title: [Integrated concept for implementing clinical training in emergency medicine].
abstract: Since 1993 special lectures in emergency medicine are part of curriculum in the study of medicine at German universities. To intensify practical teaching in this field an integrative concept was followed in performing emergency training, the experiences of which are described in this paper. Seminars dealing with the most important subjects of preclinical care were combined with practical training blocks such as attendance at operations of the preclinical emergency physician service, resuscitation training using computerised resuscitation models (Mega Code), and an anatomical training course for endotracheal intubation, coniotomy, thoracic drainage, or central venous catheterisation on a corpse. If supported by physicians, senior students may supervise groups of 4 to 5 students during the Mega Code training in a tutorial system, thus allowing to intensify practical education. Since the integrative concept is based on cooperation of different medical specialties, the students expect one or two physicians to be chiefly responsible for the entire course. Additional dates during the semester interfere with the students' leisure activities and require individual practical activity. This means giving up a passively receptive attitude. However, as reflected by the results of the exams and questionnaires, response to this step of improvement in Emergency Medical Education has been very positive. Future efforts are directed at including more physicians as practical supervisors, scattering of training dates, an increase in compulsory practical participation such as one-day attendance at an intensive care unit, and intensified exams on practical issues. However, the improvement of the quality of teaching is imperative in the job planning of the medical profession.
authors.affiliation: Institut für Anästhesiologie, Universitätsklinikum Essen.
authors.forename: R
authors.initials: R
authors.lastname: Scherer
authors.forename: U
authors.initials: U
authors.lastname: Obertacke
authors.forename: M
authors.initials: M
authors.lastname: Lesch
authors.forename: M
authors.initials: M
authors.lastname: Delfs
mesh_terms: D002982:Clinical Clerkship / Q000639:trends; D003479:Curriculum / Q000639:trends; D004501:Education, Medical / Q000639:trends; D004635:Emergency Medicine / Q000193:education*; D005544:Forecasting; D005858:Germany; D006801:Humans; D010348:Patient Care Team / Q000639:trends; D015397:Program Evaluation
vernacular_title: Integratives Konzept in der Durchführung des "Praktikums der Notfallmedizin".