Ruth Helena LuegClinical psychotherapist, Germany
Title: Foreign-born physicians’ experiences in Germany
With Germany facing a shortage of doctors, hospitals have been increasingly recruiting physicians from abroad, The demand will continue to grow in the years to come – especially since many physicians in hospitals will be retiring. But how high is their job satisfaction? how is the Foreign-born physicians’ perceptions of discrimination and stress in interaction with patients and natives’ colleagues? how to get along with supervisor boss and patients? do migrants doctors they have the same opportunities for career progression? do they have a adequate orientation programmers to ensure safe practice?
It is difficult to answer those questions because the physicians who migrate to Germany come from different countries and they bring differences in cultural, system, and linguistic backgrounds influence knowledge and in their expectations, also their assimilation in this country.
In my experiences in most interviews, language was an important topic, but participants struggled with diverse aspects of the interpersonal interactions with German’s natives as well-. To be able to speak German doesn’t mean you are able to understand the cultural stereotypes and feel comfortable in a strong German regulate -working environments.
Germany, like many other forward-thinking countries around the world, is progressively growing its flexible workplace market There is a lack of skilled workers in this country but how does the working life satisfaction for academics -migrants look like?
Foreign physicians play an increasingly important role in the German health care system, above all in the hospital sector. Global physician migration has been gaining increasing attention and the biggest difficult seems to be lack an cross-cultural competence from both sides. The doctors coming to Germany without knowing the way German’s cultural differences are and the native Germans that don’t understand that foreign folks another life style and priorities do have.
The German healthcare system is a dual public-private system that dates back to the 1880s, making it the oldest in Europe and is well known to be the very best healthcare systems in the world. All the hospitals have a very good reputation, they are modern and use the latest technology and provide high-quality medical care and additionally, Doctors are also among the highest earners on the German job market, all that sounds very exciting for many young doctors around the world.
Finding a promising new job is one of the most popular reasons why so many physicians pick Germany as their next destination, they are marketed primarily as an opportunity to experience one of the world's best healthcare systems and their well know “Germans benefits “. Getting an German Job may seem like a simple fantastic life-work- opportunity, but it can quickly become a complex frustrating process. with many new obstacles and problems to fit In a new work culture.
Whether competing with elite professionals in a foreign language, hanging in and being calm under pressure, remaining focused, and maintaining self-belief are all vital aspects needed to push personal limits specially when the sociocultural aspects of communication, and interaction with patients and colleagues are not familiar.
How to be happy in Germany? “It depends.” It depends on the individual, their lifestyle and goals, their genetic code and unique biology., the personally resource to get along in this “German Paradise world “…and is it really a” German paradise?
Born in Chile South America to foreign German parents, , I have the German nationality from my ancestors ,I grew up
I graduated as a medical doctor from University of Santiago, Chile. The doctoral Thesis in the field of Adolescent Mood Disorder.From 1970-1980 Specialization in Internal Medicine in Roy H. Glover Hospital, American Hospital from Anaconda Mines in Chuquicamata, Chile, also there worked in the desert of Atacama as scientific researcher in the WHO research for High-altitude-related illnesses (Profesor Santolaya).
From 1980-1993 Specialization in Psychiatry and Psychotherapy in the "Landes Klinik Bedburg-Hau", NRW, Germany. This was the largest psychiatric hospital and Health Mental Center in Europe with 3,500 Patients.
I graduated as a specialist in internal medicine and psychiatry in 1993, which allowed me to practice my professional development in psychosomatic care German (Ärztekammer Nordrhein AKNO Bundesärztekammer), fully licensed for all insurances of medical care (German state-license) Board certification.
I developed a new professional concept for the treatment of addiction, including neurobiological approaches to a better understanding of human nature and human values and the re-activation of self-healing powers from a neurological perspective. This concept had a great response and acceptance with the German medical authorities. (Rheinische Arbeitsgemeinschaft für Rehabilitation (RAG). With my project, the German health system gave appropriate financial support and approval to open a clinic for psychosomatic treatment under my services. I opened this clinic in 1994 and managed it until my retirement in 2015. The work in this clinic was my greatest professional success and I was most fortunate to have in my staff numerous specialists, medical doctors, psychologists, social workers, ergo therapists, music therapists, etc. who did follow my therapeutic program and shape it with great enthusiasm. My clinic was a national and international training space for numerous young and committed health employers. The internal and external further training was fully my hands and we designed numerous workshops. We had cooperation with numerous institutes for psychiatric and psychotherapeutic training and also from the Nijmegen University in the Netherland.
I continued post graduated training in psychotherapy, psychiatry, neuroscience in Düsseldorf, Munich, Aachen, Tübingen, Köln and Freiburg Universities, also in Canada, Australia, Italy and Spain. I have lived and worked abroad for many years. My husband was an international consulting engineer, so we have travel around quite a bit.
in 1993 I published my research and clinical work focused identification, characterization and treatment of young men with addiction disorders, including the prodrome, first episode, multi-episode and refractory illness and phase of psychotic and mood disorders.
I am still full time working in my medical office, When Covid-19 virus arrived I dedicated all my time to psychotherapy and psychiatry through today.