gms | German Medical Science

16. Grazer Konferenz – Qualität der Lehre: Curriculum planning and assessment

19. - 21. April 2012, Timisoara, Romania

Improved medical education by systematic correlation of preclinical and clinical knowledge and skills

Round Table/Runder Tisch

  • corresponding author Dragomir Nicolae Serban - Grigore T. Popa University of Medicine and Pharmacy, Department of Physiology, Iasi, Romania
  • author Radu Iliescu - Grigore T. Popa University of Medicine and Pharmacy, Department of Physiology, Iasi, Romania
  • author Ionela Lacramioara Serban - Grigore T. Popa University of Medicine and Pharmacy, Department of Physiology, Iasi, Romania
  • author Ovidiu Petris - Grigore T. Popa University of Medicine and Pharmacy, Nursing Department, Iasi, Romania
  • author Beatrice Gabriela Ioan - Grigore T. Popa University of Medicine and Pharmacy, Department of Forensic Medicine, Iasi, Romania
  • author Dragos Pieptu - Grigore T. Popa University of Medicine and Pharmacy, Department of Plastic Surgery and Reconstitution, Iasi, Romania
  • author Laurentiu Sorodoc - Grigore T. Popa University of Medicine and Pharmacy, Department of Internal Medicine, Iasi, Romania
  • author Petru Cianga - Grigore T. Popa University of Medicine and Pharmacy, Department of Immunology, Iasi, Romania
  • author Doina Azoicai - Grigore T. Popa University of Medicine and Pharmacy, Dean of Fedical Faculty, Iasi, Romania

16. Grazer Konferenz – Qualität der Lehre 2012 - Curriculum planning and assessment. Timisoara, Romania, 19.-21.04.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. Doc12grako48

doi: 10.3205/12grako48, urn:nbn:de:0183-12grako481

Veröffentlicht: 5. September 2012

© 2012 Serban et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Round Table/Runder Tisch

Medical schools are faced with various challenges from students, doctors, patients, entire society. They respond by improving instructional design and tools, including study guides, simulations, e-Learning. Medical effcacy, effciency and performance are conditioned by the doctors’ competence, based on thorough understanding of pathological processes and of remedies action, from molecules and cells up to the organism level, and on to population health status.

The relation between preclinical and clinical study disciplines is crucial for an equilibrated cumulative-integrative curriculum, with an optimal ratio between linear and non-linear components and judicious placement of the latter. A detailed catalogue of knowledge and skills (subject of our recent workshop within eMEDIQUAL project), is required for such a curriculum, based on optimal association between:

1.
gradual accumulation of clinical/paraclinical knowledge and skills
2.
systematic trans-disciplinary recall of previously acquired knowledge and skills

This way preclinical foundations become even more formative and application-oriented, while keeping up with the high progress rate in biomedical science. We are seeking the most suitable solutions for harmonization of preclinical disciplines and their transformation for better integration with the clinical ones. To facilitate learning, instructional design should focus on clinical skills, problem- and team-based learning, simulations (from simple to the complex and versatile ones, as HumMod), e-learning. All these should subserve progress from a teacher-centered and content-oriented approach to a student-centered and learning-oriented one, where we have reached a stage of extension and reinforcement (interactive procedures, emphasys on practical relevance, supervision/control of practical classes by course responsibles). PBL is one good choice; student-centered and learning-oriented, flexible knowledge, problem solving skills, intrinsic motivation, encompasses even elements of the competing approaches (studying worked examples, guidance fading). Variable background of first year students can definitely be counteracted not only by a delineated pre-medical program, but also by preclinical disciplines working together to provide a fast and smooth students passage from high school essentials in Biology, Chemistry and Physics to their initiation in biomedicine.

Romanian e-MEDIQUAL partners have recently introduced for study years 1-2 the new discipline of (primary) Clinical Abilities; our original study guides, modern simulations and other support tools are already in use. This will foster the use and relevance of clinical extensions provided in lectures and practical classes from preclinical disciplines. Irrespective of academic delineations, the content should always focus on theoretical and practical information essential for the students to gradually develop clinical orientation and skills, helped by multi-disciplinary connections and by clear learning objectives.


Acknowledgement

These data are part of the POSDRU project no 86/1.2/S/63815 EMEDIQUAL from the FSE-POSDRU 2007-2013.