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This study examines the challenges faced by international medical graduates (IMGs) in their integration into German rehabilitative clinics. It explores the issues of language barriers, different relationship styles, knowledge gaps, and high documentation demands. The study emphasizes the need for support and discussion of responsibility within the German healthcare system.
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Fully functioning international medical graduates are not free of chargeHow do international medical graduates integrate into German rehabilitative clinics? Patricia Hänel, Theda Borde Alice Salomon University of Applied Sciences
(Partial) physician shortage in Germany rural > urban & unattractive > attractive
International physicians in Germany GBE, 2017
Reha-clinics in Germany Goals: functionandcoping ratherthan healing Veryformal Lowerincome
(Partial) physician shortage in Germany rural > urban & unattractive > attractive German rehabilitationclinics
Method 58 Interviews with IMG, team members patients thematic analysis (adapted from Braun & Clarke) 35 feed back letters Rate of IMG: 47%-78%
Problem: slower learning curve of the system Language Different style of relationship: with team and patients Knowledge gap: rehabilitations specific, health and legal system High documentation demands Low social support Jansen, Haenel, Klingler, Public Health 2018 Curran, Hillet, Han, Bradburry, Can J Rural Med 2008
Problem: slower learning curve of the system Different expectations • Frustration • Higher workload • Reducedqualityandsafety • Stereotyping • risks
Who is to carry that burden? German healthcare system Responsibility has to be discussed
Thanks for your attention! • Alice Salomon Hochschule • Alice-Salomon-Platz 5D-12627 BerlinDr. Patricia Hänel • patricia.haenel@ash-berlin.eu • www.ash-berlin.eu