Bender Roland, Bruhn Natascha, Eisenbarth Sophie, Lemke Rüdiger, Pantke Chiara-Fabienne, Hampe Wolfgang, Schwoerer Alexander Peter
Institut für Neuroanatomie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland.
Poliklinik für Kieferorthopädie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2023 Dec;66(12):1353-1362. doi: 10.1007/s00103-023-03795-0. Epub 2023 Nov 14.
In October 2019, an integrated dentistry program (iMED DENT) was implemented at the University of Hamburg and was the first of its kind in Germany. This model curriculum builds on didactic concepts that have been applied successfully for many years in curricula for human medicine, including interdisciplinary teaching, early clinical experience, and scientific education. The first year focuses on the healthy situation ("normal function") and aims to integrate the natural sciences (biology, chemistry, physics) and the basic medical subjects (anatomy, biochemistry, physiology, medical terminology) in the context of dental health. Further, basic practical and clinical tasks are assigned to the students during the first year.From the experience of the first four cohorts, initial conclusions can be drawn about this stage of study. Generally, its modular structure results in a condensation of learning content, which students judge as demanding. However, its interdisciplinary approach is well accepted. For instance, presenting the basics of the natural sciences in the context of their dental relevance is much better evaluated in the new compared to the previous curriculum, in which this content was taught without specific references to dental health. Teaching the basics of medicine within clinical context and the inclusion of early clinical practice are similarly appreciated. Presently, the interdisciplinary approach is limited by the focus on practical competencies of the dentistry curriculum, as some practical courses offer only few opportunities for other disciplines to interconnect their teaching. The continuous evaluation of the curriculum and exchange of experiences between the disciplines will further improve the integrative concept of the curriculum.
2019年10月,汉堡大学实施了一项综合牙科项目(iMED DENT),这在德国尚属首次。该示范课程基于已在人类医学课程中成功应用多年的教学理念,包括跨学科教学、早期临床经验和科学教育。第一年着重于健康状况(“正常功能”),旨在将自然科学(生物学、化学、物理学)和基础医学科目(解剖学、生物化学、生理学、医学术语)融入牙科健康背景中。此外,在第一年还会给学生分配一些基础实践和临床任务。
从前四批学生的经验来看,可以对这一学习阶段得出初步结论。总体而言,其模块化结构导致学习内容浓缩,学生认为颇具挑战性。然而,其跨学科方法广受认可。例如,与之前的课程相比,在新的课程中,将自然科学基础知识与牙科相关性相结合的教学方式得到了更好的评价,在之前的课程中,这些内容的讲授并未特别提及牙科健康。在临床背景下教授医学基础知识以及纳入早期临床实践同样受到好评。目前,跨学科方法受到牙科课程对实践能力关注的限制,因为一些实践课程为其他学科相互联系教学提供的机会很少。对课程的持续评估以及各学科之间的经验交流将进一步完善课程的整合理念。