Skip to main content
Log in

Bewertung der ärztlichen Ausbildung an der McMaster Universität, Kanada, anhand des Konzepts der „Fallmethode“

Evaluation of medical education at McMaster university, Canada, using the concept of the case method

  • Originalien
  • Published:
Klinische Wochenschrift Aims and scope Submit manuscript

Summary

Students of three different levels and the chairman of the MD-Program evaluated the educational system of McMaster University, Canada, using the six criteria of the case method as defined by Renschler. This analysis provided a very differentiated evaluation of the McMaster curriculum, demonstrating a systematic progress of learning methods from the second to the last phase.

The instrument showed differences in the ratings of the demonstrative lectures between the chairman and the students. Free access to patients and responsibility, gradually growing during the 3-year program, are important features of the educational system. The problem-based system provides a unique integration of acquiring theoretical knowledge in the basic sciences through clinical problem solving which was highly rated in all analysed phases. Ratings given by the interviewed students for evaluation of documented work were lower than expected by the chairman and the authors. The results are discussed in relationship to the McMaster Philosophy and to the conditions of studying medicine in America and in Germany.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Literatur

  1. Association of American Medical Colleges (1985) Medical School Admission Requirements 1986–87 United States and Canada 36th Edition. AAMC, Washington, D.C.

    Google Scholar 

  2. Association of American Medical Colleges (1988) 1988–89 AAMC Curriculum Directory 17th Edition. AAMC, Washington, D.C.

    Google Scholar 

  3. Bentley JD (1988) New York Limits Housestaff Hours. AAMC Weekly Report 2:No. 29

  4. Billroth T (1876) Über das Lehren und Lernen der medicinischen Wissenschaften an den Universitäten der deutschen Nation nebst allgemeinen Bemerkungen über Universitäten. Gerolds Sohn, Wien

    Google Scholar 

  5. Crowley AE, Etzel SI, Perterson ES (1986) Undergraduate Medical Education. JAMA 256:1557–1564

    Google Scholar 

  6. Ferrier BM, Woodward CA (1983) Does premedical academic background influence medical graduates' perceptions of their medical schools or their subsequent career paths and decisions? Med Educ 17:72–78

    Google Scholar 

  7. Fintz J, Glänzer K, Renschler HE, Voss G (1976) Computer-Unterstützter-Unterricht in der medizinischen Ausbildung: USA-Kanada-Reise 22.9.–10.10. 197t: Reisebericht. Institut für Didaktik der Medizin, Bonn

    Google Scholar 

  8. Fraenkel GJ (1978) McMaster revisited. Br med J 2:1072–1076

    Google Scholar 

  9. Greenberg LW, Jewett LS (1985) The Impact of Two Teaching Techniques On Physicians' Knowledge and Performance. J Med Educ 60:390–396

    Google Scholar 

  10. Harden RMcG, Stevenson M, Downie WW, Wilson GM (1975) Assessment of clinical competence using objective structured examinations. Br Med J 1:447

    Google Scholar 

  11. Heale J, Davis D, Norman G, Woodward C, Neufeld V, Dodd P (1988) A randomized controlled trial assessing the impact of problem-based versus didactic teaching methods in CME. Annu Conf Res Med Ecuc 27:72–77

    Google Scholar 

  12. Infratest Gesundheitsforschung (1987) Untersuchung über die Anforderung an eine ordnungsgemäße ärztliche Ausbildung und über die tatsächliche Situation in der ärztlichen Ausbildung. Infratest Gesundheitsforschung, München

    Google Scholar 

  13. Irrgang D (1987) Aspekte der Ausbidlung des Mediziners im deutschsprachigen Kulturraum zwischen 1872 und 1901 anhand von Selbstzeugnissen deutscher Ärzte. Medizinische Dissertation, Bonn

    Google Scholar 

  14. Kidder LH, Judd CM, Smith E (1986) Research Methods in Social Relations Published for the Society for the Psychological Study of Social Issues. Holt, Rinehart and Winston, New York, Chicago

    Google Scholar 

  15. La Palio LR, Filling CM, Engel JD, Ways PO (1983) Multiple Strategies for Studying Medical Clerkship Experiences: A Case Study. J Med Educ 58:328–334

    Google Scholar 

  16. McMaster University (1984) M.D. Program — General Guide, 1984. McMaster University, Hamilton, ON

    Google Scholar 

  17. Neufeld VR, Barrows HS (1974) The McMaster Philosophy: An Approach to Medical Education. J Med Educ 49:1040–1050

    Google Scholar 

  18. Olson JO (1987) The McMaster Philosophy: A student's perspective on implementation. Med Educ 21:293–296

    Google Scholar 

  19. Renschler HE (1987) Definition der Fallmethode aus ihrer geschichtlichen Entwicklung in den Medizinschulen Europas. Schweiz Rundschau Med (Praxis) 76:981–996

    Google Scholar 

  20. Schmidt HG (1983) Problem-based learning: rationale and description. Med Educ 17:11–16

    Google Scholar 

  21. Stenchever MA, Irby D, O'Toole B (1979) A National Survey of Undergraduate Teaching in Obstetrics and Gynecology. J Med Educ 54:467–470

    Google Scholar 

  22. World Federation for Medical Education (1988) The Edinburgh Declaration. Lancet 2:464

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Thomas, M.S., Renschler, H.E. Bewertung der ärztlichen Ausbildung an der McMaster Universität, Kanada, anhand des Konzepts der „Fallmethode“. Klin Wochenschr 67, 421–430 (1989). https://doi.org/10.1007/BF01725137

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01725137

Key words

Navigation