A Future As a General Medical Practitioner in Denmark Three General Medical Practitioners in Southern Denmark
Total Page:16
File Type:pdf, Size:1020Kb
A future as a general medical practitioner in Denmark Three general medical practitioners in Southern Denmark regionsyddanmark.dk Maj 2016 General medical practice recruitment Basic principles and facts Our recruitment team is available for dis- Contact details for the Basic principles of the health care Facts cussions and any questions you may have, recruitment team system in Denmark • Norm: 1,600 patients per GP and Gitte Kristensen will be your contact Project Manager Gitte Kristensen • All residents in Denmark have equal • Region of Southern Denmark person throughout the process. After 14 +45 7663 1439 access to publicly financed health care • 788 GPs months’ employment, Gitte will continue as [email protected] services, regardless of employment and • 383 GP practices/clinics your sparring partner and help you contact financial and social status • 90% of the population have at least general medical practices in view of finding Secretary Marianne Blom Petersen • Health is a public responsibility – most 1 contact with a GP within a year employment. +45 7663 1391 services are financed, planned and opera- • 7 contacts per citizen, 6.5 – daytime, [email protected] ted by the Regions 0.5 outside daytime • The financing of health care services Recruitment Consultant derives mainly from taxation Charlotte Godsk Hansen • The system is characterised by decen- [email protected] tralisation of responsibility to politically elected councils GP – main facts in short • Own private medical practice/clinic (solo practice, partnership practice, collabora- tive practice or sharing practices) • Monitored by the Region and the GPs in cooperation • Family doctor • Gatekeeper • No co-payment • Number and distribution of GPs according to a plan • Financing the GPs: 75% fee for service, 25% capitation payment • Average income for a Danish GP: Practice/clinic turnover approx. DKK 1.7 million. Net turnover = DKK 0.8- 1.0 million before tax. 2 3 Christiane and Jürgen Christiane and Jürgen Why Denmark? We will help you! we quickly acquired any additional skills we And then we saw this advert from Denmark needed (e.g. pregnancy check-ups, which in the medical journal: free three-month in- German GPs do not do). Christiane (47) and Jürgen (48) Genzwürker The individual groups of doctors and health tensive language course with a full doctor’s are general medical practitioners. In 2012 insurance companies were too caught up salary from day one. Afterwards just under Everyone addressed each other informally. they moved with their three children Teresa in their disputes. But what could we do? a year of training at a Danish medical tutor Everyone was friendly and the atmosphere (8), Franziska (10) and Moritz (13) from practice with a chance to get to know the was incredibly relaxed. The food was deli- South Germany to South Denmark. They Who in the world is good at Danish? health system. In addition, more language cious. We learned our first Danish word: tell how this came about: The magical word emigration kept coming lessons during working hours. hyggelig. up in conversations with equally frustrated Why Denmark? colleagues. Everything without obligation or debt – you We had made a decision: we would sell our To begin with, the most important reason could give notice any month and go back practice in Germany, let out our house and for us was the feeling that general practitio- Of course, we first thought of a German or home if you did not like it. They didn’t do give it a try. At the beginning of 2012 we ners are valued and welcomed in Denmark. English-speaking country. General practi- things in half measures. moved to Denmark. Here we would be able to work without the tioners can work almost anywhere. When relentless competitive pressure which we we had a look at house prices and costs Now or never! We decided to fly to Denmark Don’t speak English! faced as general practitioners back in of living in Switzerland or the education for an introductory weekend and have a First it was the three-month language Germany. system in Great Britain, we quickly came to look. course. A small group with two to four doc- a sobering conclusion: with three children tors from different countries. It was Danish In mid 2011, we read an advertisement from at primary school age, life is not easy in Everyone was there! from morning to night. With the teacher; the Region of Southern Denmark in the either of these countries. The Danes are good at organising. They with each other or interactively at the com- German medical journal. They were looking had spared no effort to make us feel at puter. No swotting of vocabulary. Just go for general practitioners for Danish medi- Occasionally we had read newspaper arti- home and enable us to immediately speak ahead and speak! We laughed a lot – and cal practices. At that time we felt like we cles about Scandinavian countries. What to all the people we were interested in swore a lot. And no English please! Here were in a dead end job back home. most struck us were terms such as ‘work- meeting: The regional ‘sponsor’ who would we only speak Danish! life balance’, ‘common sense’ and ‘child- be paying our salary. The employee at the We were both in our mid forties and had friendly’. That sounded really good, but job centre, who would help with paper work, After a couple of weeks the feeling of been working in our own medical practice what good was that to us in South specialist approval, car registration, etc. relief: it works! You can still learn another for eleven years, but the work made less Germany? The language teacher. The owner of the language, even if you are over 40. Danish and less sense as the years went by. In ad- tutor practice. The person responsible for patients are helpful and patient when you dition to the overwhelming bureaucracy, Sweden – to us that meant IKEA. Norway: further education, who was to make sure initially have problems with the Danish we were particularly bothered by the gene- lonely fjords. Finland: winner in the Pisa language. ral lack of respect for the work as a general survey. And Denmark? We did not even practitioner, which in Germany is regarded have any preconceived ideas about this as second rate compared with highly tech- country. nical specialised medicine. And what about the language barrier? You We were fully aware that an improvement cannot work as a doctor without speaking could not be expected in the German medi- the local language. And how would our cal system within the next ten years. children cope at school? 4 5 Christiane and Jürgen Christiane and Jürgen Then you only see two patients per hour. own practice with two things in mind: first Here people do not expect a general prac- The West Coast After just under a year, we were capable of of all, we would like to work together in titioner to work day and night and take on ‘Our’ beaches and sand dunes are fantastic working in a practice. the same practice as a couple, as we had additional work over the weekend. even when we have to share them with previously done in Germany. Secondly, we countless tourists each year from Easter Kids quarrel in all languages had many years of experience with having Patients are seen at the general practice onwards. Up here, there is room for every- Our children (8, 10 and 13 years old) our own practice, but we were not yet con- between 8.00 and 16.00. After that time one. learned Danish even faster. fident enough to run a practice in Denmark and over the weekend a doctor is on call on our own. We therefore wanted to share whom the patients can phone in an emer- We have always wanted to live by the sea. We live in Esbjerg, where all three children a practice with an experienced Danish col- gency, when their own doctor has closed. We do that now, and every day we rejoice go to the international school. Subjects are league who for some time could continue It is generally accepted that also a general in this luxury. For example eating oysters taught in English, and at the same time to ‘take us by the hand’. practitioner is entitled to family life and we have collected ourselves. Fishing. The they receive intensive Danish language spare time. Danish patients are used to children can go horseback riding. In the instruction. In addition, they also have With the help of the Region of Southern keeping appointments, which makes it summer we swim in the sea almost every lessons in German or Spanish. After com- Denmark, we found both in Varde, approxi- easier to structure the workflow at the day. Often, the wind is westerly. Real wind! pleting primary and lower secondary mately 15 km from Esbjerg. We quickly practice. You have to dress properly for that. school, the children can choose between came to an agreement with our senior a Danish and an international upper secon- colleague and in August 2013 bought into There is no medical insurance here. The It is easy to get away from Esbjerg. It takes dary school. his practice. bills for the medical services provided are three hours by car or train to get to Copen- not sent to the patients but directly to the hagen. Only 45 minutes to Billund interna- At the recreation centre or during after We are very happy with this decision and relevant region, which pays promptly and tional airport. Overnight ferry to England. school care they soon came into contact hope that our senior partner will continue reliably.