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首页> 美国卫生研究院文献>GMS Journal for Medical Education >How much GK is in the NKLM? A comparison between the catalogues of exam-relevant topics (GK) and the German National Competence-based Learning Objectives Catalogue for Undergraduate Medical Education (NKLM)
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How much GK is in the NKLM? A comparison between the catalogues of exam-relevant topics (GK) and the German National Competence-based Learning Objectives Catalogue for Undergraduate Medical Education (NKLM)

机译：NKLM中有多少GK？考试相关主题（GK）的目录与德国国家基于能力的本科医学教育学习目标目录（NKLM）之间的比较

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>Background: The German National Competence-Based Learning Objectives for Undergraduate Medical Education (NKLM) being adopted in 2015 is designed to contribute to improve the quality of teaching and learning in medicine with respect to competence orientation. For departments, the coherence between teaching, assessment and the content of the catalogues of exam-relevant topics (GK) is a crucial factor. Before making use of the NKLM seriously in curricular development, many faculties demand more transparency regarding the representation in the NKLM of GK topics and in what aspects the NKLM exceeds the GK. Therefore, the aim of the study was to assign the NKLM competencies and objectives to the systematic GK terms, to reveal gaps in their congruence and to determine the percentage of agreement between GK and NKLM. Additionally, the distribution among the NKLM chapters (chap.), of GK content and further competencies relevant for medical practice were analysed. >Methods: The textual comparison of GK and NKLM was done by advanced students that were familiar with the NKLM from previous analyses. The comparison was done independently (keyword search, face validity), afterwards consented and matched with independent ratings of GK-2 and chapter 21 done by experts as well as with cross-references to the GK indicated in chapter 12, 13 and 15 of the NKLM. Detailed data is available online: . >Results: The degree of correspondence of the GK’s six preclinical parts with the NKLM ranges between 94% and 98%, with the clinical GK the degree of correspondence ranging between 84% and 88%. This demonstrates a consistently very high congruence of content. Only 6-16% of the content per GK part could not be assigned to NKLM equivalents. Regarding the distribution of GK content among NKLM chapters, the chapters with classic medical expertise (chapters 12, 13, 16, 17 as well as 20 and 21) show the highest correspondences. Practical medical skills (chapter 14b) can be found in the clinical GK “Health Disorders”. Doctor-patient interaction (chapter 14c) and medical scientific skills (chapter 14a) are represented only marginally in the GK. As expected, there were no equivalents to be found in the GK for the new professional roles for medical doctors (chapter 06-11).>Discussion: The results presented provide faculties with a useful and detailed data base to evaluate the NKLM more reliably, especially with respect to its relevance for exams. The increased transparency supports the implementation process of the NKLM by reducing content-related uncertainties of departments, invalidating sweeping arguments against the NKLM resulting from uncertainties and thereby minimizing resistance. At the same time a critical review process of the NKLM is encouraged.
机译：>背景： 2015年通过的德国国家基于医学专业的国家医学本科生学习目标（NKLM）旨在提高医学在能力导向方面的教学质量。对于部门而言，教学，评估与考试相关主题目录（GK）内容之间的一致性是至关重要的因素。在认真使用NKLM进行课程开发之前，许多学院要求在NKLM中GK主题的表示以及NKLM在哪些方面超过GK方面具有更高的透明度。因此，本研究的目的是将NKLM的能力和目标分配给系统的GK术语，以揭示其一致性方面的差距，并确定GK与NKLM之间的协议百分比。此外，还分析了NKLM章节（第章）中GK内容的分布以及与医学实践相关的其他能力。 >方法： GK和NKLM的文字比较是由先前分析中熟悉NKLM的高级学生完成的。比较是独立进行的（关键字搜索，面部有效性），然后得到专家的同意并与GK-2和21章的独立评级相匹配，并与GK-2第12、13和15章中提到的GK相互参照。 NKLM。详细数据可在线获得：。 >结果：GK的六个临床前部位与NKLM的对应度在94％至98％之间，而临床GK的对应度在84％至88％之间。这证明了内容始终如一的高度一致性。每个GK部件中只有6-16％的内容无法分配给NKLM等效项。关于NKLM章节之间GK内容的分布，具有经典医学专业知识的章节（第12、13、16、17章以及20和21章）显示出最高的对应度。实用的医疗技能（第14b章）可在临床GK“健康失调”中找到。医患互动（第14c章）和医学科学技能（第14a章）在GK中仅占很小的比例。不出所料，在GK中找不到与之相对应的新的医学专业角色（第06-11章）。>讨论：所提供的结果为教师提供了有用且详细的数据库更可靠地评估NKLM，尤其是在与考试的相关性方面。增加的透明度通过减少部门与内容有关的不确定性，使不确定性引起的对NKLM的广泛争论无效，从而最大程度地减少了阻力，从而支持了NKLM的实施过程。同时，鼓励对NKLM进行严格的审查过程。

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