Kiessling Claudia, Langewitz Wolf
Klinikum der LMU München, Lehrstuhl für Didaktik und Ausbildungsforschung in der Medizin, München, Deutschland.
GMS Z Med Ausbild. 2013 Aug 15;30(3):Doc31. doi: 10.3205/zma000874. eCollection 2013.
Within the Bologna reform, a longitudinal curriculum of "social and communicative competencies" (SOKO) was implemented into the new Bachelor-Master structure of undergraduate medical education in Basel (Switzerland).
The aim of the SOKO curriculum is to enable students to use techniques of patient-centred communication to elicit and provide information to patients in order to involve them as informed partners in decision making processes. The SOKO curriculum consists of 57 lessons for the individual student from the first bachelor year to the first master year. Teaching encompasses lectures and small group learning. Didactic methods include role play, video feedback, and consultations with simulated and real patients. Summative assessment takes place in objective structured clinical examinations (OSCE).
In Basel, a longitudinal SOKO curriculum based on students' cumulative learning was successfully implemented. Goals and contents were coordinated with the remaining curriculum and are regularly assessed in OSCEs. At present, most of the workload rests on the shoulders of the department of psychosomatic medicine at the university hospital. For the curriculum to be successful in the long-term, sustainable structures need to be instituted at the medical faculty and the university hospital to guarantee high quality teaching and assessment.
在博洛尼亚改革中,“社会与沟通能力”(SOKO)纵向课程被纳入了瑞士巴塞尔本科医学教育新的学士 - 硕士结构中。
SOKO课程的目标是使学生能够运用以患者为中心的沟通技巧,向患者获取并提供信息,以便让他们作为明智的合作伙伴参与决策过程。SOKO课程从本科第一年到硕士第一年为每个学生安排了57节课。教学包括讲座和小组学习。教学方法包括角色扮演、视频反馈以及与模拟患者和真实患者的会诊。总结性评估在客观结构化临床考试(OSCE)中进行。
在巴塞尔,基于学生累积学习的纵向SOKO课程得以成功实施。目标和内容与其余课程相协调,并定期在OSCE中进行评估。目前,大部分工作负担落在大学医院身心医学科的肩上。为使该课程长期成功,医学院和大学医院需要建立可持续的架构,以确保高质量的教学和评估。