• P Kalbe.
• Praxis am Wall - Gelenkzentrum Schaumburg, Josua-Stegmann-Wall 7, 31737, Rinteln, Deutschland. peter.kalbe@paw-rinteln.de.
• Unfallchirurg. 2016 Nov 1; 119 (11): 915-920.

AbstractThe reform of occupational insurance medical treatment in 2011 also resulted in many changes for occupational insurance consultants in private practice. The transformation of the physicians participating in treatment status (H-Arzt) to accident insurance consultant status (D-Arzt) has resulted in a significant increase in numbers in outpatient fields, which in some cases leads to increased competition. The tentative flexibilization of the conditions for participation of a D‑Arzt is welcomed but must be broadened to safeguard the future. The relaxation of obligatory attendance of a D‑Arzt is contemporary and is welcomed. The regularly checked obligation for further education initially led to irritation but has now been extensively coordinated with the mandatory further education for contract physicians. As from 1 January 2016 many smaller alterations and specifications in the implementation regulations have been undertaken. The scale of charges for physicians in invoicing with accident insurance companies as with other scales of charges is urgently in need of reform with respect to the performance rating and in particular to the classification.

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