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Paediatric and adult congenital cardiology education and training in Europe

Paediatric and adult congenital cardiology education and training in Europe

Title: Paediatric and adult congenital cardiology education and training in Europe
Author: McMahon, Colin J.
Heying, Ruth
Budts, Werner
Cavigelli-Brunner, Anna
Shkolnikova, Maria
Michel-Behnke, Ina
Kozlik-Feldmann, Rainer
Wåhlander, Håkan
Dewolf, Daniel
Difilippo, Sylvie
... 28 more authors Show all authors
Date: 2022-03
Language: English
University/Institute: Landspitali - The National University Hospital of Iceland
Department: Women's and Childrens's Services
Series: Cardiology in the Young; ()
ISSN: 1047-9511
DOI: https://doi.org/10.1017/S104795112100528X
Subject: Barnalæknisfræði; Hjartagallar; Hjartasjúkdómar; Adult CHD; certification; congenital cardiology; education; paediatric cardiology; training; Pediatrics, Perinatology and Child Health; Cardiology and Cardiovascular Medicine
URI: https://hdl.handle.net/20.500.11815/3178

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McMahon , C J , Heying , R , Budts , W , Cavigelli-Brunner , A , Shkolnikova , M , Michel-Behnke , I , Kozlik-Feldmann , R , Wåhlander , H , Dewolf , D , Difilippo , S , Kornyei , L , Russo , M G , Kaneva-Nencheva , A , Mesihovic-Dinarevic , S , Vesel , S , Óskarsson , G , Papadopoulos , G , Petropoulos , A C , Cevik , B S , Jossif , A , Doros , G , Krusensjerna-Hafstrom , T , Dangel , J , Rahkonen , O , Albert-Brotons , D C , Alvares , S , Brun , H , Janousek , J , Pitkänen-Argillander , O , Voges , I , Lubaua , I , Sendzikaite , S , Magee , A G , Rhodes , M J , Blom , N A , Bu'lock , F , Hanseus , K & Milanesi , O 2022 , ' Paediatric and adult congenital cardiology education and training in Europe ' , Cardiology in the Young . https://doi.org/10.1017/S104795112100528X


Background: Limited data exist on training of European paediatric and adult congenital cardiologists. Methods: A structured and approved questionnaire was circulated to national delegates of Association for European Paediatric and Congenital Cardiology in 33 European countries. Results: Delegates from 30 countries (91%) responded. Paediatric cardiology was not recognised as a distinct speciality by the respective ministry of Health in seven countries (23%). Twenty countries (67%) have formally accredited paediatric cardiology training programmes, seven (23%) have substantial informal (not accredited or certified) training, and three (10%) have very limited or no programme. Twenty-two countries have a curriculum. Twelve countries have a national training director. There was one paediatric cardiology centre per 2.66 million population (range 0.87-9.64 million), one cardiac surgical centre per 4.73 million population (range 1.63-10.72 million), and one training centre per 4.29 million population (range 1.63-10.72 million population). The median number of paediatric cardiology fellows per training programme was 4 (range 1-17), and duration of training was 3 years (range 2-5 years). An exit examination in paediatric cardiology was conducted in 16 countries (53%) and certification provided by 20 countries (67%). Paediatric cardiologist number is affected by gross domestic product (R2 = 0.41). Conclusion: Training varies markedly across European countries. Although formal fellowship programmes exist in many countries, several countries have informal training or no training. Only a minority of countries provide both exit examination and certification. Harmonisation of training and standardisation of exit examination and certification could reduce variation in training thereby promoting high-quality care by European congenital cardiologists.


Publisher Copyright: © The Author(s), 2022. Published by Cambridge University Press.

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