Integration of radiation oncology teaching in medical studies by German medical faculties due to the new licensing regulations

Wolfgang Eicheler ,Hendrik Dapper ,Thomas Wiegel ,Dirk Vordermark ,Marcus Niewald ,G Stüben,N.h Nicolay ,Daniel Fleischmann ,Daniel Medenwald ,Claudia Schmalz ,Daniel Zips ,Daniel Martin ,Jürgen Debus ,A.l Grosu ,Luitpold Distel ,Rainer Fietkau ,Frank A Giordano ,Diana Steinmann ,Hans Theodor Eich ,Oliver Kölbl ,Michael Oertel ,Leonard Christopher Schmeel ,Hilke Vorwerk ,Annette Raabe ,Guido Hildebrandt ,Jürgen Dunst ,Klaus Herfarth ,Volker Budach ,Claus Belka ,David Kaul ,Hans Christiansen ,Claus Rödel ,Mechthild Krause ,Rita Engenhart‐Cabillic ,David Krug ,Stephanie E Combs ,Cordula Petersen ,Christiane Matuschek ,Christian Rübe ,Franziska Eckert ,F Bock,Reinhard Thamm ,Fabian Pohl ,Wilfried Budach ,Bernd Frerker

doi:10.1007/s00066-021-01861-7

Abstract

The new Medical Licensing Regulations 2025 (Ärztliche Approbationsordnung, ÄApprO) will soon be passed by the Federal Council (Bundesrat) and will be implemented step by step by the individual faculties in the coming months. The further development of medical studies essentially involves an orientation from fact-based to competence-based learning and focuses on practical, longitudinal and interdisciplinary training. Radiation oncology and radiation therapy are important components of therapeutic oncology and are of great importance for public health, both clinically and epidemiologically, and therefore should be given appropriate attention in medical education. This report is based on a recent survey on the current state of radiation therapy teaching at university hospitals in Germany as well as the contents of the National Competence Based Learning Objectives Catalogue for Medicine 2.0 (Nationaler Kompetenzbasierter Lernzielkatalog Medizin 2.0, NKLM) and the closely related Subject Catalogue (Gegenstandskatalog, GK) of the Institute for Medical and Pharmaceutical Examination Questions (Institut für Medizinische und Pharmazeutische Prüfungsfragen, IMPP). The current recommendations of the German Society for Radiation Oncology (Deutsche Gesellschaft für Radioonkologie, DEGRO) regarding topics, scope and rationale for the establishment of radiation oncology teaching at the respective faculties are also included.

Highlights

With the Masterplan Medical Education 2020 (Masterplan Medizinstudium 2020) from 31 March 2017, the Health and Science Ministers of the federal and state governments adopted a resolution comprising 37 measures to restructure
The content of the Masterplan Medical Education 2020 is defined by the National Competence-Based Learning Objectives Catalogue for Medicine 2.0 (NKLM), which has been developed as a cooperative project of the Medical Faculty Association of the Federal Republic of Germany (Medizinischer Fakultätentag der Bundesrepublik Deutschland, MFT) and the Society for Medical Education (Gesellschaft für Medizinische Ausbildung, GMA) as an ongoing process since 2015; and the closely related Subject Catalogue (GK) of the Institute for Medical and Pharmaceutical Examination Questions (IMPP) [5, 6]
NKLM = NaƟonaler Kompetenzbasierter Lernzielkatalog Medizin, GK = menƟoned in the subject catalogue of the IMPP, ÄApprO = Ärztliche ApprobaƟonsordnung, ÜK = higher-level competence, UE = teaching hour (45 min), underlined = should be taught without fail, ZV = target volume, X = radiaƟon therapy explicitly menƟoned, a = menƟoned as cross-reference or example, V = generally prioriƟzed topic, V1 = diseases of the "focus disease network" semester 1–4, V2 = in-depth study planned in semesters 5–10, 1 = radiaƟon protecƟon explicitly menƟoned, 2 = radiaƟon enteriƟs explicitly menƟoned

Summary

UE medical interviewing Elective subject radiation oncology

UE teaching unit (45 min), PJ practical year, OSCE objective structured clinical examination. V1 GK GK GK V1, V2 GK V1, V2 V1, V2 V2 V1, V2 V2 V1, V2 V2 V2 GK GK GK (GK) GK GK proposal for integraƟon into curriculum possible establishment in semesters 1–4: in the context of the basic sciences (physics, biology) and medical psychology medical conversaƟon possible establishment in semesters 5–10 within the framework of the cross-secƟonal subject radiology/radiaƟon therapy e.g. as part of an interdisciplinary longitudinal oncological module medical interview management. NKLM = NaƟonaler Kompetenzbasierter Lernzielkatalog Medizin, GK = menƟoned in the subject catalogue of the IMPP, ÄApprO = Ärztliche ApprobaƟonsordnung, ÜK = higher-level competence, UE = teaching hour (45 min), underlined = should be taught without fail, ZV = target volume, X = radiaƟon therapy explicitly menƟoned, a = menƟoned as cross-reference or example, V = generally prioriƟzed topic, V1 = diseases of the "focus disease network" semester 1–4, V2 = in-depth study planned in semesters 5–10, 1 = radiaƟon protecƟon explicitly menƟoned, 2 = radiaƟon enteriƟs explicitly menƟoned

12 W competences

Findings

Conclusion