Artikel
Interdisciplinary evidence based tumor board simulation during surgical term time
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Veröffentlicht: | 11. September 2023 |
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Gliederung
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Objective: Interdisciplinary activities and scientific competence are becoming increasingly important in the new Medical license Assessment (ÄApprO) 2025. Until now, both were not included in the present curriculum. The practical integration of the topic “Evidence based Medicine” (EbM) in the curriculum of surgical training will prepare students for clinical situations in which interdisciplinary or interprofessional discussions are held on a medical topic using current evidence. “EbM” is the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients [1]. Including interdisciplinary education and experiences in a curriculum increases students’ interdisciplinary communication skills [2]. As studies have shown that students do not feel well prepared for the profession after graduation, the “National Competence Based Learning Objectives Course in Medicine” (NKLM) [https://nklm.de/zend/menu] and the ÄApprO teach psychomotor and affective skills in addition to cognitive skills. Studies show that multidisciplinary approaches are the best way to provide the complex care that cancer patients need. A positive impact of a higher number of interdisciplinary tumor boards on the clinical outcome are proven [3]. Interdisciplinary tumor boards were associated with decreased mortality over time with a positive influence on patient care by improving survival.
Methods: The study was conducted using questionnaires specifically designed for this study, which were handed out before the start and after the end of the teaching unit including a knowledge query and an evaluation. Before the start of the tumor board simulation, a 1-hour lecture on evidence-based medicine was given. The students dealt with real patient cases. After a preparation time with literature research, simulations took place in groups of maximum 10 students played the role of each physician represented in a tumor board (surgeon, internal medicine/oncologist, radiology, radiation medicine, nuclear medicine, pathology). Nearly 200 fourth year medical students participated in the study.
Results: The project resulted in an increased knowledge outcome regarding learning content. Scientific competence is integrated into the curriculum in a practical way. Additionally, soft skills such as team communication were practiced, which is a core competence in the medical profession. The results also showed that interdisciplinary work has a high value for students within the medical profession and an increase in soft skills quality was shown.
Discussion: The new perspective on surgery could generate more interest in surgery, so that more residency positions in surgery are filled.
Take home message: Both scientific competence and soft skills in the sense of interdisciplinary communication are supported by this project in fourth year medical students. Thus, the students are better prepared for different clinical situations independent of the specialty, in which a scientific professional action is required.
References
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- Sackett DL, Rosenberg WM, Muit Gray JA, Haynes RB, Richardson WS. Evidence based medicine: What it is and what it isn’t - It’s about integrating individual clinical expertise and the best external evidence. BMJ. 1996;312:71-72. DOI: 10.1136/bmj.312.7023.71
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- Chen AM, Kiersma ME, Keib CN, Cailor S. Fostering Interdisciplinary Communication between Pharmacy and Nursing Students. Am J Pharml Educ. 2015;79(6):83. DOI: 10.5688/ajpe79683
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- Freytag M, Herrlinger U, Hauser S, Bauernfeind FG, Gonzalez-Carmona MA, Landsberg J, Buermann J, Vatter H, Holderried T, Send T, Schumacher M, Koscielny A, Feldmann G, Heine M, Skowasch D, Schäfer N, Funke B, Neumann M, Schmidt-Wolf IG. Higher number of multidisciplinary tumor board meetings per case leads to improved clinical outcome. BMC Cancer. 2020;20(1):355. DOI: 10.1186/s12885-020-06809-1