Einsatz von Simulationspatienten im Kommunikations- und Interaktionstraining für Medizinerinnen und Mediziner (Medi-KIT): Bedarfsanalyse — Training — Perspektiven

Communication skills are of central importance within daily medical life providing effective treatment. In the modern high-tech field of medicine, trustful conversations play a prominent role. In order to help students of the Heidelberg Medical Faculty to be ready for their highly responsible role as communication partner, training is carried out in the framework of HeiCuMed (short for Heidelberger Curriculum Medicinale) using specially trained simulation patients. The communication and interaction training program (referred to as Medi-KIT) enables to practice conducting conversations with challenging communication partners and grave conversational content in difficult situations. Feedback from the standardized patients, as well as from peers and tutors represents a central didactic element.In order to secure knowledge transfer into daily clinic life and as well to build a relation to cognitive knowledge transfer, all medical students are assigned, alongside Medi-KIT lessons, to a ward, and training units are coordinated in terms of content to correspond with symptom-oriented lectures and parallel POL-groups (problem-oriented learning groups). In addition, communication learning objectives are examined at the end of the semester in the form of a clinical practical exam (OSCE: Objective Structured Clinical Examination) and at patient’s bedside (Mini-CEX: Mini Clinical Examination). The goal in imparting communication skills within medical education is that the longitudinal communication curriculum be maintained and continued in subsequent medical specialization studies.     

Organisation als Freiraum und Zwang

Organisations are marked by contradictions: change and continuity, health and sickness, men and women, creativity and linearity, past and future and freedom and restriction are only a few poles in which these contradictions are made visible. Organisations try to give answers to these contradictions and give space for both: freedom and restriction. Here, systems and individuals are related in mutual challenge and in permanent negotiation. It is therefore important for management and employee to reflect on the preconditions for the chance of freedom and restriction. The organisation has to provide the possibility to legitimize the ‘Management of Paradox’ in order to generate answers which are necessary to guide change and contradiction.     

Reviews

R. H. Hilton, The English Peasantry in the Later Middle Ages (1975), 256 (Clarendon Press, Oxford, £6.50).

Colin Platt, The English Medieval Town (1976), 219 (Seeker and Warburg, £6.00).

James Axtell, The School Upon A Hill. Education and Society In Colonial New England (1974), xxi+298 (Yale University Press, New Haven, £7.50).

Kenneth A. Lockridge, Literacy in Colonial New England. An Enquiry Into The Social Context of Literacy in the Early Modern West (1974), 164 (W. W. Norton and Co., New‐York, $6.95).

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Douglas Hay, Peter Linebaugh and E. P. Thompson (eds.), Albion's Fatal Tree (1975), 344+15 illustrations (Allen Lane, £7.50).

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Historical Demography as Social History. Giessen and Surrounding District.¹

Alan Forrest, Society and Politics in Revolutionary Bordeaux (1975), xi+300 (Oxford University Press, £8.00).

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Optimum stratification with two variates

For the 2×2 rectilinear stratification of a bivariate normal distribution with proportional and optimum allocation the dependence of the objective function z(x₁;y₁) on the coefficient of correlation ρ and the sampling fraction q=n/N is investigated. With proportional allocation for great values of ρ (but already for q=0) a so-called ρ-effect arises, which results in a saddle-point of z as “optimum” stratification point in the center of gravity of the distribution and two additional minima. With optimum allocation first for smaller values of q also the ρ-effect arises; for grater values of q a so-called q-effect is superposed, which results in a multitude of minima, saddle-points and maxima of z. All these points satisfy the generalized conditions of Dalenius, but for practical use only the global minimum is of interest.     

Pitfalls in multi-national long-range planning

The authors of this article argue that too many companies are not getting the benefits which should be produced by their long-range planning systems. Of the many possible explanations for this, the authors concentrate on the major pitfalls which should be avoided in order to ensure good results. The article is based upon the results of a survey of planning pitfalls among corporations in six industrialized countries.