Practical Doctor Asks About: Everyday Clinical Practice in Orthopedics

Generalize information for all practitioners first

Important for all aspiring specialists: You should pay attention in advance to the period for which the respective boss has this authorization for further training. Many large clinics have been empowered for a few years. So, you can do the entire specialist there. But there are also institutions, such as StudyMind, and doctors who only have the authorization for one year, which in turn means that you have to work elsewhere for the remaining years.

Tip: The state medical associations have lists of which doctors are authorized to continue training and for how long. You can orientate yourself well there, so that in the end there is no lack of time.

Training agreement

In order to prevent misunderstandings and to create a clear regulation for further training, all rights and obligations of trainers and trainees can be recorded in an agreement. Corresponding contract models can be found at the medical associations. It should be clear what the content and form structure look like during the training.

It always speaks for a good further education if the general curriculum is adapted to the individual needs of the further education.

Support from work environment

Continuing education is about deepening your knowledge and gaining new experience, while at the same time being able to do your medical job well. It is therefore important that prospective specialists are supported by all doctors on the ward. The boss and trainee are responsible for clarifying in advance who is responsible for someone and when, and how the medical team and colleagues are organized so that the prospective specialists are networked as well as possible in the company. Are there mentors? Who works whom? All of this can also be asked for in advance in the interviews.

Continuing education: conversation

The boss must talk to the medical specialists in training at least once a year. This is explicitly about further training – what one can already do well, what still needs to be learned, whether something specific has been noticed, whether the trainee has his or her own wishes that are put to the hospital, what the next few months will look like, etc. This conversation has to be recorded and stored with the other specialist documents.

Everything that has already been learned is entered in a list that can also be found on the website of the State Medical Association. This must be signed by the boss. At the end of the training, the list must be full and checked by the medical association, otherwise you may not register for the exam.

Clinical Practice in Orthopedics

How is everyday clinical practice in orthopedics and trauma surgery? What qualifications do young medical professionals need to bring with them who are interested in this specialist field? practical doctor asked. In an interview, Dr. med. Jörn Hinzmann, chief physician for orthopedics, trauma surgery and special pain therapy at the M & I specialist clinic Bad Pyrmont, answered all the important questions.

Why did you choose this subject area? What do you find fascinating about it?

I used to do a lot of sport and that is how I got into orthopedics. Because orthopedics deals with the postural and locomotor organs, such as the muscles, tendons, ligaments, joints and the spine. This was a very interesting field for me from the start, because the subject is so holistic and extensive: We accompany people – regardless of gender – from birth to death throughout their lives. At the same time, we deal with the whole human body. We start with the joints on the head and end with the toe joints.

How is everyday work in your department and what range of services do you offer?

Our day-to-day work in orthopedics is roughly made up of two parts: on the one hand, the rounds and, on the other hand, the outpatient department with patient contact. The therapy is carried out in the outpatient department, while during the rounds only therapy options are determined, assessments take place or adjustments to the therapies are implemented.

What qualities does a young doctor need to have in order to work in this specialist field?

On the one hand, there should be an above-average interest in anatomy, otherwise one acts somewhat helplessly in orthopedics. You should also have a certain level of manual skills. In addition, the ability to think three-dimensionally should be available. The latter is important, for example, when using ultrasound diagnostics or therapy.

Why should a young medical doctor choose your clinic? What sets you apart from others?

Our patient spectrum is very broad. On the one hand, it is made up of patients who are in the house as part of the follow-up treatment, for example after joint replacement or spinal surgery. And on the other hand, we have the healing process. These patients do not come to us from the acute inpatient area, but from the home environment and have already gone through a whole series of healing procedures that have not brought the desired therapeutic success. Here we use fewer standard therapies, but rather work out alternative therapies.

One reason to choose our clinic is the working atmosphere. We work very collegially and with flat hierarchies. This is why we have a low fluctuation rate, which indicates a high level of employee satisfaction.

What working time models and training opportunities do you offer?

We offer one-year further training in orthopedics. In addition, a three-year further education in the field of physical and rehabilitation medicine. In addition, I personally have the further training authorization for the additional designation “naturopathic treatment”, which is also used here with us.

In our clinic, we mostly work full-time. However, there are some colleagues who are employed part-time. So that’s theoretically also a possibility.

What are your goals for your department in the coming months and years? Will you introduce new procedures or treat other diseases?

In the area of ​​healing processes in particular, many of our patients have already gone through all conventional therapies without success. We are therefore always looking for new treatment options. For example, we recently introduced whole-body hyperthermia. A method that originally came from alternative medicine and whose effectiveness we have scientifically evaluated in collaboration with other researchers. Further scientific projects are currently ongoing in this area.


It may not seem so easy in advance to find the right training position, but with a little research and information on the process, structure and the team you should be able to make the right choice for yourself in order to go through a good further education and future specialist to become.

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