Pabst R, Rothkötter H J
Centre of Anatomy, Medical School of Hannover, Germany.
Anat Rec. 1997 Dec;249(4):431-4. doi: 10.1002/(SICI)1097-0185(199712)249:4<431::AID-AR1>3.0.CO;2-U.
Reform of the undergraduate medical curriculum, including the debate on which of its parts or subjects are superfluous, is a topic of interest in many countries. On being examined at the end of their specialization period, doctors were asked to grade the relevance of all subjects in the undergraduate curriculum for training to become a medical doctor. The subjects that gained the highest grades were internal medicine, gross anatomy, physical examination course, physiology, and pharmacology. The five subjects graded least relevant were biomathematics, terminology, social medicine, medical physics, and medical chemistry. More than 80% of the doctors expressed interest in special lectures and courses, e.g., in topographic anatomy at the beginning of their postgraduate training. Retrospective evaluations at the end of residency time are helpful "evidence" to be considered in reforming the medical curriculum, and in particular in defining "core" and "optional" parts of the curriculum. The data show that anatomy is graded as highly relevant in the undergraduate medical curriculum by doctors at the end of their postgraduate training.
本科医学课程改革，包括关于其哪些部分或科目是多余的争论，是许多国家感兴趣的话题。在专科培训结束时接受检查时，医生们被要求对本科课程中所有科目与成为一名医生的培训的相关性进行评分。得分最高的科目是内科、大体解剖学、体格检查课程、生理学和药理学。评分最不相关的五个科目是生物数学、术语学、社会医学、医学物理学和医学化学。超过80%的医生对专题讲座和课程表示感兴趣，例如在他们研究生培训开始时的局部解剖学。住院医师培训结束时的回顾性评估是医学课程改革，特别是在定义课程的“核心”和“选修”部分时需要考虑的有用“证据”。数据表明，解剖学在研究生培训结束时被医生们评为本科医学课程中高度相关的科目。
