The Graz practitioner Michael Wendler warns the decline of general practice in Austria and calls for practical training.
Profile: What about for at the moment to the next generation in future family doctors?
Wendler: Universities forms quite well - but what follows is the yawning emptiness. More and more young doctors to go abroad. I have a survey done by grad students in my seminar. The superior no longer stay there, but only if they are going better now to Denmark or Germany. We have completely lost the connection.
Michael Jackson (right) with three young doctors he trained in his teaching practice (photo: Blahowsky)
Profile: They teach students, this is also not uncommon for a GP.
Wendler: Yes, but only in Austria. We are a group of general practitioners who make teaching at the university. This is of course completely foreign. In the EU, young doctors are trained in teaching practices. Only in Austria they have for the rotation in the hospital automatically GP, many of them worked without a single time in a practice.
Profile: But what is a good doctor?
Wendler: You have to learn, even with few tools to cope and the many health complaints, occurring in the population, well take care. It would require a lot to experience. As the knowledge that I do not always have to act at first. I also can sometimes wait until the next or the next day as anything goes and only then making a decision. If I have not experienced before, I come out as a young doctor or health care professional and am used to me - as in a hospital outpatient department, constantly making decisions. But this leads - due to the lack of technical equipment which may not have any in the practices - immediately to the fact that remittances are written.
Profile: In other words, well-trained practitioners to help save money?
Wendler: Yeah. Because in a high-tech ambulance is then straight on diagnosed. I get these patients back with 30 to 40 laboratory tests and imaging at least one - and then the cost-intensive.
Profile: a problem of history, the recording of medical history?
Wendler: At the hospital they learn to make a proper medical history, which means but not much longer, that this is a good history. Since everything is listed, which is necessary to ask, but they not draw conclusions about the cross-linked. A good history is more bio-psycho-socially. The headache from stress Matura's just something different than if I just wonder where and when the headaches occur and how long it takes.
Profile: it needs so the experience of everyday life and the social environment?
Wendler: Yes. We are not gods in white - we are companions for life. And when I do my part so investing, I can even with a terminally ill to reach a goal. The claim is low, yet the success is often quite beautiful.
Profile: How do you see the image of the practitioners, as compared to the specialists?
Wendler: In our patients, we have a very high reputation. The vast country of medicine is not true, unfortunately. Although I always to declare that the medical experts know, and still more the hospital doctors did not know what we are doing. We are trained at the University of professors who have taught by professors who have in turn learned from professors. We have to finally bring the views of the universities and teach what the doctors later need out there in practice, really.
Profile: Why is because the widespread unease of many family doctors that they could view a patient when something goes wrong. Can you do with such feelings of anxiety at all good medicine?
Wendler: We know that our self-confidence is bad. This is because we have no real roots in the universities. But we would need this academisation to the other subjects to make clear that we studied very well proceed according to methods well. And then you can condemn us not to line and point and laboratory values. That feeling that we are good and do good work is out there currently not many doctors there.
Dr. Michael Wendler , 53, GP's in Graz and is regularly in his practice of young doctors. So far, 26 trainee doctors have graduated with him several months of teaching practice. Wendler lectures on general medicine at the Medical University of Graz and is considered one of the engines of education reform of its Profession.
This interview appeared in the context of the current cover story in the news magazine profile on " How good is your doctor ?"
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