Is DCH equal to MD

M. D. instead of Dr. med.?

Medical studies are to be turned inside out in the next few years and thus made more sustainable, according to a position paper of the Science Council, which advises politics. Instead of individual subjects as before, training should in future be based on medical roles and their competencies. General medicine should take up more space. Something should also change when it comes to acquiring a doctorate: the number of general practitioners in further training that is supported increased in 2013.

In an increasingly complex supply situation, the demands on the medical profession are growing immensely, states the Science Council. Doctors should be able to investigate issues arising from patient problems and make evidence-based decisions. With these premises in mind, the Science Council drew up its current recommendations for reforming medical studies.

Early patient contact is desired

The course content should therefore primarily be conveyed in interdisciplinary, organ and topic-centered modules. By integrating pre-clinical and clinical content, the importance and application of theoretical principles for medical practice can be emphasized right from the start of the course. A comprehensive practical relevance naturally includes early patient contact as well as psychosocial and communicative skills, according to the Science Council. For reasons of quality assurance, the Science Council recommends a nationwide intermediate examination after the 6th semester. This should be supplemented by a structured clinical-practical part of the examination. Overall, the medical examinations should be standardized. In future, the practical year is to be divided into four training sections of 12 weeks each, thus allowing greater freedom of choice.

Get to know primary medical problems

Primary medical care must be given an appropriate priority during training. Accordingly, general medicine must also be adequately taken into account when redesigning the learning and examination content, is another recommendation of the Science Council. For this purpose, general medicine would have to be institutionalized across the board in the faculties and students would have to be able to deal with the specific problems of primary care in further courses.

More scientific competence

In addition, in the opinion of the Science Council, the acquisition of scientific competencies during studies is a necessary prerequisite for being able to exercise the medical profession responsibly. All students should therefore independently work on a problem from the field of medicine using scientific methods as part of a compulsory research work during their studies. The prospective doctors should develop a comprehensive understanding of health and illness and thus be put in a position to examine their own actions with regard to their evidence base and against the background of new medical knowledge in order to arrive at a decision based on the individual patient.

The Medical Faculty Day already expressly welcomed this demand for a more scientific orientation of medical studies as the basis for future medical work.

Dr. light for everyone

The proposals of the German Society for Internal Medicine (DGIM) also go in a similar direction. Although more than a quarter of all doctorates in Germany are taken by prospective doctors, the reputation of the medical doctor title to serve only as a figurehead for practice, according to the DGIM. Methodical knowledge and the introduction to clinical studies are still neglected in today's university education.

It would be better to let the youngsters take part in research work early on in their studies. In a position paper, the DGIM therefore calls for the doctorate to be upgraded and advises that an additional medical doctorate, or M. D. for short, be obtained without a scientific doctorate. This would be granted with the license to practice medicine. The title "Dr. med." on the other hand, would only be obtainable after a corresponding examination and submission of an independent scientific paper.

Dr. Ingolf Dürr