Francisca Sivera1, Sofia Ramiro2, Nada Cikes3, Maxime Dougados4, Laure Gossec5, Tore K Kvien6, Ingrid E Lundberg7, Peter Mandl8, Arumugam Moorthy9, Sonia Panchal9, José A P da Silva10, Johannes W Bijlsma11. 1. Rheumatology Department, Hospital General Universitario de Elda, Elda, Spain. 2. Amsterdam Rheumatology Center, Amsterdam, the Netherlands Hospital Garcia de Orta, Almada, Portugal. 3. University Hospital Centre Zagreb, Zagreb, Croatia. 4. 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. 5. 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. 6. Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway. 7. Rheumatology Unit, Department of Medicine, Karolinska University Hospital, Solna, Karolinska Institute, Stockholm, Sweden. 8. University of Vienna, Vienna, Austria. 9. University Hospitals of Leicester NHS Trust, Leicester, UK. 10. Centro Hospitalar e Universitário de Coimbra, Faculdade de Medicina da Universidade de Coimbra, Coimbra, Portugal. 11. Rheumatology Department, Hospital General Universitario de Elda, Elda, Spain University Medical Center Utrecht, Utrecht, the Netherlands.
Abstract
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. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
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. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
Entities:
Keywords:
Epidemiology; Health services research; Qualitative research
Authors: Cristina Hernández-Díaz; José Alvarez-Nemegyei; José Eduardo Navarro-Zarza; Pablo Villaseñor-Ovies; Robert A Kalish; Juan J Canoso; Angélica Vargas; Karla Chiapas-Gasca; Joseph J Biundo; Francisco Javier de Toro Santos; Dennis McGonagle; Simon Carette; Miguel Ángel Saavedra Journal: Clin Rheumatol Date: 2017-06-01 Impact factor: 2.980
Authors: Christian Beyer; Sofia Ramiro; Francisca Sivera; Peter Mandl; Pedro M Machado; Caroline Ospelt; Anna Moltó; Helga Radner; Annamaria Iagnocco; Johannes W Bijlsma; Ingrid E Lundberg Journal: RMD Open Date: 2016-07-27
Authors: Sofia Ramiro; Frank Buttgereit; Christian Dejaco; Polina Putrik; Julia Unger; Daniel Aletaha; Gerolamo Bianchi; Johannes W Bijlsma; Annelies Boonen; Nada Cikes; Axel Finckh; Laure Gossec; Tore K Kvien; Joao Madruga Dias; Eric L Matteson; Francisca Sivera; Tanja A Stamm; Zoltan Szekanecz; Dieter Wiek; Angela Zink Journal: RMD Open Date: 2018-12-05
Authors: Francisca Sivera; Sofia Ramiro; Nada Cikes; Maurizio Cutolo; Maxime Dougados; Laure Gossec; Tore K Kvien; Ingrid E Lundberg; Peter Mandl; Arumugam Moorthy; Sonia Panchal; José A P da Silva; Johannes W Bijlsma Journal: Arthritis Res Ther Date: 2016-09-23 Impact factor: 5.156