Unitarisierungsbestrebungen bei der ärztlichen Ausbildung - 10.1628/wissr-2021-0017 - Mohr Siebeck

Armin von Weschpfennig

Unitarisierungsbestrebungen bei der ärztlichen Ausbildung

Die geplante Reform der Approbationsordnung für Ärzte und Ärztinnen im Lichte der bundesstaatlichen Kompetenzverteilung und der Wissenschaftsfreiheit

Section: Treatises
Wissenschaftsrecht (WissR)

Volume 54 () / Issue 2, pp. 254-278 (25)
Published 10.06.2021

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The German Federal Ministry of Health presented a draft ordinance for the reorganization of medical education, which should bring upon fundamental reforms in the study of medicine. The Draft provides for a new »licensing ordinance for medical professionals«, which regulates virtually every aspect of medical education programs and the official exam in medicine. This exam has been traditionally organized as a State exam and, therefore, does not fall within the direct responsibility of universities. From a legal standpoint, the Federal Government is exceeding its competences. Under Art. 74 (1) No. 19 of the Basic Law, it can only regulate access to medical professions, but not the study of medicine as a whole. Regulations at the federal level can solely provide for minimum standards. The authorization to issue ordinances set forth in § 4 (1) of the Federal Ordinance for Medical Professionals confirms this principle. The proposed regulations go far beyond such a minimum. Furthermore, the density of these regulations – that can only be paralleled by university regulations – gives cause for criticism in view of Art. 5 (3) of the Basic Law, which guarantees scientific freedom. As far as the proposed reform imposes conditions on study programs that are impossible or difficult to satisfy in practice, such requirements infringe scientific freedom as a fundamental right. This holds particularly true for practical training in teaching clinics. Moreover, the reform would significantly affect university professors, who would be required to undertake complex organizational responsibilities regarding medical exams, such as practical assessments in the form of course examinations.

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