The Clinical Phase



The successful completion of the First State Examination is a requirement for admission to the clinical segment of the undergraduate degree programme in medicine. The first year of clinical study consists of courses in basic clinical subjects, as well as a comprehensive course in clinical examination and the general examination methods in the operative and non-operative subject areas. The actual clinical part takes place in the second half of the clinical segment of studies. These activities build upon the knowledge acquired in previous semesters. Students have increased direct contact with patients and become familiar with the various areas of specialisation. The clinical courses include the presentation of patients and practical exercises on the ward. Usually a practical part and seminars in a block are accompanied by a semester long lecture course which is not compulsory.

Theoretical education is reduced from about two thirds of all classes during the first two clinical semesters to about 25% during clinical semesters 3 - 6 (Table 2). During the last clinical year theoretical classes are further restricted to one voluntary day per week which can overlap with continued medical education for postgraduates.

Regardless of these shifts the overall regimen in education is compulsory attendance on the wards during the morning 5 days a week, followed by compulsory and voluntary attendance at lectures and seminars in the afternoon sessions. Subjects are preferentially restricted to one semester. 22 compulsory subjects are complemented by 12 transversal, interdisciplinary subjects (including alternative medicine modules and methods) and 5 block practicals. Teaching methodology and examination policies are under the autonomous decision of the Faculty. Thus details of this general scheme can ary between different Faculties according to specific majors foreseen in their curricula. Therefore impact of the new ÄAPPO ruleson mobility within Germany and between German and other European partner institutions still remain to be investigated.



Obligatory Assignments in the Clinical Phase



1st Clinical Semester
  • Course of General Clinical Examination Methods Part I
  • Epidemiology, medical biometry and medical informatics
  • Clinical Chemistry and Haematology
  • Pathology
  • Imaging techniques, radiotherapy and radiation protection
  • Human Genetics
  • Ethics and History of Medicine

    2nd Clinical Semester
  • Course of General Clinical Examination Methods Part II
  • Microbiology, Virology
  • Hygiene
  • Pharmacology, Toxicology
  • General Medicine (incl. Conversation Guidance and Communication)

    3rd Clinical Semester
  • Internal Medicine
  • Dermatology, Venerology
  • Ophthalmology
  • Otorhinolaryngology (ENT)
  • Infectiology, Immunology
  • Clinical-pathological conference (special pathology) Part I

    4th Clinical Semester
  • Surgery (incl. traumatology)
  • Orthopaedics
  • Urology
  • Anaesthesiology (incl. intensive care)
  • Emergency Medicine (incl. pain therapy and palliative medicine)
  • Clinical-pathological conference (special pathology) Part II

    5th Clinical Semester
  • Practical General Medicine
  • Neurology (incl. neurosurgery)
  • Psychiatry and psychotherapy
  • Psychosomatic medicine and psychotherapy
  • Clinical Pharmacology, pharmacotherapy
  • Forensic Medicine (incl. clinical ethics)
  • Geriatric medicine
  • Rehabilitation, physical therapy and naturopathic treatment

    6th Clinical Semester
  • Gynaecology and Obstetrics
  • Paediatrics
  • Occupational Medicine, Social Medicine
  • Prevention, health promotion
  • Health economy, health care system, public health
  • Clinical environmental medicine
  • Practical in a voluntary specialisation module



  • + Elective period in an accredited medical institution for 4 months