Kurz S, Buggenhagen H, Schwab R, Laufenberg-Feldmann R
Klinik für Anästhesiologie, Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Langenbeckstr. 1, 55131, Mainz, Deutschland.
Rudolf Frey Lernklinik, Johannes Gutenberg-Universität Mainz, Mainz, Deutschland.
Schmerz. 2017 Oct;31(5):499-507. doi: 10.1007/s00482-017-0210-5.
Following the amendment of the Medical Licensure Act (ÄAppO) in 2012, pain medicine was introduced as a mandatory subject for students during undergraduate medical training. Medical schools were required to define and to implement adequate curricular and formal teaching structures based on interdisciplinary and multiprofessional requirements according to the curriculum for pain medicine of the German Pain Society. These aspects were considered in the new interdisciplinary curriculum for pain medicine, the so-called Mainz model.
A new curriculum based on the Kern cycle was developed and implemented at the Medical Center of the Johannes Gutenberg University in Mainz. Different teaching methods (lectures, interprofessional tutorials and bedside coaching in small groups) were used to impart professional expertise in pain medicine to medical students in an interdisciplinary clinical context.
The new curriculum was put into practice and evaluated starting from the winter semester 2014/2015. Before and after the first implementation, medical students were asked about the relevance of pain medicine and their perception of personal competence.
The interdisciplinary course in pain medicine was successfully introduced into the degree program based on the curriculum of the German Pain Society and the Kern cycle. With educational support, interdepartmental and multiprofessional collaboration the process of implementation of new interdisciplinary courses can be facilitated. In the future, the question how to increase the amount of practical lessons without increasing the load on teaching resources has to be resolved. Blended learning modules, such as a combination of E‑learning and practical lessons are currently being studied in smaller cohorts.
2012年《医疗许可法》(ÄAppO)修订后,疼痛医学被列为本科医学培训学生的必修科目。医学院校需根据德国疼痛学会疼痛医学课程的跨学科和多专业要求,确定并实施适当的课程和正式教学结构。这些方面在新的疼痛医学跨学科课程(即所谓的美因茨模式)中得到了考虑。
基于克恩循环开发了一门新课程,并在美因茨约翰内斯·古腾堡大学医学中心实施。采用了不同的教学方法(讲座、跨专业辅导和小组床边指导),以便在跨学科临床背景下向医学生传授疼痛医学专业知识。
新课程于2014/2015冬季学期开始实施并进行评估。在首次实施前后,询问了医学生疼痛医学的相关性以及他们对个人能力的认知。
基于德国疼痛学会的课程和克恩循环,疼痛医学跨学科课程已成功引入学位课程。通过教育支持、跨部门和多专业合作,可以促进新跨学科课程的实施过程。未来,必须解决如何在不增加教学资源负担的情况下增加实践课程数量的问题。目前正在较小规模的群体中研究混合学习模块,例如电子学习与实践课程相结合的方式。