1

The medical curriculum in

Maastricht

Mirjam oude Egbrink, PhDProgramme Director Medical School

FHML, University Maastricht

Content

• Educational principles

• The curriculum

2

A scientific/academic approach to education, in which an

optimal learning environment is created, which is based on

rationality, theory and evidence:

Evidence-based education

What is our aim in medical education?

Three C’s of education

Contextual

Constructive

Collaborative

3

Characteristics of Problem-Based Learning

Contextual:

• Clinical problems are the trigger for learning

• A variety problems are given

• Skills-oriented, early practice contacts

• Clinical reasoning/problem solving/reflection in clinical

workplaces

Characteristics of Problem-Based Learning

Constructive:

• Staff designs medical scenarios to be discussed

• Students define problems

• Activation of prior knowledge during brainstorm

• Formulation of learning goals

• Self study

• Reporting of information

This approach stimulates active, self-directed learning

4

Characteristics of Problem-Based Learning

Collaborative:

• Working together in small groups

• Cooperative atmosphere

5

Curriculum 2001

6

5

clerkships4

chronic disorders3

stages of life and diagnostics2

emergency care and regulatory systems1

clerkships

participation in research and patient care

Year

Curriculum 2001structure

Year 2 Stages of life and diagnostics

Year 5 Clerkships

heart / lungs / vessels abdomen locomotion brain and behaviourdermatology ENT ophthalmology social healthInternal medicine surgery paediatrics / gynaecology psychiatry/neurology family medicineScientific research Clinical participationelectives

electivesYear 1-2Preparing for practice

Year 4-5Learning & working in practice

Year 3Transition from theory to practice

Year 6Participation in science (6 months) and Health Care (6 months)

6

Curriculum 2001 Yrs 1 & 2

Year 1 Emergency medicine and regulatory mechanisms

Year 2 Life cycle and diagnostics

Acute distress Traumata Dyspnoea Shock Abdominal UnconsciousnesscomplaintsThe cell From wish to child Adolescence The adult Ageing Electives

The tutorial group

√ Composition : - 8-10 students- chair- scribe- tutor

√√√√ Duration: - 2 hours

- 1 hour report- 1 hour new case prep

√ Frequency: - Twice per week

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Model

3.

REPORTING

Tutor

2.

SELF-STUDY

Student

1.

PREPARATION

Tutor

Monday Tuesday Wednesday Thursday

Tutorial

A student’s week

Friday

Anatomy

practicalSkills lab

Forum

Pathology/

Radiology

Lecture ACT

Self-study

Tutorial

Self-study

8

Curriculum structure

Year 2 Stages of life and diagnostics

Year 5 Clerkships

heart / lungs / vessels abdomen locomotion brain and behaviourdermatology ENT ophthalmology social healthInternal medicine surgery paediatrics / gynaecology psychiatry/neurology family medicineScientific research Clinical participationelectives

electivesYear 1-2Preparing for practice

Year 4-5Learning & working in practice

Year 3Transition from theory to practice

Year 6Participation in science (6 months) and Health Care (6 months)

Year 3

• Chronic Disorders

• 4 clusters:

– Abdomen

– Locomotor system

– Circulation and Lungs

– Psychomedical problems and Mental Health Care

• Each 10 weeks, rotation

9

Group meetings

• 10 Students, 1 coach

• Once a week

• 4 hours

– 3 hours reporting

– 1 hour preparation

• 1-2 days later: patient encounter

• One week later: succeeding group meeting

Model

4.

REPORTING

Coach

2.

PATIENT ENCOUNTER

Clinical Supervisor

3.

SELF-STUDY

Student

1.

PREPARATION

Coach

10

Tuesday Wednesday Thursday Friday

Group

meeting

Example of a week in a cluster

Monday

Outpatient

Clinic

Tuesday

Group

meeting

Anatomy

practical

Skills lab

Forum

Pathology/

Radiology

Lecture

CAT

SPP

Self-study

11

Curriculum structure

Year 2 Stages of life and diagnostics

Year 5 Clerkships

heart / lungs / vessels abdomen locomotion brain and behaviourdermatology ENT ophthalmology social healthInternal medicine surgery paediatrics / gynaecology psychiatry/neurology family medicineScientific research Clinical participationelectives

electivesYear 1-2Preparing for practice

Year 4-5Learning & working in practice

Year 3Transition from theory to practice

Year 6Participation in science (6 months) and Health Care (6 months)

Curriculum 2001 Yrs 4 & 5

Year 5 Clerkships

Year 4 Clerkshipsderm. ENT ophth. internal medicine surgery electivessocial neurology paediatrics gynaecology psychiatry family medicinemedicine

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Structure:

• start week: preparatory

(theoretical) learning

activities

• final week: evaluation,

reflection, closure

Year 4-5 Clerkships

Curriculum structure

Year 2 Stages of life and diagnostics

Year 5 Clerkships

heart / lungs / vessels abdomen locomotion brain and behaviourdermatology ENT ophthalmology social healthInternal medicine surgery paediatrics / gynaecology psychiatry/neurology family medicineScientific research Clinical participationelectives

electivesYear 1-2Preparing for practice

Year 4-5Learning & working in practice

Year 3Transition from theory to practice

Year 6Participation in science (6 months) and Health Care (6 months)

13

Curriculum 2001 Yr 6

- Supervised independent work in a research environment

Thesis

- Supervised independent work in a clinical environment

Peer coaching

Built-in reflection moments

Year 6 Independent functioning and participation in health care and scienceScientific research Clinical participation

QUESTIONS?