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[德国公立和私立认可院校医学专业中科学模块的深度与整合:一项横断面研究]

[Depth and integration of science modules in medical studies at recognized public and private faculties in Germany: A cross-sectional study].

作者信息

Bauer Julian, Schendzielorz Julia, Oess Stefanie, Mantke René

机构信息

Medizinische Hochschule Brandenburg Theodor Fontane, Medizinstudent im 11. Semester, Campus Brandenburg a.d.H., Deutschland.

Medizinische Hochschule Brandenburg Theodor Fontane, Studiengangsweiterentwicklung und Ausbildungsforschung, Campus Brandenburg a.d.H., Deutschland.

出版信息

Z Evid Fortbild Qual Gesundhwes. 2022 Nov;174:90-96. doi: 10.1016/j.zefq.2022.08.006. Epub 2022 Sep 20.

DOI:10.1016/j.zefq.2022.08.006
PMID:36137933
Abstract

BACKGROUND

At the end of November 2020, four years after the adoption of the Masterplan Medizinstudium 2020, the Federal Ministry of Health presented the draft bill for the revision of the medical licensing regulations. This was adapted in August 2021 and stipulates, among other things, the completion of a mandatory scientific project up to the second stage of the medical examination, which is to be conducted within twelve weeks and based on the structured teaching of scientific skills using longitudinal courses. This study examines to what extent the mentioned aspects of the draft bill are already included in the current compulsory curricula in German medical study programs.

METHODS

In a cross-sectional study, we conducted a document analysis and an online survey of the student deaneries of state and private, state-recognized faculties of medicine in Germany. The objective was to assess the integration of curricular science projects and longitudinal science modules. The data was analyzed descriptively.

RESULTS

In total, 40 (93%) of 43 faculties were included in the document analysis. 26 (60.5%) of 43 academic deans responded to the online questionnaire. Only twelve (30%) of the faculties offer a mandatory science project according to the document analysis and eight (30.8%) according to the evaluation of the online survey. In relative terms, a mandatory science project is already a curricular component in the majority of model and reform degree programs (document analysis: 83.3%, n=10 / N=12; questionnaire: 87.5%, n=7 / N=8). This contrasts with a significantly smaller number of regular degree programs that currently offer a science project as a mandatory component (document analysis: 16.7%, n=2 / N=12; questionnaire: 12.5%, n=1 / N=8). In the majority of the model and reform courses, a compulsory (longitudinal) science module has already been integrated into the curriculum (document analysis: 75%, n=12 / N=16; questionnaire: 55.5%, n=6 / N=11). This is only true for 25% (n=4 / N=12; document analysis) and 44.5% (n=5 / N=11; questionnaire) of the regular courses.

DISCUSSION

The results of the surveys indicate that the regular study programs, in particular, need to be restructured in order to integrate the intended time frame of twelve weeks for an obligatory science project into the current curriculum. How this is to be achieved without reducing the existing study content seems to be still unclear. Regardless of the current draft bill, however, this step appears to be necessary in order to strengthen the acquisition of scientific competencies in medical studies and to adapt it to international medical education.

CONCLUSION

The majority of the current model and reformed medical study courses already fulfill the requirements of the draft bill for the new licensing regulations with regard to the curricular integration of an obligatory scientific project and longitudinal strand on scientific work, which offer hints on design possibilities for further faculties.

摘要

背景

2020年11月底,在《2020年医学学习总体规划》通过四年后,联邦卫生部提出了修订医疗许可法规的法案草案。该草案于2021年8月进行了调整,除其他规定外,要求在医学考试的第二阶段之前完成一个强制性科学项目,该项目需在十二周内完成,并基于使用纵向课程的科学技能结构化教学。本研究考察了该法案草案中提到的各个方面在德国医学学习项目当前的必修课程中纳入的程度。

方法

在一项横断面研究中,我们对德国公立和私立、国家认可的医学院校的学生管理部门进行了文献分析和在线调查。目的是评估课程科学项目和纵向科学模块的整合情况。对数据进行描述性分析。

结果

在文献分析中,总共纳入了43所医学院中的40所(93%)。43位学术院长中有26位(60.5%)回复了在线问卷。根据文献分析,只有12所(30%)医学院提供强制性科学项目,根据在线调查评估为8所(30.8%)。相对而言,在大多数示范和改革学位课程中,强制性科学项目已经是课程的一个组成部分(文献分析:83.3%,n = 10 / N = 12;问卷:87.5%,n = 7 / N = 8)。这与目前将科学项目作为强制性组成部分的常规学位课程数量明显较少形成对比(文献分析:16.7%,n = 2 / N = 12;问卷:12.5%,n = 1 / N = 8)。在大多数示范和改革课程中,一门必修的(纵向)科学模块已经纳入课程(文献分析:75%,n = 12 / N = 16;问卷:55.5%,n = 6 / N = 11)。这在常规课程中仅适用于25%(n = 4 / N = 12;文献分析)和44.5%(n = 5 / N = 11;问卷)。

讨论

调查结果表明,特别是常规学习项目需要进行重组,以便将强制性科学项目的预期十二周时间框架纳入当前课程。在不减少现有学习内容的情况下如何实现这一点似乎仍不明确。然而,无论当前的法案草案如何,这一步骤似乎都是必要的,以便加强医学学习中科学能力的培养,并使其适应国际医学教育。

结论

目前大多数示范和改革后的医学学习课程已经满足了新许可法规法案草案中关于强制性科学项目的课程整合以及科学工作纵向部分的要求,这为其他医学院提供了设计可能性的提示。

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