The health-related outcome for all with musculoskeletal conditions (MSC) in Europe should be equal which requires similarities in their care. This is dependent on financial and human resources, a key one being the competency of the health professional which will be determined by their training and CME. The integrated multidisciplinary team need suitable training which must be harmonised throughout Europe to ensure the outcome of care is similar for all. Learning objectives must be established for all the professional groups relevant to their contribution to the management of MSC which may vary between countries. From this a curriculum can be developed. Different methods of teaching may be used but the tendency is towards problem-based learning integrating basic with clinical knowledge and linking all those involved in the management of similar problems. The assessment should be based on the curriculum. Standards for rheumatology have been developed in Europe for undergraduates, specialist training and CME. Similar standards need to be developed for other health professionals in rheumatology. These must reflect the educational needs which will depend on their roles in clinical practice in different countries. The ultimate measure of the quality of training of all HPs in rheumatology is the clinical outcomes achieved within the constraints of financial resources and priority given to their care.
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