Session Information
Date: Monday, November 9, 2015
Title: Education Poster I
Session Type: ACR Poster Session B
Session Time: 9:00AM-11:00AM
Background/Purpose:
To describe the confidence and training experience acquired during rheumatology training in 21 core competences across the different European countries.
Methods:
As part of a European project to evaluate the differences and similarities in training in rheumatology across Europe, we developed an online survey to assess the training experience. The target population was trainees in rheumatology and rheumatologists certified in the past 5 years. We selected 21 competences, core to rheumatology clinical practice, from the UEMS European curriculum framework (1). For each competence, respondents were asked to assess the confidence in their abilities (0-10 numerical rating scale), the existence of formal education (yes/no), the experience with patients (0; 1-10; 11-50; 51-100; 101-150; >150) and the existence of an assessment (yes/no) where appropriate. All questions referred to the training period. The survey (June-December 2014) was disseminated in each country by a national PI.
Results:
We gathered 1433 answers to the survey of which 1079 could be included in the analysis (24% of overall target population). Respondents came from the 41 EULAR countries with rheumatology training (30% male, 52% trainees). A summary of the results is presented in Table 1.
|
Competence |
Confidence mean (SD) |
Very low confidence (NRS<3) |
Education (yes) |
Limited practical experience (<10)** |
Assessment (yes) |
|
MSK exam |
8.97 (1.5) |
3 (0.3%) |
785 (75%) |
|
517 (51%) |
|
Detect synovitis |
9.04 (1.4) |
4 (0.4%) |
783 (75%) |
|
521 (52%) |
|
Inerpret lab tests |
9.38 (1.1) |
2 (0.2%) |
836 (81%) |
|
578 (58%) |
|
Disease activity measures |
8.90 (1.5) |
10 (0.9%) |
802 (77%) |
|
537 (54%) |
|
Monoarthritis* |
9.10 (1.4) |
3 (0.3%) |
831 (80%) |
126 (12%) |
569 (57%) |
|
OA* |
8.90 (1.6) |
7 (0.7%) |
764 (74%) |
70 (7%) |
519 (52%) |
|
Gout* |
9.12 (1.4) |
3 (0.3%) |
855 (83%) |
144 (14%) |
544 (54%) |
|
Early RA* |
9.04 (1.4) |
3 (0.3%) |
925 (89%) |
97 (10%) |
604 (60%) |
|
SpA* |
9.00 (1.4) |
2 (0.2%) |
939 (91%) |
83 (8%) |
597 (60%) |
|
CTD* |
8.02 (1.9) |
17 (1.6%) |
821 (79%) |
214 (21%) |
568 (57%) |
|
Vasculitis* |
7.45 (2.2) |
37 (3.5%) |
768 (74%) |
450 (44%) |
513 (51%) |
|
OP* |
8.66 (1.6) |
7 (0.7%) |
816 (79%) |
93 (9%) |
536 (53%) |
|
bDMARD* |
8.84 (1.8) |
18 (1.7%) |
814 (78%) |
170 (17%) |
527 (52%) |
|
Knee aspiration |
8.96 (2.0) |
35 (3.3%) |
828 (80%) |
186 (18%) |
483 (48%) |
|
Hand X-ray |
8.15 (1.9) |
18 (1.7%) |
725 (70%) |
104 (10%) |
473 (47%) |
|
Crystal ID |
6.07 (3.8) |
285 (26.6%) |
545 (53%) |
622 (61%) |
295 (29%) |
|
MSK US |
5.83 (3.4) |
252 (23.8%) |
721 (70%) |
391 (39%) |
434 (43%) |
|
Multidisciplinary team |
8.11 (2.3) |
47 (4.4%) |
|
|
376 (37%) |
|
Interpret research paper |
7.84 (2.1) |
26 (2.4%) |
648 (62%) |
|
407 (41%) |
|
Presentations |
8.06 (2.1) |
28 (2.6%) |
618 (59%) |
408 (40%) |
472 (47%) |
|
Communication |
8.94 (1.5) |
8 (0.7%) |
547 (53%) |
|
418 (42%) |
|
* Questions on diseases referred to the management of a patient with a given rheumatic disease ** Practical experience refers to patients managed during training. Managing was defined as having some degree of responsibility in their treatment and/or follow-up. SD: standard deviation; NRS: numerical rating scale; ID: identification |
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For any given competence, mean confidence was higher in respondents who had received formal education than in those who had not. Similarly, for all clinical competences and rheumatologic techniques, mean confidence was also higher amongst those who had a higher patient experience than in those who managed ≤10 patients during their training with that given disease. Mean acquired confidence was also higher in respondents who had a longer training period (internal medicine plus rheumatology) than in those with a shorter training period for all competences except osteoporosis and hand Xray interpretation. The level of confidence was also higher for specialists (vs trainees).
Conclusion:
The acquired confidence in competences during the rheumatology training program considered core for rheumatology practice is variable, but high for most competences. Most of the trainees seem to receive formal education and have some patient experience in all competences, though only around half are assessed in each competence.
References: 1. European Board of Rheumatology (a section of UEMS). The European Rheumatology Curriculum Framework. http://dgrh.de/fileadmin/media/Praxis_Klinik/european_curriculum_uems_april_2008.pdf
To cite this abstract in AMA style:
Sivera F, Ramiro S, Cikes N, Dougados M, Gossec L, Kvien TK, Lundberg IE, Mandl P, Moorthy A, Panchal S, da Silva JAP, Bijlsma JWJ. Rheumatology Training Experience – European Survey Among Rheumatology Trainees & Newly Qualified Specialists [abstract]. Arthritis Rheumatol. 2015; 67 (suppl 10). https://acrabstracts.org/abstract/rheumatology-training-experience-european-survey-among-rheumatology-trainees-newly-qualified-specialists/. Accessed .« Back to 2015 ACR/ARHP Annual Meeting
ACR Meeting Abstracts - https://acrabstracts.org/abstract/rheumatology-training-experience-european-survey-among-rheumatology-trainees-newly-qualified-specialists/