Kunisch Raphael, Zimmermann Peter, Berges Natalie, Nitzschke Malte, Schweiger Felix, Seidl Mira, Weidenbusch Marc
Friedrich-Alexander-Universität Erlangen-Nürnberg, Allgemeinmedizinisches Institut, Universitätsklinikum Erlangen, Erlangen, Germany.
Technische Universität München, Fakultät für Medizin, Munich, Germany.
GMS J Med Educ. 2021 Jan 28;38(1):Doc4. doi: 10.3205/zma001400. eCollection 2021.
Due to the ban on classroom teaching during the pandemic, the Munich "Anamnesegruppen" had to be switched to e-learning at short notice. There were no established concepts for this, which is why digitalization was piloted and evaluated for feasibility. "Anamnesegruppen" have existed for over 50 years and are organized as independent student peer teaching. In small groups of medical and psychology students, interviews with patients are conducted once a week during the semester. This is followed by a feedback and discussion round, in which ethical and professional questions are discussed in addition to the patient's medical history. The goal is to train the participants' ability to communicate and reflect. The anamnesis seminars have been moved to a virtual group room using video conference. Patients were mainly recruited from the participants' circle of acquaintances. The group size was set at eight people each in four groups and supervised by a pair of student tutors. Confidentiality and data protection declarations were obtained in writing. By switching to digital anamnesis groups, all four groups were successfully completed. Both the final supervision of the tutors and the electronic evaluation of the participants yielded positive feedback. Compared to the two previous evaluations of the semesters in classroom sessions, there were no significant differences in the evaluation. The continuously good evaluation results, which did not differ between the digital format and the classroom course of the previous semesters, show that an ad hoc conversion to digital teaching is possible. We want to stress the fact that elements reflecting the doctor-patient relationship were successfully preserved. For the similarly structured Balint groups, virtual sessions may also be considered. Further research, especially prospective, is desirable in order to better understand the possibilities of digital teaching in this area.
由于疫情期间禁止课堂教学,慕尼黑的“问诊小组”不得不临时转向电子学习。对此没有既定的概念,因此对数字化进行了试点并评估其可行性。“问诊小组”已经存在了50多年,是作为独立的学生同伴教学组织起来的。在医学和心理学专业学生的小组中,学期期间每周与患者进行一次访谈。随后是反馈和讨论环节,除了患者的病史外,还会讨论伦理和专业问题。目标是培养参与者的沟通和反思能力。问诊研讨会已通过视频会议转移到虚拟会议室。患者主要从参与者的熟人圈子中招募。每组规模设定为八人,共四组,由一对学生导师监督。已获得书面的保密和数据保护声明。通过转向数字化问诊小组,所有四个小组都成功完成。导师的最终监督和参与者的电子评估都得到了积极反馈。与前两个学期在课堂上的评估相比,此次评估没有显著差异。连续良好的评估结果,无论是数字形式还是前几个学期的课堂课程,都没有差异,这表明临时转向数字教学是可行的。我们想强调的是,反映医患关系的要素得以成功保留。对于结构类似的巴林特小组,也可以考虑虚拟会议。为了更好地理解该领域数字教学的可能性,需要进行进一步的研究,尤其是前瞻性研究。