DÄ internationalArchive43/2012Nihilism is Inappropriate
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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.

DOI: 10.3238/arztebl.2012.0736a

Prof. Dr. med. Dipl. Psych. J. M. Wenderlein

Universität Ulm, wenderlein@gmx.de

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
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