54,523 Works

Physicians’ roles in competency-based teaching: Do students recognize them?

Elvira Pippel, Narciß, Elisabeth, Udo Obertacke, Renate Strohmer & SchüTtpelz-Brauns, Katrin
Introduction: Imparting the concept of physician’s roles with the help of new teaching formats is becoming increasingly important in medical education. The “ambulatory care simulation” was developed at the Medical Faculty Mannheim as a format to teach the roles of "medical expert," “communicator”, “health advocate”, “manager”, “team member” and “professional” in the practical year. During the “ambulatory care simulation”, students work through case scenarios with simulated patients focusing on the physician’s roles and subsequently discussing...

Successful completion of clinical electives – Identification of significant factors of influence on self-organized learning during clinical electives with student focus groups

Natalie Rausch & Sigrid Harendza
Background: The Medical Licensure Act prescribes a total of four months of clinical electives in which the medical students are to work in a self-organized manner in outpatient and inpatient care. Since no specific learning objectives or learning content are given and students come into contact with different structures of outpatient and inpatient care, the learning success in a clinical elective is often rather random. In order to make self-organized learning (SOL) in clinical electives...

Teaching load – a barrier to digitalisation in higher education? A position paper on the framework surrounding higher education medical teaching in the digital age using Bavaria, Germany as an example

MüLler, Christoph, FüNgerlings, Saskia, Daniel Tolks & E-Learning Working Group In The Competence Network Medical Education In Bavaria
This position paper describes the legal framework requirements when crediting digital teaching formats towards the teaching load in higher education medical teaching, as exemplified by the Federal State of Bavaria in Germany. It reveals the need for precise rules adapted to the advances in technology, if the process of digitalisation in higher education (HE) is not to come to a halt. If HE institutions are to act as centres of innovation with respect to the...

Development and initial Experience of an online Exchange Platform on Sex and Gender Aspects in Medicine: “GenderMed-Wiki”

SchreitmüLler, Julia, Jan C. Becker, Daniel Zsebedits, Marvin Weskott, Mahboobeh Dehghan-Nayyeri, Christian Fegeler, Matthias Heue, Margarethe Hochleitner, Kindler-RöHrborn, Andrea & Bettina Pfleiderer
Goal: Knowledge about sex/gender aspects in medicine is often lacking, even though this serves as base for individualized patient-centered care. Thus we developed an online exchange platform on sex and gender aspects in medicine: “GenderMed-Wiki” [[link:www.gendermed-wiki.de*https://gendermedwiki.uni-muenster.de/mediawiki/index.php?title=Willkommen_bei_GenderMed-Wiki]]. This was funded by the German Federal Ministry of Education and Research (BMBF; FKZ: 01FP1506). Our goal is to facilitate the integration of sex and gender in all areas of medicine. Therefore we evaluated if "GenderMed-Wiki" is suitable to...

Cultural Competence and Global Health: Perspectives for Medical Education – Position paper of the GMA Committee on Cultural Competence and Global Health

Claudia Mews, Sylvie Schuster, Christian Vajda, Heide Lindtner-Rudolph, Luise E. Schmidt, BöSner, Stefan, GüZelsoy, Leyla, Frank Kressing, Houda Hallal, Tim Peters, Margarita Gestmann, Linn Hempel, GrüTzmann, Tatjana, Erika Sievers & Michael Knipper
Introduction: Routine medical care in Germany, Austria and Switzerland is being increasingly impacted by the cultural and linguistic diversity of an ever more complex world. Both at home and as part of international student exchanges, medical students are confronted with different ways of thinking and acting in relation to health and disease. Despite an increasing number of courses on cultural competence and global health at German-speaking medical schools, systematic approaches are lacking on how to...

How case representations of medical students change during case processing – Results of a qualitative study

Leah Theresa Braun, Benedikt Lenzer, Jan Kiesewetter, Martin R. Fischer & Ralf Schmidmaier
Objective: Representations are mental summaries of a clinical case and help in understanding a clinical problem. However, it is still largely unknown which clinical information medical students include in their case representations. In this study, therefore, the structure and quality of students’ case representations were examined to better understand the diagnostic process and its relationship to diagnostic accuracy. What information do medical students include in their representations and is there an association between this information...

Standing up for Subjectivity in the Assessment of Competencies

Thomas Rotthoff
[for full text, please go to the a.m. URL]

Simulation centres in German hospitals and their organisational aspects: Expert survey on drivers and obstacles

Tobias Rampel, Benedict Gross, Alexandra Zech & PrüCkner, Stephan
Background: Simulation trainings offer the opportunity to replicate parts of or entire processes of medical care in a controlled environment. Some hospitals operate simulation centres dedicated to training their staff. Which organisational factors support or impede the implementation of such units in hospitals? Methods: In an exploratory survey experts and decision makers in German hospitals were interviewed. The answers were evaluated qualitatively in order to identify patterns in argumentation. Among the eleven participants were practitioners...

From HAM-Nat to the “Physikum” – Analysis of the study success parameters before and after the introduction of a science test in the approval procedure

Katrin Werwick, Kirstin Winkler-Stuck & Bernt-Peter Robra
Background/Objectives: For the winter semester 2012/13, the Medical School of Otto-von-Guericke University Magdeburg introduced the HAM-Nat test (Hamburg Assessment Test for Medical Degrees - Natural Sciences Section) for the selection of its study applicants with the aim of improving the academic success of their students in the pre-clinical part which has a heavy emphasis on natural sciences. The study examines the extent to which the new University Selection Procedure (AdH) influences two criteria for measuring...

Just watching is not enough: Fostering simulation-based learning with collaboration scripts

Jan M. Zottmann, Peter Dieckmann, Tatjana Taraszow, Marcus Rall & Frank Fischer
Aims: In addition to medical facts, medical students participating in simulation-based training are supposed to acquire general knowledge, e.g. heuristics to cope with critical incidents. While active participation is considered a major benefit of this kind of training, a large portion of students’ time is often spent observing peers acting in the simulator. Thus, we instructionally supported learners with a collaboration script (i.e., a set of scaffolds that distribute roles and activities among learners in...

“Heidelberg Standard Examination” – Final year students' experiences with a handbook and instructional videos to improve medical competence in conducting physical examinations

Julia Knauber, KöNig, Anna-Katharina, Tobias Herion, Julia Tabatabai, Martina Kadmon & Christoph Nikendei
Background: The physical examination (PE) of patients is a core competence in almost all medical disciplines. The teaching materials “Heidelberger Standard Examination”, consisting of a handbook and accompanying videos, were developed with the objective of providing medical students with an innovative faculty-wide teaching and examination standard to sustainably advance students’ PE competences during medical training. Methods: In a “mixed-method approach” comprising both quantitative and qualitative measures, our study examined Heidelberg University Hospital final year (FY)...

Self-evaluation of present clinical skills by medical students in the years 3 to 6 – a pilot study in four European countries

Leonard Westermann, Barbara Zisimidou, Marvin Simons, Rene Zellweger & Dominik Baschera
Background: Clinical training concepts of medical students differ in the various European countries. The goal of this paper is to study the differences at the beginning of medical practice in specific clinical skills on an international level. Methods: The data were collected by a publically accessible online questionnaire online from February to June 2010. The participants in the study were recruited through the official letter sent by deaneries and student organisations. Two thousand nine hundred...

How can General Practice be incorporated longitudinally in medical studies? Students’ views on the development of a new rural health program

Linda Barthen, Gisela Ravens-Taeuber, Michael A. Paulitsch, Ferdinand M. Gerlach & Monika Sennekamp
Aim: Participation of medical students in the conceptual development of targeted and attractive teaching content for rural areas. Method: A questionnaire was developed to gather information on students' views of their current medical studies, career interests, and what requirements should be met by an optional rural health program in general practice. By means of an online survey in summer 2015, all medical students from the fourth preclinical semester onwards (n=2,150) at Goethe University Frankfurt were...

Digital Teaching and Digital Medicine: A national initiative is needed

Martin Haag, Christoph Igel, Martin R. Fischer, German Medical Education Society (GMA), Committee “Digitization – Technology-Assisted Learning And Teaching” & Joint Working Group “Technology-Enhanced Teaching And Learning In Medicine (TeLL)” Of The German Association For Medical Informatics, Biometry And Epidemiology (Gmds) And The German Informatics Society (GI)
The advancing digitization of the healthcare system requires that in the future digital skills should be communicated to students much more. In addition, digital teaching and learning technologies should be used wherever they offer real benefits over other training scenarios. To meet these challenges, it needs a national initiative “Medical Education in the Digital Age”, which should be led by the Society for Medical Education and the German Association for Medical Informatics, Biometry and Epidemiology.

Heidelberger Interprofessionelle Ausbildungsstation (HIPSTA): a practice- and theory-guided approach to development and implementation of Germany’s first interprofessional training ward

Mihaljevic, André L., Jochen Schmidt, Anika Mitzkat, Pascal Probst, Theresa Kenngott, Johanna Mink, Christoph A. Fink, Alexej Ballhausen, Jessy Chen, Aylin Cetin, Lisa Murrmann, MüLler, Gisela, Cornelia Mahler, GöTsch, Burkhard & Birgit Trierweiler-Hauke
Background: Deficits in care and impaired patient-safety have been linked to inefficient interprofessional collaborative practice. Interprofessional training wards (IPTW) are an interprofessional educational intervention which aim to enable students and trainees from different health professions to work self-responsibly in order to manage the medical treatment and rehabilitation of real-life patients together as an interprofessional team. We aimed to develop and implement Germany´s first IPTW at the department of Surgery at Heidelberg University Hospital. Methods: The...

Risks and errors in medicine. Concept and evaluation of an optional study module with integrated teaching of ethical, legal and communicative competencies

Jan Schildmann, Sabine Salloch, Tim Peters, Tanja Henking & Jochen Vollmann
Objective: The presentation and discussion of the content, methodology and evaluation results of a course on “Risks and Errors in Medical Science”, adopting an integrated approach for the teaching of ethical, legal and communicative aspects. Method: Written, structured evaluation using the adapted evaluation form “Evasys” as well as open questions on positive and negative aspects of the course and assessment of the effects thereof from the participants’ viewpoint. The free text responses are evaluated according...

Prevalence and treatment of sexually transmitted infections in men followed by urologists in Germany – a cross sectional study with 347,090 men

Louis Jacob, Dragos Andrei Duse & Karel Kostev
Aim: The goal of this retrospective analysis was to study the prevalence and treatment of the most common sexually transmitted infections (STI) in men followed by urologists in Germany. Methods: This study included a total of 347,090 men followed in 71 urology practices in Germany between 2013 and 2015. The first outcome was the prevalence of individuals diagnosed with STI between 2013 and 2015. The following eight types of STI infections were included in the...

Begriffe und Konzepte des Qualitätsmanagements – 4. Auflage

Brigitte Sens, Barbara Pietsch, Burkhard Fischer, Dieter Hart, Heike Anette Kahla-Witzsch, Verena Von Friedrichs, Monika Nothacker, Ulrich Paschen, Sabine Rath, Susanne Rode, Kyra Schneider & Matthias Schrappe
Quality and safety of healthcare have become key concepts during the last two decades on both national and international levels. In Germany this target of healthcare policy is currently regulated by a cascade of legal requirements and directives: all healthcare providers are bound to ensure and to improve the quality of delivered care, to participate in quality assurance programs, to implement quality management systems and to engage in critical incident reporting systems. Quality indicators are...

Antibiotic consumption and resistance of gram-negative pathogens (collateral damage)

CižMan, Milan & Tina Plankar Srovin
Antibiotics are commonly prescribed in community and hospital care. Overuse and misuse favors emergence and spread of resistant bacteria. The ATC/DDD methodology is commonly used for presenting the drug utilization data. In primary care, the consumption is usually expressed in DDD per 1,000 inhabitants per day, in hospital, preferably in DDD per 100 bed days and DDD per 100 admissions. The alternative metric is days of therapy (DOT), which needs IT support. Antibiotics have ecological...

Medical treatment for urogenital tuberculosis (UGTB)

Christian Wejse
Urogenital tuberculosis (UGTB) should in general be treated as pulmonary TB with a four-drug regimen of Isoniazid, Rifampicin, Ethambutol and Pyrazinamide for a total of 6 months, Ethambutol and Pyrazinamide only the first two months. Some patients may need longer treatment (cavitary disease, kidney abscess/malfunction, HIV co-infection). Treatment of multi-drug resistant tuberculosis (MDR-TB) requires use of long-term intravenous treatment with aminoglycosides and other drugs with considerable toxicity for 18–24 months. Complications such as urinary tract...

Virtuelle Premiumlinsenimplantation bei Patienten mit Makulaerkrankungen

Karsten Klabe, A. Fricke, S. Nienhaus, D.R.H. Breyer, R. Fulga & H. Kaymak
Hintergrund: Die funktionellen Ergebnisse nach Implantation von Multifokallinsen bei Patienten mit Makulaerkrankungen sind systematisch bisher nicht untersucht worden. Hier präsentieren wir unsere Ergebnisse. Methode: Die zu testenden Intraokularlinsen (asphärische monofokale IOL (L1),[zum vollständigen Text gelangen Sie über die oben angegebene URL]

Very Large Array Ratinal Stimulator (VLARS) – Konzeption, Implantation und Testung eines großflächigen epiretinalen Netzhautstimulators

Tibor Karl Lohmann, F. Haiss, C. Barz, C. Wernen, A.-M. Van Der Meer, K. Schaffrath, A. C. Schnitzler, RößLer, G., B. Mazinani, F. Waschkowski, W. Mokwa & P. Walter
Hintergrund: Degenerative Netzhauterkrankungen, zum Beispiel Retinitis pigmentosa, führen immer noch zu einem unaufhaltsamen Sehverlust. Eine moderne Methode der Behandlung ist die Implantation von Netzhautstimulatoren. Unsere Gruppe hat sich das Ziel gesetzt, einen besonders großflächigen[zum vollständigen Text gelangen Sie über die oben angegebene URL]

Sarkoidose als Ursache einer 20-jährigen ungeklärten Optikus-Neuropathie

Thomas M. Dette
Anläßlich der Cataract-Op einer Catracta matura einer Schwester der Augenabteilung wurde ihre 20-jährige ungeklärte Optikusneuropathie neu evaluiert. Im Lichte neuer Erkenntnisse wurden ACE und Interleukin-2-Rezeptor- löslich- bestimmmt . Die Kosten der Evaluation mit 0.75[zum vollständigen Text gelangen Sie über die oben angegebene URL]

Prospektive Evaluierung des singulären Nukleotid Polymorphismus rs2229094 T→C auf dem Tumor Nekrose Faktor Locus im Hinblick auf die Prädispostion zur Entwicklung einer Proliferativen Vitreoretinopathie nach Ablatiochirurgie

Armin Wolf, B. Weber, N. Arend, J. Siedlecki, S. Priglinger & I. Bayer
Fragestellung: Der häufigste Grund für das Scheitern der operativen Therapie einer Ablatio retinae stellt die Entwicklung einer proliferativen Vitreoretinopathie (PVR) dar. Ziel der Studie ist es die prädisponierenden Faktoren für die Entwicklung einer postoperativen PVR-Reaktion[zum vollständigen Text gelangen Sie über die oben angegebene URL]

Eine neue OCT-Einteilung der makulären Beteiligung bei Ablatio retinae – how off is off?

Karl Boden, K. Januschowski, L.-J. Damm, M. Alsharairi, S. Leers, P. Wakili & P. Szurman
Hintergrund: Das postoperative Ergebnis bei einer Netzhautablösung hängt entscheidend von der makulären Beteiligung und der Dauer der Ablösung ab. Im klinischen Alltag stellt die genaue Beurteilung der Makula oft ein Problem dar. Die präoperative Untersuchung mittels optischer[zum vollständigen Text gelangen Sie über die oben angegebene URL]

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