Gut. 1994 Jan;35(1):135-8. doi: 10.1136/gut.35.1.135.
Gastroenterological training differs so greatly from country to country in Europe it is impossible to believe that training is equally good in each one. This in turn, provides a barrier to the free migration of doctors with the European Community. These differences also create confusion for migrating patients, and call into question the validity of the European Commission directives, which pronounce all qualifications obtained in European Community countries to be equally acceptable within the community. The European Commission does not have the power to unify medical training, but the medical profession itself acting in concert as a European body could harmonise the differences to ensure acceptable standards of training across the community. The Union of European Medical Specialists (UEMS) is the representative body of national medical specialists bodies, which reports to the European Commission. The European Board of Gastroenterology, a working party of the Gastroenterology Section of the UEMS has agreed acceptable and fair standards of training for gastroenterologists, and has developed a system for external assessment of training centres and faculty. All three, candidates, faculty, and centre would, in the event of a successful application, be awarded the European Diploma of Gastroenterology or, in full, the Diploma of Recognition of Quality of Training in Gastroenterology. This paper discusses these problems, some of their origins, and the proposals of the European Board.
欧洲各国的胃肠病学培训差异极大，令人难以相信每个国家的培训质量都一样好。这反过来又为医生在欧共体内部的自由流动设置了障碍。这些差异也给转诊患者带来了困扰，还让人质疑欧盟委员会指令的有效性，该指令宣称在欧共体国家获得的所有资格在共同体内都同样被认可。欧盟委员会无权统一医学培训，但作为一个欧洲机构协同行动的医学专业本身可以协调这些差异，以确保整个共同体的培训标准达到可接受的水平。欧洲医学专家联盟（UEMS）是各国医学专家团体的代表机构，向欧盟委员会汇报工作。欧洲胃肠病学委员会是UEMS胃肠病学分会的一个工作组，已经商定了胃肠病学家可接受且公平的培训标准，并建立了一个对培训中心和教员进行外部评估的系统。如果申请成功，候选人、教员和培训中心都将被授予欧洲胃肠病学文凭，或者完整地说是胃肠病学培训质量认可文凭。本文讨论了这些问题、它们的一些根源以及欧洲委员会的提议。
