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Rapport 1997/29 R (L kar) - Högskoleverket

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10<br />

Summary<br />

Basic training for doctors of medicine in Sweden – five and a half years of<br />

university study – meets high international standards. Its objectives work<br />

well and are widely accepted, requiring only minor adjustments. It also has<br />

highly-motivated students and teachers with a high level of professional<br />

competence in both research and practical medicine.<br />

According to an international comparative study the clinical aspects of the<br />

training are characterized by the students having constant contact with<br />

patients and participating in clinical activities. It is further characterized by<br />

smoothly functioning cooperation between the universities and local health<br />

care agencies. Students of all faculties are on the whole satisfied with the<br />

training they receive. They also feel they are adequately prepared for their<br />

pre-registration period as house officers, a period of salaried probation<br />

lasting 21 months.<br />

The students are well represented in decision-making bodies and they are in<br />

a good position to raise individual issues, to shape opinion in relation to<br />

them and to influence the decisions reached. The education system,<br />

characterized by decentralization and management by objectives, has the<br />

capacity to learn from international and national development trends and to<br />

initiate development processes. After their basic training, generally speaking,<br />

the students are well able to follow developments in their field and to<br />

participate in the exchange of information at a scientific level. They have the<br />

knowledge and skills that are necessary for completing their pre-registration<br />

period of salaried probation and that lay a foundation for their practice of<br />

medicine. Even though the training given is good, generally speaking, there<br />

are a number of critical points. In recent years every faculty of medicine has<br />

devoted a great deal of effort to improving plans for both particular courses<br />

and for training as a whole at the basic level. All faculties have initiated<br />

changes intended to reduce the shortcomings that present in medical<br />

training. Outdated forms of passive learning are being replaced to an<br />

increasing extent by modern pedagogical ideas.

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