the medical curriculum in maastricht.2011.ppt · year 2 stages of life and diagnostics year 5...
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The medical curriculum in
Maastricht
Mirjam oude Egbrink, PhDProgramme Director Medical School
FHML, University Maastricht
Content
• Educational principles
• The curriculum
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A scientific/academic approach to education, in which an
optimal learning environment is created, which is based on
rationality, theory and evidence:
Evidence-based education
What is our aim in medical education?
Three C’s of education
Contextual
Constructive
Collaborative
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Characteristics of Problem-Based Learning
Contextual:
• Clinical problems are the trigger for learning
• A variety problems are given
• Skills-oriented, early practice contacts
• Clinical reasoning/problem solving/reflection in clinical
workplaces
Characteristics of Problem-Based Learning
Constructive:
• Staff designs medical scenarios to be discussed
• Students define problems
• Activation of prior knowledge during brainstorm
• Formulation of learning goals
• Self study
• Reporting of information
This approach stimulates active, self-directed learning
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Characteristics of Problem-Based Learning
Collaborative:
• Working together in small groups
• Cooperative atmosphere
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Curriculum 2001
6
5
clerkships4
chronic disorders3
stages of life and diagnostics2
emergency care and regulatory systems1
clerkships
participation in research and patient care
Year
Curriculum 2001structure
Year 2 Stages of life and diagnostics
Year 5 Clerkships
heart / lungs / vessels abdomen locomotion brain and behaviourdermatology ENT ophthalmology social healthInternal medicine surgery paediatrics / gynaecology psychiatry/neurology family medicineScientific research Clinical participationelectives
electivesYear 1-2Preparing for practice
Year 4-5Learning & working in practice
Year 3Transition from theory to practice
Year 6Participation in science (6 months) and Health Care (6 months)
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Curriculum 2001 Yrs 1 & 2
Year 1 Emergency medicine and regulatory mechanisms
Year 2 Life cycle and diagnostics
Acute distress Traumata Dyspnoea Shock Abdominal UnconsciousnesscomplaintsThe cell From wish to child Adolescence The adult Ageing Electives
The tutorial group
√ Composition : - 8-10 students- chair- scribe- tutor
√√√√ Duration: - 2 hours
- 1 hour report- 1 hour new case prep
√ Frequency: - Twice per week
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Model
3.
REPORTING
Tutor
2.
SELF-STUDY
Student
1.
PREPARATION
Tutor
Monday Tuesday Wednesday Thursday
Tutorial
A student’s week
Friday
Anatomy
practicalSkills lab
Forum
Pathology/
Radiology
Lecture ACT
Self-study
Tutorial
Self-study
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Curriculum structure
Year 2 Stages of life and diagnostics
Year 5 Clerkships
heart / lungs / vessels abdomen locomotion brain and behaviourdermatology ENT ophthalmology social healthInternal medicine surgery paediatrics / gynaecology psychiatry/neurology family medicineScientific research Clinical participationelectives
electivesYear 1-2Preparing for practice
Year 4-5Learning & working in practice
Year 3Transition from theory to practice
Year 6Participation in science (6 months) and Health Care (6 months)
Year 3
• Chronic Disorders
• 4 clusters:
– Abdomen
– Locomotor system
– Circulation and Lungs
– Psychomedical problems and Mental Health Care
• Each 10 weeks, rotation
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Group meetings
• 10 Students, 1 coach
• Once a week
• 4 hours
– 3 hours reporting
– 1 hour preparation
• 1-2 days later: patient encounter
• One week later: succeeding group meeting
Model
4.
REPORTING
Coach
2.
PATIENT ENCOUNTER
Clinical Supervisor
3.
SELF-STUDY
Student
1.
PREPARATION
Coach
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Tuesday Wednesday Thursday Friday
Group
meeting
Example of a week in a cluster
Monday
Outpatient
Clinic
Tuesday
Group
meeting
Anatomy
practical
Skills lab
Forum
Pathology/
Radiology
Lecture
CAT
SPP
Self-study
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Curriculum structure
Year 2 Stages of life and diagnostics
Year 5 Clerkships
heart / lungs / vessels abdomen locomotion brain and behaviourdermatology ENT ophthalmology social healthInternal medicine surgery paediatrics / gynaecology psychiatry/neurology family medicineScientific research Clinical participationelectives
electivesYear 1-2Preparing for practice
Year 4-5Learning & working in practice
Year 3Transition from theory to practice
Year 6Participation in science (6 months) and Health Care (6 months)
Curriculum 2001 Yrs 4 & 5
Year 5 Clerkships
Year 4 Clerkshipsderm. ENT ophth. internal medicine surgery electivessocial neurology paediatrics gynaecology psychiatry family medicinemedicine
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Structure:
• start week: preparatory
(theoretical) learning
activities
• final week: evaluation,
reflection, closure
Year 4-5 Clerkships
Curriculum structure
Year 2 Stages of life and diagnostics
Year 5 Clerkships
heart / lungs / vessels abdomen locomotion brain and behaviourdermatology ENT ophthalmology social healthInternal medicine surgery paediatrics / gynaecology psychiatry/neurology family medicineScientific research Clinical participationelectives
electivesYear 1-2Preparing for practice
Year 4-5Learning & working in practice
Year 3Transition from theory to practice
Year 6Participation in science (6 months) and Health Care (6 months)
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Curriculum 2001 Yr 6
- Supervised independent work in a research environment
Thesis
- Supervised independent work in a clinical environment
Peer coaching
Built-in reflection moments
Year 6 Independent functioning and participation in health care and scienceScientific research Clinical participation
QUESTIONS?