Eika B, Mølgaard H, Sonne O, Jørgensen J O
Aarhus Universitet, Det Sundhedsvidenskabelige Fakultet, Enhed for Medicinsk Uddannelse, og Fysiologisk Institut, og Arhus Universitetshospital.
Ugeskr Laeger. 2001 Jun 25;163(26):3626-9.
In the new medical curriculum at the University of Aarhus, a third term, 20-week course focussing on early patient contact was launched.
Nine prototypical and clinically important disease entities each formed the basis of one-week courses covering an introductory clinical lecture, presentation of "paper" cases, and formalised training of pertinent clinical skills. This was integrated with plenaries and group work in physiology pertaining to the disease and the patient cases. In addition, seminars were held in patient-doctor relationships, and environmental and social medicine. Introductory lectures were given on topics, such as medical ethics, taxonomy of diseases, the organisation of hospital-based health care. At the end of the term, the students resided for eight weeks at county hospitals, which do not traditionally participate in pregraduate teaching. Each student followed one particular patient, which formed the basis of a written essay.
Early clinical lectures (87 +/- 8%, mean +/- SD) and use of clinical cases (73 +/- 8%) were well received by third term students, and 87% found that the "paper" cases facilitated their understanding of physiology. The evaluation of the hospital training was very positive (rated excellent or good by > 95%).
We conclude that early introduction to clinical practice is feasible and well received by the students.