Studentische Ausbildung im Fach Rechtsmedizin in Deutschland: Prüfungen und Evaluation

ZusammenfassungSeit der Umsetzung der Approbationsordnung für Ärzte 2002 haben sich erhebliche Veränderungen in den Bereichen Lehre, Prüfungen und Evaluation ergeben. Zur Erfassung der aktuellen Situation im Fach Rechtsmedizin erfolgte eine standardisierte Befragung unter den rechtsmedizinischen Instituten in Deutschland mittels eines Online-Fragebogens. Der Rücklauf betrug 80 %. Die Ergebnisse der Befragung weisen auf ein Überwiegen faktenbasierter Prüfungen hin. Anpassungen an die häufig praktisch ausgerichteten Unterrichtsformate erscheinen hier erforderlich. Die Evaluationsergebnisse zeigen überwiegend eine hohe studentische Zufriedenheit mit der Lehre im Fach Rechtsmedizin. Famulaturen und praktisches Jahr können aktuell von etwa 90 % der Institute angeboten werden. Die für die Lehre zur Verfügung stehende Stundenzahl wird von einem relevanten Teil der befragten Institute als nicht ausreichend bewertet.

Surgical teaching at the Medical School Otto-von-Guericke University of Magdeburg – basic conceptual description

Teaching in surgery, one of the classical big clinical and main disciplines beside internal medicine, needs to be also associated with great attention in regard to a valuable final result at the end of the study of human medicine. In particular, surgery is not only the subject to a large number of lectures it also represents one third (four months) of the compulsory internship (practical year – in German, “Praktisches Jahr”) at the end of the study of medicine. Therefore, medical teaching of students should be always part of serious and steady attempts to optimize course und contents as a component of guiding activities focussing onto the substantial improvement of the study of medicine. In detail, the classical and traditionally established type of teaching, the (oral) lecture, has to be further developed and reasonably completed by numerous interactive and practice-oriented teaching, learning and examining modalities (obligatory or facultative seminars / courses, training in [very] small groups of students, bed-side teaching, individual practical exercises within the SkillsLab, groups of young researchers, research projects in teaching, scientific publications on topics and recommendable experiences ot teaching including students, ”Teach-the-teacher“ projects etc.). Although many novel concepts have been inaugurated and considerable advances have been achieved, there is a steady need for further improvement. In the presented representative but medical school-specific overview, the current complex surgical teaching concept, which has been continuously optimized over the last couple of years, at the Otto-von-Guericke University Medical School with University Hospital of Magdeburg (Germany) is described as a scientific and systematizing document as well as a manuscript associated with the ongoing preparation of an institutional “Teaching Manual” on surgical teaching and training for medical students. It should – last but not least – provide the basis for a public discussion, which vice versa might hopefully and possibly result in further structural reforms of (surgical) teaching in the near future.