Fostering the highest educational standards in Physical and Rehabilitation Medicine: The European PRM board strategy for ensuring overall quality of rehabilitation education and care.

The harmonization of staff education is a key element for ensuring the highest standard of rehabilitation care across Europe. With this aim, the European Union of Medical Specialists (UEMS) has created a Common Training Framework, which consists of a common set of knowledge, skills and competencies for postgraduate medical training. As a body linked to the Physical and Rehabilitation (PRM) Section of the UEMS, the European PRM Board is committed to promoting the harmonization of PRM physicians qualifications. The European PRM Board accomplishes this mission, not only by determining the theoretical knowledge necessary for the practice of the PRM specialty, and the core competencies (training outcomes) to be achieved at the end of training, but also by ascertaining that a standard level of education is achieved and maintained by PRM physicians, through a medically driven system of certification. This paper provides an overview of the methodology and outcomes of the European PRM Board examination, while showing how the approach to PRM education should be considered as a reference point by scientific societies, higher education institutions, health policymakers, patients associations, and all the other bodies caring for high-quality rehabilitation provision to disabled people, at the national and European level.

Disability on Irish farms--a real concern.

Farmers operate within hazardous environments while conducting their day-to-day tasks, potentially resulting in injury or disability. Disability can serve as a major life-changing event for the farmer, the farm family, and the farm business. In Ireland, the agricultural sector reported the highest incidence of disability, yet there is relatively little known on the impact of agricultural-based disability. In 2007, a questionnaire was appended to the Teagasc (Irish Agricultural and Food Development Authority) National Farm Survey to obtain some metric of the prevalence and impact of disability on Irish farms, in addition to quantifying service/support requirements of farm operators experiencing disability. Almost 5.9% (approximately 6611) of Irish farm operators reported disability, primarily caused through illness/disease. Arthritis (31.4%), back problems (17%), and heart circulatory problems (12.5%) were most frequently reported. The lowest prevalence of disability was found among tillage (1.4%) and dairy (4.1%) farms, with the highest prevalence among cattle farms (7.1%). Family farm income was lower on disability-experiencing farms relative to nondisability farms (123 euros per hectare), with a lower participation in off-farm employment also identified. Many farm operators (approximately 20%) ceased off-farm employment following disability. Discontinuation of off-farm employment can further precipitate family farm income decline, but also place additional pressures on the farm business if quality services/supports are not available. The current provision of services/supports to farm operators experiencing disability is perceived largely insufficient across the entire service/support spectrum from when disability was first experienced through to retirement. Awareness and issues surrounding eligibility were the primary reasons for failing to avail of currently available service/supports.