Kiessling Claudia, Müller Thomas, Becker-Witt Claudia, Begenau Jutta, Prinz Vincent, Schleiermacher Sabine
Charité, Humboldt University, Berlin, Germany.
Acad Med. 2003 Oct;78(10):1031-5. doi: 10.1097/00001888-200310000-00019.
The authors are members of a committee in charge of a special study module (SSM) entitled Principles of Medical Theory and Practice in a problem-based and integrated reformed curriculum track at the Charité, the medical school and university hospital of the Humboldt University, Berlin, Germany. The SSM contextualizes medicine by highlighting the societal contexts of the doctor-patient relationship and the medical profession. Integrating the humanities into medical education helps students develop an awareness of the strengths and limitations of modern medicine, develop their own personalities and sense of social responsibility, and generally broaden their outlook. Teachers in the SSM seminars are from different disciplines, such as the history of medicine, bioethics, sociology, anthropology, and complementary medicine. Once a week, one or two teachers meet with as many as 21 students per group for a 90-minute course. Twelve courses constitute a seminar. Students are required to participate in four seminars during five years of studies. They can choose different topics from a set range. Although this SSM has been largely successful, some problems have occurred. Results from the course evaluations and experiences show that the seminars differ from one another in many ways. Financial restraints and the departmental structure of the faculty have influenced implementation of the SSM. However, the SSM is a new concept and is continuously reviewed and renewed. Future plans will be to specify outcomes, continue to discuss reasonable seminar topics, establish continuous support and training for teachers, and motivate students to become actively involved in the seminar discussions.
作者是一个委员会的成员，该委员会负责一个名为“医学理论与实践原理”的特殊学习模块（SSM），该模块位于德国柏林洪堡大学的医学院及大学医院——夏里特医院，是基于问题导向和整合的改革课程轨道。该SSM通过突出医患关系和医学职业的社会背景来将医学置于具体情境中。将人文学科融入医学教育有助于学生认识现代医学的优势和局限性，培养他们的个性和社会责任感，并总体上拓宽他们的视野。SSM研讨会的教师来自不同学科，如医学史、生物伦理学、社会学、人类学和补充医学。每周一次，一两名教师与每组多达⒛名学生见面，进行90分钟的课程。十二门课程构成一个研讨会。学生在五年的学习期间需要参加四个研讨会。他们可以从一系列设定的主题中选择不同主题。尽管这个SSM在很大程度上取得了成功，但也出现了一些问题。课程评估结果和经验表明，各个研讨会在很多方面存在差异。资金限制和教师的部门结构影响了SSM的实施。然而，SSM是一个新概念，并且在不断地被审视和更新。未来的计划将包括明确成果、继续讨论合理的研讨会主题、为教师建立持续的支持和培训，以及激励学生积极参与研讨会讨论。
