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  1. Book: Background, objectives and design of the project "Career entry and career perspectives of medical graduates in selected OECD countries : a comparative study"

    Bussche, Hendrik van den

    = Perspectives de carrière des étudiants en médicine en fin d'étude dans certains pays de l'OCDE : une étude comparative

    (Cahiers de sociologie et de démographie médicales ; 2010, No. spéc.)

    2010  

    Title variant Perspectives de carrière des étudiants en médicine en fin d'étude dans certains pays de l'OCDE : une étude comparative
    Author's details Hendrik van den Bussche
    Series title Cahiers de sociologie et de démographie médicales ; 2010, No. spéc.
    Collection
    Language English
    Size 267 S. : graph. Darst.
    Publisher Centre de Sociologie et de Démographie Médicales
    Publishing place Paris
    Publishing country France
    Document type Book
    HBZ-ID HT016714380
    Database Catalogue ZB MED Medicine, Health

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    Zs A 1021 -2010,Nr.spéc.- not available for loan Zeitschriften-Lesesaal

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  2. Article: Ärztinnen in fachärztlicher Weiterbildung in Deutschland - Ergebnisse der KarMed-Studie. Rüya-Daniela Kocalevent und Hendrik van den Bussche, Zentrum für Psychosoziale Medizin, Universitätsklinikum Hamburg-Eppendorf

    Kocalevent, Rüya-Daniela / van den Bussche, Hendrik

    Gesundheit und Gesellschaft : Wissenschaft : das Wissenschaftsforum in Gesundheit und Gesellschaft /

    2023  Volume 23, Issue 2, Page(s) 22

    Language German
    Document type Article
    ZDB-ID 2052876-0
    ISSN 1868-1492
    Database Current Contents Medicine

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  3. Article ; Online: Final-year medical students' self-assessment of facets of competence for beginning residents.

    Bußenius, Lisa / Harendza, Sigrid / van den Bussche, Hendrik / Selch, Susan

    BMC medical education

    2022  Volume 22, Issue 1, Page(s) 82

    Abstract: Background: Final-year undergraduate medical students often do not feel well prepared for their start of residency training. Self-assessment of competences is important so that medical trainees can take responsibility for their learning. In this study, ... ...

    Abstract Background: Final-year undergraduate medical students often do not feel well prepared for their start of residency training. Self-assessment of competences is important so that medical trainees can take responsibility for their learning. In this study, we investigated how final-year medical students self-assessed their competences as they neared their transition to postgraduate training. The aim was to identify areas for improvement in undergraduate training.
    Methods: In the academic year 2019/2020, a national online survey was sent to final-year undergraduate medical students via their respective medical schools. The survey included ten facets of competence (FOC) most relevant for beginning residents. The participants were asked to self-assess their competence for each FOC on a 5-point Likert scale (1: strongly disagree to 5: strongly agree). We established an order of self-assessed FOC performance by means and calculated paired t-tests. Gender differences were assessed with independent t-tests.
    Results: A total of 1083 students from 35 medical schools completed the questionnaire. Mean age was 27.2 ± 3.1 years and 65.8% were female. Students rated their performance highest in the FOCs 'Teamwork and collegiality' and 'Empathy and openness' (97.1 and 95.0% 'strongly agree' or 'agree', respectively) and lowest in 'Verbal communication with colleagues and supervisors' and 'Scientifically and empirically grounded method of working' (22.8 and 40.2% 'strongly disagree', 'disagree', or 'neither agree nor disagree', respectively). Women rated their performance of 'Teamwork and collegiality', 'Empathy and openness', and 'Knowing and maintaining own personal bounds and possibilities' significantly higher than men did (Cohen's d > .2), while men showed higher self-assessed performance in 'Scientifically and empirically grounded method of working' than women (Cohen's d = .38). The FOCs 'Responsibility', 'Knowing and maintaining own personal bounds and possibilities', 'Structure, work planning, and priorities', 'Coping with mistakes', and 'Scientifically and empirically grounded method of working' revealed lower self-assessed performance than the order of FOC relevance established by physicians for beginning residents.
    Conclusions: The differences between the level of students' self-assessed FOC performance and physicians' ranking of FOC relevance revealed areas for improvement in undergraduate medical education related to health system sciences. Final-year students might benefit from additional or better training in management skills, professionalism, and evidence-based medicine. Surveys of self-assessed competences may be useful to monitor competence development during undergraduate training.
    MeSH term(s) Adult ; Clinical Competence ; Education, Medical, Undergraduate ; Female ; Humans ; Internship and Residency ; Male ; Self-Assessment ; Students, Medical ; Surveys and Questionnaires ; Young Adult
    Language English
    Publishing date 2022-02-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 2044473-4
    ISSN 1472-6920 ; 1472-6920
    ISSN (online) 1472-6920
    ISSN 1472-6920
    DOI 10.1186/s12909-021-03039-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Die Zukunftsprobleme der hausärztlichen Versorgung in Deutschland: Aktuelle Trends und notwendige Maßnahmen.

    van den Bussche, Hendrik

    Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz

    2019  Volume 62, Issue 9, Page(s) 1129–1137

    Abstract: In Germany there is a threat of a shortage of junior general practitioners (GPs). One third of currently employed GPs are 60 years and older. Every year, 1700 GPs leave the profession, while only about 1350 new GP-specialist approvals are issued. The ... ...

    Title translation The future problems of general practice in Germany: current trends and necessary measures.
    Abstract In Germany there is a threat of a shortage of junior general practitioners (GPs). One third of currently employed GPs are 60 years and older. Every year, 1700 GPs leave the profession, while only about 1350 new GP-specialist approvals are issued. The Advisory Council on the Assessment of Developments in the Health Care Sector estimates that there will be around 20,000 unmet replacement needs by 2025. By 2017, 2600 GP seats were already vacant.Based on the results of the KarMed study, this paper examines the questions as to how many residents intend to become general practitioners after graduation and how they develop during postgraduate training. Furthermore, the consequences of the increasing proportion of female physicians in primary care in terms of the possible volume of work will be investigated. Finally, measures that could reduce a possible personnel shortage are discussed.The attractiveness of general practice has increased considerably during residency over the last six years of observation. The preference for GP work is linked to parenthood. More female doctors strive for part-time work and an employment contract instead of a private practice. On this basis, it can be estimated that the volume of work performed by these female GPs will be half that of the traditional (male) working model in private practice.The forecasted numbers of new recruits are unlikely to be sufficient to cover the demand for GP care in Germany. Possible effective measures would be, for example, the introduction of a gatekeeper system, creation of multi-professional centers, a quota system for access to postgraduate training of specialists, a reformed national planning of GP supply in the country, and a shortening and flexibilization of postgraduate training for general practice.
    MeSH term(s) Career Choice ; Certification ; Educational Measurement ; Female ; General Practice/trends ; General Practitioners/supply & distribution ; Germany ; Health Workforce ; Humans ; Internship and Residency ; Male ; Private Practice ; Specialty Boards ; Workload
    Language German
    Publishing date 2019-08-16
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 1461973-8
    ISSN 1437-1588 ; 1436-9990
    ISSN (online) 1437-1588
    ISSN 1436-9990
    DOI 10.1007/s00103-019-02997-9
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  5. Article ; Online: Reale Dauer der fachärztlichen Weiterbildung in Deutschland – Ergebnisse der KarMed-Studie zehn Jahre nach Approbation.

    Kocalevent, Rüya Daniela / Böttcher, Vivien / Boczor, Sigrid / Scherer, Martin / van den Bussche, Hendrik

    Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany))

    2023  Volume 86, Issue 2, Page(s) 124–129

    Abstract: Background: Professional qualification as a doctor of medicine includes completion of medical studies and residency. Data on the real duration of residency are currently not assessed systematically in Germany.: Objectives: Our study aimed to analyze ... ...

    Title translation Actual Duration of Postgraduate Training of Medical Residents in Germany: Results of the KarMed Study Ten Years After Physician Licensure.
    Abstract Background: Professional qualification as a doctor of medicine includes completion of medical studies and residency. Data on the real duration of residency are currently not assessed systematically in Germany.
    Objectives: Our study aimed to analyze data on the real length of residency under consideration of area of expertise (specialization), part-time working, grades after school and medical studies, gender, and parenthood of the physicians in residency.
    Material and methods: The KarMed Study's database consists of annual postal surveys throughout the entire residency of medical students, beginning with their "Practical Year" in 2008/2009 until 2019. The study analyzed data six and ten years within this residency period.
    Results: The majority of the residents was capable of finishing their residency within the minimal time. One significant effect on actual duration of residency was the subject choice. One-third of the female residents had not yet finished their residency after ten years. Partenhood had a significant effect on female residents, but not on male residents. A regression analysis showed (R²corr=0.03, p<0.001) that the duration of residency was associated with the grade received after studying (β=0.30). Male residents were more satisfied with the overall residency then female residents.
    Discussion: Structural improvement in postgraduate training needs to be adjusted in terms of parental status. Prospective studies should take the selection process of universities into account and examine its association with the time required to complete residency.
    MeSH term(s) Humans ; Male ; Female ; Internship and Residency ; Education, Medical, Graduate ; Prospective Studies ; Germany ; Physicians ; Surveys and Questionnaires
    Language German
    Publishing date 2023-07-17
    Publishing country Germany
    Document type English Abstract ; Journal Article
    ZDB-ID 1101426-x
    ISSN 1439-4421 ; 0941-3790 ; 0949-7013
    ISSN (online) 1439-4421
    ISSN 0941-3790 ; 0949-7013
    DOI 10.1055/a-2107-4717
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  6. Article ; Online: Vers la suppression des « praticiens guérisseurs » en Allemagne ?

    van den Bussche, Hendrik / Schmacke, Norbert

    Presse medicale (Paris, France : 1983)

    2019  Volume 48, Issue 4, Page(s) 343–346

    Title translation An overview over the actual debate on the abolition of the "natural healers" in Germany.
    MeSH term(s) Complementary Therapies ; Consensus ; Germany ; Humans
    Language French
    Publishing date 2019-06-13
    Publishing country France
    Document type Editorial
    ZDB-ID 120943-7
    ISSN 2213-0276 ; 0032-7867 ; 0755-4982 ; 0301-1518
    ISSN (online) 2213-0276
    ISSN 0032-7867 ; 0755-4982 ; 0301-1518
    DOI 10.1016/j.lpm.2019.04.014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Frühzeitige Diagnose einer seltenen Krankheit bei Kindern durch bessere Kommunikation zwischen Eltern, niedergelassenen Ärzten und spezialisierten Zentren.

    Kohlschütter, Alfried / van den Bussche, Hendrik

    Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen

    2019  Volume 141-142, Page(s) 18–23

    Abstract: The correct and early diagnosis of a rare disease in children is of particular importance in regard to the frequently fateful consequences for young families. Even well-known rare diseases are diagnosed with unacceptable delay in many countries. After ... ...

    Title translation Early diagnosis of a rare disease in children through better communication between parents, physicians and academic centers.
    Abstract The correct and early diagnosis of a rare disease in children is of particular importance in regard to the frequently fateful consequences for young families. Even well-known rare diseases are diagnosed with unacceptable delay in many countries. After decades of studying medical histories with delayed diagnoses and the respective literature, we describe the often severe aftereffects of a late diagnosis. We point out the underlying problems on the part of the physicians involved, of the affected families and of the health system in Germany, in particular with respect to the many emerging centers for rare diseases, most of which are associated with academic institutions. We gained the impression that the cause of delayed diagnoses is frequently not a lack of expertise or other resources, but inefficient communication between parents, practitioners and expert centers. We consider two approaches as promising and practicable: (1) strengthening the parents' competence and role in the dialogue with their doctors, an important element of which is obtaining written information on the state of the diagnostic process in language understandable to the parents; (2) definition of binding requirements for centers officially dedicated to the diagnosis of rare diseases and to research into unknown conditions. Many of our observations and deliberations in the pediatric field should be equally applicable to adults.
    MeSH term(s) Adult ; Child ; Communication ; Early Diagnosis ; Germany ; Humans ; Parents/psychology ; Physician-Patient Relations ; Rare Diseases/diagnosis
    Language German
    Publishing date 2019-03-14
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2412512-X
    ISSN 2212-0289 ; 1865-9217
    ISSN (online) 2212-0289
    ISSN 1865-9217
    DOI 10.1016/j.zefq.2019.02.008
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  8. Conference proceedings: Zur Attraktivität einer haus- und landärztlichen Tätigkeit unter Medizinstudierenden im Praktischen Jahr und im ersten Semester – Ergebnisse einer deutschlandweiten Onlineumfrage

    Selch, Susan / Hampe, Wolfgang / van den Bussche, Hendrik

    2021  , Page(s) V32–04

    Event/congress Jahrestagung der Gesellschaft für Medizinische Ausbildung (GMA); Zürich, Schweiz; 2021
    Keywords Medizin, Gesundheit
    Publishing date 2021-09-15
    Publisher German Medical Science GMS Publishing House; Düsseldorf
    Document type Conference proceedings
    DOI 10.3205/21gma124
    Database German Medical Science

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  9. Article: [No title information]

    Kocalevent, Rüya Daniela / Böttcher, Vivien / Boczor, Sigrid / Scherer, Martin / van den Bussche, Hendrik

    Das Gesundheitswesen

    2023  Volume 86, Issue 02, Page(s) 124–129

    Abstract: Hintergrund: Für die ärztliche Qualifikation ist zwischen dem Studium und der sich daran anschließenden fachärztlichen Weiterbildung zu unterscheiden Die reale Dauer des Zeitraums zwischen ... ...

    Abstract Hintergrund: Für die ärztliche Qualifikation ist zwischen dem Studium und der sich daran anschließenden fachärztlichen Weiterbildung zu unterscheiden Die reale Dauer des Zeitraums zwischen Approbation und fachärztlicher Anerkennung wird in Deutschland derzeit nicht systematisch erfasst.
    Ziel der Arbeit: Mit dieser Studie soll die reale Dauer der fachärztlichen Weiterbildung in Deutschland untersucht werden. Die vorliegende Arbeit befasst sich mit dem Einfluss der Fachgebietswahl, einer Teilzeittätigkeit sowie der Abitur- und Abschlussnote im Medizinstudium, dem Geschlecht und dem Elternstatus auf die tatsächliche Dauer der fachärztlichen Weiterbildung.
    Material und Methoden: Datenbasis der KarMed-Studie ist die postalischen Befragung einer Kohorte, die im Jahrgang 2008/09 ihr Praktisches Jahr absolviert hat und anschließend während sieben Messzeitpunkten – zuletzt in 2019 – während ihrer fachärztlicher Weiterbildung begleitet wurde. Ausgewertet wurden Daten, die zum sechsten bzw. siebten Messzeitpunkt, sechs und zehn Jahre nach der Approbation erfasst wurden.
    Ergebnisse: Die Mehrheit der Ärztinnen und Ärzte konnte die fachärztliche Weiterbildung in der Minimalzeit abschließen, dabei hatte die Fachgebietswahl einen signifikanten Einfluss auf die Abschlusshäufigkeiten. Bezüglich der Dauer der fachärztlichen Weiterbildung konnte gezeigt werden, dass insbesondere Ärztinnen nach zehn Jahren zu einem Drittel noch keine Facharztanerkennung erreicht hatten. Dabei hatte der Elternstatus einen signifikanten Effekt in Bezug auf den Abschluss der fachärztlichen Weiterbildung bei Ärztinnen, nicht aber bei Ärzten. Regressionsanalytisch (R²corr=0,03, p<.001) ließ sich zeigen, dass der Stand der Weiterbildung mit der Abschlussnote des Medizinstudiums assoziiert ist (β=.30). Die Zufriedenheit mit der fachärztlichen Weiterbildung wurde von Ärzten höher eingeschätzt wird als von Ärztinnen.
    Schlussfolgerung: Die Auswertungen der KarMed Studie zeigen, dass weiterhin Nachbesserungsbedarf besteht, damit die Vereinbarkeit von Beruf und Familie für Ärztinnen gewährleistet werden kann. Zukünftige Studien sollten auch die Untersuchung der Auswahlverfahren der Hochschulen und deren Zusammenhang auf die Dauer der Weiterbildung untersuchen
    Keywords Facharztweiterbildung ; Dauer ; Teilzeit ; Geschlecht ; Elternstatus ; residency ; duration ; part-time work ; gender ; parenthood
    Language German
    Publishing date 2023-07-17
    Publisher Georg Thieme Verlag
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 1101426-x
    ISSN 1439-4421 ; 0941-3790 ; 0949-7013
    ISSN (online) 1439-4421
    ISSN 0941-3790 ; 0949-7013
    DOI 10.1055/a-2107-4717
    Database Thieme publisher's database

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  10. Book: Disease-Management-Programme

    Kaduszkiewicz, Hanna / Bussche, Hendrik van den

    Erwartungen und Bedenken von Hausärzten und Patienten ; Abschlussbericht einer Untersuchung im Auftrag des BKK-Landesverbandes NORD und seiner Betriebskrankenkassen

    (Schriftenreihe Forum Sozial- und Gesundheitspolitik ; 16)

    2003  

    Author's details Autoren: Hanna Kaduszkiewicz ; Hendrik van den Bussche
    Series title Schriftenreihe Forum Sozial- und Gesundheitspolitik ; 16
    Collection
    Keywords Hausarzt ; Disease Management
    Subject Krankheitsmanagement ; Disease Management Programme ; DMP ; Regulierte Krankenversorgung ; Hausärzte
    Language German
    Size 117 S. : graph. Darst.
    Publisher Asgard-Verl. Hippe
    Publishing place Sankt Augustin
    Publishing country Germany
    Document type Book
    HBZ-ID HT013715127
    ISBN 3-537-25016-9 ; 978-3-537-25016-2
    Database Catalogue ZB MED Medicine, Health

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