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AMEE Berlin 2002 Programme

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8C4 ECTS (European Credit Transfer<br />

System) as a tool in curriculum<br />

development<br />

B Grether<br />

Veterinarmedizinische Fakultat der, Universitat Zurich,<br />

Winterthurerstr. 252, CH 8057 Zurich, SWITZERLAND<br />

The European credit transfer system is based on the<br />

total study workload of an average student. The “lecture<br />

per week” is no longer the measure for study workload;<br />

credits also allow the reflection of student time devoted<br />

to other learning activities such as e-learning, group<br />

work, directed self-study and time spent in skills labs.<br />

Whereas transferring an already existing curriculum<br />

into credits may be very difficult, ECTS can be a helpful<br />

tool when planning a new curriculum. The total amount<br />

of study workload will be defined for each course,<br />

including contact hours, pre- and post- course<br />

assignment, preparation for examinations and time<br />

necessary for various learning activities other than<br />

lectures. By attributing credits for this a balance of<br />

study workload over the whole course of study can be<br />

found. A credit system may also create an environment<br />

adequate for introducing new self-directed learning<br />

methods.<br />

8C5 The continuum of professional<br />

development<br />

H M R Meier<br />

University of Toronto, Mount Sinai Hospital, 600 University<br />

Avenue, Department of Psychiatry, Room 929, Toronto ON<br />

M5G 1X5, CANADA<br />

The first Elective provides the first step on the lifelong<br />

journey of professional development. This<br />

teaching-learning relationship offers additional<br />

dimensions for student and Tutor. Appropriate support<br />

for the Tutor’s professional contribution, including<br />

educational credits, enhances the spirit of the Electives<br />

programme and encourages experience in areas underrepresented<br />

or not yet represented in the core<br />

curriculum. Collaboration with CME and rural medical<br />

education includes conceptualisation of faculty<br />

development applicable beyond the Electives<br />

programme, as changes in core curriculum increasingly<br />

involve off-campus Tutors.<br />

Wednesday 5 September<br />

Session 8D The final examination<br />

8D1 Consistency of examination marks<br />

T Vik*, K H Karlsen and S Westin<br />

Norwegian University of Science & Technology, Department of<br />

Community Medicine, Medical Faculty, Olav Kyrres gt 3, N-<br />

7489 Trondheim, NORWAY<br />

To assess the consistency of examination marks, four<br />

examiners marked two cases given to 69 graduating<br />

medical students as part of the final board examination.<br />

- 4.87 -<br />

8C6 Evaluating ethics seminars<br />

Gerald Neitzke<br />

Department of History, Ethics & Theory of Medicine, Hannover<br />

Medical School (MHH), Carl-Neuberg - Str 1, D30623<br />

Hannover, GERMANY<br />

Teaching medical ethics involves teaching aims and<br />

objectives on different levels. On a cognitive level facts<br />

are taught to extend students’ knowledge. On an<br />

affective level emotions and conscience are dealt with<br />

to foster students’ attitudes and conduct. On the<br />

practical level skills are exercised to achieve sound<br />

moral judgement and decision-making, teamqualifications,<br />

and communication skills. If the<br />

effectiveness of ethics seminars is to be evaluated, all<br />

levels of teaching objectives have to be considered.<br />

Changes of attitudes and behaviour are key qualities<br />

of successful moral education. How can they be<br />

measured and what are fundamental conditions of such<br />

tests? Results should not be biased by students’ moral<br />

convictions. Behavioural changes should be<br />

distinguished from changes of attitudes only. A control<br />

group in a strict statistical sense has to be found. This<br />

presentation scrutinises the prerequisites of a standard<br />

of best evidence in ethics education.<br />

8C7 A tool to evaluate medical ethics<br />

seminars<br />

Mareike Moeller* and Gerald Neitzke<br />

Geibelplatz 4, 30173 Hannover, GERMANY<br />

The development and testing-phase of a survey to<br />

evaluate ethics seminars are presented. At Hannover<br />

Medical School one third of first year medical students<br />

get the chance to attend ethics classes. This offers the<br />

opportunity of an ideal study design with a randomised<br />

control group. The questionnaire is designed to test<br />

affective and practical components related to specific<br />

teaching aims. Attitudes like moral conscientiousness<br />

and empathy, and abilities like argumentation skills and<br />

decision-making are detected. The rationale is to<br />

measure students’ development in the handling of moral<br />

dilemmas before and after attending ethics classes.<br />

Students are confronted with two case histories which<br />

pose moral problems. A total of 16 statements (4 on<br />

each teaching objective) are to be approved/disapproved<br />

on a ratio scale. The pre-test took place already; the<br />

post-test will be carried out in July 2001. The<br />

questionnaire and preliminary results are presented.<br />

The marks were scored from 5 (failed) to 12 (excellent)<br />

and grouped in four categories: Failed, acceptable,<br />

good, and excellent. No student failed. Mean score<br />

given by one examiner (7.9; SD: 1.6) was significantly<br />

lower than that given by the other three (9.4; SD: 1.2).<br />

Correlation coefficients between examiners’ scores<br />

varied from 0.61 to 0.72 (p < 0.001). Agreement in<br />

classifying a student’s knowledge as acceptable, good<br />

or excellent varied from no (kappa: 0.04; 95% CI: -

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