The position of the Funktionsoberarzt ("functioning senior physician") is to date not specified. Nevertheless, in the majority of hospitals the position exists, although the function and responsibilities are not clearly defined. Frequently, it is thought that the position represents a consultant who works independently, but who is still supported by experienced colleagues to achieve the full qualification for a senior physician. In contrast, others indicate that the position represents a consultant who works as a senior physician with all responsibilities, but without an established post and without the corresponding reimbursement. A critical disadvantage of the position is that frequently the duties of both a resident and senior physician must be managed. Rotation between the two functions results in a higher workload, and the lack of identity and acceptance may lead to frustration. Therefore, we feel that the position is only meaningful if the Funktionsoberarzt works exclusively as a senior physician who is supported for complex surgeries and decisions by more experienced colleagues. In addition, the position should only be temporary and the time period for the position should be defined in advance.