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

Author(s): Fischer, Thomas | Chenot, Jean-François | Kleiber, Christina | Kochen, Michael M. | Simmenroth-Nayda, Anne | Staats, Hermann | Herrmann-Lingen, Christoph

Journal: GMS Zeitschrift für Medizinische Ausbildung
ISSN 1860-7446

Volume: 22;
Issue: 3;
Start page: Doc59;
Date: 2005;
Original page

Keywords: doctor-patient-communication | communication training | core clinical skills | “Objective Structured Clinical Examination“ (OSCE) | gender bias

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
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