Rheumatology training experience across Europe: Analysis of core competences

Francisca Sivera, Sofia Ramiro, Nada Cikes, Maurizio Cutolo, Maxime Dougados, Laure Gossec, Tore K. Kvien, Ingrid E. Lundberg, Peter Mandl, Arumugam Moorthy, Sonia Panchal, José A P da Silva, Johannes W. Bijlsma, Ledio Collaku, Armine Aroyan, Helga Radner, Anastasyia Tushina, Ellen De Langhe, Sekib Sokolovic, Russka ShumnalievaMarko Baresic, Ladislav Senolt, Mette Holland-Fischer, Mart Kull, Antti Puolitaival, Nino Gobejishvili, Axel Hueber, Antonis Fanouriakis, Paul MacMullan, Doron Rimar, Serena Bugatti, Julija Zepa, Jeanine Menassa, Diana Karpec, Snezana Misevska-Percinkova, Karen Cassar, Elena Deseatnicova, Sander W. Tas, Elisabeth Lie, Jan Sznajd, Florian Berghea, Anton Povzun, Ivica Jeremic, Vanda Mlynarikova, Mojca Frank-Bertoncelj, Katerina Chatzidionysiou, Alexandre Dumusc, Gulen Hatemi, Erhan Ozdemirel, Iuliia Biliavska, the Working Group on Training in Rheumatology across Europe

Research output: Contribution to journalArticlepeer-review


Background: The aim of this project was to analyze and compare the educational experience in rheumatology specialty training programs across European countries, with a focus on self-reported ability. Method: An electronic survey was designed to assess the training experience in terms of self-reported ability, existence of formal education, number of patients managed and assessments performed during rheumatology training in 21 core competences including managing specific diseases, generic competences and procedures. The target population consisted of rheumatology trainees and recently certified rheumatologists across Europe. The relationship between the country of training and the self-reported ability or training methods for each competence was analyzed through linear or logistic regression, as appropriate. Results: In total 1079 questionnaires from 41 countries were gathered. Self-reported ability was high for most competences, range 7.5-9.4 (0-10 scale) for clinical competences, 5.8-9.0 for technical procedures and 7.8-8.9 for generic competences. Competences with lower self-reported ability included managing patients with vasculitis, identifying crystals and performing an ultrasound. Between 53 and 91 % of the trainees received formal education and between 7 and 61 % of the trainees reported limited practical experience (managing ≤10 patients) in each competence. Evaluation of each competence was reported by 29-60 % of the respondents. In adjusted multivariable analysis, the country of training was associated with significant differences in self-reported ability for all individual competences. Conclusion: Even though self-reported ability is generally high, there are significant differences amongst European countries, including differences in the learning structure and assessment of competences. This suggests that educational outcomes may also differ. Efforts to promote European harmonization in rheumatology training should be encouraged and supported.

Original languageEnglish
Article number213
JournalArthritis Research and Therapy
Issue number1
Publication statusPublished - Sep 23 2016


  • Assessment
  • Competence
  • Education
  • Europe
  • Rheumatology
  • Training
  • UEMS

ASJC Scopus subject areas

  • Immunology and Allergy
  • Rheumatology
  • Immunology


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