%0 Journal Article %T Der Einsatz von medizinischen Trainingszentren f¨¹r die Ausbildung zum Arzt in Deutschland, sterreich und der deutschsprachigen Schweiz [Clinical Skills Labs in Medical Education in Germany, Austria and German Speaking Switzerland] %A Segarra %A Luisa Maria %A Schwedler %A Andreas %A Weih %A Markus %A Hahn %A Eckhart G. %J GMS Zeitschrift f¨¹r Medizinische Ausbildung %D 2008 %I German Medical Science, D¨¹sseldorf %X [english] Introduction: Following the reform of the medical licensure law in 2002 German medical faculties have started implementing clinical skills labs. This survey aims to present a review about the stage of development in this domain in Germany as well as in Austria and in German-speaking Switzerland. Method: In the period between August and December 2007 all the 43 medical faculties in Germany, Austria and in German-speaking Switzerland were interviewed with a questionnaire covering 7 topics. The further analysis included skills labs where more than one medical specialty was involved (¡°central¡± skills labs) Results: The response rate was 100 %. By the time of the survey 33 of the existing 43 faculties maintained a skills lab, 24 of them entered the overview. 22 skills labs were managed by physicians. The number of employees varied between 1 and 8, the number of student tutors between 0 and 40. The size of the existing skills labs varied between below 100 m2 and 2500 m2. Most of the skills labs (19) based their tuition upon instruction manuals, and 19 worked with simulated patients (mostly using both). In 15 skills labs simulated patients were also set in for assessment. 17 skills labs taught with problem based learning, 16 taught with computer based learning. Questions about personal costs, acquisition cost and current costs were answered scarcely and inhomogeneously. Discussion: The foundation of clinical skills labs in Germany was furthered by the medical licensure law reform and by the recent introduction of tuition fees. Marked similarities amongst the skills labs existed in teaching methods and content and in assessment. The increasing number of new skills labs since tuition fees have been introduced suggests that medical faculties use such resources for the improvement of practical competencies in medical education. Conclusion: In order to save resources we suggest an exchange and co-operation between existing medical skills labs. This would facilitate the development of common quality standards and guidelines for medical skills labs. It also seems to be necessary to define the term ¡°central skills lab¡± accurately. The authors recommend the Committee on Practical Skills of the Gesellschaft f¨¹r Medizinische Ausbildung (GMA) as a platform for such co-operation. [german] Zielsetzung: Seit der Novellierung der AppO im Jahr 2002 werden im deutschsprachigen Raum an den medizinischen Universit ten zunehmend Medizinische Trainings- und Pr¨¹fungszentren eingerichtet. Die vorliegende Erhebung soll einen ¨¹berblick ¨¹ber den Stand der Entwicklung in diesem %K Clinical skills lab %K practical medical skills %K OSCE %K Medizinisches Trainingszentrum %K praktische rztliche Fertigkeiten %K OSKE %U http://www.egms.de/static/en/journals/zma/2008-25/zma000564.shtml