Department of Plastic Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Ruprecht Karls University Heidelberg, Heidelberg, Germany.
BMC Med Educ. 2022 Jul 1;22(1):513. doi: 10.1186/s12909-022-03582-6.
The German health care system has recently become an attractive destination for international medical graduates, particularly from developing countries such as Syria. However, there are no studies about the factors that influence the successful entry into the German healthcare system at trainee level. METHOD : An anonymous cross-sectional survey was distributed electronically to Syrian medical graduates who successfully entered residency training in Germany. Collected data included demographics and factors that influence entering the residency, such as proven German proficiency and clinical experience in the home country. Hypothesis testing was used to assess the difference between the variables.
A total of 109 participants responded to the survey. Twenty-three (21.1%) subjects completed a medical residency in Syria before moving to Germany, and 46 (42.2%) had no previous clinical experience before moving to Germany. The proven German proficiency of the participants upon arrival in Germany was less than B1 in 39 (35.8%), B1 in 37 (33.9%), and B2 in 33 (30.3%) cases. None of the participants had a language level beyond B2, and 18 (16.5%) had no German knowledge. The median of months spent in Germany till residency for those with B1 or B2 certificates before moving to Germany (10.5 (6.25-16) months and 8 (5-11) months, respectively) differed significantly from those with German-language skills belowB1 ((21 (14-29) months, p < .001). Residency in the home country was not associated with a difference in the median of the months in Germany till entering residency, p = 0.84.
A crucial factor influencing the successful entry to the German medical system at the trainee level is the ability to speak German, measured in levels based on the Common European Framework of Reference for languages. A high language skill level is a crucial factor associated with a decrease in time in Germany till entering residency for an international medical applicant. In contrast, previous work experience is not influencing the entry into the German labor market.
德国的医疗体系最近成为国际医学毕业生，尤其是来自叙利亚等发展中国家的医学毕业生的理想选择。然而，目前还没有研究探讨影响国际医学毕业生在德国受训者层面成功进入医疗体系的因素。
我们对成功进入德国住院医师培训的叙利亚医学毕业生进行了匿名横断面调查。收集的数据包括人口统计学信息以及影响进入住院医师培训的因素，例如已证明的德语水平和在原籍国的临床经验。采用假设检验来评估变量之间的差异。
共有 109 名参与者对调查做出了回应。23 名（21.1%）受试者在移居德国之前完成了在叙利亚的住院医师培训，46 名（42.2%）在移居德国之前没有任何临床经验。抵达德国时，参与者已证明的德语水平低于 B1 的有 39 人（35.8%），B1 的 37 人（33.9%），B2 的 33 人（30.3%）。没有参与者的德语水平超过 B2，18 人（16.5%）没有德语知识。在移居德国之前已获得 B1 或 B2 证书的人，在德国完成住院医师培训所需的中位数月数分别为 10.5（6.25-16）个月和 8（5-11）个月，而德语水平低于 B1 的人则为 21（14-29）个月，差异有统计学意义（p < .001）。在原籍国的住院医师培训经历与在德国完成住院医师培训所需的中位数月数之间没有关联，p = 0.84。
影响受训者层面成功进入德国医疗体系的关键因素是德语能力，这是根据欧洲共同语言参考框架进行的水平测量。较高的语言水平是与国际医学申请者在德国完成住院医师培训所需时间减少相关的关键因素。相比之下，先前的工作经验并不影响进入德国劳动力市场。
