Thomas Heiniger , the longtime former Zurich's health Director, has been often criticized because of its regulatory urges. Especially, the hospitals found, he does not overdo it with rules, to fit in what so even a FDP politician. In a point Heiniger but by and by liberal: In the case of the exercise of the profession of permits for Doctors. Under his Leadership, the Canton of Zurich refused to limit the number of self-employed physicians.
Other cantons took advantage of the control instruments, the Federal gave. Starting in 2002, this repeated temporary authorisation decided limitations, because he was afraid that with the free movement of persons, mass arrest, would Doctors from the EU into Switzerland and here is a practice to open, what are the health costs would increase. The cantons were, however, the so-called doctors stop only partially, for certain areas of expertise, or even not to apply. At the beginning, Zurich was still, however, Heiniger, the measure was "legally dubious", because they circumcise young Swiss Physicians, the professional perspective.
Now, the statistics of the Directorate of Health shows the impact of the liberal policy: Between 2010 and 2018, the number of doctor's permits in the Canton of Zurich increased from a total of 4305 at 6207, and the share of grants to foreign Specialists increased from 8 to 23 percent. All of these professionals may work independently, and on the insurance. Around 2000 persons, who work with an assistant licence in a doctor's practice.
the criticism of Numerus clausus
health politician Astrid Furrer sees her assumption confirmed that there are "more and more foreign Doctors". The FDP certain day, and demanded with a request for the disclosure of the Numbers, after you had heard of Swiss Doctors on various occasions complain that education abroad will correspond not always to the local level. Also, apart from the quality aspect Furrer finds it wrong that Switzerland "contributes to the brain drain in other countries, while very many young people in medicine want to study and are not allowed to". The University of Zurich, has increased the study places, but since years of a Numerus clausus applies for a medical degree. "We should train more," asks Furrer.
in order for foreign Doctors to obtain a permit in Zurich, you need to speak
According to statistics, most Doctors in the GP's surgery. 2550 it is in the whole Canton, 650 more than ten years ago. Around 300 of these came directly from abroad. Again, so many left their home country after studying medicine and completed specialist medical training in a Swiss hospital. This path is also in the psychiatry common; without immigration, the psychiatric hospitals could not maintain operation. After a few years in the clinic, many Doctors go into practice. The hospitals play an important role in immigration.
In the case of the specialists, this is less pronounced, these often come already with a specialist title in Switzerland. Several compartment on fall areas with an above-average growth (see chart). For example, some of the beauty of medicine: dermatology and venereology, as well as plastic, Reconstructive and Aesthetic surgery. But also in the fields of orthopedics, radiology, urology and ophthalmology there was a striking increase in grants and the share of Foreigners – all subjects in which good money can be made.
the President of The Swiss society for dermatology and venereology, Daniel Hollow, confirmed that many dermatologists Supplement their income with a beauty medicine. These make the estimated 10 to 20 percent of all treatments and will be paid by the patients themselves.
the main reason for the growth of the professional group was different, so Hollow: "The house doctors refer their patients nowadays because of small skin problems to us, because the dermatology in training, only a low priority. It needs to be, in fact, more dermatologists."
The specialization of medicine also explains the remarkable growth of the Department of neurology. There, the number of Professional has released since 2010 has more than doubled, and the proportion of foreigners increased from 28 to 55 percent. "We don't train in Switzerland, there is still enough talent for our strong growth in demand," says Hans Jung, President of the Neurological society. In the past 20 years, have developed the neurology rapidly, there is today a lot more possibilities to treat diseases such as Parkinson's disease, dementia, multiple sclerosis or strokes. "The increase in knowledge was huge, which has increased the complexity accordingly. Therefore, it needs more neurologists."
The Zurich Canton of doctor Brian Martin offers three reasons why some areas of expertise, more and more foreign Doctors than any other: "The saturation of the market, the lucrative and the Situation in the country of origin." In Germany, the working conditions have improved, what's Switzerland got to feel: in 2003, over 70 per cent of the course were hiked, the Doctors in German, meanwhile, there are less than 50 percent. For now come more from Eastern European countries, with Greece leading the standings.
in order for these Doctors to obtain a licence to practise in Zurich, you need to speak English. According to the Canton of doctor Brian Martin this is usually not a Problem. "It is extremely rare that we deny because of the language of admission." In addition, the Canton shall examine whether the applicants meet the formal requirements.
Engages Natalie Rickli ?
The liberal approval practice of the Canton of Zurich is coming soon on the political Agenda. The new health Director Natalie Rickli (SVP) has made the theme for the beginning of 2020. You don't want to pre-empt and just says so much: "The Figures speak in certain areas for a registration regulation."
Also, the Swiss Parliament plans to tighten the rules. Up for discussion are the maximum numbers and the requirement to have in Switzerland three years in a training institution of the own area of expertise working on before you get the approval. "That would be for all the cantons mandatory," says Brian Martin.
Created: 04.11.2019, 20:47 PM