report of national managers coordinator uems -ebprm -bled
DESCRIPTION
Report of National Managers Coordinator UEMS -EBPRM -BLED . Prof.Fitnat Dincer MD. Physiatrist, Senior Fellow European Board of PRM UEMS / European Board of PRM Expert UEMS /European Board of PRM - National Managers Coordinator European Society of PRM Executive Committee Member - PowerPoint PPT PresentationTRANSCRIPT
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Report of National Managers Coordinator
UEMS -EBPRM -BLED Prof.Fitnat Dincer MD.
Physiatrist, Senior Fellow European Board of PRM
UEMS / European Board of PRM Expert
UEMS /European Board of PRM - National Managers Coordinator
European Society of PRM Executive Committee Member
Hacettepe University, Faculty of Medicine, Dept.of PRM ANKARA ,TURKEY
.
SLOVENIA – SUMMER
4 days INCENTIVE
BLED
Airport
Ljubljana
Piran
Postojna
BLED – Slovenian Alpine
Resort26-29March.2014
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During PRM training do trainees have rotations &
Visit other Dept.s for their training?
Which Dept.s other than PRM ?How long?
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During PRM training do trainees have rotations & visit other Dept.s for their training? Which Dept.s other than PRM ?How long?
Anesthesiology and Reanimation CardiologyEmergency DeptGeneral Internal Medicine Neurology Orhopedics and TraumatologyPlastic SurgeryRadiologyRheumatologyOthers
Rotations during the PRM training ?
Visit other Departments ?
Which Departments?
How long?
Austria.
To become a specialist in PRM you are training 4 years PRM, 1 year
Int.Med.and 6 m.neuro.and 6 m.traumato.or
orthopedics, for thesis two additional years residents are rotating to other
depts. But now, the Austrian Med.Chamber is changing the system, so it’ll be
seen in 1 to 2 years.
Cardio.+Emergency+
IntMed. (can be chosen ,12 Mo)+Neuro(6 Mo)
+Orhopedics (3 Mo)+Rheumato.Not
Compulsory+Traumato. (3 Mo)
Croatia. YES
IntMed. (3 +2 m- with special parts
of rehab.)+Neuro(3Mo)+Ped. (1 Mo)+
Rheuma(3 Mo)+Orthop(2Mo)
+Surgery (2Mo)+PlasticSurg.(at
Surgery)+Radio(2M)+
Anesthesio at int.Med+Cardio.
(at IntMed)
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Rotations /Visit other Dept?How long?
Czech Republic Georgia Germany Greece
YES / NO YES YES YES NO
Anesthesio. - - - -
Cardio. Y - Y -
Emergency Y - Few w-months -
Int.Med. Y 11m 12m Int Med or Y
Neurology Y 1m 12m Neuro. Y
Orthop.&Trauma. Y 12m Y
Plastic Surgery - - - Answers apply to
Radiology - - - official training curriculum.
Rheumatology Y - - Occasionally the director of TC
Others - - 6m.Ped. decide optional rot.s.
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Rotations /Visit other Dept?How long?
Hungary Ireland Latvia
YES / NO YES YES YES
Anesthesio. 2m - -
Cardio. 1m - 1m
Emergency 4m - -
Int.Med. 3m - -
Neurology 3m Y 3m
Orthop.&Trauma. 4m - 2m
Plastic Surgery - -
Radiology - -
Rheumatology 2m+3m:Balneo.,physiotherapy
Y 1m
Others Pulmonology,1m Vascular surgery,intensive care unit,pain management
prog.
Psychiatry 1 m, Pulmonology 1
m
Rotations during the PRM training ?
Visit other Departments ? Which Departments?
How long?
Italy
YES : Trainees perform intensive training by rotating
through different Dept.s; furthermore, during their training at the PRM dept , they regularly attend other
depts in order to assess patients admitted to acute facilities, take note of their rehab needs and plan the
rehab provision.
•Anesthesio.(8 weeks)•Cardio.on demand 12m.•General Int.Med. (4 weeks)•Neuro. (12 weeks)•Orhopedics (8 weeks) •Radio.(clinical case discussion on a weekly basis in the 1st and 2nd Course year)•Rheumato. (4 weeks)•Others:Pneumo.(4 weeks)•Pediatrics (4 weeks)• Geriatrics (4 weeks)
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The Standard Training of PRM Trainees in Italian PRM Boarding Schools.Compulsory Training (in addition to the training in PRM department)
Orthopedics (4 weeks) Neurology or stroke unit (4 weeks) Cardiology and Pneumology (4 weeks) Oncology (4 weeks) Geriatrics (4 weeks) Anesthesiology and Reanimation (4 weeks) Radiology (4 weeks) Community rehabilitation (4 weeks) Trainees should also take part in the following skilled activities (each
one should be practiced on their own at least in 50% cases): - 30 electrodiagnostic examinations (EMG-ENG); - 30 muscle-joint US examinations - 30 Evoked potentials (motor, somatosensory, visual or brainstem) - 10 Urodynamic assessments - 50 Joint manipulations - 40 Intra-articular injections - 200 Instrumental assessments among : posturography, gait analysis, spirometry, metabolic tests
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Standard Training in Italian PRM Boarding Schools. - 200 Clinical and functional assessment through validated outcome
scales - 30 Neuropsychological assessment of cognitive functions - 100 Assessment and prescription of aids, orthoses and prosthesis - 50 Rehabilitation project completion, consisting of functional and
medical history collection, clinical and functional examination, functional prognosis, indication of rehabilitation aims and selection of rehabilitation interventions. The following domains should be covered:
� 15 cases with severe brain injuries � 15 cases with spine injuries, � 50 cases with neurological disabilities, � 100 cases with orthopedic disabilities � 20 cases with multiple neurological and skeletal traumatism � 5 cases with hereditary diseases � 30 cases with developmental motor / cognitive impairment Finally, trainees should take part in at least - 4 research projects with publication of results in indexed journals - 4 national or international congresses
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Rotations /Visit other Dept?
How long?
Lithuania
Norway Poland
YES YES YES
Anesthesio. Rotations Totally 2 years according
4w
Cardio. mainly in 1st year.
to individual choice 2w
Emergency Work in all depts - -
Internal Med. as mobile team member
Y -
Neurology from 2nd to 4th year
Y 1m
Orthop&Trauma of PRM training. Y 1m
Plastic Surgery - -
Radiology Y -
Rheumatology Y 2w
Others Pulmono.+Ped. PRM depts
Psychiatry ,General practice ,Neurosurgery ,RESEARCH INSTITUTE .
•Pulmono. – 2 w,•Neurosurgery – 2 w• Ped.,ped. rehab(1 m)•prosthetic/orthotic
workshops – 2 w
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Rotations /
Visit other Dept? Slovak Republic Slovenia Spain
YES YES YES
Anesthesio. - 2m -
Cardio. - 2m Y
Emergency - - Y.5duties/m
Int.Med. 3m - 6m;5duties/m
Neurology 3m 6m 6m
Orthop&Trauma 3m+3m=6m 6m 6m;5duties/m.
Plastic Surgery - - -
Radiology - 2m 1m
Rheumatology 3m 2m Y/variable
Others Ped.3 m,Social facility 2 m,Spa f.2
m,PRM dept;inpat.s,18 m,outpat.s,6m
Emergency D.obligatory before
specialisation,Nsurgery 1 m,
Ped.1m,Balneorehab.2 m
Pneumology & PediatricsOutside visits: Hospital Nacional de Parapléjicos de Toledo /and or Guttman Institute; Hospital Infantil del Niño Jesús.
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Rotations / otherDeptHow long?
Sweden. Turkey. UK.
YES YES Y.cannot acquire all skills in one unit
Anesthesio. - Some YES so must go other centres
Cardio. - 1m -
Emergency D.
Y.often part of int.med.& neuro
Some YES N/but maybe in future depending on Trauma
Rehab competen.
Int. Medicine *
Y.could be geriatr. /family med
4m* -
Neurology Y 3m Y. (1-2 Mo),
Ortho&Trauma
Y 1m Y(in future as Trauma.Rehab Curriculum is
developed)
Radiology - 1m -
Rheumato. Y Y Y ( 3-6 Mo), for MSD
Others Depends on the hospital .Training is goal oriented; this requires training outside PRM, around 2-2.5 years----Psychiatry /Sometimes pediatrics
Chest Dis.1 m.* spend training time in Gen.Int.Med., Rheuma., Geriatrics,Med.Genetics, & Endocrino.Dept , (2-4 w. in each) in Int. Med
some stroke units are based outside of RM
units so a trainee may spend time there.
-
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Rotations /Visit other Dept?How
long?
Switzerland
YES
Anesthesio. -
Cardio. No,but upto 1y rehab of cardiac dis.at optional year
Emergency D. -
Internal medicine
1y / compulsory
Neurology No,but,1y rehab neuro.disease is compulsory
Ortho&Trauma Up to 1 y,during optional year
Plastic Surgery -
Radiology -
Rheumatology Up to 1 y,during optional year
Others Pneumo. no;but up to 1 year of rehab.of cardiac disease at optional y.Psychiatry + Ambulatory Rehab of MSD with a private PRM dr; up to 6 months at optional y,each.Geriatrics ;up to 1 y, at optional yParaplegics and Ped. Rehab ,up to 1 y at the optional y.,each
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Which Department(s) are mostly visited in common?
Rotations
TOTAL
Neurology ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ 19Orthop.
& Trauma.
★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ 18
Rheumato. ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ 16
Int.Med. ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ 15Cardiolo
gy ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ 14Anesthes
io ★ ★ ★ ★ ★ ★ ★ ★ 8Emergen
cy ★ ★ ★ ★ ★ ★ ★ ★ 8Radiolog
y ★ ★ ★ ★ ★ ★ 6Pediatric
s ★ ★ ★ ★ ★ 5Geriatric
s ★ ★ ★ 3Neurosur
g. ★ ★ ★ 3
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11-13.September.20
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Next MeetingZamosc Poland
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