Scharfenberg Janna, Schaper Katharina, Krummenauer Frank
Institut für Medizinische Biometrie und Epidemiologie, Fakultät für Gesundheit der Universität Witten/Herdecke, Deutschland.
Institut für Medizinische Biometrie und Epidemiologie, Fakultät für Gesundheit der Universität Witten/Herdecke, Deutschland.
Z Evid Fortbild Qual Gesundhwes. 2014;108(10):618-23. doi: 10.1016/j.zefq.2014.09.012. Epub 2014 Oct 23.
The German "Dr med" plays a specific role in doctoral thesis settings since students may start the underlying doctoral project during their studies at medical school. If a Medical Faculty principally encourages this approach, then it should support the students in performing the respective projects as efficiently as possible. Consequently, it must be ensured that students are able to implement and complete a doctoral project in parallel to their studies. As a characteristic efficiency feature of these "Dr med" initiatives, the proportion of doctoral projects successfully completed shortly after graduating from medical school is proposed and illustrated.
The proposed characteristic can be estimated by the time period between the state examination (date of completion of the qualifying medical examination) and the doctoral examination. Completion of the doctoral project "during their medical studies" was then characterised by a doctoral examination no later than 12 months after the qualifying medical state examination. To illustrate the estimation and interpretation of this characteristic, it was retrospectively estimated on the basis of the full sample of all doctorates successfully completed between July 2009 and June 2012 at the Department of Human Medicine at the Faculty of Health of the University of Witten/Herdecke.
During the period of investigation defined, a total number of 56 doctoral examinations were documented, 30 % of which were completed within 12 months after the qualifying medical state examination (95% confidence interval 19 to 44 %). The median duration between state and doctoral examination was 27 months. The proportion of doctoral projects completed parallel to the medical studies increased during the investigation period from 14 % in the first year (July 2009 till June 2010) to 40 % in the third year (July 2011 till June 2012).
Only about a third of all "Dr med" projects at the Witten/Herdecke Faculty of Health were completed during or close to the qualifying medical studies. This proportion, however, increased after the introduction of a curriculum on research methodology and practice in 2010; prospective longitudinal studies will have to clarify whether this is causal or mere chronological coincidence. In summary, the proposed method for determining the process efficiency of a medical faculty's "Dr med" programme has proven to be both feasible and informative.
德国的“医学博士”在博士论文设置中扮演着特殊角色,因为学生可能在医学院学习期间就开始相关的博士项目。如果医学院主要鼓励这种方式,那么就应该支持学生尽可能高效地开展各自的项目。因此,必须确保学生能够在学习的同时实施并完成博士项目。作为这些“医学博士”计划的一个典型效率特征,本文提出并说明了医学院毕业后不久成功完成博士项目的比例。
所提出的特征可以通过国家考试(资格医学考试完成日期)与博士考试之间的时间段来估计。“在医学学习期间”完成博士项目的定义为,在资格医学国家考试后不迟于12个月进行博士考试。为了说明这一特征的估计和解释,我们基于2009年7月至2012年6月期间在维滕/黑尔德克大学健康学院人类医学系成功完成的所有博士学位的完整样本进行了回顾性估计。
在规定的调查期间,共记录了56次博士考试,其中30%在资格医学国家考试后的12个月内完成(95%置信区间为19%至44%)。国家考试与博士考试之间的中位时长为27个月。在调查期间,与医学学习并行完成的博士项目比例从第一年(2009年7月至2010年6月)的14%增加到第三年(2011年7月至2012年6月)的40%。
在维滕/黑尔德克健康学院,所有“医学博士”项目中只有约三分之一是在资格医学学习期间或临近该时期完成的。然而,在2010年引入研究方法与实践课程后,这一比例有所增加;前瞻性纵向研究将必须阐明这是因果关系还是仅仅是时间上的巧合。总之,所提出的用于确定医学院“医学博士”项目过程效率的方法已被证明既可行又具有参考价值。