title: [(Inter)national and regional health goals in academic social-medical education conception for teaching medical students at the Eberhard Karls University Tuebingen].
abstract: BACKGROUND
  Social medicine deals with the specific interactions between medicine and society within a constantly changing social environment. The Institute of Occupational and Social Medicine, University Hospital Tuebingen, focuses on this relationship within the academic teaching of the Medical Faculty. Many of the issues thus directly affect the national health objectives and especially the health targets of the state of Baden-Württemberg, summarised in the Health Strategy Baden-Wuerttemberg.
  
  
  METHODS
  In addition to the recommendations of the German Society for Social Medicine and Prevention (DGSMP) for the social medicine curriculum and the specific definition of the content by the Tuebingen medical faculty, national and regional health-care goals are also taken into account in the teaching conception.
  
  
  RESULTS
  Classes are increasingly offered as training courses in small groups (seminars, group work with practical training), instead of classic lectures. These teaching methods allow the students to take part more actively in social medicine issues and to think and act within a comprehensive understanding of health management based on societal goals and the needs of a good health system. The concept is supported by the curriculum design element "log-book skills" of the Medical Faculty of Tuebingen. Feedback elements for teachers and students shape the further development of the concept. In dealing with real system data, practical experience on site and case vignettes, the students experience the links between societal influences, political objectives and medical action as well as the importance of accessibility of medical services for equity in health chances.
  
  
  CONCLUSIONS
  The fact that advice and expertise play a crucial role in accessibility is a component to which too little attention is paid and calls for emphasis in the teaching concept. This teaching approach will deepen the understanding of the influence of psychosocial context factors and the conditions of the structural framework on the medical outcome. Furthermore there is a need for providing knowledge and special skills, which enable medical doctors to guide their patients optimally within the healthcare system and to make their contribution to a good system.
authors: Institut für Arbeits- und Sozialmedizin Universitätsklinikum Tübingen. elisabeth.simoes@med.uni-tuebingen.de
authors: E
authors: E
authors: Simoes
authors: S
authors: S
authors: Hildenbrand
authors: M A
authors: MA
authors: Rieger
mesh_terms: D000046:Academic Medical Centers / Q000458:organization & administration*; D004501:Education, Medical / Q000458:organization & administration*; D005858:Germany; D009937:Organizational Objectives; D012040:Regional Health Planning; D012936:Social Medicine / Q000193:education*; D013337:Students, Medical