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Adult congenital heart disease training in Europe: current status, disparities and potential solutions.
McMahon, Colin J; Voges, Inga; Jenkins, Petra; Brida, Margarita; van der Bosch, Annemien E; Dellborg, Mikael; Heying, Ruth; Stein, Jörg I; Georgiev, Borislav; Mesihovic-Dinarevic, Senka; Prokselj, Katja; Oskarsson, Gylfi; Frogoudaki, Alexandra; Karagöz, Tevfik; Jossif, Antonis; Doros, Gabriela; Nielsen, Dorte; Jalanko, Mikko; Sanchez Perez, Inmaculada; Alvares, Sílvia; Estensen, Mette-Elise; Petropoulos, Andreas; Tagen, Raili; Gumbiene, Lina; Michel-Behnke, Ina; Olejnik, Peter; Clift, Paul F; Sendzikaite, Skaiste; Albert-Brotons, Dimpna C; Rhodes, Mark; Pitkänen, Olli; Bassareo, Pier Paolo; Gatzoulis, Michael A; Walsh, Kevin; Milanesi, Ornella; Ladouceur, Magalie; Chessa, Massimo; Budts, Werner.
Afiliação
  • McMahon CJ; Children's Health Ireland at Crumlin, Crumlin, Ireland cmcmahon992004@yahoo.com.
  • Voges I; University College Dublin School of Medicine, Dublin, Ireland.
  • Jenkins P; Kiel University, Kiel, Germany.
  • Brida M; Liverpool Heart and Chest Hospital NHS Foundation Trust, Liverpool, UK.
  • van der Bosch AE; Adult Congenital Heart Centre and Centre for Pulmonary Hypertension, Royal Brompton Hospital, London, UK.
  • Dellborg M; Medical Rehabilitation, University of Rijeka Faculty of Medicine, Rijeka, Croatia.
  • Heying R; Cardiolody, Erasmus MC, Rotterdam, The Netherlands.
  • Stein JI; Cardiology, Sahlgrenska University Hospital, Gothenburg, Sweden.
  • Georgiev B; Department Paediatric Cardiology Department of Cardiovascular Sciences, Catholic University Leuven, Leuven, Belgium.
  • Mesihovic-Dinarevic S; Department of Paediatric Cardiology, Medical University Innsbruck, Innsbruck, Austria.
  • Prokselj K; Cardiology, National Heart Hospital, Sofia, Bulgaria.
  • Oskarsson G; University of Mostar, Mostar, Bosnia and Herzegovina.
  • Frogoudaki A; Department of cardiology, University of Ljubljana Faculty of Medicine, Ljubljana, Slovenia.
  • Karagöz T; Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
  • Jossif A; University of Iceland, Reykjavik, Iceland.
  • Doros G; Second Cardiology Department, Attikon University Hospital, Athens, Greece.
  • Nielsen D; Department of Paediatric Cardiology, Hacettepe Universty Ihsan Dogramaci Children's Hospital, Ankara, Turkey.
  • Jalanko M; Paedi Center for Specialized Pediatrics, Strovolos, Cyprus.
  • Sanchez Perez I; Paediatric Cardiology, Louis Turcanu Emergency Children Hospital, Timisoara, Romania.
  • Alvares S; Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
  • Estensen ME; Department of Cardiology, Aarhus University Hospital, Aarhus, Denmark.
  • Petropoulos A; Heart and Lung Centre, HYKS sairaanhoitopiiri, Helsinki, Finland.
  • Tagen R; Department of Paediatric Cardiology, University Hospital Ramón y Cajal, Madrid, Spain.
  • Gumbiene L; Pediatric Cardiology Department, Oporto Medical Center, Porto, Portugal.
  • Michel-Behnke I; Department of Cardiology, Rikshospitalet, Oslo, Norway.
  • Olejnik P; Ped.Cardiology, Merkezi klinika, Baku, Azerbaijan.
  • Clift PF; Pediatrics, Azerbaycan Tibb Universiteti Nariman Narimanov, Baku, Azerbaijan.
  • Sendzikaite S; Department of Cardiac Surgery, Tartu University Hospital, Tartu, Estonia.
  • Albert-Brotons DC; Clinic of Cardiac and Vascular Diseases, Vilniaus universitetas Medicinos fakultetas, Vilnius, Lithuania.
  • Rhodes M; Centre of Cardiology and Angiology, Vilniaus Universiteto ligonines Santariskiu klinikos, Vilnius, Lithuania.
  • Pitkänen O; Department of Pediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria.
  • Bassareo PP; Department of Pediatric Cardiology, Comenius University, Bratislava, Slovakia.
  • Gatzoulis MA; Grown Up Congenital Heart Disease Unit, Queen Elizabeth Hospital, Birmingham, UK.
  • Walsh K; Vilnius University, Vilnius, Lithuania.
  • Milanesi O; King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia.
  • Ladouceur M; Leeds Beckett University, Leeds, UK.
  • Chessa M; Divisions of Pediatric Cardiology, Children's Hospital/Helsinki University Hospital, Helsinki, Finland.
  • Budts W; Mater Misercordiae Hospital, Dublin 7, Ireland.
Open Heart ; 10(2)2023 Dec 14.
Article em En | MEDLINE | ID: mdl-38097363
ABSTRACT

OBJECTIVES:

This study aimed to determine the status of training of adult congenital heart disease (ACHD) cardiologists in Europe.

METHODS:

A questionnaire was sent to ACHD cardiologists from 34 European countries.

RESULTS:

Representatives from 31 of 34 countries (91%) responded. ACHD cardiology was recognised by the respective ministry of Health in two countries (7%) as a subspecialty. Two countries (7%) have formally recognised ACHD training programmes, 15 (48%) have informal (neither accredited nor certified) training and 14 (45%) have very limited or no programme. Twenty-five countries (81%) described training ACHD doctors 'on the job'. The median number of ACHD centres per country was 4 (range 0-28), median number of ACHD surgical centres was 3 (0-26) and the median number of ACHD training centres was 2 (range 0-28). An established exit examination in ACHD was conducted in only one country (3%) and formal certification provided by two countries (7%). ACHD cardiologist number versus gross domestic product Pearson correlation coefficient=0.789 (p<0.001).

CONCLUSION:

Formal or accredited training in ACHD is rare among European countries. Many countries have very limited or no training and resort to 'train people on the job'. Few countries provide either an exit examination or certification. Efforts to harmonise training and establish standards in exit examination and certification may improve training and consequently promote the alignment of high-quality patient care.
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Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 14_ODS3_health_workforce Base de dados: MEDLINE Assunto principal: Cardiologia / Cardiologistas / Cardiopatias Congênitas Limite: Adult / Humans País/Região como assunto: Europa Idioma: En Revista: Open Heart Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 14_ODS3_health_workforce Base de dados: MEDLINE Assunto principal: Cardiologia / Cardiologistas / Cardiopatias Congênitas Limite: Adult / Humans País/Região como assunto: Europa Idioma: En Revista: Open Heart Ano de publicação: 2023 Tipo de documento: Article