Abstract
Sub-specialty training in otorhinolaryngology and head and neck surgery (ORL-HNS) is not standardised across European Union (EU) states and remains diverse. The objective of this study was to assess the current status of sub-specialty training programmes in head and neck surgical oncology within the European Union (EU-15). A postal questionnaire was distributed to 41 representative members of the European Federation of Otorhinolaryngological Societies (EUFOS) in the specialty of ORL-HNS in 15 EU states. The questionnaire included questions regarding the sub-specialty practice, structure, length, access, examination procedures and certification, future developments and also a space for individual comments. Thirty-one respondents (75.6%) from major training centres in 15 different European countries replied. Overall, the data revealed major diversity for all aspects analysed, between and within the different European countries. Only four EU states had formal sub-specialty training in head and neck surgical oncology. This includes Finland, Germany, The Netherlands, and the United Kingdom. In the rest of EU states, the last year of residency programmes is often spent as an introduction to one of the sub-specialties. Sub-specialty training in head and neck surgical oncology within the EU at present is clearly underdeveloped. Issuing a European diploma in ORL-HNS could be an initial step towards assessing the skills acquired during specialist training within the different European countries and formalising specialist training. This would establish a uniform measure for evaluating candidacy for sub-specialty training both across the EU and for USA, Canada or Australia.
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References
Cantrell RW, Goldstein JC (1999) The American Board of Otolaryngology, 1924–1999—75 years of excellence. Arch Otolaryngol Head Neck Surg 125:1071–1079
Council of the British Association of Otorhinolaryngologists-Head and Neck Surgeons. The provision of otorhinolaryngological head and neck services in the UK. September 2002, London
Miller RH (1994) Otolaryngology residency and fellowship training. Arch Otolaryngol Head Neck Surg 120:1057–1061
Cox GJ (2003) Training in head and neck surgery. ENT News 12:51
European Training Charter for Medical Specialists, UEMS (1995) Charter on training of medical specialists in the European Union, Chap. 6. Requirements for the specialty of otorhinolaryngology and head and neck surgery. Amended October 2007. http://www.orluems.com/doc/CHAPTER6%20FINAL%20VERSION%20APRIL%202008.pdf
Maw RA, Bradley PJ (2005) The European Academy of Otorhinolaryngology-Head and Neck Surgery (EAORL-HNS). ENT News 14:36–38
Simo R, Hartley C, Saeed SR, Zarod AP, Taylor PH (1997) Otorhinolaryngological training in Europe: a comparative study. Clin Otolaryngol 22:332–342
Georgalas C, Hadjihannas E, Ghufoor K, Pracy P, Papesch M (2005) Operative training in otolaryngology in the United Kingdom: a specialist registrar survey. J Laryngol Otol 119:356–361
Royal College of Surgeons (London) (1996) Higher surgical training in otolaryngology for the certificate of completion of specialist training version 9, October. London
Expert Advisory Group on Cancer (1995) A policy framework for commissioning cancer services. A report by the expert advisory group on cancer to the chief medical officers of England and Wales. Department of Health, London. http://www.publications.doh.gov.uk/pub/docs/doh/cancerfr.pdf
Maran AGD, Wilson JA (1996) Subspecialization in otolaryngology. Clin Otolaryngol 21:47–49
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Manganaris, A., Black, M., Balfour, A. et al. Sub-specialty training in head and neck surgical oncology in the European Union. Eur Arch Otorhinolaryngol 266, 1005–1010 (2009). https://doi.org/10.1007/s00405-008-0832-4
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DOI: https://doi.org/10.1007/s00405-008-0832-4