my switzerland

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Swiss Confederation Willkommen – Grüezi – Bonjour Buongiorno – Allegra - Welcome

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• area of 41,285 km2 • population about 7.5 million • population density of 182 people per km2 Geography • three topographical areas: the Swiss Alps, the Swiss plateau, the Jura mountains

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History • 1291 – three forest cantons of Uri, Schwyz, and Unterwalden Signed the Federal Charter • 1353 – join of cantons of Glarus and Zug, and the cities of Lucerne, Zürich and Berne • 1499 – independence from the Holy Roman Empire Federal Charter of 1291

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• 1506 – Pope Julius II engaged the Swiss Guart to serve the Vatican History • 1849 – Federal Constitution • 1920 – Switzerland joined the League of Nations, and 1964 Council of Europe • 2002 – full member of the United Nations

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• Federation of relatively autonomous 26 cantons Politics • primary seat of power – bicameral Swiss Parlament Federal Palace in Bern • Federal Council – Counsil of States and National Council • direct democracy

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Cantons Wintertime view of Sent, Graubünden • 26 cantons • their populations vary between 15,000 (Appenzell Innerrhoden) And 1´253´500 (Zürich) • canton areas vary between 37 km2 (Basel- Stadt) and 7´105 km2 (Graubünden) • enclaves: Büsingen (Germany), Campione d‘Italia (Italy)

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Cities • biggest city Zürich 367,000 people Zürich agglomeration 1,080,000 people The second most popular city of the world! (2005) • Genf – 185,000 people • Basel – 166,000 people • Bern, capital of Switzerland – 127,000 people

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Tourismus Matterhorn • 74 mountains over 4,000 m • the highest mountain – Dufour 4634 m • the best known – Matterhorn 4478 m • the biggest sea – Genfer Sea 580,03 km2 • culture, museums, theatres …

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Basel Middle Bridge in Basel • ca. 120 B.C. – keltic settlement at Rhein • 374 – first mention of name Basilia • 1501 – join to Swiss Confederation • first Swiss university – foundation in 1460 • these days – an important cultural, economic, and scientific place in the North Switzerland

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Medical Care • population about 7´500´000 • active physicians 28´250 → 1 : 265 • active orthopaedic surgeons 660 → 1 : 11´364 • active general surgeons 1´030 → 1 : 7´282

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Medical Education • 5 universities Basel, founded in 1459 Bern, founded in 1834 Lausanne, founded in 1537 Geneva, founded in 1559 Zurich, founded in 1833 • medical school: numerus clausus, access by exam, 6 years (5th year = practicals) • starting next year: bachelor 3 years, master 2 years

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Medical Education • final exam 2005: 620 medical students • 2005: 45% males, 55% females • 2000: 56% males, 44% females • 2005: intention to specialize in general practioner 7% surgery 9% internal medicine 16% gynaecology 7% orthopaedics 6%

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Orthopaedics • Postgraduate formation in orthopedics – 6 years 1 year university hospital 2 years traumatology 1 year general surgery mandatory • Basic exam: after 2 years • Final exam: written: multiple choice oral practical: cadaver, arthroscopy, clinical cases, examiners cases, 4 x 2 examiners in 1 day

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Orthopaedics • Orthopaedic residents: ~ 180 • Board certification annually: ~ 30 • originating from foreign countries: 66% (for all specialities: 33%) • working orthopaedic specialists 660 1/3 full time in public hospitals 2/3 in private office with affiliation to private hospitals • so far only 33 = 5% female board certified orthopaedic specialists

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Medical Care • all specialities: ~ 4150 (= 15%) physicians with foreign origin working in Switzerland • 3´400 from EU/EFTA countries • 2´500 from Germany • 250 from France • 250 from Italy

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Health Expenses 2004

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Medical Care

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Liability Claims 1982 – 2004 handled by Foederatio Medicorum Helviticorum • Orthopaedic surgery • General surgery • Gynaecology/Obstetrics • Internal medicine • Aesthetic/Reconstructive surgery 525 764 354 195 121 Yes 34% 34% 37% 28% 22% No 66% 66% 63% 72% 78%

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Thank You very much

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