Objectives

To define the status of infectious diseases (ID) as an approved specialty in Europe; to enumerate the number of specialists (in general and in relation to the overall population) and specialist trainees and describe the content, delivery and evaluation of postgraduate training in ID in different countries.

Methods

Structured web-based questionnaire surveys in March 2021 of responsible national authorities, specialist societies and individual country representatives to the Section of Infectious Diseases of the European Union for Medical Specialties. Descriptive analysis of quantitative and qualitative responses.

Results

In responses received from 33/35 (94.3%) countries, ID is recognized as a specialty in 24 and as a subspecialty of general internal medicine (GIM) in eight, but it is not recognized in Spain. The number of ID specialists per country varies from <5 per million inhabitants to 78 per million inhabitants. Median length of training is 5 years (interquartile range 4.0–6.0 years) with variable amounts of preceding and/or concurrent GIM. Only 21.2% of countries (7/33) provide the minimum recommended training of 6 months in microbiology and 30% cover competencies such as palliative care, team working and leadership, audit, and quality control. Training is monitored by personal logbook or e-portfolio in 75.8% (25/33) and assessed by final examinations in 69.7% (23/33) of countries, but yearly reviews with trainees only occur in 54.5% (18/33) of countries.

Conclusions

There are substantial gaps in modernization of ID training in many countries to match current European training requirements. Joint training with clinical microbiology (CM) and in multidisciplinary team working should be extended. Training/monitoring trainers should find greater focus, together with regular feedback to trainees within many national training programmes.

中文翻译：

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2021 年欧洲传染病培训——关于培训交付、内容和评估的调查

目标

将传染病 (ID) 的地位定义为欧洲批准的专业；列举专家（总体上和与总人口相关）和专家受训者的数量，并描述不同国家 ID 研究生培训的内容、交付和评估。

方法

2021 年 3 月，对欧盟医学专业传染病科负责的国家当局、专业协会和个别国家代表进行了基于网络的结构化问卷调查。定量和定性反应的描述性分析。

结果

在 33/35 (94.3%) 的国家/地区收到的回复中，有 24 个国家承认 ID 为专科，有 8 个国家承认 ID 为普通内科 (GIM) 的亚专科，但在西班牙不被承认。每个国家的 ID 专家人数从每百万居民 <5 人到每百万居民 78 人不等。培训时间的中位数为 5 年（四分位距为 4.0-6.0 年），之前和/或同时进行的 GIM 数量不等。只有 21.2% 的国家 (7/33) 提供至少 6 个月的微生物学推荐培训，30% 的国家涵盖姑息治疗、团队合作和领导力、审计和质量控制等能力。在 75.8% (25/33) 的国家中，培训通过个人日志或电子档案进行监控，在 69.7% (23/33) 的国家中通过期末考试进行评估，但仅在 54.5% (18/33) 的国家中对学员进行年度审查国家。

结论

许多国家在 ID 培训现代化方面存在巨大差距，以满足当前的欧洲培训要求。应扩大与临床微生物学 (CM) 和多学科团队合作的联合培训。在许多国家培训计划中，培训/监督培训师应得到更多关注，并定期向受训者提供反馈。