[Medical teaching in the area of conflict between "Evidence-based Medicine" and "Experience-based Medicine"].
As a medical discipline Child and Adolescent Psychiatry and Psychotherapy has gained increasing importance within society since given the epidemiological importance of behavioural problems in childhood and adolescence, it has verifiably improved the developmental chances of children at high risk. Child and Adolescent Psychiatry and Psychotherapy therefore should be systematically integrated into the German Medical Curriculum. The bio-psycho-social model provides us with a comprehensive paradigm of psychiatric disorders and has to face the problem of hermeneutics. An equilibrium between Evidence-based Medicine and the individual clinical experience with patients (Experience-based Medicine) must be established within medical teaching, rather than playing one against the other. Ethical dilemmas of medical therapy have to be taken into account.
Resch
Franz
F
Klinik für Kinder- und Jugendpsychiatrie, Zentrum für Psychosoziale Medizin des Universitätsklinikums Heidelberg. franz.resch@med.uni-heidelberg.de
Fegert
J M
JM
D000293:Adolescent; D000296:Adolescent Psychiatry / Q000193:education*; D002648:Child; D002665:Child Psychiatry / Q000193:education*; D002983:Clinical Competence; D003479:Curriculum / Q000639:trends; D004501:Education, Medical / Q000639:trends*; D019317:Evidence-Based Medicine; D005544:Forecasting; D005858:Germany; D006801:Humans; D017145:Models, Educational; D011613:Psychotherapy / Q000193:education*