Current postgraduate training in emergency medicine in the Nordic countries
Abstract Background Emergency Medicine (EM) is an independent specialty in all five Nordic countries. This study aims to evaluate the structure of post-graduate EM training in the area. Methods A leading hospital or hospitals in EM training in each country were identified. An e-survey was sent to ea...
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | BMC Medical Education |
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| Online Access: | https://doi.org/10.1186/s12909-023-04430-x |
| _version_ | 1827916835583950848 |
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| author | Hjalti Már Björnsson Lars Petter Bjørnsen Christian Baaner Skjærbæk Katrin Hruska Ari Palomäki Nordic EM Study Group |
| author_facet | Hjalti Már Björnsson Lars Petter Bjørnsen Christian Baaner Skjærbæk Katrin Hruska Ari Palomäki Nordic EM Study Group |
| author_sort | Hjalti Már Björnsson |
| collection | DOAJ |
| description | Abstract Background Emergency Medicine (EM) is an independent specialty in all five Nordic countries. This study aims to evaluate the structure of post-graduate EM training in the area. Methods A leading hospital or hospitals in EM training in each country were identified. An e-survey was sent to each hospital to gather data on patient volume and physician staffing, curriculum, trainee supervision, and monitoring of progression in training. Results Data were collected from one center in Iceland and Norway, two in Finland and Sweden, and four centers in Denmark. The data from each country in Denmark, Finland, and Sweden, were pooled to represent that country. The percentage of consultants with EM specialist recognition ranged from 49–100% of all consultants working in the participating departments. The number of patients seen annually per each full time EM consultant was almost three times higher in Finland than in Sweden. In Iceland, Denmark, and Sweden a consultant was present 24/7 in the ED but not in all centers in the other countries. The level of trainee autonomy in clinical practice varied between countries. Requirements for completing standardized courses, completing final exams, scientific and quality improvement projects, and evaluation of trainee progression, varied between the countries. Conclusions All Nordic countries have established EM training programs. Despite cultural similarities, there are significant differences in how the EM training is structured between the countries. Writing and implementing a standardized training curriculum and assessment system for EM training in the Nordic countries should be considered. |
| first_indexed | 2024-03-13T03:20:55Z |
| format | Article |
| id | doaj.art-2d0fd8d1b4de4330b10f64ea97a14d20 |
| institution | Directory Open Access Journal |
| issn | 1472-6920 |
| language | English |
| last_indexed | 2024-03-13T03:20:55Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Education |
| spelling | doaj.art-2d0fd8d1b4de4330b10f64ea97a14d202023-06-25T11:20:20ZengBMCBMC Medical Education1472-69202023-06-012311710.1186/s12909-023-04430-xCurrent postgraduate training in emergency medicine in the Nordic countriesHjalti Már Björnsson0Lars Petter Bjørnsen1Christian Baaner Skjærbæk2Katrin Hruska3Ari Palomäki4Nordic EM Study GroupFaculty of Medicine, University of IcelandSt. Olav’s University Hospital, St. Olav’s University HospitalEmergency Department, Regionshospitalet RandersCapio Rapid Response VehiclesFaculty of Medicine and Health Technology, Tampere UniversityAbstract Background Emergency Medicine (EM) is an independent specialty in all five Nordic countries. This study aims to evaluate the structure of post-graduate EM training in the area. Methods A leading hospital or hospitals in EM training in each country were identified. An e-survey was sent to each hospital to gather data on patient volume and physician staffing, curriculum, trainee supervision, and monitoring of progression in training. Results Data were collected from one center in Iceland and Norway, two in Finland and Sweden, and four centers in Denmark. The data from each country in Denmark, Finland, and Sweden, were pooled to represent that country. The percentage of consultants with EM specialist recognition ranged from 49–100% of all consultants working in the participating departments. The number of patients seen annually per each full time EM consultant was almost three times higher in Finland than in Sweden. In Iceland, Denmark, and Sweden a consultant was present 24/7 in the ED but not in all centers in the other countries. The level of trainee autonomy in clinical practice varied between countries. Requirements for completing standardized courses, completing final exams, scientific and quality improvement projects, and evaluation of trainee progression, varied between the countries. Conclusions All Nordic countries have established EM training programs. Despite cultural similarities, there are significant differences in how the EM training is structured between the countries. Writing and implementing a standardized training curriculum and assessment system for EM training in the Nordic countries should be considered.https://doi.org/10.1186/s12909-023-04430-xPost-graduate medical educationNordic countriesEmergency medicine |
| spellingShingle | Hjalti Már Björnsson Lars Petter Bjørnsen Christian Baaner Skjærbæk Katrin Hruska Ari Palomäki Nordic EM Study Group Current postgraduate training in emergency medicine in the Nordic countries BMC Medical Education Post-graduate medical education Nordic countries Emergency medicine |
| title | Current postgraduate training in emergency medicine in the Nordic countries |
| title_full | Current postgraduate training in emergency medicine in the Nordic countries |
| title_fullStr | Current postgraduate training in emergency medicine in the Nordic countries |
| title_full_unstemmed | Current postgraduate training in emergency medicine in the Nordic countries |
| title_short | Current postgraduate training in emergency medicine in the Nordic countries |
| title_sort | current postgraduate training in emergency medicine in the nordic countries |
| topic | Post-graduate medical education Nordic countries Emergency medicine |
| url | https://doi.org/10.1186/s12909-023-04430-x |
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