Points to consider: EULAR–UEMS standards for the training of European rheumatologists
Alunno, Alessia; Avcin, Tadej; Haines, Catherine; Ramiro, Sofia; Sivera, Francisca; Badreh, Sara; Baraliakos, Xenofon; Bijlsma, Johannes W J; Buttgereit, Frank; Chaudhuri, Kaushik; Da Silva, Jose A P; Dudler, Jean; Ferreira, Ricardo J O; Gudu, Tania; Hachulla, Eric; Holland-Fischer, Mette; Iagnocco, Annamaria; Wenzel, Kragstrup Tue; Nagy, György [Nagy, György (Immunológia), author] Department of Rheumatology and Clinical
Immunology (SU / FM / C / DIMO); Romão, Vasco C; Stones, Simon R; van Onna, Marloes; Edwards, Christopher J ✉
Background Postgraduate rheumatology training programmes are already established at
a national level in most European countries. However, previous work has highlighted
a substantial level of heterogeneity in the organisation and, in part, content of
programmes.Objective To define competences and standards of knowledge, skills and
professional behaviours required for the training of rheumatologists.Methods A European
Alliance of Associations for Rheumatology (EULAR) task force (TF) of 23 experts, including
two members of the European Union of Medical Specialists (UEMS) section of rheumatology,
was convened. The mapping phase consisted of the retrieval of key documents on specialty
training in rheumatology and other related specialties across a broad set of international
sources. The content of these documents was extracted and represented the foundation
for the document draft that underwent several rounds of online discussion within the
TF, and afterwards was also distributed to a broad group of stakeholders for collecting
feedback. The list of generated competences was voted on during the TF meetings, while
the level of agreement (LoA) with each statement was established by anonymous online
voting.Results A total of 132 international training curricula were retrieved and
extracted. In addition to the TF members, 253 stakeholders commented and voted on
the competences through an online anonymous survey. The TF developed (1) an overarching
framework indicating the areas that should be addressed during training, (2) 7 domains
defining broad areas that rheumatology trainees should master by the end of the training
programme, (3) 8 core themes defining the nuances of each domain and (4) 28 competences
that trainees should acquire to cover each of the areas outlined in the overarching
framework. A high LoA was achieved for all competences.Conclusion These points to
consider for EULAR–UEMS standards for the training of European rheumatologists are
now defined. Their dissemination and use can hopefully contribute to harmonising training
across European countries.Data sharing is not applicable as no datasets are generated
and/or analysed for this study.