Altmayer Nora Corinna, Khajeh Elias, Fellhofer-Hofer Johanna, Lintner Anna, Fink Matthias Alexander, Schwab Constantin, Halama Niels, Nickel Felix, Mehrabi Arianeb, Klupp Fee
Department of General, Visceral and Transplantation Surgery, University Hospital Heidelberg, Im Neuenheimer Feld 420, 69120, Heidelberg, Germany.
Department of General, Visceral, Vascular and Pediatric Surgery, Saarland University Hospital, Kirrberger Str. 100, 66421, Homburg, Germany.
Langenbecks Arch Surg. 2025 Sep 5;410(1):267. doi: 10.1007/s00423-025-03856-9.
Evidence-based medicine (EBM), precision medicine and interdisciplinarity are becoming increasingly important in medical education. The purposeful connection between EBM and interdisciplinary work is given in the context of a tumor board, since therapy decisions are discussed here in an interdisciplinary team based on current evidence-based guidelines. To date, there has been little focus on either topic. Therefore, we aimed to assess the existing knowledge and offered a practical exercise in terms of a tumor board simulation training for medical students during their surgical study semester.
First, a knowledge test was performed in 4th year medical students (n = 149) addressing the topic of EBM following an evaluation questionnaire. Subsequently, a structured one hour- lecture was held. The students were divided into groups of up to ten and assigned with specific professional roles of tumor board members. Thereafter, students participated in a live simulated tumor board. At the end the same knowledge test and evaluation questionnaire were delivered (n = 163). Study was conducted at Heidelberg Medical University between 2023 and 2024.
A significant increase in knowledge was seen before versus after the course only in the primarily better students (p < 0.0001). Almost no difference in knowledge test was seen before and after the course pertaining all students (p = 0.205). Evaluation questionnaire displayed that 45% (n = 66) of the students had not dealt with the topic of EBM before the course. 98% (n = 146) of the students considered that interdisciplinary work in medical profession is very important.
Including EBM and precision medicine in a practical way into the medical curriculum is necessarily needed. As only the best students seemed to benefit significantly, a more sustainable approach might be the implementation of a longitudinal precision medicine curriculum.
循证医学（EBM）、精准医学和跨学科性在医学教育中变得越来越重要。在肿瘤病例讨论会上，EBM与跨学科工作之间存在着有目的的联系，因为在此，跨学科团队会根据当前的循证指南讨论治疗决策。迄今为止，对这两个主题的关注都很少。因此，我们旨在评估医学生在外科学习学期期间对现有知识的掌握情况，并通过肿瘤病例讨论会模拟培训提供一项实践活动。
首先，对四年级医学生（n = 149）进行了一次关于EBM主题的知识测试，并附上一份评估问卷。随后，举办了一场一小时的结构化讲座。学生们被分成每组最多十人的小组，并被分配了肿瘤病例讨论会成员的特定专业角色。此后，学生们参加了一次现场模拟肿瘤病例讨论会。最后，再次进行了相同的知识测试和评估问卷（n = 163）。该研究于2023年至2024年在海德堡医科大学进行。
仅在原本成绩较好的学生中，课程前后的知识水平有显著提高（p < 0.0001）。就所有学生而言，课程前后的知识测试几乎没有差异（p = 0.205）。评估问卷显示，45%（n = 66）的学生在课程之前没有接触过EBM主题。98%（n = 146）的学生认为医学专业中的跨学科工作非常重要。
必须以切实可行的方式将EBM和精准医学纳入医学课程。由于似乎只有成绩最好的学生显著受益，一种更具可持续性的方法可能是实施纵向精准医学课程。
