Case Study
Berufliche Teilhabe für einen Oberarzt in einem Krankenhaus


The employer is a Berufsgenossenschaftliches Hospital. As a supra-regional trauma center, it specializes in accident, Schwerstbrand- and spine injuries.

Disability and functional impairment of the employee:

The man is a paraplegic after a private accident. After initial medical care in an emergency hospital, the doctor was transferred for medical rehabilitation in a rehab clinic. While staying in the rehab clinic, he learned living skills for the practice of everyday activities. This includes the handling of the wheelchair and coping with barriers in the context of mobility training, and the gradual regaining of a certain degree of independence. The doctor has to rely on the constant use of a wheelchair and his gripping space is limited. The degree of disability is 100th

Training and job:

The man studied medicine and had an accident during his training as a specialist - but was able to complete his education after the rehab clinic. He now works as a senior physician in the field of spinal cord injuries and orthopedics with his employer.

Workplace and work task:

Depending on the activity (patient examinations or surgery) are available to the senior physician different wheelchairs for locomotion and to compensate for the restricted gripping space available. Before an operation it must be converted from the push rim wheelchair into an electric wheelchair with raising function. Prior to the the raising function. Activated wheelchair on a round button on the armrest with his elbow, he puts on a support beam at the knees and a strap across his chest. The weight of the body is maintained while in a standing posture by the support beams at the knees and the strap across his chest (see photo). In upright posture the head doctor now travels with the power chair to the sink to the hands disinfected for a pending operation. Then he moves to this position in the operating room. Otherwise, the head doctor at the hospital moves with a push rim wheelchair in which he adjusted the seat height electrically and so also investigate patient treatment bed can. In his study, he sits in a wheelchair on a Handrims under wheeled height-adjustable work table and settled here, the resulting administrative and typing on computer.

Labour Organisation:

In operation mode the senior physician does not require additional breaks and used at this time a urine bag. There are not all operations due to the standing wheelchair and hence restricted attitude executable - this is taken into account in the operational and personnel planning. The resulting call duty (eg occurring complications or consultations) will be taken over by colleagues in order to avoid additional hiring or pollution caused by commuting.

Work environment - mobility:

The hospital achieved the doctor with a hand bike or with the manual mode (throttle and brake) converted passenger cars with automatic transmission, which he can leave their vehicles in a designated parking space in the underground garage. For guiding the cars relevant requirements of the licensing agency and the TÜV were made. From the parking lot it reaches its work on an elevator. Public transportation is less suitable for a directions, firstly because no optimal connection and secondly, the transport links are not designed continuously accessible. For the extreme case, the doctor may also rely on a driving service. The clinic is designed basically accessible.

Assistive devices used:

urine bag without drain hole motor vehicle accessories and adjustments to control the speed bimanual handrim-drive wheelchairs (handrim wheelchair with seat height adjustment) drive units for bimanual handrim-drive wheelchairs (handbike) electrically powered wheelchairs with electronic steering with powered steering (Standing wheelchairs) work tables


The costs of the means of work organization have been borne by the employer. Alternatively, the integration office would have come as a conveyor in question. The cost of the car with disability and the acquisition of Handbikes has taken even the doctor.

Keywords and Further Information

No information about funding available.

ICF Items

Reference Number:


Last Update: 4 Dec 2015