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Editorial Editorial details: Publisher: University of Tbingen Faculty of Medicine Deans Office Geissweg 5/1 72076 Tbingen PD Dr. H.-P. Wirtz K.-A. Schweizer K. Nufer M.A. Dr. F. Baur University of Tbingen / Medical Faculty 2010 Copyright:
Inhalt
1. Introduction...........................................................................................................4 2. The Study of Medicine: application and admissions.............................................5 3. Orientation events for new students and students in their first clinical semester: You are not alone in the big university!.............................................6 4. Program outline.....................................................................................................7 5. University courses.................................................................................................8 5.1. Tbingen study regulations and outlines of study...............................8 5.2 Courses required for the First National Medical Licensing Examination.......................................................................................9 5.3 Courses required for the Second National Medical Licensing Examination.......................................................................................9 5.4 Registration for courses and practical labs........................................11 6. Innovations in teaching at the University of Tbingen.......................................11 7. Practical clinical training prior to and during medical studies............................13 7.1. Patient care internship......................................................................13 7.2. Clinical internship (Famulatur)........................................................13 7.3. Practical training year (Praktisches Jahr).........................................14 8. Examinations (National Licensing Examinations and university course credits).................................................................................................................14 8.1. First National Medical Licensing Examination (1. rztliche Prfung)......................................................................14 8.2. Second National Medical Licensing Examination (2. rztliche Prfung)..........................................................................................15 8.3. Medical License Examination Diploma...........................................15 8.4. General information regarding National Medical Licensing Examinations...................................................................................15 8.5. University examinations..................................................................16 9. The profession of medical doctor and continuing education..............................17 Appendix: Useful addresses....................................................................................18
Content
1. Introduction
The curriculum for medical studies is set forth in the German Medical Licensure Act (Ap-probationsordnung fr rzte, AppO). The curriculum and requirements for medical stud-ies are also governed by the study regulations of the Tbingen Faculty of Medical (Studie-nordnung). The licensure act and the study regulations together define the aims and dic-tate the structure, organization and duration of the course of studies, the required medical subjects, the material to be covered in examinations, as well as examination prerequisites and modalities. The AppO is a national policy, whereas the regulations of the medical faculties vary according to the profiles and specialties of the respective university. Stu-dents are advised to acquaint themselves thoroughly with the Medical Licensure Act and university study regulations. Both can be found on the webpage of the Faculty of Medicine student body of the University of Tbingen at http://fachschaftmedizin.de (in German only). Particular note should be taken of paragraphs 2 and 27, AppO. Recent policy changes to the AppO in the preclinical and the clinical semesters in particular have led to greater clinical orientation and stronger integration of preclinical and clinical training, increased emphasis on problem-based and evidence-based learning, the application of ethical com-petence, the teaching of communication skills, interdisciplinary lecture courses and elec-tive courses. AppO regulations have been implemented by the Tbingen Medical Faculty since the winter semester of 2003/2004. Two complete programs of study are offered at the Faculty of Medicine of the University of Tbingen. I. Medicine (Humanmedizin) This program terminates with the national licensing examination, which is a prerequisite for practicing as a physician. II. Dentistry (Zahnmedizin) This program is also completed with a national licensing examination conferring the li-cense to practice as a dentist. It is described in a separate brochure. Information is also available on the site http://www.medizin.uni-tuebingen.de/Studierende/Zahnmedizin.html (in German only).
Introduction
The application situation differs for the individual universities. On the average, the University of Tbingen has 17 to 20 applications for each university place in medicine. The national average for all German medical is approximately 10 to 12 applications per slot. Thus, Tbingen ranges near the top of the national applications statistics, and takes first place in the state of Baden-Wrttemberg. Admission to medical school is possible twice a year in Tbingen, in the winter semester and in the summer semester. Currently, 318 students are admitted to their first semester every year, half in the winter, half in the summer semester. The entire medical student body in Tbingen is just over 2,500 persons.
Study of Medicine
Every year the application deadlines of both ZVS and ABZ are January 15th for the following summer semester (beginning by mid April), and July 15th for the following winter semester (beginning by mid October). For candidates who received their qualifying degrees in year(s) prior to the year of application (socalled Alt-Abiturienten), the deadlines are May 31st for the winter semester and November 30th for the summer semester. Orientation
3. Orientation events for new students and students in their first clinical semester: You are not alone in the big university!
Beginning students who have been admitted to the University of Tbingen receive, together with their registration materials from the university, a detailed handbook (Guidelines for Students starting their Medical Studies) describing the first and second semesters. The guidelines include information about courses and registration for course placement. Additionally, during the week before commencement of classes, the Medical Faculty offers an introductory event with a tour of the city of Tbingen in cooperation with the Medical Students Association (Fachschaft). Participation in this event is strongly recommended. The exact times and places are announced in the student handbook. As part of our tutor program, professors and lecturers organize small medical student groups in order to advise them during the length of their studies. Another introductory program and handbook are offered to students to guide them through the clinical phase of the studies (Guidelines for the Clinical Phase of Medical Studies). Up-to-date information can be found on the website http://www.medizin.uni-tuebingen.de/en/Students/Study_of_Medicine.html.
semester 1 2 3 4
courses
Labs: physics, chemistry, biology, anatomy, physiol-ogy, biochemistry, introduction to clinical medicine studies, medical terminology, Field Studies Internship, medical psychology and sociology Clinically relevant seminars: anatomy, physiology, bio-chemistry, medical psychology/sociology Elective
M1 First National Medical License Examination 2. Clinical phase Research project and doctoral thesis semester 5 6 7 8 9 10 11 12
Practical Year (48 weeks) in a teaching hospital di-vided into three rotations: (1) internal medicine, (2) surgery and (3) elective.
courses
Preparatory compact courses with practicals Clinical examination courses Interdisciplinary clinical curriculum courses (i-KliC) Cross-sectional subjects Bedside manner practicals Elective: Tbingen curricular clinical research (TKliF) and clinical specials (TKliS)
Additional performances
5. University courses
5.1. Tbingen study regulations and outlines of study
The study regulations and outlines of study are not identical at all German medical univer-sities. The current study plan in Tbingen is based on the National Medical Licensure Act (AppO), the valid university regulations and the study regulations in force since the winter semester 2003/2004. The Medical Facultys study regulations and outlines of study define the qualifications demanded of students and future graduates and doctors so as to edu-cate them to become scientifically trained and competent problem solvers skilled in diag-nosis, prognosis, therapy and ethics, as well as in practical communication. Knowledge and skills are not passively absorbed during standard lecture-style classes, but actively grasped and applied in small teaching groups. In addition, students are strongly encouraged to attend preparatory or complementary lectures which are integrated into the semester schedule. The schedules are posted in the Deans Office, and are also available in the Guidelines for Students Starting their Medical Studies as well as in the Guidelines for the Clinical Phase of Medical Studies. They can also be accessed on the internet under the electronic registration system SIMED (www.medizin.uni-tuebingen.de/en/Students/Study_of_Medicinep-1784/SIMED.html). The nationally binding AppO (current version dated 27th June 2002) stipulates the topics and courses (practical exercise labs, courses and seminars), which are to be successfully completed in the preclinical phase. In addition, students must complete an elective. For the clinical phase the AppO lists 21 subjects and 12 cross-sectional courses which are to be completed with a graded course credit (Leistungsnachweis), during the period between the First National Medical Licensing Examination and the beginning of the practical year (PJ). Additionally, a graded elective is required. For each of the individual subjects and cross-sectional courses the study regulations set forth curricular, compulsory-attendance practical labs, courses, plenum lectures and semi-nars. Overall subject grades may be made up of two or more single grades to be achieved in different semesters. Entrance into the practical year, which is a prerequisite for registration for the Second Na-tional Medical Licensing Examination, requires the successful and consistent attendance in all mandatory courses and the submission of the corresponding grades and credits and completion of the required minimum number of registered semesters.
Courses
5.2 Courses required for the First National Medical Licensing Examination
The following practical labs, courses and seminars must be completed before registration for the First National Medical Licensing Examination: I. 1. Basic Sciences 1.1 Physics practical lab 1.2 Chemistry practical lab 1.3 Biology practical lab 2. Physiology practical lab 3. Biochemistry / molecular biology practical lab 4. Macroscopic anatomy course 5. Microscopic anatomy course 6. Medical psychology and medical sociology course 7. Physiology seminar 8. Biochemistry / molecular biology seminar 9. Anatomy seminar 10. Clinical medical psychology and clinical medical sociology seminar 1. Introduction to clinical medicine (practical) 2. Field Studies Internship Medical terminology
II.
III.
5.3 Courses required for the Second National Medical Licensing Examination
The following graded course credits (Leistungsnachweise) must be submitted before registration for the Second National Medical Licensing Examination: I. Subjects 1. General medicine 2. Anesthesiology 3. Industrial Medicine, Social Medicine 4. Ophthalmology 5. Surgery
Courses
6. Dermatology, Venerology 7. Gynecology and obstetrics 8. Ear, nose and throat medicine 9. Human genetics 10. Hygiene, microbiology, virology 11. Internal medicine 12. Pediatrics 13. Clinical chemistry, laboratory diagnostics 14. Neurology 15. Orthopedics 16. Pathology 17. Pharmacology and toxicology 18. Psychiatry and psychotherapy 19. Psychosomatics and psychotherapy 20. Forensic medicine 21. Urology 22. Elective The AppO stipulates that a minimum of three of these courses are to be interdisciplinary (Fcherbergreifende Leistungsnachweise). In Tbingen these are the following: 1. Internal Medicine, General Medicine, Clinical Chemistry and Laboratory Diagnostics 2. Surgery, Orthopedics, Urology 3. Pediatrics, Gynecology/ Obstetrics and Human Genetics II. Cross-sectional courses (Querschnittsbereiche, QB) 1. Epidemiology, medical biometrics and medical informatics, health economy, health system, public health care 2. History of medicine, theory of medicine, medical ethics 3. Clinical oncology, radiation therapy 4. Infectious diseases, immunology 5. Clinical pathology 6. Clinical environmental medicine 7. Gerontology, palliative care, psychosomatics 8. Emergency medicine including acute abdominal medicine and transfusion medicine 10
Courses
9. Clinical pharmacology and pharmacotherapy 10. Prevention, health support, travel and tropical medicine 11. Radiology, imaging methods, radiation protection 12. Rehabilitation, physical therapy and natural remedies Courses III. Compact practicals (Blockpraktika) 1. Internal Medicine 2. Surgery 3. Pediatrics 4. Gynecology 5. General medicine
control is primarily carried out via train-the-trainer seminars offered to lecturers at the Competence Center for University Teaching in medicine (Kompetenzzentrum fr Hochschuldidaktik in der Medizin, http://www.mediadaktik.de) and via course evaluations (tuevalon, Tbingen Evaluation Online). Innovations in teaching Next to the regular courses and seminars one of the most crucial and successful highlights of medical studies in Tbingen is certainly the system of integrated seminars. These take place in the preclinical phase of study and include patient presentations. In this way, the traditional major subjects of anatomy, biochemistry, and physiology are coupled with early exposure to clinical practice. The new integrated lectures which take place during the sec-ond, third and fourth semesters have the same focus. After a six-week preparation period (specified preparation program with associated lec-tures, courses and practicals) in the first and second clinical semesters, medical courses are interdisciplinary (interdisziplinre Klinische Curricula, or i-KliC). i-KliCs are organized as week-long blocks in small groups and characterized by disease- and symptom-oriented topics. Their content and timing is aligned with mandatory courses and practicals. The goal is to develop diagnostic skills early on during medical studies. As a core element of the Tbingen study regulations, i-KliCs are progressively introduced in the 3rd to 6th clinical semesters. In the clinical phase medical students also take part in twelve mandatory crosssectional courses, each with an interdisciplinary focus. Building upon the basics of the i-KliC courses, students receive interdisciplinary training in the diagnosis and therapy of complex disease patterns relevant to comprehensive medical care. Further courses, the Tbinger Curricula Klinische Specials (TKliS) as well as the Tbinger Curricula Klinische Forschung (TKliF) are offered as electives, exposing the student to relevant patient-oriented aspects of the theory and practice of diagnostics, therapy and research. At the same time these courses serve to improve students communication skills and ethical competence, and allow students an upclose, personal look at real life as a physician. Clinical training is largely organized in units (Blockunterricht) including lectures, courses and practicals. Units span one, two, or three-week sessions. A two-week unit course in general medicine, which is attended before the beginning of the practical year, offers students the opportunity to become acquainted with the responsibilities and tasks of a general practitioner. The possibilities for e-learning are continuously integrated into the courses and practicals. Lecture and plenum contents can be viewed on the homepages of the individual departments.
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Practical training
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Examinations
Registration for the examinations must be completed no later than the 10th of January or the 10th of June by submitting the required forms and university course credits (Leistungsnachweise) to the State Agency for Examinations in Medicine and Pharmacy (Landesprfungsamt fr Medizin und Pharmazie), as described in the AppO regulations. The examinees are invited by the agency to sit for the examinations and their results are processed by the agency and then sent to the students.
Examinations
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Examinations
(3) Application and admissions (international, non-EU students holding a non-German qualifying degree)
Central Information and Advisory Office/ Information and Admissions Office for International Students (Akademisches Beratungszentrum der Universitt (ABZ)/ Beratungs -und Zulassungsstelle fr auslndische Studierende) Wilhelmstrasse 11, Tel.: 07071 - 29 - 77735 This office handles questions regarding application and admissions of international students, language proficiency examinations, foreign scholarships, admissions policy for Numerus Clausus subjects, evaluation of foreign qualifying degrees and of foreign university degrees and certificates, aid and grants.
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(4) Information and guidance for international students studying in Tbingen, and for German students planning to study abroad
Office of Academic Exchange (Dezernat fr Internationale Beziehungen / Auslandsstudium) Wilhelmstrasse 9, 72074 Tbingen, Tel.: 07071 29 72479
(5) Information and guidance concerning medical studies (e.g. general, organizational or subject-specific questions, course registration, course schedules, student assignment for lab practicals, transcripts, letters of recommendation)
Dean of Medical Faculty: Prof. Dr. med. Stephan Zipfel Deans Office (Studiendekanat der Medizinischen Fakultt) Geissweg 5/1, 72076 Tbingen, Tel. 07071 29 73663, Fax 07071 29 5434 PD Dr. Hans-Peter Wirtz, Tel. 07071 29 77948, e-mail: hans-peter.wirtz@med.uni-tuebingen.de Karin Nufer M.A., Tel. 07071 29 73673, e-mail: karin.nufer@med.uni-tuebingen.de Student academic counselling (office hours by appointment only, Tel. 07071 29 73663): Dr. rer. nat. Regina Keil-Pilz, email: regina.keil-pilz@med.uni-tuebingen.de Administration office: Monika Heydt, Tel. 07071 29 73663, e-mail: simed@med.uni-tuebingen.de Office hours: In person By telephone Monday, Tuesday, Friday Wednesday Monday, Tuesday, Thursday Wednesday 10:00 a.m. - 12:00 p.m. 12:30 p.m. - 16:30 p.m. 13:30 p.m. - 16:00 p.m. 9:00 a.m. - 12:00 p.m.
Adresses
Office hours: Monday to Thursday 9:00 a.m. - 11:00 a.m. and 14:30 p.m. - 16:30 p.m.
Karin Schatton, Tel. 07071 29 77946, e-mail karin.schatton@med.uni-tuebingen.de Birgit Hohenberger, e-mail birgit.hohenberger@med.uni-tuebingen.de Office hours: Monday, Tuesday, Thursday, Friday 11:00 a.m. - 12:00 p.m. Wednesday 17:00 p.m. - 18:00 p.m.; and by appointment c) Student Deans Office/ university examinations and course credits (Studiendekanat/ universitre Prfungen nach neuer AppO) Geissweg 5/1, 72076 Tbingen, Tel.: 07071 29 73663, Fax 07071 29 5434 Administration office: Ute Munz, Tel.: 07071 29 77961, e-mail: ute.munz@med.uni-tuebingen.de Consultation hours by appointment
Adresses
sterbergstrasse 3, 72074, Tbingen, Tel. 07071 29 73428, e-mail: w.vogel@anatom.uni-Tbingen.de Clinical studies: Prof. Dr. Kmpf, Institute of Anthropology and Human Genetics (Institut fr Anthropologie und Humangenetik), Wilhelmstrasse 27, 72074 Tbingen, Tel 07071 29 74892.
Adresses
(13) Information and counseling for students, graduates and students leaving the university
Tbingen University Team (Hochschulteam Tbingen), Employment Agency (Agentur fr Arbeit), Konrad-Adenauer-Str. 12, Tel.: 07071 705411, e-mail: tuebingen.akademiker-team@arbeitsagentur.de. The Tbingen University team offers individual counseling concerning students future professional lives. Appointments may be arranged by telephone. Office hours: Monday, Tuesday, Wednesday, Friday Thursday 8:00 a.m. - 12:30 p.m. 8:00 a.m. - 6:00 p.m.
(14) Advisory office for students with physical impairments and chronic illnesses This office handles general questions about planning and organizing studies, about appropriate subjects and types of universities. This is a study center set up with PC terminals to assist the visually impaired and blind students. A writing telephone is also available. Contact person: Klaus Heinrich, Wilhelmstrasse 30 (Clubhaus), 72074 Tbingen, Tel.: 07071 29 74209, e-mail: klaus.heinrich@uni-tuebingen.de
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Student Deans Office Dean of Medical Faculty Study and Teaching Prof. Dr. med. Stephan Zipfel Dr. med. Maria Lammerding-Kppel, MME
PD Dr. rer. nat. Hans-Peter Wirtz, hans-peter.wirtz@med.uni-tuebingen.de Denise Bradke denise.bradke@med.uni-tuebingen.de Dr. rer. nat. Regina Keil-Pilz, regina.keil-pilz@med.uni-tuebingen.de
Tel.: 07071/ 29-77948 Tel.: 07071/ 29-73663 Fax. 07071/ 29-5434 Tel.: 07071/ 29-77993
Birgit Hohenberger, Tel.: 07071/ 29-73672 birgit.hohenberger@med.uni-tuebingen.de Monika Heydt, simed@med.uni-tuebingen.de Tel.: 07071/ 29-73664
Office hours of the Student Deans Office: Monday Tuesday Thursday Friday 2:00 - 5:00 p.m. 11:00 a.m.- 2:00 p.m. 2:00 - 5:00 p.m. 11:00 a.m. - 2:00 p.m.
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