RESUMEN
Background: In October 2018, the University of Witten/Herdecke (UW/H) launched the new reformed medical education programme called Medicine 2018+. A major innovation compared to the existing model programme was the introduction of thematic focuses. A longitudinal communication skills curriculum was integrated into the new thematic focus "professional and personal development - inner work" (IAP). With the start of the new programme, the IAP curriculum has been built step-by-step over time, i.e. the first four semesters have already been implemented, the following semesters are being planned. Project description: IAP aims to provide students with patient-centred medicine. Five areas of competence were defined: Doctor-patient communication, team competence, staying healthy, my paths to becoming a doctor, medicine and society. The focus of this article is on the communication curriculum. The first year of study focusses on the training of basic communication skills. In the 2nd year of study, students practice these basic skills in small groups with simulated patients (SP), whereby the emphasis in the 3rd semester is on history taking and in the 4th semester is on sharing information. In the 3rd semester, students complete a communication station in an OSCE. From the 5th semester onwards, the focus of training is on the consolidation of basic and advanced communication skills, which can be applied in clinical clerkships, and the reflection of clinical experiences. Key didactic elements are, in addition to teaching the theoretical basics, experience-based small group work with and without SP, feedback and reflection. The evaluation of the summer semester 2020 showed high agreement ratings of the students regarding the overall satisfaction with the individual courses (83-100% agreement). Discussion: The introduction of IAP has been very positively received by the students. Challenges are the adequate handling of the increasing student workload when planning new courses, the implementation of a longitudinal e-portfolio as well as the recruitment and training of clinical teachers and SPs. Conclusion: As the evaluation results of the summer semester 2020 show, the first steps of implementing a longitudinal communication curriculum at UW/H have been successful. Helpful strategies were the orientation on published examples from other faculties as well as regular feedback and discussions with students and teachers in order to adapt and integrate educational considerations into the existing model programme in Witten.
Asunto(s)
Comunicación , Curriculum , Educación de Pregrado en Medicina , Modelos Educacionales , Curriculum/normas , Educación Médica , Educación de Pregrado en Medicina/métodos , Humanos , Relaciones Médico-Paciente , Factores de TiempoRESUMEN
The purpose of this article is to provide a scoping review of the current literature on group flow. Based on the PRISMA-guidelines for systematic reviews, 26 publications were identified that met the inclusion criteria. Publication analyses comprised an individual consideration of each publication and a systematic, integrative synthesis of all publications. Analyses identified heterogeneous group flow definitions across publications, supporting the need for an integrative definition. Further heterogeneity existed in the theoretical approaches and measures used, highlighting the need for a comprehensive theory and a measurement standard. Components (e.g., synchronization), antecedents (e.g., trust), and outcomes (e.g., well-being) of group flow were identified in publications that presented empirical studies, some of which that showed similarities between characteristics of group flow and individual flow and others that showed aspects unique to group flow. Overall, this scoping review reveals the need for a systematic research program on group flow.