gms | German Medical Science

Jahrestagung der Gesellschaft für Medizinische Ausbildung (GMA)

10.11. bis 12.11.2006, Köln

Clinical instruction in a surgical endoscopic unit: optimization by implementation of standardised online-tutorials

Vortrag Humanmedizin

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  • corresponding author Susanne Happich - LMU München, Chirurgische Klinik und Poliklinik Großhadern, München, Deutschland
  • author Christian Ketscher - LMU München, Chirurgische Klinik und Poliklinik Großhadern, München, Deutschland
  • author Karl-Walter Jauch - LMU München, Chirurgische Klinik und Poliklinik Großhadern, München, Deutschland

Jahrestagung der Gesellschaft für Medizinische Ausbildung - GMA. Köln, 10.-12.11.2006. Düsseldorf, Köln: German Medical Science; 2006. Doc06gma022

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter:

Veröffentlicht: 23. Oktober 2006

© 2006 Happich et al.
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.



Due to the new reguations in medical education, the Ludwig-Maximilians University developed a new curriculum (MeCuM). The clinical insturction was split up in moduls, of which the third modul is occupied which the operative medicine. The surcigal training is imparted in a four week block every semester as a part of this modul.

Since the regulations lay down the hours of bedside teaching as well as tutoring during the regular working hours, the content of insturctors, students, staff and patients was low in the beginning due to different expectations of preparation, theoretical instruction an the teaching of skills.

The educational concept then was changed by establishing an obliged online-tutorial, dealing with all types of surgical endoscopic examinations the indication, the running way as well as possible complications. The tutorial can be worked through from a personal computer at home as well as during separat preparation times before the start of the lessons.

A questionnaire especially for the training in the surgical endoscopie unit was answered during the last semesters by 40-50 students each time. It was focused on preparation time, the applicability and the overall impression of the instruction. In addition the objectives as well as the contents of the lessons were inquired. A different questionnaire for instructors at the endoscopic unit was answered each semester as well.

The introduction of online-tutorials in combination with bedside teaching raised the number of prepared students from 6% to 50%. The attrectiveness of the instructions were not increased by the same amount, but were already at 40% before the installation in the training. The established objectives were transfered in a higher amount and resulted in better examinations at the end of the semester.

The instructors observed a gain in knowlegde during the training which was combined with a higher interest in teaching and instructing by themselves.

The implementation of prepared online-tutorials in the medical education in a surgical endoscopy for preparation as well as afterward evaluation leads to a greater contend of all persons involved.

The standardised education facilitates, that the same objectives are imparted to all students and by that can be examined at the end of the semester.

The development of further online-tutorials in the surgical education could on one hand raise the content of students and instructors and lead to a more standardized training over all.