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首页> 外文期刊>BMC research notes >Competence-based curriculum development for general practice in Germany: a stepwise peer-based approach instead of reinventing the wheel
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Competence-based curriculum development for general practice in Germany: a stepwise peer-based approach instead of reinventing the wheel

机译：在德国，以能力为基础的课程开发为普通实践：一种逐步的基于同伴的方法，而不是重新发明轮子

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Background Improving postgraduate medical training is one important step to attract more medical students into general practice. Keeping pace with international developments moving to competence-based curricula for general practice training, the aim of this project was to develop and implement such a curriculum in Germany. Methods A five-step, peer-based method was used for the curriculum development process including panel testing and a “test version” of the curriculum for the pilot implementation phase. The CanMEDS framework served as a basis for a new German competence-based curriculum in general practice training. Four curricula from European countries and Canada were reviewed and, following required cultural adaptions, key strengths from these were integrated. For the CanMEDS “medical expertise” element of the curriculum, the WONCA ICPC-2 classification of patient’s “reason for encounters” was also integrated. Results Altogether, 37 participants were involved in the development process representing 12 different federal states in Germany, and including an expert advisor from Denmark. An official “test version” of the curriculum consisting of three parts: medical expertise, additional competencies and medical procedures was established. A system of self-assessment for trainees was integrated into the curriculum using a traffic light scale. Since March 2012, the curriculum has been made freely available online as a “test version”. In 2014, an evaluation is planned using feedback from users of the test model as a further stage of the implementation process. Conclusions The first German competence-based curriculum for general practice training has been developed using a pragmatic peer controlled approach and implementation is being trialed with a “test version” of the curriculum. This model project and its peer-based methodology may support competence-based curriculum development for other medical specialties both inside and outside Germany.
机译：背景改善研究生医学培训是吸引更多医学生进入普通科的重要步骤。为了跟上国际发展的步伐，转向以能力为基础的课程进行一般实践培训，该项目的目的是在德国开发和实施这样的课程。方法在课程开发过程中，采用了基于同行的五步法，包括小组测试和试点实施阶段课程的“测试版本”。 CanMEDS框架是新的基于德国能力的通用实践培训课程的基础。审查了来自欧洲国家和加拿大的四个课程，并在进行了必要的文化适应之后，整合了这些课程的主要优势。对于课程的CanMEDS“医学专业知识”要素，还整合了WONCA ICPC-2对患者“遭遇原因”的分类。结果共有37位参与者参与了代表德国12个不同联邦州的开发过程，其中包括来自丹麦的专家顾问。课程的官方“测试版本”由三部分组成：医疗专业知识，附加能力和医疗程序。使用交通信号灯磅秤将学员的自我评估系统集成到课程中。自2012年3月以来，该课程已作为“测试版本”免费在线提供。 2014年，计划将测试模型用户的反馈作为实施过程的进一步阶段进行评估。结论使用实用的同伴控制方法开发了第一本基于德语能力的通用实践培训课程，并且正在对该课程的“测试版本”进行试验。该模型项目及其基于同行的方法论可以为德国境内外其他医学专业的基于能力的课程开发提供支持。

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