Härtl Anja, Berberat Pascal, Fischer Martin R, Forst Helmuth, Grützner Stefanie, Händl Thomas, Joachimski Felix, Linné Renate, Märkl Bruno, Naumann Markus, Putz Reinhard, Schneider Werner, Schöler Claus, Wehler Markus, Hoffmann Reinhard
Klinikum der Ludwig-Maximilians-Universität München, Institut für Didaktik und Ausbildungsforschung in der Medizin, München, Deutschland.
Technische Universität München, Medizin-Didaktisches Centrum für Ausbildungsforschung und Lehre TUM MeDiCal, München, Deutschland.
GMS J Med Educ. 2017 May 15;34(2):Doc21. doi: 10.3205/zma001098. eCollection 2017.
With the resolution from April 28, 2014, the Bavarian state government in Germany decided to found a new medical school at Augsburg University, thereby requiring the development of a competency-based medical curriculum. Two interdisciplinary groups developed a spiral curriculum (following Harden) employing the model of Thumser-Dauth & Öchsner. The curriculum focuses on specifically defined competencies: medical expertise, independent scientific reasoning, argumentation and scholarship, as well as communication skills. The spiral curriculum was developed as a hybrid curriculum. Its modular structure incorporates the mandatory subjects required by the German regulations for medical licensure (Approbationsordnung) into organ- and system-centered blocks which are integrated both horizontally and vertically. Basic preclinical sciences are covered in the blocks "Movement," "Balance" and "Contact." The clinical sciences are organized according to six pillars (conservative medicine, surgical medicine, men's-women's-children's medicine, the senses, the nervous system and the mind, and general medicine) which students revisit three times each over the course of the program. A longitudinal clinical course incorporates interdisciplinary education. A particular focus is on scientific education encompassing a longitudinal course in the sciences (including interdisciplinary classes with other university departments), block practicums, and two scientific projects. It is not only the degree of integration und intensity of the Augsburg University undergraduate medical degree program, but also its targeted advancement of academic, social and communication skills that have not yet been realized to such an extent elsewhere in Germany. On July 8, 2016, the German Council of Science and Humanities unanimously gave this concept a positive evaluation. Future research will examine and evaluate the Augsburg medical curriculum and the impact of the new medical school on the hospital and university in Augsburg.
2014年4月28日,德国巴伐利亚州政府决议在奥格斯堡大学创办一所新的医学院,因此需要开发一套基于能力的医学课程。两个跨学科小组采用图姆泽 - 道特和厄施纳的模型,制定了一个螺旋式课程(参照哈登模式)。该课程专注于明确界定的能力:医学专业知识、独立的科学推理、论证与学术研究以及沟通技巧。螺旋式课程是作为一种混合课程开发的。其模块化结构将德国医学执照法规(《批准条例》)要求的必修科目纳入以器官和系统为中心的模块中,这些模块在横向和纵向都有整合。基础临床前科学涵盖在“运动”“平衡”和“接触”模块中。临床科学按照六个支柱进行组织(保守医学、外科医学、男性 - 女性 - 儿童医学、感官、神经系统与心理以及普通医学),学生在课程过程中要对每个支柱复习三次。一个纵向临床课程包含跨学科教育。特别强调的是科学教育,包括一门纵向的科学课程(包括与其他大学院系的跨学科课程)、模块实习以及两个科研项目。奥格斯堡大学本科医学学位课程不仅在整合程度和强度方面,而且在学术、社交和沟通技能的定向提升方面,在德国其他地方都尚未达到如此程度。2016年7月8日,德国科学与人文理事会一致对这一概念给予了积极评价。未来的研究将考察和评估奥格斯堡医学课程以及这所新医学院对奥格斯堡医院和大学的影响。