Although hormones were once thought to be the products of ductless glands, we now know that many organs that aren’t traditionally thought of as “endocrine” (such as the heart, kidneys, GI tract, adipocytes, and brain) synthesis and produce hormones which play important physiological roles. Furthermore, the field of endocrinology has expanded to include the effects of growth factors via autocrine and paracrine mechanisms, the influence of neurons that regulate endocrine function, particularly those in the hypothalamus, and the reciprocal interactions of cytokines and other immune system components with the endocrine system. Hormones can be split into two categories conceptually:
Hormones that influence transcription in target cells primarily through nuclear receptors (e.g., steroid hormones, thyroid hormone, and vitamin D)Hormones that act on signal transduction pathways quickly by binding to membrane receptors (e.g., peptide and amino acid hormones)
Both hormone receptors provide tractable targets for a large range of molecules that are among the most extensively utilized medicines in clinical medicine. Hormones are produced and secreted by the endocrine system, which is made up of glands that create and secrete hormones that regulate a variety of body activities. The endocrine system consists of:
The pineal gland Pituitary glandThyroid gland The gland of the parathyroidAdrenal glands (adrenal glands)The pancreas Testes and ovaries
The function of an endocrinologist Hormones are released by glands in the body. Endocrinologists are doctors who specialize in treating persons who have hormonal abnormalities caused by glands in the endocrine system or certain malignancies. The main goal of treatment is to restore a patient’s body’s normal hormone balance. The major part of an endocrinologist’s work is used as a basis for ongoing study. Some of the best endocrinologists in Germany specialize in research only. This study’s purpose is to discover good approaches to address hormonal abnormalities, including the development of new medications. Endocrinologists can specialize in a variety of fields, including: Endocrinologists help people with a variety of endocrine diseases and disorders, including:
Diabetes mellitus Thyroid disordersAdiposity–Based Chronic Diseases (ABCD) or ObesityOsteoporosisDisorders of the adrenal glandsDisorders of the lipidsAnomalies in metabolismObstacles to growthReproduction and sexual function
Endocrinologists repair hormonal imbalances to ensure that the body’s various systems interact effectively with one another. Endocrinologists conduct a series of tests to diagnose the problem, establish the best treatment, and assist patients with lifestyle modifications that can help improve their medical condition (where possible). Many of the best endocrinologists in Germany also work in basic, clinical, and translational research to improve our understanding of endocrine illnesses and, as a result, our treatment options. Some endocrinologists specialize in a single area, such as diabetes, infertility, or endocrine cancer, while others handle a wide spectrum of endocrine problems. Even if they do not start in the endocrine system, several illnesses are influenced by it. To manage a patient’s follow-up care, an endocrinologist may collaborate with a primary care physician or a specialist from another speciality. Some of their basic functions are;
Detecting signs and symptoms of hormonal abnormalities through analyzing, inspecting, and studying people and their medical histories.Providing advice, ordering, and carrying out tests, as well as interpreting the results.Patients’ diagnoses are discussed, treatment options are explained, and medication, lifestyle and dietary adjustments, and other preventative measures are recommended.Implementing Following up on appointments, keeping track of patients’ progress, changing treatment plans and drugs, and updating patient records are all part of the job.Supporting patients and their families with serious or complex endocrine diseases.Developing innovative therapeutic strategies through doing research and study on the endocrine system and its diseases, disorders, and situations.Maintaining current knowledge of discoveries, advancements, trends, research, and technology.Filing, answering phones, and data input are examples of basic administrative, clerical, and corporate responsibilities.
Is being an endocrinologist profitable in Germany? And how is the job outlook
As more people are diagnosed with diabetes and other hormone disorders, the growing shortage of the best endocrinologists in Germany could cause patients to wait longer, to see a doctor. Currently, there are about 1,500 adult and 100 pediatric full-time endocrinologists available nationwide. However, as more people are diagnosed with endocrine problems, the supply-demand gap for adult endocrinologists is anticipated to remain the same or worsen. The predicted job increase for physicians and surgeons, which includes endocrinologists, is 18 per cent, according to the United States Bureau of Labor Statistics. A career as an endocrinologist is a promising field to study and practice, given the median wage and predicted job growth. You can become one of the best endocrinologists in Germany.
Average salaries of an endocrinologist
In Germany, the average gross compensation for an endocrinologist is 162.291 € or 78 € per hour. They also receive an average bonus of 9.218 €. The average income for an entry-level endocrinologist (1-3 years of experience) is 110.288 €. A senior-level endocrinologist (8+ years of experience), on the other hand, receives an average income of 204.727 €. This is the monthly average pay of an endocrinologist, which includes housing, transportation, and other benefits. Salary for endocrinologists varies greatly depending on experience, skills, gender, and region. of course, the best endocrinologists in Germany don’t earn at this level.
Step-by-Step Guide on How to Choose a Good Endocrinologist
- Make a Request for Recommendations Request a referral from family, friends, the community, or one of your other doctors. When you do this, be sure to inquire about why they favour this particular endocrinologist and why they think you’d be a good match. You can also contact your local chapter of the JDRF or the American Diabetes Association to check if they have a list of highly-rated endocrinologists in your area.
- Go to the AACE website The American Association of Clinical Endocrinologists (AACE) has a webpage. You can look for an endocrinologist in your region by geography, speciality, or a combination of the two.
- Find out who is “in-network” with your doctors Most health insurance plans have negotiated contracts with certain doctors and hospitals in your area, resulting in lower out-of-pocket costs for you. Call the customer support number on the back of your insurance card to get a list of your “in-network” doctors.
- Conduct research on the internet Once you’ve compiled a list of names, conduct some web research to learn more about their backgrounds, affiliations, and practice. While internet patient ratings might be helpful, keep in mind that everyone’s requirements and personalities are different, so an endocrinologist who works well for one patient may not work well for another.
- Investigate Their Credentials Examine where they attended medical school and completed their fellowship program, as well as whether or not they are board-certified and what their speciality is. Check to see if the endocrinologist specializes in diabetes.
- See a physician What was the endocrinologist’s and his staff’s level of friendliness, helpfulness, and knowledge? You should feel at ease in their office and certain that you can trust them. It’s also critical for the two of you to be able to communicate effectively to build a healthy, long-term relationship.
- Observe and ask questions Make a list of questions to ask prospective physicians ahead of time to ensure a good fit. What is their philosophy on weight loss, glucose control, and diabetic technologies, for example? Are they familiar with an insulin pump and a continuous glucose monitor (CGM) if you use or want to use them? What about app-based diabetic management? In between office visits, feel free to inquire regarding appointment occurrence/scheduling, refill policies, and doctor/patient contact. Examine the office staff’s behaviour, such as how they answer phones, how long they wait, and their politeness.
- Bring your information with you Prepare for your appointments so that your doctor can better assist you in achieving your objectives. Bring your most current log books or CareLink reports, as well as your nutrition and activity history, pertinent medical information, any information on a new type of therapy you’d want to learn more about, and any questions you might have.
- Consider logistics Do you prefer a doctor who is close to your home or office? What are their office hours, and will you have to take time off work to see a doctor? If that’s the case, consider all of these considerations and how essential they are to you in comparison to other factors.
- Don’t Be Afraid to Change Things Up Keep in mind that this is your diabetes, not anyone else’s. You have the right to change endocrinologists, practices, employees, or the way they manage your health for any reason at any time.
The Hospital’s in Germany to Get the Best Endocrinology Treatment
“Charité – Universitätsmedizin Berlin” ( Charité – University Medicine Berlin ) is the best endocrinology hospital in Berlin, Germany, and there are several others;
1. Universitätsmedizin Berlin – Charité ( Charité – University Medicine Berlin ):
They are experts in the following metabolic conditions:
Obesity and being overweightBlood pressure that is too highDiabetes mellitus types 1 and 2Disorders of lipid metabolismThyroid illness is a condition that affects the thyroid glandFor example, Osteoporosis is a disorder of bone metabolism.Diseases of the pituitary, adrenals, and other glands
*Patients with general internal disorders are also looked after. Diagnostic and therapeutic services are provided to all patients. A bone density test, for example, is administered to all patients with hormonal-borne illnesses or suspected diseases such as osteoporosis. Dual X-ray absorptiometry, or DXA for short, is another name for this. The Clinic for Endocrinology and Metabolic Medicine is a world-class clinic for the detection and treatment of endocrine cancers like adrenal carcinomas, thyroid carcinomas, pheochromocytomas, and pituitary adenomas. The day clinic offers, among other things, tailored dietary therapy for the management of diabetic patients with a high insulin requirement: so-called oat days. Lipid and fat metabolism disorders are treated at the Charité Campus Mitte during consultation hours and the Charité Campus Virchow-Klinikum in the lipid outpatient department.
2. Herz- und Diabeteszentrum NRW (North Rhine-Westphalia Heart and Diabetes Center):
They treat several kinds of conditions, which includes;
Diabetic Mellitus treatment in all typesFor secondary and concurrent disorders, comprehensive tests and treatment are available.Assessment of cardiovascular risk and treatment of cardiovascular illnesses as part of an integrated care modelDiabetic foot syndromeNerve injury and circulation problemsEndocrinological and gastroenterological illness diagnosis and treatmentIndividual guidance and training modulesPsychological intervention and assistanceOffers for behavior adjustment that are practicalNational and international collaboration in clinical research and education.
It takes a long time for an experienced team of doctors to arrive at a full diagnosis. For this aim, modern diagnostic tools are available, such as to clarify endocrinological or gastroenterological illnesses. Therapies are developed for each patient based on the diagnostic results that are individually tailored to their clinical picture. To this purpose, they collaborate closely with their company’s cardiac clinics and institutes.
3. Sachsenhausen Hospital (Sachsenhausen Hospital):
a) Frankfurt Bariatric Surgery
Obesity operationsWithout surgery, you can slim down.OptifastGastroenterology
b) Frankfurt Reflux Center
GERD (Gastroesophageal Reflux)Diagnostics for acid refluxReflux treatment
4. Medical School in Hannover (Medizinische Hochschule Hannover ):
Speciality;
Abnormalities of the gastrointestinal tractLiver diseaseDiseases of the metabolismTumor diseasesViruses and other infectious disordersMedicine for TransplantationNutritional Medicine
Different regions, subdivisions, and outpatient departments make up the gastroenterology, hepatology, and endocrinology clinic.
5. Universitätsklinikum Leipzig ( Leipzig University Hospital ):
On an inpatient and outpatient basis, all patients with metabolic and hormone abnormalities, as well as general internal ailments, are treated. The clinic treats all endocrinological illnesses. The following are examples of endocrinological treatments:
ObesityDisorders of the pituitary glandDisorders of the thyroid and parathyroid glandsAll types of diabetes mellitus, as well as pancreatic diseasesDisorders of the adrenal glandsGonad diseases
10 Best Endocrinologists in Germany
There are several endocrinologists in Germany, whilst looking at the 10 best endocrinologists, it is of importance to know who the top endocrinologist is. Prof. Peter Nawroth, Germany’s top endocrinologist, is a well-experienced Endocrinologist with over 40 years of successful practice. He is a member of the Southwest German Association of Internal Medicine, the Medical Faculty of Heidelberg, the “Leopoldina” (National Academy of Sciences), and other organizations.
1. Prof. Peter Nawroth:
He is a seasoned Endocrinologist with over 40 years of expertise in the field. He is a member of the Southwest German Association of Internal Medicine, the Medical Faculty of Heidelberg, the “Leopoldina” (National Academy of Sciences), and other organizations. He works at the University Hospital Heidelberg, and specializes in;
Diabetic Neuropathy Foot problems in diabeticsDiabetic Gangrene Charcot jointDiabetes During PregnancyType 1 diabetes and Type 2 diabetes Management of DiabetesTreatment for FilariaTreatment without the use of insulinTreatment for Irritable Bowel Syndrome
Review: The doctor went over all of our documentation and explained everything in an easy-to-understand manner. As parents, he soothed us and offered suggestions. Thank you once again for your assistance!
2. Christian Kasperk, Ph.D.:
He is a well-known Endocrinologist who has worked in the area for over 34 years. He is one of the best endocrinologists in Germany and a member of the Board of Bone Health Board of Trustees and also a member of the Scientific Advisory Board; Drugs Commission of the German Medical Association, Berlin; and a Full Member of the Medicines Commission since 2019. He is employed at the University Hospital Heidelberg and has the following specializations:
Diabetic Neuropathy Type 1 diabetes and Type 2 diabetes Management of DiabetesTreatment for FilariaTreatment without the use of insulinTreatment for Irritable Bowel SyndromeFoot problems in diabeticsDiabetic Gangrene Charcot jointDiabetes During Pregnancy
Review: The Organization’s thoroughness impressed me. The professor is a pleasant individual who responds to all inquiries thoroughly and understandably. My trip to Germany was a success for me.
3. Thomas Strowitzki Ph.d.:
With over 30 years of experience in the field of gynaecological endocrinology and reproductive issues, he is a well-known expert. He is a member of several organizations, including the German Society of Obstetrics and Gynecology (DGGG), the American Society for Reproductive Medicine (ASRM), the European Society for Human Reproduction, and Embryology (ESHRE), the Bavarian Society of Obstetrics and Gynecology, and others. Because of his experience, he is one of the best endocrinologists in Germany. He works at the University Hospital Heidelberg, and specializes in;
EndometriosisTreatment for infertilityIVFImplantationPCOSStimulation of hormonesFertility safeguardingIVM
Review: Many thanks to Professor Thomas Strowitzki, who carried out the procedure to perfection. I strongly recommend him to everyone.
4. Prof. Dr. Joachim Spranger:
He is an Endocrinologist who has been in practice for over 24 years. Since 2008, he has been a member of the Federal Institute for Risk Assessment’s Nutrition, Dietetic Products, New Foods & Allergies, and Genetically Modified Food and Feed commissions, as well as the German Diabetes Society’s Nutrition and Diabetes Mellitus commission since 2007. As one of the best endocrinologists in Germany, he works at Charite University Hospital and has the following specialities:
Diabetic Neuropathy Kidney problems caused by diabetes, obesity, orthopedics, cardiology, gynecology, and sexual disordersFoot problems in diabeticsDiabetic Gangrene Charcot jointDiabetes During PregnancyType 1 diabetes and Type 2 diabetes Management of DiabetesTreatment for FilariaTreatment without the use of insulinTreatment for Irritable Bowel Syndrome
Review: He was very attentive and professional throughout the stay, and he was always there to help.
5. Matthias Schlensak, M.D. :
At St. Martinus-Krankenhaus, he is the Chief Physician. According to the Leading Medicine List, he is one of the best weight loss surgeons in Germany, Austria, and Switzerland. He was also named one of the top bariatric surgeons by Focus, Germany’s most renowned magazine. He is a General and Bariatric Surgeon with more than 29 years of expertise. A member of the German Society for General and Visceral Surgery (DGAV), the German Society of Surgery (DGCH), the German Society of Obesity Treatment (CAADIP), the German Surgical Working Group for Minimally Invasive Surgery (GSWGMIS), and the International Federation for Obesity Surgery (IFSO). He works at the St. Martinus-Krankenhaus in Düsseldorf and has the following specializations:
Type 2 diabetes Minimally Invasive Surgery (MIS) Gastroenterology SurgicalTransplantation and Visceral SurgeryLaparoscopic surgery Plication of the stomachGastric Band that can be adjusted laparoscopicallyHernia SurgeryColorectal SurgerySurgery for ObesityTreatment for Gallbladder (Biliary) Stones
Review: My coordinator, Dr Matthias, was quite helpful. He questioned me about my situation for a week and tried to calm me down, as well as making an appointment with a trained specialist.
6. Thomas Carus, M.D. :
He has 28 years of expertise as a vascular surgeon. General surgery, visceral surgery, specific visceral surgery, proctology, sports medicine, and minimally invasive surgery are among his specialities. Hence, this makes him one of the best endocrinologists in Germany. He is a member of the German Society for Visceral Surgery, German Society of Surgery, German Society for Vascular Surgery, International Endo Hernia Association (founding member), German Society for Bariatric Surgery (CAADIP), American College of Surgeons, American Hernia Association, and International Endo Hernia Association (founding member). He works at Asklepios Hospital Barmbek and specializes in the following areas:
Type 2 diabetes Cancer of the small intestineVisceral surgery Proctology,Minimally invasive surgery
Review: Everything went off without a hitch, and the organizing was impeccable. Thank you sincerely!
7. Prof. Dr. Med. Martin Strik:
He has almost 23 years of expertise as a surgical oncologist. Surgical Oncology, Minimal Invasive Surgery, Oncologic Surgery of the Upper and Lower GI, Pancreatic and Hepatic Surgery, Esophagus and Stomach Surgery, Colorectal Surgery (malignant and benign), Abdominal Soft Tissue Tumors (Sarcomas), Coloproctology, Endocrine Surgery, Thyroid Surgery, and Incisional Hernia Surgery are some of his clinical interests. He works at Berlin’s Helios Hospital and has the following specializations:
Surgical Oncology Minimally invasive surgery.Upper and Lower GI Oncologic Surgery,Surgery of the Pancreas and the Liver,Surgery of the Esophagus and StomachColorectal Surgery Soft Tissue Tumors of the Abdomen (Sarcomas),Coloproctology,Endocrine Surgery Surgery of the Thyroid,Hernia Surgery using Incisions
Review: The clinic seemed appealing to me. The personnel is kind, and several of them know Russian. The doctor is quite competent. He drew attention to the tiniest details.
8. Dr. Linda Johnston-Rohrbasser;
She has 19+ years of expertise as a pediatric endocrinologist and diabetologist. In addition, she is a member of the European Society of Paediatric Endocrinology (ESPE), the German Society for Paediatric Endocrinology and Diabetes (DGKED), and the Royal College of Paediatrics and Child Health (RCPCH). She works in her private practice, “Paediatric Practice of Dr Linda Johnston Rohrbasser, Starnberg,” and her areas of expertise include:
Problems with growthObesity problemsThyroid problemsPubertal problemsDisorders of the adrenal glandsPituitary gland Turner syndrome, Russell Silver syndrome, Klinefelter syndrome, and Prader Willi syndrome are examples of syndromes she specializes inDisorders of sexual developmentEndocrine disorders that run in families (e.g. MEN, VHL)Calcium and phosphate metabolism problems
Review: The clinic’s stay and treatment were both excellent. Dr Linda, the attending physician, is a consummate professional. The personnel at the clinic is amazing and courteous. In general, I was pleased, and I would suggest this clinic to others.
9. Boris Pfaffenbach, M.D. :
He is a well-known oncologist who has been treating stomach malignancies for over 28 years. Over 9,000 of these procedures have been conducted by him and his team. He belongs to the German Society of Gastroenterology, the German Dietitian Association, and the European Society of Gastroenterology and Endoscopy as a professional member. All his experience makes him one of the best endocrinologists in Germany. He works at the Solingen Municipal Hospital and has the following specializations;
Esophageal carcinoma Cancer of the liver (Stage 2,3 and 4)Cancer of the stomachGastritisCancer of the rectal mucosaColon cancer Cancer of the stomach (Stage 2)
Review: A fantastic medical staff performed my father’s diagnostic testing. We are pleased with the results of the diagnostic procedure.
10. Dr. Jurgen Stein:
He is a well-known Medical Gastroenterologist with more than 21 years of expertise in the industry. He belongs to the German Society for Digestive and Metabolic Diseases (DGVS), the American Gastroenterological Association (AGA), the New York Academy of Sciences, the German Working Group for Inflammatory Bowel Diseases (DACED), the Central German Society for Gastroenterology, the European Crohn Colitis Organization (ECCO), and other organizations. He is one of the best endocrinologists in Germany that works at the Sachsenhausen Hospital in Frankfurt and has the following specializations:
Alcoholic Liver Disease (ALD) Irritable Bowel SyndromeColitis UlcerativeIrritable Bowel Syndrome (IBS) Bleeding in the Gastrointestinal TractProblems with the gastrointestinal tract during pregnancyTreatment for AcidityTreatment for Gallbladder (Biliary) StonesTreatment for appendicitisTreatment for Inflammatory Bowel Disease (IBD)
Review: Everything is in order: a clinic, a doctor, and a department staff who speaks Russian who works with foreigners. Diabetes, thyroid problems, infertility, growth challenges, metabolic disorders, osteoporosis, some malignancies, and disorders of the hormone-producing adrenal glands and pituitary glands are all conditions that endocrinologists can diagnose and treat.
ii) When should an endocrinologist be consulted? Your doctor may refer you to an endocrinologist if you have been diagnosed with a hormonal disorder such as diabetes or thyroid disease. You might be asking why you need to see a specialist rather than your basic care physician. iii) Is surgery performed by an endocrinologist? Endocrinologists prescribe or administer a variety of procedures and therapies to treat hormonal disorders. Depending on your situation, your endocrinologist will recommend you to a general surgeon or a speciality surgeon if surgery is required. iv) What is the average number of hours a German endocrinologist works per week? In general, an endocrinologist’s working hours are predictable, averaging around 40 hours per week if full-time. v) Is there a demand for endocrinologists in Germany? Because several disorders, including osteoporosis, diabetes, obesity, and thyroid nodules, are more common in older age groups, the expansion in the population aged 65 and up will have a significant impact on the need for endocrine treatments.
Conclusion
Endocrinology is concerned with both the person and the disease. The majority of endocrine abnormalities are chronic illnesses that require lifelong treatment. Diabetes mellitus, hypothyroidism, and metabolic syndrome are some of the most common endocrine illnesses. Diabetes, obesity, and other chronic diseases demand a personal and social understanding of the patient as well as a biological understanding, and the physician-patient interaction can be a key therapeutic process. This list of the best endocrinologists in Germany shows you where you can run to for help.
References
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