Nihilism is Inappropriate
The nationwide survey should raise alarm bells for medical faculties: 55% do not think that the available time to treat patients is appropriate, and 53% have experienced rigid hierarchies. In spite of the low participation rate (16%), it can be assumed that the result is representative for future providers of medical services.
A pilot study with 33 closed questions at the medical faculty of the University of Ulm, which included 821 medical/clinical students (with only 10% non-compliant) confirms the results of the nationwide survey.
Only 26% experienced their study course as mainly positive, and 25% did not see any relevance of the learnt subjects for their later professional career. Only 10% experienced the teaching of medical topics as useful for a positive attitude to their course. But only 20% expressed dissatisfaction with their lecturers. 71% of students experienced their everyday lives as stressful because of organizational issues.
All this affects medical students’ perspectives regarding their later careers. A stressful discrepancy between students' own ideas and the reality of a doctor’s job, as experienced in internships and seminars, was reported by 57%. Only 30% thought they were given the relevant competences for their later career. 53% of students reported experiencing feelings of helplessness and insecurity in regard to their course of studies. The answers to the other questions followed a similar trend. This is a call for action as dissatisfied and insecure doctors can hardly expect satisfied and confident patients after treatment.
Nihilism in university teaching is inappropriate. In a Swedish experiment, difficult groups of school students were assigned to the best teachers, and these students achieved the best grades nationwide at the end of their year.
Prof. Dr. med. Dipl. Psych. J. M. Wenderlein
Universität Ulm, firstname.lastname@example.org
|1.||Promotionsarbeit von Rädler P an der Medizinischen Fakultät der Universität Ulm/erfolgreicher Abschluss Februar 2012 mit dem Thema: „Abschätzen des Burnout-Risikos bei Medizin-Studierenden im Vergleich zu Studierenden anderer Fachrichtungen mit Bezug zu soziobiographischen Daten“ (Pilotstudie an 1423 Studierenden).|
|2.||Gibis B, Heinz A, Jacob R, Müller CH: The career expectations of medical students: findings of a nationwide survey in Germany. |
Dtsch Arztebl Int 2012; 109(18): 327–32. VOLLTEXT