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Veränderung des Berufsbildes des Arztes

Konsequenzen für die ärztliche Ausbildung

Change in the job description of physicians

Consequences for medical education

  • Leitthema
  • Published:
Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz Aims and scope

Zusammenfassung

Nach Abschluss des Studiums im Alter von zirka 25 Jahren sind Ärztinnen und Ärzte durchschnittlich mindestens 40 Jahre in ihrem Beruf tätig. Es ist deshalb davon auszugehen, dass die jungen Ärzte mit einer Vielzahl von beruflichen Herausforderungen konfrontiert werden, die während des Studiums explizit nicht behandelt werden konnten. Dies bedeutet nicht nur, dass während der studentischen Ausbildung ein intensives Kennenlernen etablierter Methoden, sondern vor allem auch zukunftsträchtiger Verfahren sichergestellt werden muss. Ärztliches Personal muss bereits während des Studiums befähigt werden, sich selbst Informationen zu besorgen und diese einer zuverlässigen Bewertung auf Glaubwürdigkeit, Seriosität et cetera zu unterziehen. Bei zunehmender Geschwindigkeit von Neuerungen auf dem medizinischen Sektor ist es mehr denn je erforderlich, die Studierenden auf lebenslanges Lernen einzustimmen und eine permanente eigenverantwortliche Weiterbildung fest zu verankern.

Abstract

After receiving the final degree at the age of about 25 years, physicians are going to practice a minimum of 40 years. Therefore, one can assume that after graduation physicians are confronted with many occupational challenges which were not and could not be covered during their studies. This implies that medical education does not only have to provide intensive knowledge about established methods but above all about potential future techniques. Throughout the educational period and continuing during professional life, physicians have first to learn and then to be able to seek information and to conduct a critical appraisal – systematically examining research evidence, assessing its validity and the relevance of the results. The increasing velocity of innovation in the realm of medicine requires students to be prepared for life-long learning and continuous, autonomous professional development.

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Abb. 1

Notes

  1. Im gesamten Text ist aus Gründen der Lesbarkeit ebenso wie bei Patienten ausschließlich die maskuline Form gewählt. Inzwischen zeichnet sich ab, dass das ärztliche Berufsbild immer stärker von Frauen beherrscht wird. Im Jahr 2008 betrug der Anteil weiblicher Studierender im Medizinstudium mehr als 60%.

Literatur

  1. Allensbacher Bericht Nr. 2/2008. Available at: http://www.ifd-allensbach.de/news/prd_0802.html (zugegriffen am 31. Januar 2009)

  2. Harris Interactive – The Harris Poll – Firefighters, Doctors and Nurses Top List as „Most Prestigious Occupations“. Available at: http://www.harrisinteractive.com/harris_poll/index.asp?PID=685 (zugegriffen am 21. Dezember 2008)

  3. Dergelbedienst_180607.pdf. Available at: http://www.ifeg.de/cms/upload/pdf/Dergelbedienst_180607.pdf (zugegriffen am 1. Februar 2009)

  4. Medical Professionalism Project (2002) Medical professionalism in the new millennium: a physicians‘ charter. Ann Intern Med 138:243–246

    Google Scholar 

  5. Genfer Deklaration des Weltärztebundes. Available at: http://www.aerztekammer-bw.de/cgi-bin/htsearch?words=gel%F6bnis (zugegriffen am 23. März 2009)

  6. 82. Deutscher Ärztetag (1979) Dtsch Ärztebl 38:2442

    Google Scholar 

  7. Jaspers K (1958) Philosophie und Welt. Reden und Aufsätze. Piper, München

  8. Naisbett J, Aburdene P (1980) Megatrends. William Morrow, New York

  9. Papa FJ, Harasym PH (1999) Medical curriculum reform in North America, 1765 to the present: a cognitive science perspective. Acad Med 74:154–164

    Article  PubMed  CAS  Google Scholar 

  10. Merten ML, Merten UP (2008) Laboratoriumsmedizin – Basis aller Diagnostik. Geschichte der Laboratoriumsmedizin und ihrer Gesellschaften in Deutschland. Frieling-Verlag Berlin. Available at: http://www.frieling.de/katalog/archive/978-3-8280-2402-1 (zugegriffen am 21. Dezember 2008)

  11. Flexner A (1910) Medical education in the United Staates and Canada. A report to the Carnegie Foundation for the advancement of teaching. Bulletin number four. New York

  12. Goodenough W (1944) Report of the Inter-departmental Committee on Medical Schools. S.O. Code 332-63. London, U.K.: H.M. Stationery Office, zitiert in Papa FJ, Harasym PH (1999)

  13. Dronhorst AC, Hunter A (1967) Fallacies in medical education. Lancet 2:666–667

    Article  Google Scholar 

  14. Barrows HS, Tamblyn RM (1976) An evaluation of problem-based learning in small groups utilizing a simulated patient. J Med Educ 51:52–54

    Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  16. Barrows HS (1985) How to design a problem-based curriculum for the preclinical years. Springer Publishing Company, New York

  17. Coles CR (1990) Evaluating the effects curricula have on student learning: towards a more competent theory for medical education. In: Norman ZM, Schmidt HG, Ezzat ES (eds) Innovation in medical education: an evaluation of its present status. Springer Publishing Company, New York

  18. Ausubel D (1960) The use of advanced organizers in the learning and retention of meaningful verbal material. J Educ Psychol 51:267–272

    Article  Google Scholar 

  19. Mayer R (1979) Can advanced organizers influence meaningful learning? Rev Educ Res 49:37–38

    Google Scholar 

  20. Mayer RE, Greene JG (1972) Structural differences between learning outcomes product by different instructional methods. J Educ Psychol 62:165–173

    Article  Google Scholar 

  21. Tulving E, Thomson DM (1973) Encoding specificity and retrieval processes in episodic memory. Psychol Rev 80:352–373

    Article  Google Scholar 

  22. Cumming AD, Ross MT (2008) The tuning Ppoject (medicine) – learning outcomes/competences for undergraduate medical education in Europe. Available at: http://www.tuning-medicine.com (zugegriffen am 1. Februar 2009)

  23. Wright SM, Carrese JA (2002) Excellence in role modelling: insight and perspectives from the pros. CMAJ 167:638–643

    PubMed  Google Scholar 

  24. Kiessling C, Dieterich A, Fabry G et al (2008) Basler Consensus Statement „Kommunikative und soziale Kompetenzen im Medizinstudium“: Ein Positionspapier des GMA-Ausschusses Kommunikative und soziale Kompetenzen. GMS Z Med Ausbild 25:Doc83

    Google Scholar 

  25. Ramsey P, Carline J, Blank L, Wenrich M (1996) Review of instruments for peer assessment of physicians. Acad Med 71:364–370

    Article  PubMed  CAS  Google Scholar 

  26. Webster G (1989) Final report of the patient satisfaction questionnaire study. American Board of Internal Medicine

  27. Evans R, Elwyn G, Edwards A (2004) Review of instruments for peer assessment of physicians. BMJ 328:1240–1244

    Article  PubMed  Google Scholar 

  28. Thomas P, Gebo K, Hellmann D (1999) A pilot study of peer review in residency training. J Gen Intern Med 14:551–554

    Article  PubMed  CAS  Google Scholar 

  29. Hall W, Violato C, Lewkonia R et al (1999) Review of instruments for peer assessment of physicians. CMAJ 161:52–56

    PubMed  CAS  Google Scholar 

  30. Sajeva M (2006) E-learning: Web-based education. Curr Opin Anaesthesiol 19:645–649

    Article  PubMed  Google Scholar 

  31. Breitner MH, Hoppe G (2005) E-Learning – Einsatzkonzepte und Geschäftsmodelle. Physica-Verlag, Heidelberg

  32. Boulos MN, Maramba I, Wheeler S (2006) Wikis, blogs and podcasts: a new generation of web-based tools for virtual collaborative clinical practice and education. BMC Med Educ 6:41

    Article  PubMed  Google Scholar 

  33. Searle NS, Haidet P, Kelly PA et al (2003) Team learning in medical education: initial experiences at ten institutions. Acad Med 78 (10 Suppl):55–58

    Article  Google Scholar 

  34. Azer S (2008) Navigating problem-based learning. Elsevier, Sydney

  35. Haidet P, Richards B, Morgan RO et al (2004) A controlled trial of active versus passive learning strategies in a large group setting. Adv Health Sci Educ 9:15–27

    Article  Google Scholar 

  36. Thompson BM, Schneider VF, Haidet PA et al (2007) Team-based learning at ten medical schools: two years later. Med Edu 41:250–257

    Article  Google Scholar 

  37. Thompson BM, Schneider VF, Haidet P et al (2007) Factors influencing implementation of team-based learning in health sciences education. Acad Med 82 (10 Suppl):S53–S56

    Article  PubMed  Google Scholar 

  38. Kho GC-H, Khoo HE, Wong ML, Koh D (2008) The effect of problem-based learning during medical school on physician competency: a systematic review. CMAJ 178:34–41

    Google Scholar 

  39. Bligh J (1995) Problem-based, small group learning. BMJ 311:342–343

    PubMed  CAS  Google Scholar 

  40. Schwartz P, Mennin S, Webb G (2001) Problem based learning case studies, experience and practice. Kogan Page, London

  41. Wass V, van der Vleuten C, Shatzer J, Jones R (2001) Assessment of clinical competence. Lancet 357:945–949

    Article  PubMed  CAS  Google Scholar 

  42. Harden RM, Stevenson M, Downie WW, Wilson GM (1975) Assessment of clinical competence using objective structured examination. BMJ i:447–451

    Article  Google Scholar 

  43. Hurley KF (2005) OSCE and clinical skills handbook. Elsevier, Toronto

  44. Charlin B, Roy L, Brailovsky C et al (2000) The script concordance test: a tool to assess the reflective clinician. Teach Learn Med 12:189–195

    Article  PubMed  CAS  Google Scholar 

  45. Farmer EA, Page G (2005) A practical guide to assessing clinical decision-making skills using the key features approach. Med Educ 39:1188–1194

    Article  PubMed  Google Scholar 

  46. Epstein RM (2007) Assessment in medical education. N Engl J Med 356:387–396

    Article  PubMed  CAS  Google Scholar 

  47. Hojat M, Veloski J, Nasca TJ et al (2006) Assessing physicians‘ orientation toward lifelong learning. J Gen Intern Med 2:931–936

    Article  Google Scholar 

  48. Norcini JJ (2003) Work based assessment. BMJ 326:753–755

    Article  PubMed  Google Scholar 

  49. Howley LD (2004) Performance assessment in medical education: where we’ve been and where we’re going. Eval Health Prof 27:285–303

    Article  PubMed  Google Scholar 

  50. Gammelgaard A (2000) Evolutionary biology and the concept of disease. Med Health Care Philos 3:109–115

    Article  PubMed  CAS  Google Scholar 

  51. Greaves M (2007) Darwinian medicine: a case for cancer. Nat Rev Cancer 7:213–221

    Article  PubMed  CAS  Google Scholar 

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  1. Charité – Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Deutschland

    M. Gross & J. Pelz

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Gross, M., Pelz, J. Veränderung des Berufsbildes des Arztes. Bundesgesundheitsbl. 52, 831–840 (2009). https://doi.org/10.1007/s00103-009-0906-5

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