title: [Mandatory elective course in emergency medicine with instructions by paramedics improves practical training in undergraduate medical education].
abstract: BACKGROUND
  Due to the complexity of medical emergencies undergraduate medical training in the integrative course on emergency medicine requires education combining knowledge, practical skills, algorithm-driven behavior and soft skills. New State board regulations on education and licensing of physicians demand a practical implementation of these objectives.
  
  
  METHODS
  The medical faculty of Frankfurt medical school has implemented an obligatory prehospital elective course. A retrospective questionnaire assessed the organization, instructional competence of the paramedics and integration of students in the emergency medical teams.
  
  
  RESULTS
  Out of a total of 486 students the majority rated the longitudinal curriculum as positive (66% very good and 28% good). The practical experience at a scene was evaluated to be reasonable by 86% and 95% of the students stated that integration into the emergency team was rendered without any difficulties.
  
  
  CONCLUSIONS
  A prehospital experience supported by paramedics can serve as a valuable tool in an emergency medicine curriculum.
authors.affiliation: Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Klinikum der Johann Wolfgang Goethe-Universität, Frankfurt am Main. walcher@trauma.uni-frankfurt.de
authors.forename: F
authors.initials: F
authors.lastname: Walcher
authors.forename: M
authors.initials: M
authors.lastname: Rüsseler
authors.forename: F
authors.initials: F
authors.lastname: Nürnberger
authors.forename: C
authors.initials: C
authors.lastname: Byhahn
authors.forename: M
authors.initials: M
authors.lastname: Stier
authors.forename: J
authors.initials: J
authors.lastname: Mrosek
authors.forename: M
authors.initials: M
authors.lastname: Weinlich
authors.forename: R
authors.initials: R
authors.lastname: Breitkreutz
authors.forename: F
authors.initials: F
authors.lastname: Heringer
authors.forename: I
authors.initials: I
authors.lastname: Marzi
mesh_terms: D000488:Allied Health Personnel / Q000706:statistics & numerical data*; D001291:Attitude of Health Personnel; D003479:Curriculum; D004504:Education, Medical, Undergraduate / Q000706:statistics & numerical data*; D004521:Educational Measurement; D004635:Emergency Medicine / Q000193:education*; D005858:Germany; D013334:Students / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires
references.citation: JAMA. 1983 Aug 12;250(6):777-81
references.pmid: 6876333
references.citation: Anasthesiol Intensivmed Notfallmed Schmerzther. 2005 Sep;40(9):536-43
references.pmid: 16145642
references.citation: Ann Emerg Med. 2006 Mar;47(3):e1-7
references.pmid: 16492483
references.citation: Resuscitation. 2005 Jun;65(3):345-56
references.pmid: 15919573
references.citation: Qual Saf Health Care. 2004 Feb;13(1):80-1
references.pmid: 14757806
references.citation: Adv Health Sci Educ Theory Pract. 2010 Mar;15(1):81-95
references.pmid: 19609700
references.citation: Unfallchirurg. 2008 Sep;111(9):670-87
references.pmid: 18758742
references.citation: Acad Med. 2002 Dec;77(12 Pt 1):1185-8
references.pmid: 12480619
references.citation: BMC Emerg Med. 2009 May 12;9:7
references.pmid: 19435518
references.citation: Emerg Med J. 2010 Oct;27(10):734-8
references.pmid: 20852280
references.citation: Can J Surg. 2003 Apr;46(2):99-102
references.pmid: 12691345