Der Unterricht zur Arzt-Patientin-Beziehung (APB) im Fach Medizinische Soziologie an den medizinischen Fakult ten der Bundesrepublik Deutschland nach nderung der Approbationsordnung für rzte [Teaching the doctor-patient relationship in medical sociology within German medical faculties following revisions to licensing regulations for physicians]

[english] Background: Changes in requirements governing licensing regulations for physicians in Germany ( AppO) in 2002, has led to complex discussions within the German Society of Medical Sociology (DGMS). In order to support the process of curricular agreement, the DGMS workgroup entitled ‘teaching’ conducted a survey on how the doctor–patient relationship is taught in medical sociology. Method: The survey was conducted in spring 2005 via e-mail. A standardized questionnaire including a total of thirty educational objectives comprised the survey, whereby each objective was evaluated by five criteria. Thirteen experts in the field of medical sociology variously representing eleven medical faculties responded. According to suggested methods of the Delphi survey, means and ranges were calculated. Results: Of the thirty educational objectives surveyed, two were evaluated negatively by a majority of individuals. Twenty objectives showed variances in evaluation (i.e., controversial objectives). Eight objectives, for example, the social framing of the doctor–patient relationship, the elaborateness of language use, or the asymmetry of the doctor–patient relationship, were generally judged positively. Controversial objectives revealed some areas of contradiction. Some objectives – for example, exploring the social background of a patient – were evaluated as important items but were not frequently taught during regular sociology courses. Conclusions: The results show an interesting picture of present teaching practices in eleven medical faculties and will likely stimulate further discussion in the field of medical sociology. The response rate and discussions held in recent years demonstrate the need to discuss questions of relevance to medical education before a wider audience, both within the DGMS and other disciplines. Educational objectives and didactic methods need to be further developed to bring teaching in step with actual practice as well as to make it more multifaceted. [german] Hintergrund: Die 2002 eingeführte neue rztliche Approbationsordnung ( AppO) l ste in der Fachgesellschaft Deutsche Gesellschaft für Medizinische Soziologie e.V. (DGMS) eine vielschichtige Diskussion aus. Um den Prozess der curricularen Verst ndigung zu forcieren, wurde von der AG Lehre der DGMS eine Befragung zum Thema Arzt-Patientin-Beziehung im medizinsoziologischen Unterricht durchgeführt. Methode: Die Befragung fand im Frühjahr 2005 per E-Mail statt. Instrument war ein standardisierter Fragebogen mit insgesamt drei ig Lernzielen, welche nach fünf Kriterien beurteilt werden