Krautter Markus, Jünger Jana, Koehl-Hackert Nadja, Nagelmann Lars, Nikendei Christoph
Nierenzentrum Heidelberg, Sektion Nephrologie, Medizinische Klinik, Universität Heidelberg.
Z Evid Fortbild Qual Gesundhwes. 2012;106(2):110-5. doi: 10.1016/j.zefq.2011.09.020. Epub 2011 Oct 2.
The implementation of the amendment to the German medical licensing regulations ("Approbationsordnung") in 2002 led to a reduction in the number of state examinations from four to two exams, with the date of the second state exam being shifted to the end of the final clinical year. Students now face a double burden: on the one hand, they need to get ready for their future job, and on the other hand, they need to prepare for the state exam. This is why the Medical Faculty of Heidelberg introduced a preparation programme for the second state exam. The focus of this study was to evaluate the acceptance of the different modules of this programme and to compare the results against each other.
39 students (15 male / 24 female; mean age 26.6 ± 1.9 years) took part in the exam preparation programme at the Medical University Hospital Heidelberg. Five different modules were implemented: an informational meeting, a key-feature written exam, case-based multiple-choice exams, a simulated practical examination and a simulated oral examination. Acceptance was measured using a six-point Likert scale (1=very good, 6=unsatisfactory and 1=I completely agree, 6=I completely disagree, respectively)
The exam preparation programme as a whole was rated good: overall rating key-feature written exam 3.33 ± 1.17; case-based multiple-choice exams 2.61 ± 1.61; simulated practical exam 1.61 ± 0.54; simulated oral exam 1.55 ± 0.50. A comparison of the different modules demonstrated significantly better ratings for the practical and oral examinations than the case-based multiple-choice exams (p<0.001).
The presented exam preparation programme is well accepted and facilitates the preparation for the second state exam, particularly with regard to the oral-practical examination.
2002年德国医学许可条例（“Approbationsordnung”）修正案的实施，使得国家考试的数量从四门减少到两门，且第二次国家考试的时间推迟到最后临床学年末。如今学生面临双重负担：一方面，他们需要为未来的工作做准备；另一方面，他们需要备考国家考试。正因如此，海德堡医学院推出了第二次国家考试的备考项目。本研究的重点是评估该项目不同模块的接受度，并相互比较结果。
39名学生（15名男性/24名女性；平均年龄26.6±1.9岁）参加了海德堡大学医学中心的考试备考项目。实施了五个不同模块：信息交流会、重点笔试、基于案例的多项选择题考试、模拟实践考试和模拟口试。使用六点李克特量表（分别为1=非常好，6=不满意；1=我完全同意，6=我完全不同意）来衡量接受度。
整个考试备考项目的评价良好：重点笔试总体评分3.33±1.17；基于案例的多项选择题考试2.61±1.61；模拟实践考试1.61±0.54；模拟口试1.55±0.50。不同模块的比较表明，实践考试和口试的评分显著高于基于案例的多项选择题考试（p<0.001）。
所呈现的考试备考项目广受好评，有助于第二次国家考试的备考，特别是在口试-实践考试方面。
