The new media have become widely used tools in medical instruction today. But are they regarded as useful by students training to become medical doctors? What are students' most important criteria for a good CD-ROM or valuable Internet resources? To answer these questions, and to obtain definite data on the use of new media, we distributed a questionnaire to preclinical medical and dental students of the Johannes Gutenberg University in Mainz, Germany. The evaluation of 397 questionnaires demonstrates that 94.9% of the students use personal computers; 91.6% of the 85.8% who own a computer have access to the Internet. The Internet is used at least once a week by 70.1% of students for private and by 59.9% for study purposes. Offers of course-relevant material (Workshop Anatomy for the Internet) are of major interest. CD-ROMs with anatomy applications are used by 58.9% of the students. The subjective effectiveness regarding various aspects of learning using books versus CD-ROMs is compared and the students' views of the importance of different features of electronic media are outlined, including course-relevant high-resolution and quality material, key word search, state-of-the-art information, and clearly laid-out tables. The findings of this survey demonstrate high student demand for computer-aided instruction and anatomy applications offered on the Internet and on CD-ROMs. The students' main focus of interest was found to be examination-relevant material and supplemental study material for courses offered locally. The present results may serve as a basis for the development of valuable educational aids.
In Germany, progress assessments in head and neck ultrasonography training have been carried out mainly theoretically and lack standardisation. Thus, quality assurance and comparisons between certified courses from various course providers are difficult. This study aimed to develop and integrate a direct observation of procedural skills (DOPS) in head and neck ultrasound education and explore the perceptions of both participants and examiners. Five DOPS tests oriented towards assessing basic skills were developed for certified head and neck ultrasound courses on national standards. DOPS tests were completed by 76 participants from basic and advanced ultrasound courses (n = 168 documented DOPS tests) and evaluated using a 7-point Likert scale. Ten examiners performed and evaluated the DOPS after detailed training. The variables of “general aspects” (6.0 Scale Points (SP) vs. 5.9 SP; p = 0.71), “test atmosphere” (6.3 SP vs. 6.4 SP; p = 0.92), and “test task setting” (6.2 SP vs. 5.9 SP; p = 0.12) were positively evaluated by all participants and examiners. There were no significant differences between a basic and advanced course in relation to the overall results of DOPS tests (p = 0.81). Regardless of the courses, there were significant differences in the total number of points achieved between individual DOPS tests. DOPS tests are accepted by participants and examiners as an assessment tool in head and neck ultrasound education. In view of the trend toward “competence-based” teaching, this type of test format should be applied and validated in the future.
Objective The relevance of communication in medical education is continuously increasing. At the Medical Faculty of Hamburg, the communication curriculum was further developed and optimized during this project. This article aims to describe the stakeholders’ perceived challenges and supporting factors in the implementation and optimization processes. Methods The initial communication curriculum and its development after a one-year optimization process were assessed with a curricular mapping. A SWOT analysis and group discussions were carried out to provide information on the need for optimization and on challenges the different stakeholders faced. Results The curricular mapping showed that the communication curriculum is comprehensive, coherent, integrated and longitudinal. In both the implementation and the project-related optimization processes, support from the dean, cooperation among all stakeholders and structural prerequisites were deemed the most critical factors for successfully integrating communication content into the curriculum. Conclusion The initiative and support of all stakeholders, including the dean, teachers and students, were crucial for the project’s success. Practice implications Although the implementation of a communication curriculum is recommended for all medical faculties, their actual implementation processes may differ. In a “top-down” and “bottom-up” approach, all stakeholders should be continuously involved in the process to ensure successful integration.
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