Training medical students for the twenty-first century: Rationale and development of the Utrecht curriculum "CRU+"

Medical Teacher
Olle ten Catenumerous faculty members and students involved in the subsequent Utrecht curricular reforms

Abstract

The aim of this report, written for the 40th anniversary issue of Medical Teacher, is to document 20 years of development of the Utrecht undergraduate medical curriculum, as both to exhibit accountability and to inform the community of the process and choices that can be made in long-term curriculum development. We used the SPICES model, created by Medical Teacher's Editor Ronald Harden and colleagues in 1984. The Utrecht six-year program, now called "CRU+", has many distinct features that were introduced, most of which are well documented. A limited selection includes  • A new 3+3 years Bachelor-Master structure following the EU Bologna rules leading to MD registration for cohorts of about 300.  • Horizontally integrated classroom teaching of basic sciences with clinical disciplines predominantly in groups of 12 and limited lectures.  • Mandatory knowledge retention tests, retesting the clinically relevant core knowledge from block tests of semesters one through four.  • Vertical integration not only linking clinical experience with background knowledge, but also exemplified by a stepwise increase in health care responsibilities throughout the curriculum.  • A final year focussing on growth towards the level of a primary respo...Continue Reading

References

Jul 1, 1984·Medical Education·R M HardenW R Dunn
Jan 1, 1983·Medical Education·H G Schmidt
Mar 14, 2003·Academic Medicine : Journal of the Association of American Medical Colleges·Jan C C BorleffsOlle Th J ten Cate
Feb 27, 2004·Academic Medicine : Journal of the Association of American Medical Colleges·Olle ten CateJan Vermunt
Feb 23, 2007·The New England Journal of Medicine·David M Irby
Feb 23, 2007·The New England Journal of Medicine·David A HirshMalcolm Cox
Dec 26, 2007·Medical Teacher·Digna M A KamalskiJan C C Borleffs
Feb 1, 2008·Medical Teacher·Olle Ten Cate
Nov 17, 2009·Medical Teacher·Marjo Wijnen-MeijerJan C C Borleffs
Jan 1, 2007·Medical Teacher·Steven J Durning, Olle Th J ten Cate
May 7, 2010·Medical Education·Marjo Wijnen-MeijerJan C C Borleffs
Dec 16, 2010·Medical Education·Eric HolmboeElizabeth Bernabeo
May 10, 2013·The Clinical Teacher·Marjo Wijnen-MeijerSigrid Harendza
Sep 17, 2013·Perspectives on Medical Education·B A M van den BergTh J Ten Cate
Dec 4, 2014·Academic Medicine : Journal of the Association of American Medical Colleges·H Carrie ChenOlle ten Cate
Dec 10, 2015·JAMA : the Journal of the American Medical Association·Douglas A MataSrijan Sen
Dec 23, 2015·BMC Medical Education·Marjo Wijnen-MeijerSigrid Harendza
Nov 12, 2016·Medical Teacher·Judith Nicky HudsonElizabeth A Farmer
Oct 4, 2017·The Clinical Teacher·Olle Ten Cate, Reinier G Hoff
Nov 13, 2017·Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen·Olle Ten Cate
Feb 23, 2018·Medical Teacher·Olle Ten CateMarijke van Dijk

❮ Previous
Next ❯

Citations

Apr 14, 2018·Medical Teacher·Trevor Gibbs
Feb 23, 2018·Medical Teacher·Olle Ten CateMarijke van Dijk
Feb 23, 2020·Teaching and Learning in Medicine·Sjoukje van den BroekOlle Ten Cate
Dec 8, 2020·Medical Teacher·Ilir I CinokuHaralampos M Moutsopoulos
Dec 16, 2020·BMC Medical Education·Marjo Wijnen-MeijerOlle Ten Cate
Nov 23, 2020·Academic Pediatrics·Daniel J SchumacherCarol Carraccio
Jun 30, 2021·Academic Medicine : Journal of the Association of American Medical Colleges·Daniel J Schumacher, David A Turner
Jun 30, 2021·Academic Medicine : Journal of the Association of American Medical Colleges·Jacqueline de GraafOlle Ten Cate
Oct 28, 2019·Medical Science Educator·Sophie QueridoOlle Ten Cate

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.