[Rheumatology in German MD curricula].

Abstract:

:Transmitting a substantial amount of basic knowledge in Rheumatology to all medical students is essential for the future medical care of patients with rheumatic diseases for two reasons: on the one hand, future general practitioners will need to master the patterns of rheumatic diseases to recognize them fast enough in new-onset patients and to refer them in time and directly to rheumatologists. On the other hand, the shortage of rheumatologists can only then be relieved in the future when we are able to inspire enthusiasm for our specialty. Adequate rheumatological structures are established only in some of the German faculties of medicine. Structural improvements happen in small steps only but were achieved at several sites. The better the local structures, the higher the chances of committed university teachers in rheumatology to reach all medical students. Probably from 2026 onwards, the learning objectives relevant for examinations will be defined by the national competence-based catalogue of learning objectives in medicine (NKLM), which is currently in the final stages of completion together with the German Federal Institute for Medical and Pharmaceutical Examinations (IMPP). It now appears that systemic autoimmune diseases and inflammatory rheumatic diseases are adequately depicted in this catalogue. If this is achieved, students will know more about these diseases in the future and will diagnose them faster in patients. Work on the NKLM is therefore of highest importance. In addition to the work on the learning objectives, up to date learning materials are required, which have to be available throughout Germany. A Rheumatology script just finished by the committee for medical student education of the German Society of Rheumatology (DGRh) and now available on the DGRh homepage should close this gap. ZUSAMMENFASSUNG:Eine solide rheumatologische Grundausbildung im Medizinstudium ist aus 2 Gründen für die Versorgung rheumatischer Patientinnen und Patienten in der Zukunft essenziell: Einerseits werden zukünftige Hausärztinnen und Hausärzte die Muster entzündlich rheumatischer Erkrankungen beherrschen müssen, um sie rasch genug zu erkennen und die Neuerkrankten rechtzeitig und gezielt in die rheumatologische Versorgung weiterzuleiten. Anderseits ist der weiter bestehende Mangel an Rheumatologinnen und Rheumatologen nur dann perspektivisch zu beheben, wenn es uns gelingt, Interesse für unser Fach zu wecken. Adäquate rheumatologische Strukturen sind nur in einem Teil der medizinischen Fakultäten Deutschlands vorhanden. Strukturelle Verbesserungen gehen insgesamt nur in kleinen Schritten voran, wurden aber an einigen Standorten erreicht. Je besser die lokalen Strukturen, desto eher ist es auch engagierten rheumatologischen Lehrenden möglich, alle Studierenden der Humanmedizin zu erreichen. Die prüfungsrelevanten Lernziele werden vermutlich ab 2026 durch den Nationalen Kompetenz-basierten Lernzielkatalog Medizin (NKLM) vorgegeben werden, der aktuell gemeinsam mit dem Institut für Medizinische und Pharmazeutische Prüfungsfragen (IMPP) in eine Endfassung gebracht wird. Wenn es, wie es derzeit aussieht, gelingt, die systemischen Autoimmunerkrankungen und entzündlich rheumatischen Erkrankungen dort adäquat abzubilden, werden Studierende in Zukunft deutschlandweit besser über diese Erkrankungen Bescheid wissen und sie schneller erkennen. Daher ist die Arbeit am NKLM von großer Bedeutung. Neben der Arbeit an den Lernzielen bedarf es aber auch deutschlandweit zugänglicher Lernunterlagen auf aktuellem Stand. Diese Lücke sollte das Skriptum schließen, das die Kommission Studentische Ausbildung der Deutschen Gesellschaft für Rheumatologie (DGRh) gerade fertiggestellt hat und das nun auf der DGRh-Homepage verfügbar ist.

journal_name

Z Rheumatol

authors

Aringer M,Baerwald C,Bergner R,Feuchtenberger M,Gebhardt C,Hagen M,Keyßer G,Lorenz HM,Witte T

doi

10.1007/s00393-020-00933-w

subject

Has Abstract

pub_date

2020-12-02 00:00:00

eissn

0340-1855

issn

1435-1250

pii

10.1007/s00393-020-00933-w

pub_type

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