Chenot Jean-François
Department of General Practice, University of Göttingen, Germany.
Ger Med Sci. 2009 Apr 2;7:Doc02. doi: 10.3205/000061.
The purpose of this article is to give international readers an overview of the organisation, structure and curriculum, together with important advances and problems, of undergraduate medical education in Germany. Interest in medical education in Germany has been relatively low but has gained momentum with the new "Regulation of the Licensing of Doctors" which came into effect in 2003. Medical education had required substantial reform, particularly with respect to improving the links between theoretical and clinical teaching and the extension of interdisciplinary and topic-related instruction. It takes six years and three months to complete the curriculum and training is divided into three sections: basic science (2 years), clinical science (3 years) and final clinical year. While the reorganisation of graduate medical education required by the new "Regulation of the Licensing of Doctors" has stimulated multiple excellent teaching projects, there is evidence that some of the stipulated changes have not been implemented. Indeed, whether the medical schools have complied with this regulation and its overall success remains to be assessed systematically. Mandatory external accreditation and periodic reaccreditation of medical faculties need to be established in Germany.
本文旨在向国际读者概述德国本科医学教育的组织、结构和课程设置，以及重要进展和问题。此前国际上对德国医学教育的关注度相对较低，但随着2003年生效的新《医生许可条例》，这种关注度开始升温。医学教育需要进行重大改革，特别是在改善理论教学与临床教学之间的联系以及扩展跨学科和主题相关教学方面。完成课程需要六年零三个月，培训分为三个部分：基础科学（2年）、临床科学（3年）和最后临床年。虽然新《医生许可条例》要求的研究生医学教育重组激发了多个优秀教学项目，但有证据表明，一些规定的变革尚未得到实施。事实上，医学院是否遵守了该条例及其总体成效仍有待系统评估。德国需要建立医学系的强制性外部认证和定期再认证制度。
