Dietz I, Gerbershagen K, Mielke A, Pattberg S, Pesch E, Poels M, Schmalz O, Joppich R
Lehrstuhl für Anästhesiologie I, Klinik für Anästhesiologie, Universität Witten/Herdecke, HELIOS Klinikum Wuppertal, Heusnerstr. 40, 42283 Wuppertal, Deutschland.
Anaesthesist. 2012 Sep;61(9):783-8. doi: 10.1007/s00101-012-2071-8. Epub 2012 Aug 22.
Recently palliative care has become an integral and compulsory part of undergraduate medical training in Germany. From 2014 onwards every German medical faculty must have developed and implemented undergraduate teaching in this cross-disciplinary medical field and to conduct examinations. At Witten/Herdecke University (Germany) this new cross-sectional course in palliative care was taught for the first time in 2011. The film "Keep on the open road" was incorporated and the use of this film as part of compulsory palliative care education was evaluated from the student perspective.
In two teaching units (1.5 h each) the film was watched with the students and discussed in the context of the palliative care setting with a special focus on psychosocial aspects. A semi-quantitative evaluation was performed after the debriefing.
A total of 23 students participated in the course, 87 % (n = 20) evaluated the use of the film as unrestricted useful and 14 indicated a benefit from the film in terms of their medical attitude. Most of the students (n = 19, 83%) did not consider bed-side teaching to be more useful than the film unit. The free text answers underlined that primarily the multidisciplinary aspects of a palliative treatment situation and the meaning of a social environment were highlighted by the film.
According to the evaluation of the students and the judgement of the participating teachers the use of the film is a suitable method to clarify complex medical, social and psychological aspects in palliative care. Especially at faculties with much larger numbers of students the film unit is thought to be a helpful method to teach psychosocial aspects and to promote development of attitude in palliative care. In future semesters further experience with the unit and the use of films in palliative care teaching will be collected.
近年来,姑息治疗已成为德国本科医学教育不可或缺的必修部分。自2014年起,德国每所医学院校都必须制定并实施该跨学科医学领域的本科教学,并组织考试。在德国维滕/黑尔德克大学,这门姑息治疗新的跨学科课程于2011年首次开课。课程中纳入了电影《继续前行》,并从学生的角度评估了将这部电影用作姑息治疗必修教育一部分的效果。
在两个教学单元(各1.5小时)中,与学生一起观看这部电影,并在姑息治疗背景下进行讨论,特别关注心理社会方面。讨论结束后进行了半定量评估。
共有23名学生参加了该课程,87%(n = 20)的学生认为使用这部电影非常有用,14名学生表示这部电影对他们的医学态度有益。大多数学生(n = 19,83%)认为床边教学并不比电影教学单元更有用。自由文本回答强调,这部电影主要突出了姑息治疗情况的多学科方面以及社会环境的意义。
根据学生的评估和参与教师的判断,使用电影是阐明姑息治疗中复杂的医学、社会和心理方面的合适方法。特别是在学生人数较多的医学院校,电影教学单元被认为是教授心理社会方面知识和促进姑息治疗态度发展的有用方法。在未来的学期中,将收集更多关于该教学单元以及在姑息治疗教学中使用电影的经验。