Rapport 1997/29 R (L kar) - Högskoleverket

Only in Linköping is the whole training course characterized by a unified
pedagogical approach. The well-thought out principles underlying basic
training there have produced good results.
Some students lacks sufficient capacity to solve problems independently and
lacks the capacity to make independent and critical judgements. These
students also lack the knowledge to be able to work preventively.Far too
many students are not sufficiently prepared for the teamwork and
collaboration with other professional groups in health care that the medical
profession frequently entails, and also have an inadequate capacity for
empathy and for an ethical attitude with respect to patients and their
relatives.
Many teachers give higher priority to research than to teaching. To too great
an extent, forms of examination encourage the listing of facts rather than
analysis and understanding, the curricula are overloaded in relation to the
time available and the internationalization of training can be developed far
better.
With respect to the clinical aspects of training, planning has not taken
sufficient account of those changes in health care which have entailed fewer
patients being treated as in-patients. Supervision does not meet high enough
standards and can be improved. There is a lack of facilities for teaching in
close proximity to patients.
Every faculty requires to create both a strategy and a plan of action for ITtraining.
All faculties of medicine agree on the importance of activity-related
budgets. During the pre-registration period, clinical competence develops
strongly. By the time they have completed their probationary period, most
house officers have adequate clinical judgement. To a minor extent, however,
certain shortcomings remain.
The objectives of the pre-registration period of salaried probation need to be
revised and oriented towards problem-solving skills, and links to basic
training need to be reinforced. Supervision needs to be improved and service
periods should be more cohesive. Compared with other major fields, general
medicine is exemplary with respect to the supervision provided for house
officers.
11