gms | German Medical Science

Jahrestagung der Gesellschaft für Medizinische Ausbildung (GMA)

23.09. - 25.09.2010, Bochum

Management of HIV prevention and therapy for next generation´s medical doctors - Evaluation of a training program for medical students as high risk group in low prevalence countries like Germany


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  • corresponding author presenting/speaker Mira Gruber - Universitätsklinik Frankfurt/Main, HIVCENTER, Frankfurt/Main, Deutschland
  • Tessa Lenemann - Universitätsklinik Frankfurt/Main, HIVCENTER, Frankfurt/Main, Deutschland
  • Kathleen Mantsch - Universitätsklinik Frankfurt/Main, HIVCENTER, Frankfurt/Main, Deutschland

Jahrestagung der Gesellschaft für Medizinische Ausbildung (GMA). Bochum, 23.-25.09.2010. Düsseldorf: German Medical Science GMS Publishing House; 2010. Doc10gma160

doi: 10.3205/10gma160, urn:nbn:de:0183-10gma1604

Published: August 5, 2010

© 2010 Gruber et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Background: Although preparing to become important mediators in primary, secondary and tertiary prevention of HIV in their home countries, international students of medicine studing in Germany as a low prevalence county are ill equiped to take up their role in the future. Curriculas seldom provide sufficiant medical knowledge and appropriate social competence. Due to their youth, migration background and as inexperienced health care workers, this group further is in itself at high risk to aquire HIV. Inappropriate knowledge on transmission pathways and risk reduction strategies might lead to interventions which will foster stigmatisation and risk transmission, while lack of medical knowledge might lead to future errors in treatment.

Methods: A structured training course was developed which aims to

convey validated medical knowledge about HIV
present adequate behavioural strategies to reduce individual risk of HIV transmission
sensitize on the wider social implications and the role of stigma and ethical issues in HIV/AIDS.

Results: 70 international medical students from German Universities were trained in two weekend seminars through frontal lectures, specifically desigend paper-cases, which compared individualized HIV therapy and the WHO Public Health Approach, role plays practicing pre- and post test counselling and discussion groups with PLWA. Evaluation of the seminars showed a significant increase in medical knowledge from 45% to 62%. When evaluated on a scale from 1=exellent to 6=poor, the seminars recieved an overall grade of 1,5, scoring 1,5 in respect to relevance to participants.

Conclusion: Targeted training of international medical students studing in low prevalence countries is essential to prepare them for their future role in the epidemic as much as to sensitize them to their own transmission risk.

Next steps: Targeted training is essential for medical students in low prevalence contries hence the course aims to become integral part of the medical curriculum of Frankfurt University (see Attachment 1 [Attach. 1])