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Living in Germany
                                      medical onboarding
Welcome to Germany!                   germany



καλώς ήρθατε!
Herzlich willkommen in Deutschland!
Bienvenido a Alemania!
Welcome in Germany
Your right of free movement as a European citizen

The EU-Commission has initiated a wide range of measures designed
to make the right of free movement a practical reality.

The right of free movement can be enjoyed by citizens of the European
Union and members of their families.

The right of free movement of persons is complemented by the mutual
recognition of vocational qualifications, the right to buy property and the
coordination of the Social Insurance System.

As European Citizen you are entitled to vote or to be elected in the
                                                                             medical onboarding
community or City you live in.                                               germany




useful link: http://eur-lex.europa.eu/el/index.htm




                                                                                                  2 /17
Overview
Germany - Key Facts
 Capital:          Berlin

 National Holiday: 3. Oktober (German Unification Day)

 Inhabitants:      82,5 Millions

 Location:         in the heart of Europe

 climate:          temperate seasonal climate in which humid
                    westerly winds predominate


                                                                medical onboarding
                                                                germany


useful links: http://www.deutschland-reise.de
              http://en.wikipedia.org/wiki/Germany




                                                                                     3 /17
Politics and government
Key Facts
 Governm. System:     Parliamentary democracy since 1949

 Constitution:        Grundgesetz („Basic Law“) of 1949

 Federal President:   Bundespräsident Joachim Gauck

 Parliament:          Bundestag

 Chancellor:          Bundeskanzlerin Dr. Angela Merkel

 Federal Structure:   Germany is divided into 16 counties, each
                       of them with own parliament and authority
                       over educational and cultural decisions     medical onboarding
                                                                   germany
useful links:          http://www.bundestag.de
                       http://www.bundesrat.de




                                                                                        4 /17
Economical situation
Solid and firm - shortage of specialised staff

Germany is one of the largest economies in the world. The service
sector is growing steadily, but also the manufacturing sector,
particularly the automotive industry continues having a large share of
the economic growth.

Agricultural production is coined very regional. Cereals, wine, beer,
meat and milk production are typical sectors. Nearly one third of the
Federal Republic is forested and is used by the forestry industry.

The German labour market is stable, but for years, there hat been a
shortage of doctors, engineers and professionals.
                                                                         medical onboarding
                                                                         germany




                                                                                              5 /17
Working in Germany
Contributions and taxes deducted from your salary
 Health and care/nursing Insurance (15,5%*, **)

 Unemployment Insurance (3%*)

 Retirement/Pension insurance (26 %*)

 Taxes - depending on your salary and tax classification (up to 42%)

 Church Tax - if you ar e a member of a state church (8% up to
   9% from your salary tax)

* half of which are paid by employees and half by employers.
                                                                         medical onboarding
** The Health insurance is compulsory in Germany. Up from a salary       germany
of more than 50.850 € you can become a member of a private health
insurance and choose between different and more variable contributions
useful links:      http://www.lohnsteuer-kompakt.de
                   http://www.steuerzahler.de
                   http://www.nettolohn.de




                                                                                              6 /17
Health System in Germany
National costs and hospital „landscape“
 Number of employees working in the health system: about 4 Mio.

 Number of Doctors working in Hospitals: about 158.000

 Number of Hospitals: 2.064 (2011); 2.242 (2000)

 Hospitals according to ownership categories:

                             public
                             45,4%    charitable
                                      38,7%


                   private
                   15,9%
                                                                      medical onboarding
                                                                      germany
                                              Research of RWI Essen

 National costs of german health system 245 Bil. € (10,6% BIP)

 Money spent in the Hospital sector: > 60 Bil. €

 Money due to medical staff: between 75,2% (private Hospitals)
  and 62,2% (public Hospitals) of total cost




                                                                                           7 /17
Average salary structure
Pre- and after tax-income of hospital doctors...
            pre- and after tax-income of german hospital doctors

         career level                                     pre-tax salary in €     after-tax salary in €

                                                          from            to      from             to
         entry

         3-5 years of professional experience

         5-8 years of professional experience

         8-12 years, particularly in a leading position


                                                                                source: kpmg auditing company 2011



...depending on different collective wage agreements, e.g.
 TV-Ärzte/VKA (public hospitals)
                                                                                                                     medical onboarding
 TV-Ärzte (university hospitals)                                                                                    germany

 AVR-Caritas/AVR-Diakonie (hopitals in parochial ownership)
 TV-Ärzte Asklepios (wage agreement of private companies, here: Asklepios)
 further agreements, more or less according to the previous




                                                                                                                                          8 /17
Take your Chance
Working as a Doctor in Germany

As a European citizen you have the same access to practice your
medical profession like german doctors. You need a licence to practise
medicine. You don´t need a residence title or working permission.

In Germany the admission of medical doctors is under federal supervi-
sion. Each doctor has to be a mandatory member of the medical coun-
cil of his or her county (Landesärztekammern).

The acceptance of your medical graduations is possible. It depends on
your equivalent professional knowledge, which has to be recognized
through the official medical council of your county.
                                                                                   medical onboarding
useful links:   http://www.bundesaerztekammer.de/                                  germany
                http://www.anerkennung-in-deutschland.de
                http://www.anabin.de - Stichwort „zuständige Stellen“
                http://www.arbeitsagentur.de/nn_575128/Navigation/Dienststellen/
                besondere-Dst/ZAV/arbeiten-in-deutschland/DE/bewerben/
                anerkennung-beruflicher-abschluesse/anerkennung-nav.html




                                                                                                        9 /17
Take your Chance
Growth of foreign doctors working in Germany




                                               medical onboarding
                                               germany




                                                                    10/17
Usual Business
What will determine your working practice

 german language (Level b)

 teamwork in a setting with doctors, nurses, therapists,
  social workers and administrational staff

 working in a hierarchy with the medical director and consultants

 following a strong documentation-system of the treatments as the
  basic for funding (DRG-based funding system)

 recognition and willingness to take economical facts into
  consideration when treating patients
                                                                     medical onboarding
                                                                     germany




                                                                                          11/17
Quality Management
Monitoring, management, regulations
 strict quality management has been installed in almost every level
  of hospital structures within the last 10 years

 a quality report has to be published by each hospital every year

 the monitoring systems that have been installed are comparable
  to those of large multinational companies


useful links: http://www.mydrg.de/
              http://www.ktq.de/
              http://www.g-ba.de/
                                                                       medical onboarding
              http://www.gqmg.de/                                      germany
              http://www.bqs-institut.de/
              http://www.ak-qualitaetssicherung.de/
              http://www.sqg.de/startseite
              ...




                                                                                            12/17
Language
It´s complicated...

There are at least 10 different regional phrases to say good bye:

officially:
Auf Wiedersehen

commonly spoken:
tschüssi, ciao, ciao ciao, servus, alla, ade, adieu, tschö, tschüs, füat
di, aide - ciao

But don´t worry - just follow these links.
                                                                           medical onboarding
useful links: http://www.goethe.de                                         germany
              http://www.goethe.de/ins/gr/ath/deindex.htm
              http://de.pons.eu/deutsch-griechisch
              http://www.derweg.org
              http://www.make-it-in-germany.com/en/home/




                                                                                                13/17
Culture, living, participation
What we can offer you
 good infrastructur and public transit system
 lots of good schools, free of charge
 social networks and advisory service in your community/city
 credible health system
 lots of sportive an cultural offers, you can participate
 museums, orchestras, theatres in almost every town
 private greek schools, greek orthodox religious communities and
  lots of our beloved greek restaurants!

useful links: http://www.ellines.de/ (here you´ll find your fellows)
              http://www.festivalhopper.de                            medical onboarding
                                                                      germany
              http://www.buchmesse.de
              http://webmuseen.de
              http://www.kulturstiftung-des-bundes.de
              http://www.berlinale.de
              http://www.litrix.de
              http://www.veranstaltungen-in-deutschland.de




                                                                                           14/17
Denmark

                         s
             r   l and                       Pol
                                                   and
   N   e the




          m
Be lgiu



                                  Cze
                                        ch
                                             Rep
                                                   ubl        medical onboarding
                                                         ic   germany




         ra nce
     F


       Switzerland              Au stria


                                                                                   15/17
MCM Media Consult Maier + Partner GmbH
Kaiserstraße 201-203 | 76133 Karlsruhe
                                                        medical onboarding
Tel. 0721 / 83 14 7-0 | Fax: 0721 / 83 14 7-19          germany

E-Mail info@mcm-web.de
Handelsregister Karlsruhe HRB 5938
Internet http://www.medicaltopjobs.de
Facebook http://www.facebook.com/MedicalTopJobs
Twitter http://twitter.com/MedicalTopJobs




                                                  Picture from istock.com

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Living in Germany

  • 1. Living in Germany medical onboarding Welcome to Germany! germany καλώς ήρθατε! Herzlich willkommen in Deutschland! Bienvenido a Alemania!
  • 2. Welcome in Germany Your right of free movement as a European citizen The EU-Commission has initiated a wide range of measures designed to make the right of free movement a practical reality. The right of free movement can be enjoyed by citizens of the European Union and members of their families. The right of free movement of persons is complemented by the mutual recognition of vocational qualifications, the right to buy property and the coordination of the Social Insurance System. As European Citizen you are entitled to vote or to be elected in the medical onboarding community or City you live in. germany useful link: http://eur-lex.europa.eu/el/index.htm 2 /17
  • 3. Overview Germany - Key Facts  Capital: Berlin  National Holiday: 3. Oktober (German Unification Day)  Inhabitants: 82,5 Millions  Location: in the heart of Europe  climate: temperate seasonal climate in which humid westerly winds predominate medical onboarding germany useful links: http://www.deutschland-reise.de http://en.wikipedia.org/wiki/Germany 3 /17
  • 4. Politics and government Key Facts  Governm. System: Parliamentary democracy since 1949  Constitution: Grundgesetz („Basic Law“) of 1949  Federal President: Bundespräsident Joachim Gauck  Parliament: Bundestag  Chancellor: Bundeskanzlerin Dr. Angela Merkel  Federal Structure: Germany is divided into 16 counties, each of them with own parliament and authority over educational and cultural decisions medical onboarding germany useful links: http://www.bundestag.de http://www.bundesrat.de 4 /17
  • 5. Economical situation Solid and firm - shortage of specialised staff Germany is one of the largest economies in the world. The service sector is growing steadily, but also the manufacturing sector, particularly the automotive industry continues having a large share of the economic growth. Agricultural production is coined very regional. Cereals, wine, beer, meat and milk production are typical sectors. Nearly one third of the Federal Republic is forested and is used by the forestry industry. The German labour market is stable, but for years, there hat been a shortage of doctors, engineers and professionals. medical onboarding germany 5 /17
  • 6. Working in Germany Contributions and taxes deducted from your salary  Health and care/nursing Insurance (15,5%*, **)  Unemployment Insurance (3%*)  Retirement/Pension insurance (26 %*)  Taxes - depending on your salary and tax classification (up to 42%)  Church Tax - if you ar e a member of a state church (8% up to 9% from your salary tax) * half of which are paid by employees and half by employers. medical onboarding ** The Health insurance is compulsory in Germany. Up from a salary germany of more than 50.850 € you can become a member of a private health insurance and choose between different and more variable contributions useful links: http://www.lohnsteuer-kompakt.de http://www.steuerzahler.de http://www.nettolohn.de 6 /17
  • 7. Health System in Germany National costs and hospital „landscape“  Number of employees working in the health system: about 4 Mio.  Number of Doctors working in Hospitals: about 158.000  Number of Hospitals: 2.064 (2011); 2.242 (2000)  Hospitals according to ownership categories: public 45,4% charitable 38,7% private 15,9% medical onboarding germany Research of RWI Essen  National costs of german health system 245 Bil. € (10,6% BIP)  Money spent in the Hospital sector: > 60 Bil. €  Money due to medical staff: between 75,2% (private Hospitals) and 62,2% (public Hospitals) of total cost 7 /17
  • 8. Average salary structure Pre- and after tax-income of hospital doctors... pre- and after tax-income of german hospital doctors career level pre-tax salary in € after-tax salary in € from to from to entry 3-5 years of professional experience 5-8 years of professional experience 8-12 years, particularly in a leading position source: kpmg auditing company 2011 ...depending on different collective wage agreements, e.g.  TV-Ärzte/VKA (public hospitals) medical onboarding  TV-Ärzte (university hospitals) germany  AVR-Caritas/AVR-Diakonie (hopitals in parochial ownership)  TV-Ärzte Asklepios (wage agreement of private companies, here: Asklepios)  further agreements, more or less according to the previous 8 /17
  • 9. Take your Chance Working as a Doctor in Germany As a European citizen you have the same access to practice your medical profession like german doctors. You need a licence to practise medicine. You don´t need a residence title or working permission. In Germany the admission of medical doctors is under federal supervi- sion. Each doctor has to be a mandatory member of the medical coun- cil of his or her county (Landesärztekammern). The acceptance of your medical graduations is possible. It depends on your equivalent professional knowledge, which has to be recognized through the official medical council of your county. medical onboarding useful links: http://www.bundesaerztekammer.de/ germany http://www.anerkennung-in-deutschland.de http://www.anabin.de - Stichwort „zuständige Stellen“ http://www.arbeitsagentur.de/nn_575128/Navigation/Dienststellen/ besondere-Dst/ZAV/arbeiten-in-deutschland/DE/bewerben/ anerkennung-beruflicher-abschluesse/anerkennung-nav.html 9 /17
  • 10. Take your Chance Growth of foreign doctors working in Germany medical onboarding germany 10/17
  • 11. Usual Business What will determine your working practice  german language (Level b)  teamwork in a setting with doctors, nurses, therapists, social workers and administrational staff  working in a hierarchy with the medical director and consultants  following a strong documentation-system of the treatments as the basic for funding (DRG-based funding system)  recognition and willingness to take economical facts into consideration when treating patients medical onboarding germany 11/17
  • 12. Quality Management Monitoring, management, regulations  strict quality management has been installed in almost every level of hospital structures within the last 10 years  a quality report has to be published by each hospital every year  the monitoring systems that have been installed are comparable to those of large multinational companies useful links: http://www.mydrg.de/ http://www.ktq.de/ http://www.g-ba.de/ medical onboarding http://www.gqmg.de/ germany http://www.bqs-institut.de/ http://www.ak-qualitaetssicherung.de/ http://www.sqg.de/startseite ... 12/17
  • 13. Language It´s complicated... There are at least 10 different regional phrases to say good bye: officially: Auf Wiedersehen commonly spoken: tschüssi, ciao, ciao ciao, servus, alla, ade, adieu, tschö, tschüs, füat di, aide - ciao But don´t worry - just follow these links. medical onboarding useful links: http://www.goethe.de germany http://www.goethe.de/ins/gr/ath/deindex.htm http://de.pons.eu/deutsch-griechisch http://www.derweg.org http://www.make-it-in-germany.com/en/home/ 13/17
  • 14. Culture, living, participation What we can offer you  good infrastructur and public transit system  lots of good schools, free of charge  social networks and advisory service in your community/city  credible health system  lots of sportive an cultural offers, you can participate  museums, orchestras, theatres in almost every town  private greek schools, greek orthodox religious communities and lots of our beloved greek restaurants! useful links: http://www.ellines.de/ (here you´ll find your fellows) http://www.festivalhopper.de medical onboarding germany http://www.buchmesse.de http://webmuseen.de http://www.kulturstiftung-des-bundes.de http://www.berlinale.de http://www.litrix.de http://www.veranstaltungen-in-deutschland.de 14/17
  • 15. Denmark s r l and Pol and N e the m Be lgiu Cze ch Rep ubl medical onboarding ic germany ra nce F Switzerland Au stria 15/17
  • 16. MCM Media Consult Maier + Partner GmbH Kaiserstraße 201-203 | 76133 Karlsruhe medical onboarding Tel. 0721 / 83 14 7-0 | Fax: 0721 / 83 14 7-19 germany E-Mail info@mcm-web.de Handelsregister Karlsruhe HRB 5938 Internet http://www.medicaltopjobs.de Facebook http://www.facebook.com/MedicalTopJobs Twitter http://twitter.com/MedicalTopJobs Picture from istock.com