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Dtsch Med Wochenschr. 2018 Apr;143(7):e42-e50. doi: 10.1055/a-0543-4544. Epub 2018 Apr 3.

[Work and Training Conditions of Young German Physicians in Internal Medicine - Results of a Second Nationwide Survey by Young Internists from the German Society of Internal Medicine and the German Professional Association of Internists.]

[Article in German; Abstract available in German from the publisher]

Author information

Medizinische Klinik m.S. Infektiologie und Pneumologie, Charité - Universitätsmedizin Berlin.
Herzzentrum - Kardiologie und Pneumologie, Universitätsmedizin Göttingen.
Institut für Psychologie - Abteilung Wirtschaftspsychologie, Albert-Ludwigs-Universität Freiburg.
Kardiologie und internistische Intensivstation, Klinikum für Innere Medizin I, Städtisches Klinikum Darmstadt.
Klinik für Innere Medizin IV mit dem Schwerpunkt Nieren- und Hochdruckkrankheiten, Universitätsklinikum Schleswig-Holstein, Campus Kiel.
Sektionen Infektiologie und Tropenmedizin, I. Medizinische Klinik und Poliklinik, Universitätsklinikum Hamburg-Eppendorf.


in English, German


 Medical specialty training is the basis for career development of young internists and it is vital for the delivery of high-quality medical care. In 2014 the young internists of two professional bodies in Germany conducted a survey among their young members and described major factors influencing training and working conditions. We present the results of a follow-up survey to describe changes of these factors over time. An additional focus is set on the difficulties of balancing medical career and family.


 In the end of 2016 we conducted an online-based survey of all members in training of the German Society of Internal Medicine (DGIM) and the Professional Association of German Internists (BDI). The questionnaire used in the 2014 survey was modified and items investigating the balance between career and family were added.


 A total of 1587 questionnaires were returned and analysed. Mayor findings did not change over time. Psychosocial strain remains very high among medical trainees in internal medicine. A structured training curriculum and meaningful feedback are associated with lower psychosocial strain and higher work satisfaction. Internists - and here especially women - with children experience the daily balance of medical career and family as extremely challenging.


 These results demonstrate that there is still a serious need for adjusting training and working conditions of young internists in Germany. Especially the role and increasing importance of female physicians has to be recognized by enabling a successful integration of medical career and family.

[Indexed for MEDLINE]

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