regulations #residency #specialty training

paper · doi:10.3205/zma001570

openalex publication_date 2022/11/15 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/19

Abstract

), which is adapted by the state medical associations. Admission to postgraduate medical training in Germany takes place by way of open, free-market selection. Based on the traditional assumption that junior doctors acquire all necessary clinical skills "on the job", formal education in the form of seminars, lectures, or preorganised, detailed rotation plans through various specialties or wards is largely absent. Requirements for postgraduate medical training focus on the fulfilment of broad categories of rotations rather than specific content or gaining competencies. With few exceptions, no structured educational programs with curricular learning objectives exist. Limited funding impedes program development and expansion. Junior doctors bear the primary organisational responsibility in their training, which often results in extended training times and dissatisfaction. Structured training programs which prioritise skill-building and formal education are needed to support junior doctors and ensure their competence in primary and specialty care.

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