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Morten Breindahl MD, PhD , Council Member of the ESN

The European Database on Subspecialist Training in Neonatology – where are we today in educational harmonization?. Morten Breindahl MD, PhD , Council Member of the ESN. Department of Neonatology, Level IV NICU The National University Hospital in Copenhagen, Denmark

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Morten Breindahl MD, PhD , Council Member of the ESN

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  1. The European Database on Subspecialist Training in Neonatology – where are we today in educational harmonization? Morten Breindahl MD, PhD, CouncilMember of the ESN

  2. Department of Neonatology, Level IV NICU The National University Hospital in Copenhagen, Denmark - Part of a larger society

  3. Learning outcome • After this session you shall be able to: • Understand the background for and contents of the European Curriculum and Syllabus for Training in Neonatology as well as the Assessment Framework for Specialist Trainees in Neonatology • Discuss the status of subspecialty training in Neonatology in Europe • Identify at least three areas where harmonization is still lacking behind • Discuss potential barriers against and drivers towards further harmonization of educational standards in Europe ESPR 54th Annual Meeting, Porto, October, 2013

  4. Agenda • Overview of the European Database on Subspecialty Training in Europe • How was it constructed, who participated, what does it show? • Main results, similarities and differences between participating countries • Database and process outcome – tasks to be completed in the future ESPR 54th Annual Meeting, Porto, October, 2013

  5. Background: ESN Curriculum ESPR 54th Annual Meeting, Porto, October, 2013

  6. Curriculum and AssessmentFramework European Curriculum and Syllabus for Training in Neonatology AssessmentFramework for Specialist Trainees in Neonatology • Support of national training programmes • Aims at • Harmonising training in Neonatology • Establishing clearly defined standards of knowledge and skills • Fostering the development of a European network of tertiary care centres for Neonatology • Minimal record of clinical progression: • 13 keycompetencies • 3 levels • Additionaldemands: • Otherkeyareas • Reflective notes • Academic meetings (> 3/year) • Other CME activities • Abstracts, publications • Audits (> 3) • Certification of courses ESPR 54th Annual Meeting, Porto, October, 2013

  7. Aims of the database • Improvetransparency of the national guidelines compared to ESN curriculum • Publishsimilarities and differences • Induceharmonisationthrough: • National self-reflectiononown deviations from the majority • ESPR/ESN modifications of official requirements to reality ESPR 54th Annual Meeting, Porto, October, 2013

  8. Method • Construction of database basedon ESN curriculum: • (Basiccharacteristics) • Training – knowledge • Training – skills • Keycompetencies • Personaldevelopment • Recording of progress • E-mail contact to UEMS members • Identification of contact persons • Data collection, registration, verification of data • Agreement with ESN Curriculum • Publication of database on ESN website • Publication of results in Neonatology ESPR 54th Annual Meeting, Porto, October, 2013

  9. Results 1: Overall characteristics • Response rate • 100% (30/30) • National/ESN curriculum • 76% (23/30): National • 13% (4/30): ESN Curriculum • 10% (3/30): Neither • Length of training • Paediatrics: 4.1 [2-6] years • Subspecialist: 2.4 [1-6] years • Years in NICU: 1.2 [0-4] years ESPR 54th Annual Meeting, Porto, October, 2013

  10. Results 2: Uniformity Training/ knowledge Training/ skills Keycompetencies • 94% (28/30) • Resuscitation • Neurology • Communication and counselling • Anomalies, genetics • Intensive care • Fluid balance • Haematology • Metabolism • Nutrition • Immunity • Familycare • Management skills • Transport of newborns • 96% (29/30) • Epidemiology • Patho-/ physiology • Foetus • Premature • Mature • Pharmacology • Neonatalcare • Follow-up of highrisk infants • Ethics and legal issues • 93% (28/30) • Practical procedures • Diagnosis • Clinicalpractice • Communication • Technology • Teaching 70% - 73% ESPR 54th Annual Meeting, Porto, October, 2013

  11. Results 3: Differences Personaldevelopment Recording of progress • 67% (20/30) • Personalskillsnecessary for fulfillment of the leadershiprolewithin the team and unit/ hospital • Counsellor • Manager • Leader • Teacher • Clinicalgovernance and audit • Statistical and interpretativeskills • 77% (23/30) • Completion of otherkeyareas • Perioperativecare • Fetalmedicine • Clinicalgenetics • Developmentalassessment • Reflective notes • Research activity • Academic meetings • CME activities • Research activity • Audits • Courses ESPR 54th Annual Meeting, Porto, October, 2013

  12. Database outcome Highuniformity Considerable differences • Knowledge • Skills • Competencies • Commonunderstanding of the essentialqualificationsneeded to practiceneonatology at a tertiarylevel • Basiccharacteristics • Personaldevelopment • Recording of progress • Differentprerequisites, cultures and systems call for cooperation, exchange of information and experiences ESPR 54th Annual Meeting, Porto, October, 2013

  13. Proces outcome, goals and solutions Processoutcome Goals and solutions • All UEMS members: 30 countries • 100% response rate • Willingness to • Participate • Report • Interest in • Changing • Adapting • Developing • Transparencyachieved • Goals • Make ESN the organization for neonatologists and trainees • Complete harmonization of national trainingcurriculi • Complete directory of tertiarycare centres for neonatology • Solutions • Visibility • Transparency • Influence • Harmonization • Partnership ESPR 54th Annual Meeting, Porto, October, 2013

  14. Building bridges in Europe ESPR, Istanbul 2012 EAPS, Copenhagen 2010 ESPR, New Castle 2011 Cluj-Napoca 2013 ESPR, Porto 2013 ESPR 54th Annual Meeting, Porto, October, 2013

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