Stieger Philipp, Schwoerer Alexander Peter, Buggenhagen Holger, Braun-Dullaeus Rüdiger C, Albert Christian
Otto-von-Guericke University Magdeburg, University Clinic for Cardiology and Angiology, Magdeburg, Germany.
Department of Cellular and Integrative Physiology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Front Med (Lausanne). 2025 Aug 11;12:1639839. doi: 10.3389/fmed.2025.1639839. eCollection 2025.
The decline of postgraduate medical researchers in Germany reflects fundamental gaps in undergraduate scientific education. Scientific competence (SC)-the integrated ability to think, act, and work scientifically-underpins the academic pipeline, yet its curricular implementation in frameworks such as NKLM 2.0 (National Competency-Based Learning Objectives Catalogue Medicine) and the revised ÄApprO (Approbationsordnung für Ärzte, German Licensing regulations for doctors), remains vague. German curricula do not distinguish Stokes's "knowledge" vs. "utility" dimensions of research, nor Kölbl's pedagogical refinements, reducing SC to a technical adjunct rather than an inquiry-driven competence vital for clinical decision-making. Student surveys reveal broad appreciation for scientific thinking but report scant structural support for independent research. Without clear, multidimensional learning objectives and longitudinal embedding-via modular research projects, protected research time, and continuous mentorship-interest in research-oriented careers will continue to wane. We call for SC to be redefined as a core, practice-integrated pillar of medical training, transcending its current role as a curricular checkbox and securing the future of academic medicine.
德国医学研究生研究人员数量的下降反映了本科科学教育中存在的根本性差距。科学能力(SC)——科学地思考、行动和工作的综合能力——是学术人才培养的基础,但在诸如NKLM 2.0(基于国家能力的医学学习目标目录)和修订后的ÄApprO(德国医生执照法规)等框架中,其课程实施仍然模糊不清。德国的课程没有区分斯托克斯关于研究的“知识”与“效用”维度,也没有采用科尔布尔的教学改进方法,将科学能力简化为一种技术附属品,而不是对临床决策至关重要的以探究为驱动的能力。学生调查显示,学生们对科学思维普遍表示赞赏,但报告称在独立研究方面缺乏结构性支持。如果没有明确的多维学习目标,以及通过模块化研究项目、受保护的研究时间和持续的指导进行纵向融入,对研究导向职业的兴趣将继续减弱。我们呼吁将科学能力重新定义为医学培训的核心、与实践相结合的支柱,超越其目前作为课程检查项的角色,确保学术医学的未来。