Integrating patients into medical education. 2012

Volkhard Fischer
Hannover Medical School, Dean of Studies Office, Academic Controlling, Hannover, Germany. fischer.volkhard@mh-hannover.de

The discussions about medical education in the public focus upon quantity. The quality of the teaching process isn't questioned. But the professionalization of medical education should start with a close look at bedside teaching because it is the core of training medical doctors. PATIENT-CENTERED TEACHING: German medical leicensure act (Approbationsordnung) defines the quality of medical education by standard setting for group sizes and fixing the hours of bedside teaching. Although there are some fuzzy definitions it is possible to extract some special forms of bedside teaching. The capacity act (Kapazitätsverordnung) interprets these definitions for calculating the number of students who could be enrolled each year. The different forms of contact with patients which are necessary for a good medical education can be transformed into distinct types of courses. Our classification of courses with specific forms of patient contact is suitable to describe each German program of medical studies. This quantitative profile offers new opportunities for comparing medical education at the different faculties. CONCLUSIONS In many German medical schools the hours of bedside teaching are allocated in a verv pragmatical way according to the medical leicensure act. A more professional curriculum planning leads to a sophisticated use of these diverse forms of patient-centered teaching. Because this professional planning is better derived from the legal basis it offers new arguments against an economically oriented hospital management.

UI MeSH Term Description Entries
D007396 Internship and Residency Programs of EDUCATION, MEDICAL, GRADUATE training to meet the requirements established by accrediting authorities. House Staff,Internship, Dental,Residency, Dental,Residency, Medical,Dental Internship,Dental Internships,Dental Residencies,Dental Residency,Internship,Internship, Medical,Internships, Dental,Medical Residencies,Medical Residency,Residencies, Dental,Residencies, Medical,Residency,Residency and Internship,Internships, Medical,Medical Internship,Medical Internships,Residencies,Staff, House
D008007 Licensure, Medical The granting of a license to practice medicine. Medical Licensure
D010358 Patient Participation Patient involvement in the decision-making process in matters pertaining to health. Patient Activation,Patient Empowerment,Patient Engagement,Patient Involvement,Patient Participation Rates,Activation, Patient,Empowerment, Patient,Engagement, Patient,Involvement, Patient,Participation Rate, Patient,Participation Rates, Patient,Participation, Patient,Patient Participation Rate
D010817 Physician-Patient Relations The interactions between physician and patient. Doctor-Patient Relations,Doctor Patient Relations,Physician Patient Relations,Physician Patient Relationship,Doctor Patient Relation,Doctor-Patient Relation,Physician Patient Relation,Physician Patient Relationships,Physician-Patient Relation,Relation, Doctor Patient,Relation, Doctor-Patient,Relation, Physician Patient,Relation, Physician-Patient,Relations, Doctor Patient,Relations, Doctor-Patient,Relations, Physician Patient,Relations, Physician-Patient,Relationship, Physician Patient,Relationships, Physician Patient
D002982 Clinical Clerkship Undergraduate education programs for second- , third- , and fourth-year students in health sciences in which the students receive clinical training and experience in teaching hospitals or affiliated health centers. Clerkship, Clinical,Clerkships, Clinical,Clinical Apprenticeship,Clinical Clerkships,Apprenticeship, Clinical,Apprenticeships, Clinical,Clinical Apprenticeships
D004501 Education, Medical Use for general articles concerning medical education. Medical Education
D005180 Faculty, Medical Teaching and administrative staff having academic rank in a medical school. Faculties, Medical,Medical Faculties,Medical Faculty
D005858 Germany A country in central Europe, bordering the Baltic Sea and the North Sea, between the Netherlands and Poland, south of Denmark. The capital is Berlin.
D006127 Group Structure The informal or formal organization of a group of people based on a network of personal relationships which is influenced by the size and composition, etc., of the group. Group Structures,Structure, Group,Structures, Group
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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