Manganaris Argyris, Black Myles, Balfour Alistair, Hartley Christopher, Jeannon Jean-Pierre, Simo Ricard
Departments of Otorhinolaryngology, Head and Neck Surgery, Guy's and St Thomas' Hospital NHS Foundation Trust, Guy's Hospital, 3rd Floor Southwark Wing, Great Maze Pond, London, SE1 9RT, UK.
Eur Arch Otorhinolaryngol. 2009 Jul;266(7):1005-10. doi: 10.1007/s00405-008-0832-4. Epub 2008 Oct 21.
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.
耳鼻咽喉头颈外科（ORL - HNS）的亚专业培训在欧盟各国并不统一，仍然存在差异。本研究旨在评估欧盟15国（EU - 15）头颈外科肿瘤学亚专业培训项目的现状。向欧盟15国ORL - HNS专业的欧洲耳鼻咽喉科协会联合会（EUFOS）的41名代表成员邮寄了调查问卷。问卷包括有关亚专业实践、结构、时长、准入、考试程序与认证、未来发展以及个人评论空间等问题。来自15个不同欧洲国家主要培训中心的31名受访者（75.6%）回复了问卷。总体而言，数据显示在分析的各个方面，不同欧洲国家之间以及国家内部都存在很大差异。只有四个欧盟国家有头颈外科肿瘤学的正规亚专业培训。这包括芬兰、德国、荷兰和英国。在其他欧盟国家，住院医师培训项目的最后一年通常是作为其中一个亚专业的入门阶段。目前欧盟内部头颈外科肿瘤学的亚专业培训明显发展不足。颁发ORL - HNS欧洲文凭可能是朝着评估不同欧洲国家专科培训期间所获得技能以及使专科培训正规化迈出的第一步。这将建立一个统一的标准，用于评估欧盟内部以及美国、加拿大或澳大利亚的亚专业培训候选人资格。
