In 2024 the Deutsches Ärzteblatt, the journal of the German medical profession, published a legal article on who may instruct whom among hospital doctors. The chief physician may give detailed instructions to junior doctors in training. That right shrinks as they gain expertise. “The more qualified the subordinate doctors are, the smaller the room” for instructions. If a senior physician masters an operating method that meets the medical standard, the chief may not require her to use the method the chief prefers. The author, a lawyer, describes this as the legal position. It is an interpretation, not a statute.