Likic Robert, Dusek Tina, Horvat Drago
Department of Internal Medicine, University Hospital Rebro, Zagreb, Croatia.
Med Educ. 2005 Aug;39(8):833-40. doi: 10.1111/j.1365-2929.2005.02228.x.
To analyse the curricula of 16 medical schools in 6 countries in Southeast Europe in order to establish a prevailing standard curriculum against which a prospective curriculum reform could formulate its objectives.
Curricular information was gathered from a questionnaire sent via e-mail to the respective medical schools. The data collected ranged from the numbers of enrolled students to a breakdown of courses with distribution of instruction hours for certain teaching formats. For easier comparison the courses were clustered into 5 groups: pre-clinical, clinical, public health, liberal arts and electives.
Belgrade has the highest number of undergraduate students, while Mostar has the lowest. Novi Sad, Foca/Srbinje, Zagreb, Split, Sofia, Ljubljana and Mostar have more than 5000 instruction hours, but Sarajevo lags behind with 4005 hours. Anatomy dominates the course load in Year 1, ranging from a share of 18.4% in Sofia to 11.3% in Novi Sad. Physiology dominates Year 2, ranging from 16.8% in Rijeka to 8.9% in Split, whereas in Year 3 the dominating course is pathology, reaching a peak of 13.7% in Sarajevo. Sofia has the highest number of class hours of clinical courses. The predominant public health courses are social medicine, family medicine and medical ecology. Medical English is taught at all medical schools (as electives in Ljubljana and Rijeka).
There is considerable potential for curriculum improvement in the region. Teacher training, student participation, the definition of core competencies and the introduction of new methodologies should all be implemented in the process.
分析东南欧6个国家16所医学院校的课程设置，以确立一个普遍适用的标准课程，为未来的课程改革制定目标提供参考。
通过电子邮件向各医学院校发送问卷收集课程信息。收集的数据范围从在校学生人数到课程细目以及某些教学形式的授课时间分配。为便于比较，课程分为5组：临床前、临床、公共卫生、人文艺术和选修课程。
贝尔格莱德的本科生人数最多，而莫斯塔尔的人数最少。诺维萨德、福查/斯尔比涅、萨格勒布、斯普利特、索非亚、卢布尔雅那和莫斯塔尔的授课时间超过5000小时，但萨拉热窝只有4005小时，落后于其他学校。解剖学在一年级课程中占主导地位，在索非亚的占比为18.4%，在诺维萨德为11.3%。生理学在二年级占主导地位，在里耶卡的占比为16.8%，在斯普利特为8.9%，而在三年级，主导课程是病理学，在萨拉热窝达到峰值13.7%。索非亚的临床课程课时数最多。主要的公共卫生课程是社会医学、家庭医学和医学生态学。所有医学院校都开设医学英语课程（在卢布尔雅那和里耶卡作为选修课）。
该地区在课程改进方面有很大潜力。在这一过程中应实施教师培训、学生参与、核心能力的界定以及新方法的引入。
