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University of Oslo The Faculty of Medicine Experiences with an English taught Experiences with an English taught semester in Medicine at the semester in Medicine at the University of Oslo University of Oslo Mr. Sverre Bjerkeset, Administrative International Coordinator Professor Babill Stray-Pedersen MD, PhD former Head of the 9th Semester Committee Professor Borghild Roald MD, PhD former Educational Dean

University of Oslo The Faculty of Medicine Experiences with an English taught semester in Medicine at the University of Oslo Mr. Sverre Bjerkeset, Administrative

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Page 1: University of Oslo The Faculty of Medicine Experiences with an English taught semester in Medicine at the University of Oslo Mr. Sverre Bjerkeset, Administrative

University of Oslo

The Faculty of Medicine

Experiences with an English taught Experiences with an English taught semester in Medicine at the University semester in Medicine at the University of Osloof OsloMr. Sverre Bjerkeset,

Administrative International Coordinator

Professor Babill Stray-Pedersen MD, PhD former Head of the 9th Semester Committee

Professor Borghild Roald MD, PhD former Educational Dean

Page 2: University of Oslo The Faculty of Medicine Experiences with an English taught semester in Medicine at the University of Oslo Mr. Sverre Bjerkeset, Administrative

University of Oslo

The Faculty of Medicine

BackgroundBackground Teaching exclusively in Norwegian

seriously limited student exchange Increased internationalization - a

University and Faculty strategy Structural factors: The Norwegian

“Quality Reform”

Page 3: University of Oslo The Faculty of Medicine Experiences with an English taught semester in Medicine at the University of Oslo Mr. Sverre Bjerkeset, Administrative

University of Oslo

The Faculty of Medicine

Aim of projectAim of project Make the Faculty more attractive for students

and teachers from outside the Nordic countries Increase the number of exchange agreements

with quality universities, especially in English speaking countries

Increase students’ and teachers’ competence in English

Internationalization at home

Page 4: University of Oslo The Faculty of Medicine Experiences with an English taught semester in Medicine at the University of Oslo Mr. Sverre Bjerkeset, Administrative

University of Oslo

The Faculty of Medicine

Why the 9th (of 12) semester? Why the 9th (of 12) semester? Students in their 5th year of study are relatively

confident in their professional development Students then have a growing knowledge of the

health care system in their own country The theme of the semester (Reproduction. Mother

and Child) has important global features Logistical reasons: Curriculum compatibility with

partner universities

Page 5: University of Oslo The Faculty of Medicine Experiences with an English taught semester in Medicine at the University of Oslo Mr. Sverre Bjerkeset, Administrative

University of Oslo

The Faculty of Medicine

6 year MD program6 year MD programSem no

Themes

No of subjects integrated

PBL weeks

1

Human biology. Science, medicine and society

10

17

2

Cell biology

4

19

3

Signal systems. Circ/resp I, Blood/immunology. Acid-base

12

14

4

a. Digestion/nutrition I b. Locomotor apparatus

6 9

13

5

Circulation/respiration II, Kidney

16

11

6

Digestion/nutrition II, Blood II. Dermatology

16

10

7

Motor and sensory systems

9

10

8

Nervous system and mental functions. Practical period in district. Project work I

6

6

9*

Reproduction. Women, children * Taught completely in English

9

8

10

Patient and society. Includes practical periods in districts

7

5

11

Project work II Clinical medicine

8

3

12

Clinical medicine

9

2

Page 6: University of Oslo The Faculty of Medicine Experiences with an English taught semester in Medicine at the University of Oslo Mr. Sverre Bjerkeset, Administrative

University of Oslo

The Faculty of Medicine

Challenges in the preparatory phaseChallenges in the preparatory phase Funding Faculty Board decision Preparing the teaching

Specially organized, intensive English courses for teachersTranslation of teaching materialAcquisition of updated teaching/material in EnglishStudy tours for teachers to English speaking universities and hospitals

Visits of academic staff from partner universities Obtaining exchange agreements with universities in English

speaking countries

Page 7: University of Oslo The Faculty of Medicine Experiences with an English taught semester in Medicine at the University of Oslo Mr. Sverre Bjerkeset, Administrative

University of Oslo

The Faculty of Medicine

Challenges in running the semesterChallenges in running the semester Teaching in English is more

demanding for the teachers Communication with patients may be

difficult A certain number of exchange

students is required to make the semester work naturally, ideally 20-30% of the class

Page 8: University of Oslo The Faculty of Medicine Experiences with an English taught semester in Medicine at the University of Oslo Mr. Sverre Bjerkeset, Administrative

University of Oslo

The Faculty of Medicine

Organization of the semesterOrganization of the semester Compulsary for all Norwegian students

and teachers All plenary teaching is conducted in

English All learning material is in English Small group teaching (PBL and clinical

small group teaching) is carried out in either Norwegian or English

Page 9: University of Oslo The Faculty of Medicine Experiences with an English taught semester in Medicine at the University of Oslo Mr. Sverre Bjerkeset, Administrative

University of Oslo

The Faculty of Medicine

Organization of the semester - Organization of the semester - continuedcontinued Exchange students are preferably accompanied by Norwegian students in the clinical duty

Norwegian students are responsible for translating or summarizing if it is not possible or appropriate to speak in English

Students can choose the language of the exams (Norwegian or English)

Page 10: University of Oslo The Faculty of Medicine Experiences with an English taught semester in Medicine at the University of Oslo Mr. Sverre Bjerkeset, Administrative

University of Oslo

The Faculty of Medicine

Student evaluationStudent evaluation Undertaken at the end of each semester The main tendency is positive Overall satisfaction: Norwegian students: 64-85%

Exchange students: 77-100% Exchange students are generally more positive than

Norwegian students Except language related issues, complaints from

Norwegian students are the same as in other semesters

Page 11: University of Oslo The Faculty of Medicine Experiences with an English taught semester in Medicine at the University of Oslo Mr. Sverre Bjerkeset, Administrative

University of Oslo

The Faculty of Medicine

External evaluation by the Faculty of External evaluation by the Faculty of Education, UiO in 2004 Education, UiO in 2004

Norwegian students: teachers’ ability to convey knowledge and the pedagogical planning suffer

Other factors than the quality of teaching determine the exchange students’ overall opinion

50% of teachers and 66% of Norwegian students report that they have improved their English language skills

Page 12: University of Oslo The Faculty of Medicine Experiences with an English taught semester in Medicine at the University of Oslo Mr. Sverre Bjerkeset, Administrative

University of Oslo

The Faculty of Medicine

External evaluation by the Faculty of External evaluation by the Faculty of Education, UiO in 2004 - continuedEducation, UiO in 2004 - continued Little coherence between students’ evaluation of the

arrangement and their English competence Strong coherence between teachers’ self evaluation of

language skills and how well they think the teaching works and their comfort with this teaching

Criticism from teachers towards the handling of certain organizational and practical matters in the initial phase

Teachers reports that the teaching is less nuanced, detailed. Teaching context feels more constrained

Page 13: University of Oslo The Faculty of Medicine Experiences with an English taught semester in Medicine at the University of Oslo Mr. Sverre Bjerkeset, Administrative

University of Oslo

The Faculty of Medicine

A few factsA few facts Increase in number of exchange agreements Substantial increase in number of exchange

students (to and from partner universities for minimum 3 months):

Incoming: 99/00: 10 04/05: 67

Outgoing: 99/00: 6 04/05: 50

Page 14: University of Oslo The Faculty of Medicine Experiences with an English taught semester in Medicine at the University of Oslo Mr. Sverre Bjerkeset, Administrative

University of Oslo

The Faculty of Medicine

Concluding remarksConcluding remarks•Norwegian is the main teaching language in the Oslo medical curriculum

•No indicatons that the quality loss in the 9th semester is such that teaching in English can not be justified

•Teaching in English is a challenge, but the practical obstacles are largely overcome and the semester now runs quite smoothly

•The Faculty Board has recently decided that the 9th semester shall be taught in English on a permanent basis