EULAR Fellowship of Rheumatology
The EULAR fellowship of rheumatology refers to the structured specialty training programs and educational initiatives developed under the European League Against Rheumatism (EULAR) framework to train physicians to become rheumatology specialists across Europe.
Core Training Structure
EULAR has established a comprehensive training framework that aims to harmonize rheumatology specialty training across Europe and bring physicians to an agreed standard of proficiency in managing people with rheumatic and musculoskeletal diseases (RMDs). 1
Key Components of EULAR Training Programs
Assessment and Competency Framework
- EULAR developed points to consider for assessing competences during rheumatology specialty training, including four overarching principles and 10 specific points to consider 1
- The assessment strategy emphasizes both formative assessment (ongoing feedback during training) and portfolio-based evaluation 1
- Competency assessment covers multiple domains including medical knowledge, clinical skills, professionalism, communication, and procedural abilities 1
Educational Initiatives
- EULAR offers structured educational courses at three levels: basic, intermediate, and advanced 1
- Specialized training courses include musculoskeletal ultrasound (MSUS) training with standardized curricula 1
- Course timing and location are typically coordinated with annual EULAR Congresses 1
- Practical hands-on sessions comprise 50-60% of total course time, with a maximum of six participants per teacher to ensure adequate supervision 1
Portfolio Development
- EULAR developed a standardized portfolio for rheumatology training that includes six key components: curriculum vitae, personal development plan, clinical work, professional behaviours, education activities, and research activities 2
- The portfolio serves as a tool for documenting competency development and facilitating reflective learning throughout training 2
Organizational Structure
Task Force Composition
- EULAR training initiatives involve multidisciplinary task forces that include rheumatologists with expertise in medical education, methodologists, medical educationalists, and patient research partners 1
- The Emerging EULAR Network (EMEUNET) provides representation for trainees and early-career rheumatologists 1
Standardized Operating Procedures
- All EULAR educational initiatives follow standardized operating procedures approved by the EULAR Executive Committee 1
- Development processes include systematic literature reviews, expert consensus methods (including Delphi techniques), and validation through broader expert groups 1
Research and Innovation Support
EULAR launched a Research Centre in 2020 to facilitate collaborative research on RMDs across Europe, providing research infrastructure, networks, training, education, and mentoring. 3
Common Pitfalls to Avoid
- Training programs vary significantly across the 41 EULAR member countries, resulting in heterogeneity in structure, curriculum, and assessment strategies 1
- Major barriers to effective implementation include lack of time, insufficient trained trainers, and limited resources 1
- Not all countries have implemented comprehensive portfolio systems or structured assessment programs 2