Akademik Veri Yönetim Sistemi
INTENSIVE CARE MEDICINE, cilt.35, ss.1575-1583, 2009 (Hakemli Dergi)
Abstract Objective: To characterise
the training environment in
ICM across Europe, with a particular
focus on factors influencing competency-
based training. Method: A
cross-sectional web-based survey
completed by the national coordinator
for the CoBaTrICE (Competency-
Based Training in Intensive Care
medicinE) programme in each of 28
European countries. Results: Since
the last survey in 2004, 50% of EU
countries have modified their training
programmes. Seven have already
adopted the CoBaTrICE programme
since its completion in 2006. Multidisciplinary
access to ICM training
(‘supraspeciality’ model) is available
in 57%, most commonly as a 2-year
training programme. National examinations
are held by 26 (93%); in 24
(86%) this is a mandatory exit exam;
ten use the European Diploma of
Intensive Care (EDIC). A formal
national system for quality assurance
of ICM training exists in only 18
(64%) countries. National standards
for approving hospitals as training
centres vary widely. In 29% there is
no designated specialist with responsibility
for training at the local level.
Time for teaching was cited as inadequate
by 93% of respondents; only
21% of trainers receive contractual
recognition for their work. In 39%
there is no protected teaching time for
trainees. Half of countries surveyed
have no formal system for workplacebased
assessment of competence of
trainees. Conclusions: There is
considerable diversity in pedagogic
structures, processes and quality
assurance of ICM across Europe.
National training organisations
should develop common standards for
quality assurance, health systems
need to invest in educator support,
and the EU should facilitate harmonisation
by recognising ICM as a
multidisciplinary speciality.