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Implementation of a uniform nationwide medical licensing examination in general practice. A feasibility study

Objective: A competency-based training of medical students that is adapted to the realities of care is required internationally and is being intended in Germany with the Master Plan for Medical Studies 2020. In order to test these competencies, the German National Institute for state examinations in...

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Autores principales: Demmer, Iris, Selgert, L., Altiner, A., Baum, E., Becker, A., Schmittdiel, L., Streitlein-Böhme, I., Michiels-Corsten, M., Zutz, S., Hummers, E., Jünger, J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: German Medical Science GMS Publishing House 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8256129/
https://www.ncbi.nlm.nih.gov/pubmed/34286076
http://dx.doi.org/10.3205/zma001492
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author Demmer, Iris
Selgert, L.
Altiner, A.
Baum, E.
Becker, A.
Schmittdiel, L.
Streitlein-Böhme, I.
Michiels-Corsten, M.
Zutz, S.
Hummers, E.
Jünger, J.
author_facet Demmer, Iris
Selgert, L.
Altiner, A.
Baum, E.
Becker, A.
Schmittdiel, L.
Streitlein-Böhme, I.
Michiels-Corsten, M.
Zutz, S.
Hummers, E.
Jünger, J.
author_sort Demmer, Iris
collection PubMed
description Objective: A competency-based training of medical students that is adapted to the realities of care is required internationally and is being intended in Germany with the Master Plan for Medical Studies 2020. In order to test these competencies, the German National Institute for state examinations in Medicine, Pharmacy and Psychotherapy (IMPP) has developed a concept for the redesign of the final part of the medical licensing examination in Germany. It focuses on general and interprofessional healthcare in the examination with outpatients. The aim of this work is to assess the feasibility of the new final examination on the basis of pilot examinations in family practices and to derive further steps for the national implementation. Methods: Fourteen medical students in their internship year completed a full examination with patients aged 42 to 84 years. Examiners evaluated the examination performance using standardised evaluation forms. Feasibility was qualitatively assessed in terms of compliance with content and time limits, examination results, patient reflections, and implementation in the practice. Results: Students were able to complete all tasks within the given time frame. Based on the evaluation forms, the examiners assessed the performance of the students. Patients appreciated the structured course of the examination in the familiar location of their family practice. For the nationwide implementation of the examination, 2,500 examination practices are required for about 10,000 examinees per year. Four students can then be examined on two days per year in each practice. Conclusions: Oral-practical examinations with outpatients in general medical practices can be carried out successfully throughout the nation. An implementation of the examinations throughout Germany requires that medical studies are restructured and that this new curriculum is implemented as intended by the Master Plan for Medical Studies 2020. Furthermore, training and remuneration of examiners together with a legal framework for the new examination must be established.
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spelling pubmed-82561292021-07-19 Implementation of a uniform nationwide medical licensing examination in general practice. A feasibility study Demmer, Iris Selgert, L. Altiner, A. Baum, E. Becker, A. Schmittdiel, L. Streitlein-Böhme, I. Michiels-Corsten, M. Zutz, S. Hummers, E. Jünger, J. GMS J Med Educ Article Objective: A competency-based training of medical students that is adapted to the realities of care is required internationally and is being intended in Germany with the Master Plan for Medical Studies 2020. In order to test these competencies, the German National Institute for state examinations in Medicine, Pharmacy and Psychotherapy (IMPP) has developed a concept for the redesign of the final part of the medical licensing examination in Germany. It focuses on general and interprofessional healthcare in the examination with outpatients. The aim of this work is to assess the feasibility of the new final examination on the basis of pilot examinations in family practices and to derive further steps for the national implementation. Methods: Fourteen medical students in their internship year completed a full examination with patients aged 42 to 84 years. Examiners evaluated the examination performance using standardised evaluation forms. Feasibility was qualitatively assessed in terms of compliance with content and time limits, examination results, patient reflections, and implementation in the practice. Results: Students were able to complete all tasks within the given time frame. Based on the evaluation forms, the examiners assessed the performance of the students. Patients appreciated the structured course of the examination in the familiar location of their family practice. For the nationwide implementation of the examination, 2,500 examination practices are required for about 10,000 examinees per year. Four students can then be examined on two days per year in each practice. Conclusions: Oral-practical examinations with outpatients in general medical practices can be carried out successfully throughout the nation. An implementation of the examinations throughout Germany requires that medical studies are restructured and that this new curriculum is implemented as intended by the Master Plan for Medical Studies 2020. Furthermore, training and remuneration of examiners together with a legal framework for the new examination must be established. German Medical Science GMS Publishing House 2021-06-15 /pmc/articles/PMC8256129/ /pubmed/34286076 http://dx.doi.org/10.3205/zma001492 Text en Copyright © 2021 Demmer et al. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Demmer, Iris
Selgert, L.
Altiner, A.
Baum, E.
Becker, A.
Schmittdiel, L.
Streitlein-Böhme, I.
Michiels-Corsten, M.
Zutz, S.
Hummers, E.
Jünger, J.
Implementation of a uniform nationwide medical licensing examination in general practice. A feasibility study
title Implementation of a uniform nationwide medical licensing examination in general practice. A feasibility study
title_full Implementation of a uniform nationwide medical licensing examination in general practice. A feasibility study
title_fullStr Implementation of a uniform nationwide medical licensing examination in general practice. A feasibility study
title_full_unstemmed Implementation of a uniform nationwide medical licensing examination in general practice. A feasibility study
title_short Implementation of a uniform nationwide medical licensing examination in general practice. A feasibility study
title_sort implementation of a uniform nationwide medical licensing examination in general practice. a feasibility study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8256129/
https://www.ncbi.nlm.nih.gov/pubmed/34286076
http://dx.doi.org/10.3205/zma001492
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