Paediatric and adult congenital cardiology education and training in Europe


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McMahon C. J., Heying R., Budts W., Cavigelli-Brunner A., Shkolnikova M., Michel-Behnke I., ...Daha Fazla

CARDIOLOGY IN THE YOUNG, cilt.32, sa.12, ss.1966-1983, 2022 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 32 Sayı: 12
  • Basım Tarihi: 2022
  • Doi Numarası: 10.1017/s104795112100528x
  • Dergi Adı: CARDIOLOGY IN THE YOUNG
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, Agricultural & Environmental Science Database, CINAHL, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.1966-1983
  • Anahtar Kelimeler: Adult CHD, congenital cardiology, education, paediatric cardiology, training, certification, CARDIOVASCULAR MAGNETIC-RESONANCE, HEART-DISEASE, WORKING GROUP, FELLOWSHIP, RECOMMENDATIONS, ASSOCIATION, CARE, CHILDREN, TRAINEES, SOCIETY
  • Marmara Üniversitesi Adresli: Evet

Özet

Background: Limited data exist on training of European paediatric and adult congenital cardiologists. Methods: A structured and approved questionnaire was circulated to national delegates of Association for European Paediatric and Congenital Cardiology in 33 European countries. Results: Delegates from 30 countries (91%) responded. Paediatric cardiology was not recognised as a distinct speciality by the respective ministry of Health in seven countries (23%). Twenty countries (67%) have formally accredited paediatric cardiology training programmes, seven (23%) have substantial informal (not accredited or certified) training, and three (10%) have very limited or no programme. Twenty-two countries have a curriculum. Twelve countries have a national training director. There was one paediatric cardiology centre per 2.66 million population (range 0.87-9.64 million), one cardiac surgical centre per 4.73 million population (range 1.63-10.72 million), and one training centre per 4.29 million population (range 1.63-10.72 million population). The median number of paediatric cardiology fellows per training programme was 4 (range 1-17), and duration of training was 3 years (range 2-5 years). An exit examination in paediatric cardiology was conducted in 16 countries (53%) and certification provided by 20 countries (67%). Paediatric cardiologist number is affected by gross domestic product (R-2 = 0.41). Conclusion: Training varies markedly across European countries. Although formal fellowship programmes exist in many countries, several countries have informal training or no training. Only a minority of countries provide both exit examination and certification. Harmonisation of training and standardisation of exit examination and certification could reduce variation in training thereby promoting high-quality care by European congenital cardiologists.