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    <IdentifierDoi>10.3205/zma000677</IdentifierDoi>
    <IdentifierUrn>urn:nbn:de:0183-zma0006772</IdentifierUrn>
    <ArticleType>Leserbrief&#47;letter to the editor</ArticleType>
    <TitleGroup>
      <Title language="en">The joint issue of the Tijdschrift voor Medisch Onderwijs and the GMS Zeitschrift f&#252;r Medizinische Ausbildung, Heft 02&#47;2010</Title>
    </TitleGroup>
    <CreatorList>
      <Creator>
        <PersonNames>
          <Lastname>Duvivier</Lastname>
          <LastnameHeading>Duvivier</LastnameHeading>
          <Firstname>Robbert</Firstname>
          <Initials>R</Initials>
        </PersonNames>
        <Address>Maastricht University, medical student, Maastricht, The Netherlands<Affiliation>Maastricht University, medical student, Maastricht, The Netherlands</Affiliation></Address>
        <Email>robbertduvivier&#64;g.mal.com</Email>
        <Creatorrole corresponding="yes" presenting="no">author</Creatorrole>
      </Creator>
      <Creator>
        <PersonNames>
          <Lastname>Weggemans</Lastname>
          <LastnameHeading>Weggemans</LastnameHeading>
          <Firstname>Margot</Firstname>
          <Initials>M</Initials>
        </PersonNames>
        <Address>
          <Affiliation>Utrecht University, medical student, Utrecht, The Netherlands</Affiliation>
        </Address>
        <Creatorrole corresponding="no" presenting="no">author</Creatorrole>
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    <PublisherList>
      <Publisher>
        <Corporation>
          <Corporatename>German Medical Science GMS Publishing House</Corporatename>
        </Corporation>
        <Address>D&#252;sseldorf</Address>
      </Publisher>
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    <SubjectGroup>
      <SubjectheadingDDB>610</SubjectheadingDDB>
      <SectionHeading language="de">Humanmedizin</SectionHeading>
    </SubjectGroup>
    <DateReceived>20100422</DateReceived>
    <DateRevised>20100426</DateRevised>
    <DateAccepted>20100427</DateAccepted>
    <DatePublishedList>
      <DatePublished>20100517</DatePublished>
    </DatePublishedList>
    <Language>engl</Language>
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      <Journal>
        <ISSN>1860-3572</ISSN>
        <Volume>27</Volume>
        <Issue>3</Issue>
        <JournalTitle>GMS Zeitschrift f&#252;r Medizinische Ausbildung</JournalTitle>
        <JournalTitleAbbr>GMS Z Med Ausbild</JournalTitleAbbr>
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      <MainHeadline>Leserbrief&#47;letter to the editor</MainHeadline>
      <Pgraph>With much interest we read the joint issue of the Tijdschrift voor Medisch Onderwijs and the Zeitschrift f&#252;r Medizinische Ausbildung. We applaud the initiative taken by the editorial boards of both journals to provide an overview of the present state of medical education in Europe. We particularly enjoyed the contributions by our fellow students from Belgium, the Netherlands, Switzerland, Germany, and Austria. </Pgraph>
      <Pgraph>To quote the editorial by Professors Borleffs and Hahn &#8221;Nowadays medical education is not confined to national borders. Medical education has become a European concern, or even a broader issue with international impact.&#8221; <TextLink reference="1"></TextLink> We therefore would like to take this opportunity to highlight some recent developments in European medical education from an international student perspective.</Pgraph>
      <Pgraph>The submissions provide interesting similarities and differences in students&#8217; experiences with the implementation of the Bologna Process. However, a unifying analysis is lacking. We wholeheartedly welcome the intention of the Editors &#8220;that we should learn from each other&#8221;.  Actually, medical students are learning from each other. In this commentary we would like to provide some examples of those efforts.</Pgraph>
      <Pgraph>In 2004, medical students were the first stakeholders to issue a statement on the Bologna Process. This statement was the result of a series of meetings by representatives from various organisations, mostly local medical student councils and national student associations. Using a wide variety of methods in an iterative process, we produced the consensus document as published in the academic journal <Mark2>Medical Teacher </Mark2><TextLink reference="2"></TextLink>. Back then, we raised our concerns regarding the implementation of a two-cycle structure in medicine. Three years later we used the same process to write a second statement to comment on the progress that had been made in the field of medicine <TextLink reference="3"></TextLink>. Last year student representatives from 18 countries met again to discuss the results of the Bologna Process, ten years after signing the initial declaration. Their focus was the current state of implementation and future developments. </Pgraph>
      <Pgraph>We share the analysis from our German colleagues that the two-cycle structure can be used to strengthen the unhelpful traditional division between the basic sciences and clinical sciences. In order to achieve harmonisation of medical education in Europe we deem it necessary to agree on core learning outcome to be achieved by graduation. These common core outcomes would constitute the European Core Curriculm in accordance with relevant European regulations (ie directive 2005&#47;36&#47;EC). Medical students have proposed such a European Core Curriculum <TextLink reference="4"></TextLink>. We suggest that this curriculum is used as a framework which can be easily adapted and adjusted to meet national and local needs.</Pgraph>
      <Pgraph>As medical students who strive to improve the quality of our education and our competence as tomorrow&#8217;s doctors, we encourage all readers of TMO&#47;ZMA to use our suggestions as a basis for further discussion.</Pgraph>
    </TextBlock>
    <TextBlock linked="yes" name="The authors">
      <MainHeadline>The authors</MainHeadline>
      <Pgraph>1. Robbert Duvivier, fifth-year medical student at Maastricht University, the Netherlands</Pgraph>
      <Pgraph>2. Margot Weggemans, fifth-year medical student at Utrecht University, the Netherlands</Pgraph>
      <Pgraph>Directors, Standing Committee on Medical Education, International Federation of Medical Students&#8217; Associations</Pgraph>
    </TextBlock>
    <References linked="yes">
      <Reference refNo="1">
        <RefAuthor>Borleffs JC</RefAuthor>
        <RefAuthor>Hahn EG</RefAuthor>
        <RefTitle>Medical Education in Europe</RefTitle>
        <RefYear>2010</RefYear>
        <RefJournal>GMS Z Med Ausbild</RefJournal>
        <RefArticleNo>Doc36</RefArticleNo>
        <RefTotal>Borleffs JC, Hahn EG. Medical Education in Europe. GMS Z Med Ausbild. 2010;27(2):Doc36. Zug&#228;nglich unter: http:&#47;&#47;www.egms.de&#47;static&#47;en&#47;journals&#47;zma&#47;2017-27&#47;zma000673.shtml</RefTotal>
        <RefLink>http:&#47;&#47;www.egms.de&#47;static&#47;en&#47;journals&#47;zma&#47;2017-27&#47;zma000673.shtml</RefLink>
      </Reference>
      <Reference refNo="2">
        <RefAuthor>Onur O</RefAuthor>
        <RefAuthor>Westbye HJ</RefAuthor>
        <RefAuthor>Kovac K</RefAuthor>
        <RefAuthor>IFMSA</RefAuthor>
        <RefTitle>The Bologna declaration and medical education. A policy statement for the medical students of Europe</RefTitle>
        <RefYear>2005</RefYear>
        <RefJournal>Med Teach</RefJournal>
        <RefPage>83&#8211;85</RefPage>
        <RefTotal>Onur O, Westbye HJ, Kovac K, IFMSA. The Bologna declaration and medical education. A policy statement for the medical students of Europe. Med Teach. 2005;27(1):83&#8211;85. DOI:10.1080&#47;01421590400019625</RefTotal>
        <RefLink>http:&#47;&#47;dx.doi.org&#47;10.1080&#47;01421590400019625</RefLink>
      </Reference>
      <Reference refNo="3">
        <RefAuthor>Kulike</RefAuthor>
        <RefAuthor>K</RefAuthor>
        <RefAuthor>Lauch R</RefAuthor>
        <RefAuthor>Westkemper M</RefAuthor>
        <RefAuthor>Schlabs T</RefAuthor>
        <RefAuthor>Johannink J</RefAuthor>
        <RefAuthor>Schwab A</RefAuthor>
        <RefAuthor>Lapp S</RefAuthor>
        <RefAuthor>Weinmann P</RefAuthor>
        <RefAuthor>Hilgers J</RefAuthor>
        <RefTitle>Die Bachelor&#47;Master-STruktur in der Medizin &#8211; Die Perspektive der Medizinstudierenden</RefTitle>
        <RefYear>2008</RefYear>
        <RefJournal>GMS Z Med Ausbild</RefJournal>
        <RefArticleNo>Doc71</RefArticleNo>
        <RefTotal>Kulike, K, Lauch R, Westkemper M, Schlabs T, Johannink J, Schwab A, Lapp S, Weinmann P, Hilgers J. Die Bachelor&#47;Master-STruktur in der Medizin &#8211; Die Perspektive der Medizinstudierenden. GMS Z Med Ausbild. 2008;25(1):Doc71. Zug&#228;nglich unter: http:&#47;&#47;www.egms.de&#47;static&#47;en&#47;journals&#47;zma&#47;2008-25&#47;zma000555.shtml</RefTotal>
        <RefLink>http:&#47;&#47;www.egms.de&#47;static&#47;en&#47;journals&#47;zma&#47;2008-25&#47;zma000555.shtml</RefLink>
      </Reference>
      <Reference refNo="4">
        <RefAuthor>Hilgers J</RefAuthor>
        <RefAuthor>De Roos P</RefAuthor>
        <RefAuthor>IFMSA</RefAuthor>
        <RefAuthor>EMSA</RefAuthor>
        <RefTitle>European core curriculum &#8211; the students&#8217; perspective Bristol, UK, 10 Juli 2006</RefTitle>
        <RefYear>2007</RefYear>
        <RefJournal>Med Teach</RefJournal>
        <RefPage>83-84</RefPage>
        <RefTotal>Hilgers J, De Roos P, IFMSA, EMSA. European core curriculum &#8211; the students&#8217; perspective Bristol, UK, 10 Juli 2006. Med Teach. 2007;29(2-3):83-84. DOI:10.1080&#47;01421590701268731</RefTotal>
        <RefLink>http:&#47;&#47;dx.doi.org&#47;10.1080&#47;01421590701268731</RefLink>
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