ORL TRAINING IN THE EUORL TRAINING IN THE EU

Updated september 2007Updated september 2007

BASIC TRAININGBASIC TRAINING

Medical school training duration

AUSTRIABELGIUM

CYPRUSCZECH REPUBLIC

DENMARKESTONIA

FINLANDFRANCE

GERMANYGREECEHUNGARYIRELANDITALYLITHUANIA

LUXEMBURGMALTA

NORWAYPOLANDPORTUGALROMANIASERBIASLOVAK REPUBLICSPAIN

SWEDENSWITZERLANDTHE NETHERLANDSTURKEY

UK

0 1 2 3 4 5 6 7 8 9 10

Years

BASIC TRAININGBASIC TRAINING

2 2

19

1 1 1 1 1

0

2

4

6

8

10

12

14

16

18

20

Number

of countries

5 5,5 6 6,5 7 9 NO MEDICAL

EDUCATION

NO ANSWER

Years

Medical school training duration

ORL TRAINING INCLUDED IN ORL TRAINING INCLUDED IN BASIC TRAININGBASIC TRAINING

AUSTRIA BELGIUM CYPRUS CZECH REPUBLIC DENMARK ESTONIA FINLAND

2 8  N/A 2 8 3 5

FRANCE GERMANY GREECE HUNGARY IRELAND ITALY LITHUANIA

1  2 4 2 2   ---- 2

LUXEMBURG MALTA NORWAY POLAND PORTUGAL ROMANIA SERBIA

N/A   3 9 2 2 4 3

SLOVAK REPUBLIC SPAIN SWEDEN SWITZERLAND NETHERLANDS TURKEY UK

2 2 3-6 ----   2-5 2-4 1

All these results are in weeks

PRE-SPECIALIST TRAINING PRE-SPECIALIST TRAINING AFTER GRADUATION IN MEDICAL AFTER GRADUATION IN MEDICAL SCHOOLSCHOOL

AUSTRIA BELGIUM CYPRUS CZECH REPUBLIC DENMARK ESTONIA FINLAND

1 - 31 - 3 1,51,5 00 00 1,51,5 0,50,5 22

FRANCE GERMANY GREECE HUNGARY IRELAND ITALY LITHUANIA

1 00 11 2 2 0,250,25 1

LUXEMBURG MALTA NORWAY POLAND PORTUGAL ROMANIA SERBIA

00 2 5 1 1 0 2

SLOVAK REPUBLIC SPAIN SWEDEN SWITZERLAND NETHERLANDS TURKEY UK

0 0 2 11 0 0 2

All these results are in years

SPECIALIST TRAINING IN SPECIALIST TRAINING IN ORL/HNSORL/HNS

0 10 20 30 40 50 60 70 80 90 100

AUSTRIA

BELGIUM

CYPRUS

CZECH REPUBLIC

DENMARK

ESTONIA

FINLAND

FRANCE

GERMANY

GREECE

HUNGARY

IRELAND

ITALY

LITHUANIA

LUXEMBURG

MALTA

NORWAY

POLAND

PORTUGAL

ROMANIA

SERBIA

SLOVAK REPUBLIC

SPAIN

SWEDEN

SWITZERLAND

THE NETHERLANDS

TURKEY

UK

months

1. ORL training 2.1. General practice 2.2. General Surgery 2.3. Plastic Surgery 2.4. Accident & Emergency

2.5. Neurosurgery 2.6. Research 2.7. One of them to choose 2.8 Others

SELECTION OF TRAINEESSELECTION OF TRAINEESNational selection and nomination

11%

29%

60%

YES

NO

N/A

Training institution selects / nominates

46%

43%

11%

YES

NO

N/A

Examination for selection

32%

57%

11%

YES

NO

N/A

Interview for selection

29%

18%

53%

YES

NO

N/A

NUMBERS / MANPOWERNUMBERS / MANPOWER

Inhabitants (Mill.) ENT-Specialists ENT/Inhabitants Trainees/yearTrainees at any

one timeTrainees per

year/ENTSpecialists

Austria 8.1 400 1:20.000 differs differs, 25 in 2007

Belgium 10.4 550 1:19.000 8 40 1,45%

Croatia 4,4     n/a n/a

Cyprus 0.7 52 1:13.000 - 3

Czech Republic

10.2 748 1:14.00015

- 2,01%

Denmark 5.4 320 1:17.000 24 55-60 7,50%

Estonia 1.4 96 1:15.000 1,5 4-5 1,56%

Finland 5.2 318 1:16.000 7 30 2,20%

France 59,8 2600 1:23.000 25-40 60-80 1,23%

Germany 82.5 5420 1:15.000 200 1000 3,69%

Greece 11.0 1250 1:9.000 - -

Hungary 10.1 800 1:13.000 15 60 1,88%

Ireland 4.0 40 1:100.000 2 21 5,00%

Italy 57.6 5009 1:11.000 85 340 1,70%

Latvia 2.3 --- --- n/a n/a

Lithuania 3.4 320 1:11.000 7-8 22-24 2,50%

NUMBERS / MANPOWERNUMBERS / MANPOWER

Inhabitants (Mill.) ENT-Specialists ENT/Inhabitants Trainees/yearTrainees at any

one time

Trainees per year/ENT Specialists

Luxembourg 0.4 28 1:14.000 - -

Malta 0.4 8 + 3 1:36.000 1 every two years 4 4,55%

Netherlands 16.2 372 1:44.000 24 108 6,45%

Norway 4.5 314 1:14.000 20 80 6,37%

Poland 38.2 1311 1:29.000 40 200 3,05%

Portugal 10.4 470 1:22.000 6-10 50 1,70%

Rumania 21.7 794 1:27.000 42 210 5,29%

Russia 150.0 4000 1:38.000 n/a n/a

Slovak Rep. 5.4 400 1:14.000 15 50 3,75%

Slovenia 2.0 80 1:25.000 n/a 22

Spain 41.9 2100 1:20.000 60 240 2,86%

Sweden 9.0 573 1:16.000 15 100 2,60%

Switzerland 7.2 350 1:21.000 10-15 60 3,43%

Turkey 70.7 2551 1:28.000 100 400 3,92%

United Kingdom

59.5 614 1:97.00045 350 7,33%

EXAMINATION IN ORL/HNSEXAMINATION IN ORL/HNS Entry exam

7

17

4

YES

NO

N/A

EXAMINATION IN ORL/HNSEXAMINATION IN ORL/HNS

WrittenWritten 1515

OralOral 1919

TheoreticalTheoretical 1818

PracticalPractical 1212

Type of exit examinationType of exit examination

Local in hospitalLocal in hospital 22

UniversityUniversity 88

NationalNational 1414

VoluntaryVoluntary 11

Compulsory/obligatoryCompulsory/obligatory 1717

Exit exam

22

5

1

YES

NO

N/A

LOG-BOOKLOG-BOOK

Do you use a log book?

89%

7% 4%

YES

NO

N/A

UEMS log book?

8

15

1 1YES

NO

NOANSWER

YES, BUTMODIFIED

TRAINING FACILITIES / TRAINING FACILITIES / TRAINERTRAINER

Do trainees have a personal tutor?

61%

32%

7%

YES

NO

NO ANSWER

Do trainees have influence inthe selection of trainer?

21%

72%

7%

YES

NO

NO ANSWER

Do trainees formallyevaluate the trainer?

29%

60%

11%

YES

NO

NO ANSWER

Can trainees choose to trainin foreign centres?

50%

39%

11%

YES

NO

NO ANSWER

DEDICATED TIMEDEDICATED TIME

0 5 10 15 20 25 30 35 40 45

AUSTRIA

BELGIUM

CYPRUS

CZECH REPUBLIC

DENMARK

ESTONIA

FINLAND

FRANCE

GERMANY

GREECE

HUNGARY

IRELAND

ITALY

LITHUANIA

LUXEMBURG

MALTA

NORWAY

POLAND

PORTUGAL

ROMANIA

SERBIA

SLOVAK REPUBLIC

SPAIN

SWEDEN

SWITZERLAND

THE NETHERLANDS

TURKEY

UK

Hours per week

Outpatient consultation Operating theatre Ward work On call duties Dedicated time for other business

CERTIFICATION OF ORL CERTIFICATION OF ORL SPECIALISTSSPECIALISTS

By whom are they certified?

17

8

3

8

2

Government / Ministry of health

National / Federal Medical Association

National / Federal specialty Association

Program Director or Chief of training

No answer

How are trainees certified as ORL specialists?

7

13

10

2

Automatic at the end of training

By application

Additional examination

No answer

SALARYSALARYDo trainees get extra money to attend educational meeting /

courses?

53%43%

4% YES

NO

NO ANSWER

Are trainees allowed to undertake private practice during their training?

21%

75%

4%

YES

NO

NO ANSWER

EUROPEAN WORKING TIME EUROPEAN WORKING TIME DIRECTIVEDIRECTIVE

How many hours are trainees regularly working per week?

35 37 38 38,25 40 40 40 40 40 40 42 42 42 42,545 45 45

48 48 5055 56

59 6062

7074

0

10

20

30

40

50

60

70

80

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D

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N

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EUROPEAN WORKING TIME EUROPEAN WORKING TIME DIRECTIVEDIRECTIVE Can trainees voluntarily

work more hours?

60%

36%

4%

YES

NO

NO ANSWER

How many?

CYPRUS ESTONIA LITHUANIA ROMANIA SERBIA PORTUGAL SLOVAK REPUBLIC

5 24-48 20 10 no criteria 12 56

CZECH REPUBLIC TURKEY MALTA SWITZERLAND POLAND SPAIN IRELAND

unlimited as much as the trainees wants 55 not oficially up to 80-100 no criteria 48 weekend on-call

EUROPEAN WORKING TIME EUROPEAN WORKING TIME DIRECTIVEDIRECTIVE

AUSTRIA BELGIUM CYPRUS CZECH REPUBLIC DENMARK ESTONIA FINLAND

25-45 20 18 25 30-40 28 28

FRANCE GERMANY GREECE HUNGARY IRELAND ITALY LITHUANIA

35 26 30 24 42 30 35

LUXEMBURG MALTA NORWAY POLAND PORTUGAL ROMANIA SERBIA

30-40as

needed

26 25 21 25

SLOVAK REPUBLIC SPAIN SWEDEN SWITZERLAND THE NETHERLANDS TURKEY UK

28 37 25 20 24 20 30

HOLIDAYS ALLOWED (IN DAYS PER YEAR)