Article
Series on education
What competence does a rheumatologist need?: an
international perspective
Bernard Amor
President of the
UEMS (Union Européenne des Médecins Spécialistes) and of EBR
(European Board of Rheumatology), Rheumatology Department, Hôpital
Cochin, 27 Fg St Jacques, 75014 Paris Email:
bernard.amor{at}cch.ap-hop-paris.fr
Accepted for publication 16 May 2000
OBJECTIVES
To
forecast, on the basis of the past and present position of
rheumatologists in Europe, the competence needed in the future to
secure and promote the specialty within the healthcare network.
METHODSUnion
Européenne des Médecins Spécialistes/European Board of
Rheumatology (UEMS/EBR) questionnaire on (a)
training centres in Europe, (b)
rheumatologists' skills, (c) UEMS core curriculum.
RESULTS173 training
centres in rheumatology were identified. Reponses to the questionnaire
showed both harmony and diversity in the practice of rheumatology.
Harmony arises from the need to (a) have an
extensive and profound knowledge of, and clinical experience with, all
the causes of painful or disabled locomotor apparatus; (b) manage such disorders in the most cost
effective way; and (c) promote "shared
clinical decision making". The diversity seen both among and within
the European countries is due to the different activities of rheumatologists.
CONCLUSIONRheumatological
competence must be based on a common core, as described in the UEMS
core curriculum, and on deeper and diverse clinical or scientific
knowledge covering the entire field of the specialty, to secure its
flexibility and resilience in the market place and to promote its
scientific development.
© 2000 by Annals of the Rheumatic Diseases
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