Developing an Instrument to Evaluate Undergraduate Healthcare Students' Professionalism.

Professionalism is a multidimensional quality acquired over time. Undergraduate years lay a foundation for the development of professionalism. Tools monitoring the students' professional development are needed. Our tool development followed three phases: 1) identifying meaningful criteria for professionalism adapted to the education level, 2) developing an evaluation instrument in a process maximising construct validity, 3) testing the evaluation instrument in an interprofessional study. The evaluation instrument proved to be applicable in the field and it meets validity standards. Some differences between professions were found and discussed. Professionality starts to develop during the education, and early monitoring is important to support students' optimal development. The evaluation instrument supports both self- and expert evaluation of healthcare students' professional development

Blended Learning "Polypharmazie im Alter" im 4. Studienjahr Humanmedizin

Using deep two-color near-infrared HST imaging and unbiased grism spectroscopy, we present a detailed study of the z = 1.803 JKCS 041 cluster. We confirm, for the first time for a high-redshift cluster, a mass of log M ≳ 14.2 in solar units using four different techniques based on the X-ray temperature, the X-ray luminosity, the gas mass, and the cluster richness. JKCS 041 is thus a progenitor of a local system like the Coma cluster. Our rich dataset and the abundant population of 14 spectroscopically confirmed red-sequence galaxies allows us to explore the past star formation history of this system in unprecedented detail. Our most interesting result is a prominent red sequence down to stellar masses as low as log M/M☉ = 9.8, corresponding to a mass range of 2 dex. These quiescent galaxies are concentrated around the cluster center with a core radius of 330 kpc. There are only few blue members and avoid the cluster center. In JKCS 041 quenching was therefore largely completed by a look-back time of 10 Gyr, and we can constrain the epoch at which this occurred via spectroscopic age-dating of the individual galaxies. Most galaxies were quenched about 1.1 Gyr prior to the epoch of observation. The less-massive quiescent galaxies are somewhat younger, corresponding to a decrease in age of 650 Myr per mass dex, but the scatter in age at fixed mass is only 380 Myr (at log M/M☉ = 11). There is no evidence for multiple epochs of star formation across galaxies. The size-mass relation of quiescent galaxies in JKCS 041 is consistent with that observed for local clusters within our uncertainties, and we place an upper limit of 0.4 dex on size growth at fixed stellar mass (95% confidence). Comparing our data on JKCS 041 with 41 clusters at lower redshift, we find that the form of the mass function of red sequence galaxies has hardly evolved in the past 10 Gyr, both in terms of its faint-end slope and characteristic mass. Despite observing JKCS 041 soon after its quenching and the three-fold expected increase in mass in the next 10 Gyr, it is already remarkably similar to present-day clusters

Telefonische Notfallkonsultationen

Telephone consultations are part of GP's daily routine. The patients appreciate the quick and uncomplicated access to consultations via phone and therefore the demand for telephone consultations is increasing steadily. Nevertheless, telephone consultations pose a challenge to healthcare professionals. Safety is improved by adhering to recommendations. The required skills are learnable.Telefonkonsultationen gehören zum hausärztlichen Alltag. Der rasche und unkomplizierte Zugang zu einer medizinischen Beratung via Telefon wird von den Patienten sehr geschätzt, und die Nachfrage nach Telefonkonsultationen nimmt stetig zu. Telefonkonsultationen stellen für medizinisches Fachpersonal eine Herausforderung dar. Das Einhalten von Empfehlungen hilft, die Sicherheit zu erhöhen. Die zur Handhabung benötigten Fertigkeiten sind erlernbar

Defining Goals and Learning Objectives for a Longitudinal Clerkship in the Complex Context of Health Care

In autumn 2007 the Swiss Medical School of Berne (Switzerland) implemented mandatory short-term clerkships in primary health care for all undergraduate medical students. Students studying for a Bachelor degree complete 8 half-days per year in the office of a general practitioner, while students studying for a Masters complete a three-week clerkship. Every student completes his clerkships in the same GP office during his four years of study. The purpose of this paper is to show how the goals and learning objectives were developed and evaluated. Method:A working group of general practitioners and faculty had the task of defining goals and learning objectives for a specific training program within the complex context of primary health care. The group based its work on various national and international publications. An evaluation of the program, a list of minimum requirements for the clerkships, an oral exam in the first year and an OSCE assignment in the third year assessed achievement of the learning objectives. Results: The findings present the goals and principal learning objectives for these clerkships, the results of the evaluation and the achievement of minimum requirements. Most of the defined learning objectives were taught and duly learned by students. Some learning objectives proved to be incompatible in the context of ambulatory primary care and had to be adjusted accordingly. Discussion: The learning objectives were evaluated and adapted to address students’ and teachers’ needs and the requirements of the medical school. The achievement of minimum requirements (and hence of the learning objectives) for clerkships has been mandatory since 2008. Further evaluations will show whether additional learning objectives need to be adopt