In the current debate on the introduction of a specialist in emergency medicine, the German Interdisciplinary Association for Intensive Care and Emergency Medicine (DIVI) has published a recommendation for the further development of clinical acute and emergency medicine. She advocates the nationwide strengthening of additional training (ZWB) in clinical acute and emergency medicine and emphasizes the importance of interdisciplinary cooperation between different disciplines as the core of high-quality emergency care. Instead of new structures, the existing AEO should be further developed in order to optimize the care of all patients.

The recommendation is based on three key arguments. A survey of 1,529 DIVI members showed that about three quarters prefer to retain the ZWB. A still unpublished commentary by the Junge DIVI and other junior research organisations criticises the planned specialist curriculum, as it could restrict interdisciplinary cooperation, reduce professional flexibility and offer insufficient confidence in central areas of competence. The professional societies and professional associations organised in the DIVI (DIVI-FB) also reject an independent specialist and support the ZWB.

For financing, the DIVI proposes to realistically calculate the maintenance costs for emergency rooms according to the emergency levels of the Federal Joint Committee (G-BA), whereby at least 80 percent of the actual costs should be taken into account. This would enable funding regardless of the number of cases and end the chronic underfunding of emergency medicine, which would allow the structural requirements to be better met.

DIVI sees itself as an intermediary between the medical profession, professional societies and politics in order to promote an objective dialogue in the face of staff shortages, increasing complexity and financial challenges. The aim is a patient- and needs-oriented further development of emergency medicine, which builds on existing structures and strengthens them in order to ensure sustainable, high-quality care.

Original Paper:

DIVI – 250804-DIVI Recommendation Emergency Medicine

Editor: X-Press Journalistenbüro GbR

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