Department of Radiation Oncology, Cyberknife and Radiation Therapy, Faculty of Medicine and University Hospital of Cologne, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
Department of Radiotherapy and Radiation Oncology, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany.
Strahlenther Onkol. 2023 Apr;199(4):360-369. doi: 10.1007/s00066-022-01997-0. Epub 2022 Sep 5.
In Germany, the new Licensing Regulations for Physicians 2025 (Ärztliche Approbationsordnung, ÄApprO) define a binding legal framework on the basis of which medical faculties modernize their curricula. Since 2015, the National Competence Based Learning Objectives Catalogue for Medicine 2.0 (Nationaler Kompetenzbasierter Lernzielkatalog 2.0., NKLM) formulates competencies and learning objectives to be achieved in the course of studies as curriculum orientation for the medical faculties. In addition, about 80% of the areas of a new core curriculum are to be made compulsory. A needs analysis in the target group of students has not yet taken place for the subject of radiation therapy (RT) or radiation oncology (RO). This study therefore surveys the experiences and requirements of students regarding medical education in RT.
Qualitative single-center study using a semistructured in-depth focus group with 11 medical students (20-26 years; 6 female, 5 male) was conducted. Brainstorming sessions were conducted in small groups and individually; oral contributions were recorded, transcribed, and analyzed using qualitative content analysis according to Mayring. Results were compared with the content of the future curriculum and reviewed for congruence with current expert recommendations of the German Society of Radiation Oncology (Deutsche Gesellschaft für Radioonkologie, DEGRO).
The plans to develop a longitudinal and practice-oriented curriculum was positively received by students. Specifically, students wanted to introduce the basics of RT as an early link to practice in preclinical teaching units. The necessary acquisition of communicative skills should also be taught by lecturers in RO. Methodologically, regular digital survey tools for self-monitoring, discussion rooms, and problem-based learning were named. In the perception of students, the subject appears underrepresented in relation to its relevance in the multimodal therapy of oncological diseases.
Results of the needs analysis for the subject of RT are consistent with ÄApprO, NKLM, and DEGRO. Moreover, they complement them and should be considered in the curriculum development of Masterplan Medical Education 2020 (Masterplan Medizinstudium 2020). The results contribute to high-quality and target-group-oriented medical training in the subject of RT, increased visibility, and thus early bonding of future physicians to RO in Germany.
在德国,新的《2025 年医师执照条例》(Ärztliche Approbationsordnung,ÄApprO)在法律上对医学专业课程的现代化做出了规定。自 2015 年以来,《国家基于能力的学习目标目录 2.0》(Nationaler Kompetenzbasierter Lernzielkatalog 2.0,NKLM)为医学专业制定了学习过程中应达到的能力和学习目标,作为课程指导。此外,大约 80%的新课程核心领域将被强制要求。对于放射治疗(RT)或放射肿瘤学(RO)这一主题,还没有在学生目标群体中进行需求分析。因此,本研究调查了学生对 RT 医学教育的经验和要求。
采用半结构式深入焦点小组的定性单中心研究,共纳入 11 名医学生(20-26 岁;6 名女性,5 名男性)。小组讨论和个人讨论;口头贡献被记录、转录,并根据 Mayring 的方法进行定性内容分析。结果与未来课程的内容进行了比较,并与德国放射肿瘤学会(Deutsche Gesellschaft für Radioonkologie,DEGRO)的当前专家建议进行了一致性审查。
学生对发展纵向和面向实践的课程计划持积极态度。具体而言,学生希望在临床前教学单元中尽早引入 RT 的基础知识,作为与实践的早期联系。也应该由 RO 讲师教授必要的沟通技巧。在方法论方面,学生提到了定期的自我监测数字调查工具、讨论室和基于问题的学习。在学生的认知中,该主题与肿瘤疾病的多模式治疗相比,其相关性较低。
RT 主题的需求分析结果与 ÄApprO、NKLM 和 DEGRO 一致。此外,它们对其进行了补充,应在 2020 年医学教育总体规划(Masterplan Medizinstudium 2020)的课程开发中予以考虑。研究结果有助于 RT 领域高质量、面向目标群体的医学培训,提高其知名度,从而使德国未来的医生更早地与 RO 建立联系。