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Current postgraduate training in emergency medicine in the Nordic countries

Current postgraduate training in emergency medicine in the Nordic countries

Title: Current postgraduate training in emergency medicine in the Nordic countries
Author: Nordic EM Study Group
Date: 2023-06-23
Language: English
Scope: 469
Department: Faculty of Medicine
Other departments
Series: BMC Medical Education; 23(1)
ISSN: 1472-6920
DOI: https://doi.org/10.1186/s12909-023-04430-x
Subject: Bráðalæknisfræði; Humans; Scandinavian and Nordic Countries; Iceland; Finland; Sweden; Norway; Emergency Medicine; Nordic countries; Emergency medicine; Post-graduate medical education; Education
URI: https://hdl.handle.net/20.500.11815/4350

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Nordic EM Study Group 2023 , ' Current postgraduate training in emergency medicine in the Nordic countries ' , BMC Medical Education , vol. 23 , no. 1 , pp. 469 . https://doi.org/10.1186/s12909-023-04430-x


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.


Funding Information: Members of the Nordic EM Study Group Denmark: Tommy Andersson, Hospitalsenheden Vest (Hernig, Denmark), Christian Rasmussen, Hvidovre Hospital, (Hvidovre Denmark) Ulf Grue Hørlyk, Emergency Department, Regional Hospital Horsens (Horsens Denmark). Finland: Ville Hällberg and Teemu Koivistoinen, Kanta-Häme Central Hospital (Hämeenlinna, Finland), Jonni Unga, Turku University Hospital (Turku, Finland), Sweden: Bahram Shams, University Hospital of Linköping (Linköping, Sweden), Cornelia Härtel, Stockholm South General Hospital (Stockholm, Sweden). Publisher Copyright: © 2023, The Author(s).

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