The switch from a state controlled to a self responsible continuing medical education could be completed in Thuringia within the first years after the reunification. Higher performances demonstrated by the just mentioned analyses can be observed quantitatively as well as qualitatively. This concept of our academy concerning a professional and regional decentralization in combination with centralized offers for further education has been proved. A good teamwork between the organizers and participants succeeds more and more in finding out the kind of teaching needed. Medical education can be planned globally and according to the needs. New ways of training can be searched and may go beyond country borders.
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