Evidence map›Paper›PMID 26383546›Full record

ArticleBMC medical education2015

Undergraduate education in palliative medicine in Germany: a longitudinal perspective on curricular and infrastructural development.

Benjamin Ilse, Bernd Alt-Epping, Isabel Kiesewetter, Frank Elsner, Johanna Hildebrandt, Alexander Laske, Alexandra Scherg, Christine Schiessl, Working Group on Medical Education of the German Society of Palliative Medicine (AG Bildung der DGP)

Abstract read
In one paragraph

Article in BMC medical education, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

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  11. [Palliative Care Education].Schmerz (Berlin, Germany) · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Benjamin IlseDepartment of Neurology, University Medical Center, Göttingen, Germany. Benjamin.ilse@med.uni-goettingen.de.
Bernd Alt-EppingDepartment of Palliative Medicine, University Medical Center, Göttingen, Germany. bernd.alt-epping@med.uni-goettingen.de.
Isabel KiesewetterDepartment of Palliative Medicine, Munich University Hospital, Munich, Germany. Isabel.Kiesewetter@med.uni-muenchen.de.
Frank ElsnerDepartment of Palliative Medicine, Uniklinik RWTH Aachen University, Aachen, Germany. felsner@ukaachen.de.
Johanna HildebrandtVestische Children's Hospital, University of Witten/ Herdecke, Datteln, Germany. johannahildebrandt@gmx.de.
Alexander LaskeDepartment of Anaesthesiology, University Medicine Greifswald, Greifswald, Germany. alexander.laske@berlin.de.
Alexandra SchergInterdisciplinary Centre for Palliative Medicine, University Hospital Dusseldorf, Dusseldorf, Germany. alexandra.scherg@med.uni-duesseldorf.de.
Christine SchiesslDepartment of Anesthesiology, University of Erlangen-Nuremberg, Erlangen, Germany. schiessl@algesiologikum.de.
Working Group on Medical Education of the German Society of Palliative Medicine (AG Bildung der DGP)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn 2009, palliative medicine became an integrated and compulsory part of undergraduate training in Germany by legislation. After a transitional period, all medical faculties were required to provide adequate teaching with an according examination and certification procedure. In parallel, we conducted bi-annual surveys on all medical faculties in Germany to examine for potential discrepancies between the implementation process and their intended consequences on teaching time and content.

methodsFour consecutive bi-annual surveys (2006, 2008, 2010, 2012) of all 36 medical faculties in Germany were performed, using purposively for this study developed questionnaires. Likert scales and closed questions were analyzed descriptively.

resultsMedical Faculty response rate increased from 50 % in 2006 to 88.9 % in 2012. Teaching coordinators in palliative medicine primarily had an anesthesiology or internal medicine background. There was a noted increase over time of the involvement of specialized palliative care units (PCUs) as providing the setting for education. The number of faculties that were able to offer a complete 16 weeks of training in palliative medicine during the "final year" rose steadily. In addition, increased patient-centered teaching formats have been implemented over time. The faculties which offered innovative teaching formats with actors as patients (standardized patient interaction) increased, as did the total number of mandatory examinations. The number of faculties that provided compulsory teaching in a condensed manner within a single academic year increased sharply from 3 of 31 responding faculties in 2010 to 19 of 32 responding faculties in 2012.

conclusionsUntil now, teaching conditions and structures in palliative medicine in Germany have proven to be extraordinarily heterogeneous. Although professorships ("Chairs") in palliative medicine proved to be particularly beneficial and supportive in curricular and structural development, only a minority of faculties provide leading academic positions in palliative medicine.

Indexed as

CurriculumEducation, Medical, UndergraduateGermanyHealth Plan ImplementationHumansPalliative MedicineSurveys and Questionnaires

Identifiers

PMID26383546
PMCPMC4574529

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.