Neuroscience conference 2022

Ruth Helena Lueg

Clinical psychotherapist, Germany

Title: Foreign-born physicians’ experiences in Germany

Abstract

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 as part of an international community, attending a British school and later graduating from a California high school . Since 1980 I have been living, working, studying and teaching in Germany. Although my home and family is in Germany, I have continued to live and travel abroad, not only in Europe but also in  Australia , Canada, and the USA. I have working experience abroad, international friendships, and we keep living in a cross-cultural relationship because we have a second home in Florida.
Growing up internationally and living with a highly mobile and cross-cultural lifestyle has been a remarkable experience in my life that allows me to understand people living in foreign cultures. I have learnt that to be a physician in Germany is completely different as it is in other countries, especially in mental care is important to understand people culturally believes an their priorities to rebuild the pillars of lifestyle in my speech I would like to speak about real experiences, I think it can be a big help for many collagen that maybe are thinking on hire a foreign doctor, work in another country other just try to get along working with someone from another culture, I hope to be another help against discrimination and racisms 
Main purpose of this speech is sharing knowledge and experience of my 41 years working in Germany and to contribute to increasing cross-cultural empathy, I will give some usefully example  like  which is the property Communication skill in the German health care . This must be imperative; Germans tend to be direct and to the point. They consider small talk and over-politeness a waste of time. Americans often mistake German frankness for rudeness. Most German-speakers will tell you that their language is too serious and precise to be wasted on small talk or chitchat, especially with strangers. There is some unspoken German code of behavior that requires serious talk – or no talk. Germans mean what they say. Their frankness is legendary. 
What a person perceives as helpful other rudeness may only be a cultural misunderstanding. What is considered friendly in one country or culture may not be regarded as desirer in another.
 Some foreign-national physicians are born in countries with another empathy feeling, and if they are “too friendly “could happen that the patients won’t take them as qualified enough for the job . A “good doctor usually is busy and don’t have time to smile “so the first thing I learn in Germany was never tell your Patients that you have time enough for him !
I am convinced that in the coming years the future the migration will become a master challenge and we have to be prepare mentally to accept not only different languages but also life perception. I hope I can help to lose some cultural barriers, workplace bias and discrimination and be a small contribution to universal understand the world is big and extremely diverse! I believe that by sharing our experience about life in different countries and cultures, we can help make the world a better place for everyone.

Biography

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.