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[交叉领域13的实施:德国医学院校调查]

[Implementation of intersectional field 13: a survey of medical faculties in Germany].

作者信息

Schiessl C, Ilse B, Hildebrandt J, Scherg A, Giegerich A, Alt-Epping B

机构信息

Zentrum für Palliativmedizin, Uniklinik Köln, Köln, Deutschland.

出版信息

Schmerz. 2013 Jun;27(3):275-88. doi: 10.1007/s00482-013-1322-1.

Abstract

BACKGROUND

In 2013 palliative medicine (PM) will be integrated into the undergraduate curriculum as part of the mandatory education in German medical universities. The aim of this study is to determine the current state of implementation at German medical faculties (MF).

METHODS

All German MFs were contacted using a written postal survey in June 2012.

RESULTS

A total of 32 out of 36 MFs participated. Teaching staff consists of 15 or more lecturers in 8 MFs (30 %) and includes psychologists in 24 MFs (75 %) and also nurses in 18 MFs (56 %). Participating physicians are specialized in anesthesiology, internal medicine and general medicine. Teaching staff include palliative outpatient (20 MFs, 63 %) and consultation services (22 MFs, 69 %). Bedside teaching is provided in 15 MFs (47 %). Multiple choice tests are the major form of assessment (29 MFs, 84 %). The total number of teaching units in PM is between 12 and 43 and is usually provided at the end of medical school education. Nurses are employed in the education significantly more in MFs with a chair in PM. General practitioners were engaged only by faculties without a chair in PM.

CONCLUSIONS

The implementation of the mandatory training in PM at MFs in Germany is inhomogeneous. Further steps include in particular the development of a competence-based curriculum and assessment.

摘要

背景

2013年,姑息医学(PM)将作为德国医科大学义务教育的一部分纳入本科课程。本研究的目的是确定德国医学院(MF)的当前实施状况。

方法

2012年6月通过书面邮政调查联系了所有德国医学院。

结果

36所医学院中共有32所参与。8所医学院(30%)的教学人员由15名或更多讲师组成,24所医学院(75%)的教学人员包括心理学家,18所医学院(56%)的教学人员还包括护士。参与的医生专长于麻醉学、内科和普通医学。教学人员包括姑息门诊(20所医学院,63%)和咨询服务(22所医学院,69%)。15所医学院(47%)提供床边教学。多项选择题测试是主要的评估形式(29所医学院,84%)。姑息医学教学单元总数在12至43个之间,通常在医学院教育结束时提供。在设有姑息医学教授职位的医学院中,护士在教育中的聘用明显更多。全科医生仅由没有姑息医学教授职位的医学院聘用。

结论

德国医学院姑息医学强制培训的实施情况参差不齐。进一步的措施尤其包括制定基于能力的课程和评估。

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