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Review article: Biomedical intelligence

Vol. 142 No. 5152 (2012)

Reforms of the pre-graduate curriculum for medical students: the Bologna process and beyond

  • Pierre-André Michaud
DOI
https://doi.org/10.4414/smw.2012.13738
Cite this as:
Swiss Med Wkly. 2012;142:w13738
Published
16.12.2012

Summary

For several years, all five medical faculties of Switzerland have embarked on a reform of their training curricula for two reasons: first, according to a new federal act issued in 2006 by the administration of the confederation, faculties needed to meet international standards in terms of content and pedagogic approaches; second, all Swiss universities and thus all medical faculties had to adapt the structure of their curriculum to the frame and principles which govern the Bologna process. This process is the result of the Bologna Declaration http://www.bologna-bergen2005.no/Docs/00-Main_doc/990719BOLOGNA_DECLARATION.PDF of June 1999 which proposes and requires a series of reforms to make European Higher Education more compatible and comparable, more competitive and more attractive for Europeans students. The present paper reviews some of the results achieved in the field, focusing on several issues such as the shortage of physicians and primary care practitioners, the importance of public health, community medicine and medical humanities, and the implementation of new training approaches including e-learning and simulation. In the future, faculties should work on several specific challenges such as: students’ mobility, the improvement of students’ autonomy and critical thinking as well as their generic and specific skills and finally a reflection on how to improve the attractiveness of the academic career, for physicians of both sexes.

References

  1. Wauters JP, Bader C, Berger EG, Bloch R, Isler R, Ludwig H, et al. La Réforme nécessaire des études médicales en Suisse / Die Dringlichkeit der Reform des Medizinstudiums in der Schweiz. Bulletin des médecins suisses. 1996;77:2036–45.
  2. Bürgi H, Rindlisbacher B, Bader Ch, Bloch R, Bosman F, et al. Swiss Catalogue of Learning Objectives for Undergraduate Medical Training. Bern: Working Group under a mandate of the Joint Commission of the Swiss Medical Schools; 2008.
  3. Patricio M, de Burbure C, Costa M, Schirlo C, Ten Cate O. Bologna in Medicine Anno 2012: experiences of European medical schools that implemented a Bologna two-cycle curriculum – An AMEE-MEDINE2 survey. Medical teacher. 2012;34(10):821–32.
  4. Conseil Suisse de la Science et de la Technologie. Quel avenir pour la médecine universitaire? Berne: Administration fédérale; 2006.
  5. Conseil Fédéral. Réponse du Conseil fédéral à la motion Humbel. In: fédérale A, editor. 113885 – Interpellation. Berne: Administration fédérale; 2011.
  6. Conseil Fédéral. Stratégie pour lutter contre la pénurie de médecins et encourager la médecine de premier recours. Berne: Ofice fédéral de la santé publique; 2011.
  7. Frenk J, Chen L, Bhutta ZA, Cohen J, Crisp N, Evans T, et al. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. Lancet. 2010;376(9756):1923–58.
  8. Kaiser HJ, Kiessling C. Two-cycle curriculum – bachelor-master structure according to the Bologna agreement: the Swiss experience in Basle. GMS Zeitschrift fur medizinische Ausbildung. 2010;27(2):Doc31.
  9. Hodel M, Clerc V, «Ausbildungskapazitäten» A. Bericht zur Erhöhung der Abschlusszahlen in Humanmedizin. Berne: Office fédéral de la santé publique et Conférenceuniversitaire suisse; 2012 Mai 2012.
  10. Conseil Suisse de la Science et de la Technologie. Démographie médicale et réforme de la formation professionnelle des médecins. Berne: Conseil Suisse de la Sccience et de la technologie; 2007.
  11. Frank JE. The CanMEDS 2005 physician competency framework. Better standards. Better physicians. Better care. Ottawa: Office of Education, the Royal College of Physicians and Surgeons of Canada; 2005.
  12. Okuda Y, Bryson EO, DeMaria S, Jr., Jacobson L, Quinones J, Shen B, et al. The utility of simulation in medical education: what is the evidence? The Mount Sinai journal of medicine, New York. 2009;76(4):330–43.
  13. Isler R, Romerio S, Halter U, Heiniger S, Persike M, Roers B, et al. One-on-one long-term tutorials in general practitioners’ practices – a successful new teaching concept in primary care medicine. Swiss Med Wkly. 2009;139(11-12):161–5.
  14. Bischoff T, Junod M, Cornuz J, Herzig L, Bonvin R. Teaching family medicine in Lausanne. Rev Med Suisse. 2010;6(273):2270–2, 4–5.
  15. Vu N, Germond M. Swiss medical students’ career plan, specialty and residency location choices. Geneva: University of Geneva Medical Faculty/UDREM; 2010.
  16. Gallant S, Clerc M, Gachoud D, Morin D. Learning together to work together: interprofessional education, a myth or reality? Recherche en soins infirmiers. 2011;106:40–6.
  17. Michaud PA, Luthi FT, Clerc M, Gachoud D, Chapuis J, Allin AC, et al. Interprofessional education for all... An awareness experience for undergraduate students in Vaud. Rev Med Suisse. 2011;7(319):2363–5.
  18. Birbaumer N, Stoffel M. Medical Humanities in der Schweiz. Bern: Swiss Academies of Arts and Sciences; 2012.
  19. Aebischer P, Eichler, Escher G, Leuthold M. Stratégie médicale des Ecoles polytechniques. Bulletin ASSM. 2011;4(11):1–4.

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