ABSTRACT
The Faculty of Medicine of the Ruhr University Bochum (RUB) introduced a model study course in medicine (MSM) in the winter semester 2003. For 9 consecutive years, 42 out of 280 first year students at the Ruhr University Bochum had the opportunity to begin their studies in the model study course in medicine. The places were allocated amongst the applicants internally through a raffle. The MSM was consistently problem-, practice- and patient-oriented and largely did away with lectures, broke with the distinction between a pre-clinical and clinical phase and tested basic knowledge in equivalent integrated exams focusing on clinical application. Following a comparative evaluation of the standard degree course (RSM) and the MSM, the faculty merged the two degree courses into the Integrated Reformed Medical Curriculum (IRMC), which has been on offer since 2013 and is characterized by a topic-oriented hybrid curriculum. This article examines experiences relating to the origins, conception and introduction of the MSM.
Subject(s)
Curriculum/standards , Models, Educational , Curriculum/trends , Education, Medical, Undergraduate/methods , Faculty, Medical/education , Faculty, Medical/trends , Germany , Humans , Problem-Based Learning , Quality Improvement/legislation & jurisprudence , Quality Improvement/trendsABSTRACT
Gallstone ileus represents a severe complication of cholelithiasis. The incidence of serious disease concomitant with gallstone ileus is high; it is most often seen in elderly patients and contributes to its high morbidity and mortality rates. Bouveret's syndrome is a rare form of gallstone ileus, characterized by its duodenal site after migration through a cholecysto-duodenal fistula in almost all cases. We report on a patient with Bouveret's syndrome. The etiology, pathogenesis, diagnosis and therapeutic approach with literature review are presented and discussed.
