Karl P
Mund Kiefer Gesichtschir. 2000 May;4 Suppl 1:S26-35. doi: 10.1007/PL00022958.
To qualify for further specialist training as a maxillofacial surgeon, a licence to practice in general medicine as well as a licence to practice in dentistry must be obtained beforehand. In addition to the 4-year course to qualify, maxillofacial surgeons can gain the additional qualification in the field of "plastic surgery" in a further course lasting 3 years. By the end of 1998, there were 698 maxillofacial surgeons in private practices in Germany in comparison to 322 hospital-employed maxillofacial surgeons. Of the work done by maxillofacial surgeons (in private practices), 28% is in contracted hospitals; this percentage is relatively high in comparison to other disciplines in which private specialists use contracted hospitals. It is impossible these days for an individual specialist to completely cover all areas of maxillofacial surgery. In our field, joint practices with an internal specialization will increase the spectrum and quality of treatment in the future and will counteract competition from hospital-employed specialists now that day-case surgery has been introduced in these hospitals. Further training by the individual will remain an indispensable necessity as well as personal involvement by every maxillofacial surgeon in the postgraduate medical training of doctors and dentists. This can only be achieved if the economic situation of specialists is maintained in health-politics.
要获得颌面外科专科进一步培训的资格，必须事先取得普通医学执业执照以及牙科执业执照。除了为期4年的资格课程外，颌面外科医生还可以通过另外一个为期3年的课程获得“整形手术”领域的额外资格。到1998年底，德国有698名从事私人执业的颌面外科医生，相比之下，受雇于医院的颌面外科医生有322名。在颌面外科医生（私人执业）所做的工作中，28%是在签约医院进行的；与私人专科医生使用签约医院的其他学科相比，这个比例相对较高。如今，单个专科医生不可能完全覆盖颌面外科的所有领域。在我们这个领域，与内科专科的联合执业将在未来扩大治疗范围并提高治疗质量，并且鉴于这些医院已经引入了日间手术，这将抵消受雇于医院的专科医生的竞争。个人的进一步培训仍将是必不可少的，而且每位颌面外科医生都要亲自参与医生和牙医的毕业后医学培训。只有在卫生政策中维持专科医生的经济状况，才能实现这一点。
