Education and Research in the Mediterranean area: can we find a common track? Hercília Guimarães ,on behalf of UENPS Bari, 19-22 th May 2010 XVI Congresso Nazionale-Societá Italiana de Neonatologia.
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Education and Research in the Mediterranean area: can we find a common track?
Hercília Guimarães ,on behalf of UENPS
Bari, 19-22th May 2010
XVI Congresso Nazionale-Societá Italiana de NeonatologiaXVI National Congress of the Italian Society of Neonatology
Paediatric Section of the
Union of European Medical Specialists
THE EUROPEAN SOCIETY
EUROPEAN CURRICULUM AND SYLLABUS FOR TRAINING IN NEONATOLOGY
(Second edition – Version 3; 2 January 2007)
European CV may be utilised to:
Harmonise training in Neonatology between different European countries.
Establish clearly-defined standards of knowledge and skills required to practice Neonatology at a tertiary care level.
Foster the development of a European network of proficient tertiary care centres for Neonatology.
Through these measures, the curriculum and assessment framework will
improve the quality of care for severely ill newborn babies and
enhance European contribution to international scientific progress in the field of Neonatology.
The perinatal unit providing training
A hospital offering training for neonatologists must be part of a perinatal centre: The institution, or one closely linked to it, must be equipped for prenatal diagnosis of fetal disorders, management, admission and delivery of pregnant women with maternal or fetal high risk disorders, facilities for receiving maternal and infant transfers, delivery and caesarean section room with facilities for resuscitation of the newborn infant.
Each unit providing training in Neonatology should have defined lines of communication and access within the institution to specialist advice from the following: Neonatal surgery and anaesthesia, paediatric cardiology, paediatric respiratory medicine, radiology (including ultrasound), ophthalmology, laboratory services for clinical chemistry, microbiology, and haematology & transfusion, child development centre (clinical genetics, paediatric neurology and neurophysiology), paediatric nephrology, audiology and other surgical specialists (ENT, orthopaedics, neurosurgery). There should be access to necropsy by a trained perinatal/ paediatric pathologist.
Size of the NICU providing training
At a Neonatology training institution the number of patients and their care must be of such a standard as to be able to meet the training requirements within the time set. The institution should provide care for a majority of the range of neonatal diseases and must admit at least 50 VLBW/year.
Specifically the trainee will be expected to demonstrate experience of primary care and/or resuscitation for at least 25 VLBW infants (less than 1500 g) including at least 10 ELBW infants (<1000 g).
DURATION OF THE TRAINING
The recommended minimum training period as a neonatal specialist is 2 years (following a common trunk of paediatric training of 3 years) and it is strongly recommended that at least one year of training should be in a tertiary academic centre.
At present there are no plans for a centrally administered examination to licence practice as a Neonatologist.
Several European member countries currently have such certification and we anticipate that these processes will be recognised.
Certification of medical practitioners occurs on a national basis
Individuals holding their national Certificate of Completion of Specialist Training (or equivalent) are eligible to work in other EU states.
1. How is defined the Training in Neonatology in your country?
2. Did your country adopt the document of UEMS and ESN (where the recommended minimum training period as a neonatal specialist is 2 years (following common trunk paediatric training of 3 years) and it is strongly recommended that at least one year of training should be in a tertiary academic centre)?
3. What do you think about on-line postgraduate educational programme in neonatology?
3.1. Advantages, Disadvantages, Difficulties
1. How many research centers exist in your country?
1.1. basic research and 1.2. paediatric / neonatal
2. Publications per year of each center
2.1. Publications per year of each center in international revues
2.2. Publications per year of each center in international revues IF>2.5
3. Budget per year to Research
4. Time given by the institution to do research per person per week
DURATION OF THE TRAINING IN EUROPE
Belgium: 1 yearfollowing 5 years of paediatric training (1 in Neonatology)
Bosnia: 1 yearfollowing 4 years of paediatric training.
Denmark: 3 yearsfollowing 5 years of paediatric training.
Germany: 3 years following 5 years of paediatric training.
Latvia: 2 yearsfollowing 3 years of paediatric training.
Norway: No formal education in neonatology.
Poland: 5 years (neonatal training following a common trunk)
Portugal: 18 monthsfollowing 5 years of paediatric training
Spain: No official training; 1 year after 3 years in paediatrics.
Research centers (Neonatology)
Belgium: 2 of 7
Bosnia: 2 of 5 universities
Denmark: 7 of 17 pediatric departments
Latvia: 2 universities
Poland: 11 academic centres
Portugal: at least 5.
Spain: at least 7, in basic research
Belgium: no figures
Bosnia: no figures; 5 of 8 journals registered in Medline (each of them, 4 issues per year)
Denmark:12 per year in Rigshospitalet Copenhagen
Latvia: no figures
Germany: no figures
Norway: 30-40 per year (Oslo)
Poland : no figures
Portugal: 10 per year (the best centre).
Spain: no figures
Budget to research
Belgium: no figures
Bosnia: no figures
Denmark: 220.000 per year in Rigshospitalet Copenhagen
Germany: no figures
Latvia: State Grants (?)
Norway: 500.000 € per year + grants to pay full time fellows
Poland: grants (?) (State Committee for Scientific Research)
Portugal: 500.000 € per year ( the best centre)
Spain: no figures
Time to research
Belgium: 1 day / week
Denmark: 10% (specialist doctors); 25% (professors) of working hours per person per week
Latvia: no time
Norway: ?; best centre - grants to full time fellows
Poland: no time
Portugal: no time; best centre - grants to full time fellows
Regionalization in Europe
Scientific and Academic Societies/Parents Associations
European and Local Health Authorities
working together will define the methodology to achieve our aims that could be to act in these 3 key points:
1 - Organization of Healthcare in Perinatal Medicine in each country
2 - Neonatal/Perinatal European Networks
3 - Post graduation of Paediatricians in Neonatology
Education and Research in the Mediterranean area:
can we find a common track?
It will be not easy…
UENPS must contribute to find it in collaboration with ESN/ESPR !