Beckers Stefan, Fries Michael, Bickenbach Johannes, Hoffmann Nicolas, Classen-Linke Irmgard, Killersreiter Birgitt, Wainwright Uwe, Rossaint Rolf, Kuhlen Ralf
Department of Anaesthesiology, University Hospital Aachen, Pauwelsstr. 30, D-52074 Aachen, Germany.
Resuscitation. 2005 Jun;65(3):345-56. doi: 10.1016/j.resuscitation.2004.11.023. Epub 2005 Apr 18.
Since June 2002, revised regulations in Germany allow medical faculties to implement new curricular concepts. The medical faculty of the Rheinisch-Westfälische Technische Hochschule (RWTH) Aachen, Germany, decided to start a major reform experiment in winter 2003, focussing on an interdisciplinary integration of organs and organ systems such as the cardiovascular or respiratory system. Furthermore, students will have contact with patients at an early stage of their studies. Thus, re-organisation of course contents should lead to a chance to improve practical experience. With the public having the right to expect that physicians and all physicians in training possess a basic knowledge of emergency medical care and the necessary skills to manage acute problems, it was decided to start the first year of the Medical Reform Curriculum Aachen with 3 weeks interdisciplinary introduction into emergency medical care. The task consisted of defining interdisciplinary core objectives and the need to implement teaching and learning principles necessary for further education. Due to this, the content of this course should have practical relevance for the students concerning their practical experiences in the future. The result is an introductory course in emergency medical care in the first semester, coordinated with the lectures. Besides skill training on basics of emergency medical care (basic life support (BLS), early defibrillation), practical training in other lifesaving techniques (e.g., immobilisation skills) and basic principles of daily clinical care are included. In addition, personal safety and a standard algorithm for assessing the patient are covered by problem-based learning sessions. The course evaluation data clearly showed acceptance of the new approach and enhances possibilities of extending implementation of relevant topics concerning emergency medical care within the Medical Reform Curriculum Aachen.
自2002年6月起，德国修订后的法规允许医学院实施新的课程理念。德国亚琛工业大学（RWTH）医学院决定在2003年冬季启动一项重大改革实验，重点是对心血管或呼吸系统等器官和器官系统进行跨学科整合。此外，学生在学习初期就将接触患者。因此，课程内容的重新组织应带来改善实践经验的机会。鉴于公众有权期望医生及所有接受培训的医生具备急救医疗的基本知识和处理急性问题的必要技能，决定在亚琛医学改革课程的第一年开设为期3周的跨学科急救医疗导论课程。任务包括确定跨学科核心目标以及实施继续教育所需的教学原则的必要性。因此，本课程的内容应与学生未来的实践经验具有实际相关性。结果是在第一学期开设了一门与讲座相协调的急救医疗导论课程。除了急救医疗基础技能培训（基础生命支持（BLS）、早期除颤）外，还包括其他救生技术的实践培训（如固定技能）和日常临床护理的基本原则。此外，基于问题的学习课程涵盖了个人安全和评估患者的标准算法。课程评估数据清楚地表明了对新方法的认可，并增加了在亚琛医学改革课程中扩展急救医疗相关主题实施的可能性。
