Differences and similarities in rheumatology specialty training programmes across European countries.
Por:
Sivera F, Ramiro S, Cikes N, Dougados M, Gossec L, Kvien TK, Lundberg IE, Mandl P, Moorthy A, Panchal S, da Silva JA, Bijlsma JW and Working Group on Training in Rheumatology across Europe
Publicada:
1 jun 2015
Ahead of Print:
6 mar 2015
Resumen:
OBJECTIVES: To analyse the similarities and discrepancies between the official rheumatology specialty training programmes across Europe. METHODS: A steering committee defined the main aspects of training to be assessed. In 2013, the rheumatology official training programmes were reviewed for each of the European League Against Rheumatism (EULAR) countries and two local physicians independently extracted data on the structure of training, included competencies and assessments performed. Analyses were descriptive. RESULTS: 41 of the 45 EULAR countries currently provide specialist training in rheumatology; in the remaining four rheumatologists are trained abroad. 36 (88%) had a single national curriculum, one country had two national curricula and four had only local or university-specific curricula. The mean length of training programmes in rheumatology was 45 (SD 19) months, ranging between 3 and 72 months. General internal medicine training was mandatory in 40 (98%) countries, and was performed prior to and/or during the rheumatology training programme (mean length: 33 (19) months). 33 (80%) countries had a formal final examination. CONCLUSIONS: Most European countries provide training in rheumatology, but the length, structure, contents and assessments of these training programmes are quite heterogeneous. In order to promote excellence in standards of care and to support physicians' mobility, a certain degree of harmonisation should be encouraged.
Filiaciones:
:
Rheumatology Department, Hospital General Universitario de Elda, Elda, Spain
Ramiro S:
Amsterdam Rheumatology Center, Amsterdam, the Netherlands Hospital Garcia de Orta, Almada, Portugal
Cikes N:
University Hospital Centre Zagreb, Zagreb, Croatia
Dougados M:
Department of Rheumatology, Université Paris Descartes University, Hôpital Cochin, Assistance Publique-Hôpitaux de Paris
INSERM (U1153)
Epidemiologie Clinique et Biostatistiques, PRES Sorbonne Paris-Cité, Paris, France
Gossec L:
UPMC Univ Paris 06, Institut Pierre Louis d'Epidémiologie et de Santé Publique, Sorbonne Universités, Paris, France Department of Rheumatology, AP-HP, Pitié Salpêtrière Hospital, Paris, France
Kvien TK:
Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway
Lundberg IE:
Rheumatology Unit, Department of Medicine, Karolinska University Hospital, Solna, Karolinska Institute, Stockholm, Sweden
Mandl P:
University of Vienna, Vienna, Austria
Moorthy A:
University Hospitals of Leicester NHS Trust, Leicester, UK
Panchal S:
University Hospitals of Leicester NHS Trust, Leicester, UK
da Silva JA:
Centro Hospitalar e Universitário de Coimbra, Faculdade de Medicina da Universidade de Coimbra, Coimbra, Portugal
Bijlsma JW:
Rheumatology Department, Hospital General Universitario de Elda, Elda, Spain University Medical Center Utrecht, Utrecht, the Netherlands
Open Access
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