gms | German Medical Science

15. Grazer Konferenz – Qualität der Lehre: Teaching and Learning – Expanding our Resources

28. - 30. April 2011, Wien, Österreich

How to Implement Quality into the "Final Year Rotation": The Cologne Experience


Suche in Medline nach

15. Grazer Konferenz – Qualität der Lehre: Teaching and Learning – expanding our resources. Wien, Österreich, 28.-30.04.2011. Düsseldorf: German Medical Science GMS Publishing House; 2012. Doc11grako15

doi: 10.3205/11grako15, urn:nbn:de:0183-11grako156

Veröffentlicht: 25. April 2012

© 2012 Stosch.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen ( Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.



In Germany since many years the last year of medical education is performed as the well known “final year rotation”: Students try to adopt their knowledge, skills and attitudes from classroom (or lab) to bedside. Many things changed in the last decade and affected the way how the Medical Faculty feel responsible for the programme, quality and outcome of last-year students:

Governance by Input: Starting in the 1980s the teaching hospitals (Akademische Lehrkrankenhäuser: ALK) was bound by a contract with the Ministry of Science and Research directly. The educational process was funded by the ministry (an accessory physician - around 50.000 for every eight final year-students was paid), and thus the Ministry operated a kind of quality control.

Governance by Output: At the beginning of the 21st century a new federal law in North Rhine- Westphalia was applied: The University of Cologne became a public-law institution. Since then, the increased accountability (for human resource management, finances and others as well as the ALK) leads to a new strategy in quality control: We started the process of “Internal / External Evaluation”. The “Committee for the Final-Year-Students” act as the external visitors at the ALK. Funding was lowered at the same time to a maximum of 2500 per student-year.

Governance by Accreditation: Two years ago, we reorganized the contracts to the ALK: Funding as lowered again down to 100 per Student per four-month-stage as a lump sum for the administration and the contracts all included an accreditation-procedure. Now the “provider” has to reveal it’sstructural quality before and every 3 up to 6 years during the accreditation process (e.g. paper-based record or site visit).

During the lecture I will focus on our experiences with the different systems, the differences and (dis)advantages in order to give some input for the Austrian Medical Universities to develop their own quality assurance for the “final year rotation”.