Journal article
Variations in assessment and certification in postgraduate anaesthesia training: a European survey.
- Jonker G Department of Anaesthesiology, University Medical Center Utrecht, Post Stop KE02.143.2, P.O. Box 85090, 3508 AB Utrecht, the Netherlands.
- Manders LA Department of Anaesthesiology, University Medical Center Utrecht, Post Stop KE02.143.2, P.O. Box 85090, 3508 AB Utrecht, the Netherlands.
- Marty AP Department of Anaesthesiology, University Hospital Zürich, Zürich, Switzerland.
- Kalkman CJ Department of Anaesthesiology, University Medical Center Utrecht, Post Stop KE02.143.2, P.O. Box 85090, 3508 AB Utrecht, the Netherlands.
- Ten Cate TJ Center for Research and Development of Education, University Medical Center Utrecht, Utrecht, the Netherlands.
- van Gessel EF Centre for Interprofessional Simulation, University of Geneva, Geneva, Switzerland.
- Hoff RG Department of Anaesthesiology, University Medical Center Utrecht, Post Stop KE02.143.2, P.O. Box 85090, 3508 AB Utrecht, the Netherlands.
- 2017-10-06
Published in:
- British journal of anaesthesia. - 2017
anaesthesiology
assessment, educational
education, competency-based
education, medical, graduate
surveys and questionnaires
Anesthesiology
Certification
Education, Medical, Continuing
Education, Medical, Graduate
Educational Measurement
Europe
Humans
Specialization
English
Background
Postgraduate specialty training has traditionally been based on a time- and rotation-based model, but competency-based models are emerging. Because anaesthesia training evolves differently across Europe, variations in assessment and certification processes are expected, but the extent of similarities and differences is unknown. The aim of this study was to compare anaesthesia training programmes in Europe, focusing on assessment and certification processes.
Methods
We performed an online survey among national representatives of the Union of European Medical Specialists/European Board of Anaesthesiology.
Results
All 36 countries participated. Duration of training had a median of 5 yr (range 2.75-7). Mean number of different assessment tools was 7.45 (range 4-13), with more tools being used in competency-based programmes [mean 9.1 (sd 2.97) vs 7.0 (sd 1.97); P=0.03]. Most countries had a nationally uniform certification process. Based on a qualitative analysis of the survey findings, a categorization of countries emerged, reflecting the approach to assessment and certification. We observed two main streams of countries with an underlying knowledge or procedural focus within a time- and rotation-based apprenticeship model. These main streams are evolving, to different extents, towards a third orientation, competency-based training.
Conclusions
Assessment and certification processes in European anaesthesia training are diverse. In many countries, a time-based apprenticeship model is evolving towards a competency-based certification process. This diversity precludes comparison of competence of graduating anaesthetists across Europe.
Postgraduate specialty training has traditionally been based on a time- and rotation-based model, but competency-based models are emerging. Because anaesthesia training evolves differently across Europe, variations in assessment and certification processes are expected, but the extent of similarities and differences is unknown. The aim of this study was to compare anaesthesia training programmes in Europe, focusing on assessment and certification processes.
Methods
We performed an online survey among national representatives of the Union of European Medical Specialists/European Board of Anaesthesiology.
Results
All 36 countries participated. Duration of training had a median of 5 yr (range 2.75-7). Mean number of different assessment tools was 7.45 (range 4-13), with more tools being used in competency-based programmes [mean 9.1 (sd 2.97) vs 7.0 (sd 1.97); P=0.03]. Most countries had a nationally uniform certification process. Based on a qualitative analysis of the survey findings, a categorization of countries emerged, reflecting the approach to assessment and certification. We observed two main streams of countries with an underlying knowledge or procedural focus within a time- and rotation-based apprenticeship model. These main streams are evolving, to different extents, towards a third orientation, competency-based training.
Conclusions
Assessment and certification processes in European anaesthesia training are diverse. In many countries, a time-based apprenticeship model is evolving towards a competency-based certification process. This diversity precludes comparison of competence of graduating anaesthetists across Europe.
- Language
-
- English
- Open access status
- bronze
- Identifiers
-
- DOI 10.1093/bja/aex196
- PMID 28981584
- Persistent URL
- https://sonar.ch/global/documents/298433
Statistics
Document views: 16
File downloads: