Rheumatology training experience across Europe: analysis of core competences

Sivera, Francisca and Ramiro, Sofia and Čikeš, Nada and Cutolo, Maurizio and Dougados, Maxime and Gossec, Laure and Kvien, Tore K. and Lundberg, Ingrid E. and Mandl, Peter and Moorthy, Arumugam and Panchal, Sonia and da Silva, José A. P. and Bijlsma, Johannes W. (2016) Rheumatology training experience across Europe: analysis of core competences. Arthritis Research & Therapy, 18. p. 213. ISSN 1478-6362

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BACKGROUND: The aim of this project was to analyze and compare the educational experience in rheumatology specialty training programs across European countries, with a focus on self-reported ability. ----- METHOD: An electronic survey was designed to assess the training experience in terms of self-reported ability, existence of formal education, number of patients managed and assessments performed during rheumatology training in 21 core competences including managing specific diseases, generic competences and procedures. The target population consisted of rheumatology trainees and recently certified rheumatologists across Europe. The relationship between the country of training and the self-reported ability or training methods for each competence was analyzed through linear or logistic regression, as appropriate. ----- RESULTS: In total 1079 questionnaires from 41 countries were gathered. Self-reported ability was high for most competences, range 7.5-9.4 (0-10 scale) for clinical competences, 5.8-9.0 for technical procedures and 7.8-8.9 for generic competences. Competences with lower self-reported ability included managing patients with vasculitis, identifying crystals and performing an ultrasound. Between 53 and 91 % of the trainees received formal education and between 7 and 61 % of the trainees reported limited practical experience (managing ≤10 patients) in each competence. Evaluation of each competence was reported by 29-60 % of the respondents. In adjusted multivariable analysis, the country of training was associated with significant differences in self-reported ability for all individual competences. ----- CONCLUSION: Even though self-reported ability is generally high, there are significant differences amongst European countries, including differences in the learning structure and assessment of competences. This suggests that educational outcomes may also differ. Efforts to promote European harmonization in rheumatology training should be encouraged and supported.

Item Type: Article
Additional Information: © 2016 The Author(s). Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
MeSH: Adult ; Clinical Competence / standards ; Cross-Sectional Studies ; Education, Medical, Graduate / standards ; Europe ; Female ; Humans ; Male ; Rheumatology / education ; Surveys and Questionnaires
Departments: Katedra za internu medicinu
Depositing User: Martina Žužak
Status: Published
Sivera, FranciscaUNSPECIFIED
Cutolo, MaurizioUNSPECIFIED
Dougados, MaximeUNSPECIFIED
Lundberg, Ingrid E.UNSPECIFIED
Moorthy, ArumugamUNSPECIFIED
da Silva, José A. P.UNSPECIFIED
Bijlsma, Johannes W.UNSPECIFIED
Date: 23 September 2016
Date Deposited: 11 Oct 2017 07:51
Last Modified: 17 Aug 2020 06:54
Related URLs:
URI: http://medlib.mef.hr/id/eprint/2713

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