"Basic Medical Skills" - Evaluation of a primary care oriented course concept within the new medical curriculum in Germany

dc.creator	Fischer, Thomas
dc.creator	Chenot, Jean-François
dc.creator	Kleiber, Christina
dc.creator	Kochen, Michael M.
dc.creator	Simmenroth-Nayda, Anne
dc.creator	Staats, Hermann
dc.creator	Herrmann-Lingen, Christoph
dc.date	2005-08-01T00:00:00Z
dc.date.accessioned	2015-07-20T22:06:20Z
dc.date.available	2015-07-20T22:06:20Z
dc.identifier	1860-7446
dc.identifier	1860-3572
dc.identifier	https://doaj.org/article/f9ae7a451650437fb924b2d67280475c
dc.identifier.uri	http://evidence.thinkportal.org/handle/123456789/10443
dc.identifier.uri	https://doaj.org/article/f9ae7a451650437fb924b2d67280475c
dc.description	Background and objective: To increase the practical orientation of medical student education in Germany, we have introduced a new mandatory course into the 3rd study year. This course combines doctor-patient communication training sessions with practical skills such as taking blood, changing dressings, etc. The primary care point of view to these topics was emphasized. The study describes the course and an evaluation of its effects on basic medical skills.Methods: Learning progress was measured using an anonymous self-evaluation questionnaire. Students graded their own competence in each individual course element using a 1-6 point scale (1='excellent' to 6='insufficient'). To objectify the learning process with regards to both practical skills and communicative competence we performed an "Objective Structured Clinical Examination" (OSCE).Results: Complete data are available from 154 of the 193 students participating in the course (average age 23.7 ±2.7 years). With regards to their competence in taking a case history, participants rated themselves with an average score of 3.99 before the course and an improved average score of 2.42 afterwards (P<0.0001). Students gave themselves credit for definite improvement in practical skills as well. Neither gender, age nor earlier medical training had any effect of the self-evaluation. Results of self-reported questionnaires corresponded well with the test results of the OSCE (N=193). Female students had significantly better results in the global rating in the communicative sections of the OSCE test than their male counterparts. Overall, the general evaluation of the course (grade 1.93) and its value for later medical competence (1.97) were very high in comparison to the average values for medical seminars at this university.Conclusion: We found high effects on clinical competence both in self-reported evaluations of the course and in the OSCE. A longitudinal study is under way in order to investigate to what extent this seminar will lead to long-term improvement of competence. The "gender bias" found in communication skills needs to be confirmed in pre/post investigations and long-term effects in order to find out, if male students need specific help in improving their communication skills.
dc.publisher	German Medical Science, Düsseldorf
dc.relation	http://www.egms.de/static/en/journals/zma/2005-22/zma000059.shtml
dc.relation	https://doaj.org/toc/1860-7446
dc.relation	https://doaj.org/toc/1860-3572
dc.rights	CC BY-NC-ND
dc.source	GMS Zeitschrift für Medizinische Ausbildung, Vol 22, Iss 3, p Doc59 (2005)
dc.subject	doctor-patient-communication
dc.subject	communication training
dc.subject	core clinical skills
dc.subject	“Objective Structured Clinical Examination“ (OSCE)
dc.subject	gender bias
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.subject	Education
dc.subject	L
dc.subject	DOAJ:Education
dc.subject	DOAJ:Social Sciences
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.subject	Education
dc.subject	L
dc.subject	DOAJ:Education
dc.subject	DOAJ:Social Sciences
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.subject	Education
dc.subject	L
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.subject	Education
dc.subject	L
dc.subject	Education
dc.subject	L
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.title	"Basic Medical Skills" - Evaluation of a primary care oriented course concept within the new medical curriculum in Germany
dc.type	Article