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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

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SLOVENIA – SUMMER

4 days INCENTIVE

BLED

Airport

Ljubljana

Piran

Postojna

BLED – Slovenian Alpine

Resort26-29March.2014

Activities of National

Managers

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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 ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ 19

Orthop. &

Trauma.★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ 18

Rheumato. ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ 16

Int.Med. ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ 15

Cardiology ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ 14

Anesthesio ★ ★ ★ ★ ★ ★ ★ ★ 8

Emergency ★ ★ ★ ★ ★ ★ ★ ★ 8

Radiology ★ ★ ★ ★ ★ ★ 6

Pediatrics ★ ★ ★ ★ ★ 5

Geriatrics ★ ★ ★ 3

Neurosurg. ★ ★ ★ 3

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11-13.September.20

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Next MeetingZamosc Poland

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