Chapter 6 Template Training Requirements for the Specialty of X

1. Chapter 6 TemplateTraining Requirements for the Specialty of X UEMS Section for Infectious Diseases September 2012

2. Training Requirements for the Specialty of X European Standards of Postgraduate Medical Specialist Training (old chapter 6) Preamble • Role of UEMS in setting Standards in the field of PGT, ref to Charter on PGT • Aim and scope of this document • Non exhaustive document • Living document to reflect modern medical practice • Principle of subsidiarity: European Standards aims to complement National Training Programmes. • National Authorities remain responsible and accountable for the organisation of Post Graduate Medical Training. • The added value of European Standards in PGT • No matter where they were trained in in Europe, all specialists should possess the same core competencies in a given specialty.

3. I. TRAINING REQUIREMENTS FOR TRAINEES 1. Content of training and learning outcome Competencies required of the trainee • Focus should not just be on the duration of training, but also on the quality and content of the training programme. • Include a description of the competencies required of a specialist at the end of training(IMO, T. Duffy)

4. I. TRAINING REQUIREMENTS FOR TRAINEES 1. Content of training and learning outcome • Description of core competencies and specific competencies (EBA, L. Christiansson) • Definition of competence: knowledge, skills and professionalism • ‘Learning Outcomes’ means statements of what a learner knows, understands and is able to do on completion of a learning process, which are defined in terms of knowledge, skills and competence.

5. I. TRAINING REQUIREMENTS FOR TRAINEES 1. Content of training and learning outcome a. Theoretical knowledge • Should include the main domains covered by the specialty with a short description of domains that trainee should master in the specialty b. Practical and clinical skills • Key skills to possess in this specialty • Number of procedures required….

6. I. TRAINING REQUIREMENTS FOR TRAINEES 1. Content of training and learning outcome • c. Professionalism • Ethical commitment and principles • Attitude(EBA, E. Van Gessel) • Fundamentals of Economics and health management (UEMS Vice Pres. S. Ramuscello) • Quality and Safety Management (EBA, L. Christiansson) • Non technical skills (EBA, L. Christiansson) • Multidisciplinary aspects (EBA, L. Christiansson) • Irish 8 domains of Good medical Practice (IMO, T. Duffy) - Patient safety and Quality of Care - Relating to Patients - Communication and Interpersonnal Skills - Collaboration and teamwork - Management (including self-management) - Scholarship - Professionalism - Clinical skills

7. I. TRAINING REQUIREMENTS FOR TRAINEES 2. Organisation of training a. Schedule of training • Minimum duration of training • Include required timing • It could also include a ‘timeline’ or relative prioritization as to when these competencies should be achieved – some may be achieved in parallel with others while others necessarily build on earlier competencies. (IMO, T. Duffy)

8. I. TRAINING REQUIREMENTS FOR TRAINEES b. Assessment and evaluation • Definition of assessment, description of formative and summative assessments, • Cf Presentation A. Tenore • Assessment: Process by which information is obtained relative to some known objective or goal. (a broad term that includes testing) • Evaluation: Inherent in the idea of evaluation is "value." Process designed to provide information that will help us make a judgment about a given situation c. Governance • This section could include issues such as whether the trainees are included in the governance including appeals etc. This could also refer to how the quality of the program should be assessed (IMO, T. Duffy)

9. II. TRAINING REQUIREMENTS FOR TRAINERS • Process for recognition as trainer a. Requested qualification and experience • b. Core competencies for trainers • Special Qualifications of the trainers when required - Skill mix of the teachers involved • Program of formal training and teaching, training and teaching methods (Sports Medicine, R. Frischknecht) 2. Quality management for trainers

10. III. TRAINING REQUIREMENTS FOR TRAINING INSTITUTIONS 1. Process for recognition as training center a. Requirement on staff and clinical activities • Minimal number of patients cared for as inpatients and as out patients • Range of clinical specialties • Composition and availability of faculty, training programme defined, guidelines applies (EBA, L. Christiansson) • Trainee / trainer ratio • Minimal scientific activity b. Requirement on equipment, accommodation • Medical-technical equipment, library, opportunities for R&D (EBA, L. Christiansson)

11. III. TRAINING REQUIREMENTS FOR TRAINING INSTITUTIONS 2. Quality Management within Training institutions • Accreditation (EBA, L. Christiansson) • Clinical Governance (EBA, L. Christiansson) • Manpower planning • Regular report • External auditing • Transparency of training programmes • Structure for coordination of training • Framework of approval – how are they approved (IMO, T. Duffy)