A Chefarzt is a physician in responsible leading function, usually in a hospital.

The designation is not limited to hospitals, so that occasionally physicians of other mechanisms also leading are designated such as sanatoriums, laboratories etc. than Chefarzt. In some Lands of the Federal Republic (for instance Hamburg) officially the designation leading physician is led, who corresponds to the Chefarzt. Within the respective institution the Chefarzt carries typically a comprehensive responsibility for a medically definable subrange, e.g. a department. He is usually a specialist of the appropriate area. Apart from the medical responsibility the Chefarzt has mostly discipline acres a responsibility at least for the physicians, often also for psychologists, social workers, Ergo and Physiotherapeuten, and the economic responsibility for the earnings of the department. Several departments of large hospitals can be also united; if each of the departments has a Chefarzt, the director/conductor of such a group of hospitals, which is usually even one of the leads the designation director. At university clinics the Habilitation is a condition for the appointment for the Chefarzt or leading physician of the department; several departments, which are led by or leading upper physicians, are then (university) a hospital, which is led by a director.

In the hospital the Chefarzt carries the responsibility for the medical and structural operational sequence in his department. It supervises the activity of the upper physicians and trains together with them the in further training with its work. In the context of a taking place Chefarztvisite it visits the patients of a station and advises their upper or station physicians over the past and future diagnostics and therapy. In smaller hospitals and hospitals he participates in the specializedmedical "„background service "“, by adhering additionally for there the physicians active in "„on-call service "“ready for the consultation and assistance at night and to the weekend for the hospital.

have particularly negotiated work contracts, which grant large liberties to them concerning the work organization and the private liquidation (private account of achievements of the private health insurance) in hospitals mostly. Usually only (and leading upper physicians) are entitled to treat private patients in the hospital. It belongs nevertheless to the contractual Dienstpflichten of nearly each Chefarztes in a hospital, in which cash patients are treated, when desired the cash patient with this a Einzelvisite and/or a consultation to accomplish or with the station and upper physicians the case of the patient discuss individually. The daily treatment and the regular Visiten may the Chefarzt however to other physicians delegate - the cash patient does not have free choice of doctor in the hospital.

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