Abstract
The principles of evidence-based medicine and the "choosing wisley" initiatives create a foundation for patient-centred medicine, which can prevent an overuse or undertreatment for patients. In order to achieve nationwide implementation in Germany, it makes sense to anchor the necessary skills, in particular scientific skills, more firmly in medical studies and to test them in the state exams. With the "Masterplan Medizinstudium 2020", undergraduate medical education should focus more on the teaching and learning of skills and abilities, instead of on the strong tradition of imparting facts and knowledge. Innovative examination formats which are based on the "choosing wisley" recommendations of the DGVS, such as key feature cases and OSCE examinations, as well as examinations on patients in the future, are integral to the M4state examination included in the current draft of Medical Licensing Regulations (ÄApprO) and will help with the nationwide implementation of these recommendations.
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