Resident and subspecialty training in ORL-HNS

Do we need an European approach?

Reidar Grénman Professor and Chairman

Dept. of ORL H&N, Turku University and University Hospital, Turku Finland

EAORL-HNS, Confederation of European ORL-HNSPresident

Duration of specialist training

Croatia 5 yDenmark 6 yEstonia 3 yFinland 5 yGreece 5 yHungary 5 yIreland 6 yItaly 5 yNetherlands 5 yNorway 5 ySweden 5 y

N=11

Text books

Croatia Cummings, BallengerDenmarkEg. Scott Brown Estonia Becker, Cummings, Fisch, Wormarld, WeberFinland Cummings, Scott BrownGreece At least one European / AmericanHungary Hungary text bookIreland Scott Brown Italy Recommended booksNetherlands Stell and Maran, Fish, Nolst Trenite etc.Norway NoneSweden None

Theoretical education

Croatia 472 lectures/358 seminars, 100 practicalsDenmark4-8 hours / weekEstonia 2-3 hours / weekFinland 60 hours – 3 study weeksGreece natl. e-learning/ month, variableHungary 8 weeksIreland not split from practicalItaly 1600 hours of theoretical educationNetherlands 4 hours / weekNorway 2 hours teaching/4 hours self-study/weekSweden 2 hours / week

Educational courses

Written exam Oblig./Voluntary

Croatia Many-ped, orl,

plastic, HNS, oton. Rh + V

Denmark 6 x 4 days + general courses - O

Estonia No

Finland 7 x 2 days - V

Greece 4 x 2 days variable; 1 national - V

Hungary 5 courses - V

Ireland 4 courses 1 day each year - O

Italy Otol 4 days;Larynx 3 day;laser 4 day - V?

Netherlands4 courses days - V?

Norway 12 courses, 3-4 days + O

Sweden 8 to choose from + 5/O

Exam at the end of the training

Croatia + ObligatoryDenmark -Estonia + ObligatoryFinland + ObligatoryGreece + ObligatoryHungary + ObligatoryIreland + ObligatoryItaly -Netherlands Every year (national?) ObligatoryNorway -Sweden + Voluntary

Would European courses be of interest?

price / 2-3 daysCroatia yes 100 €Denmark yes 500-600 €Estonia yes max. 300 €Finland yes 400-500 €Greece yes 200 €Hungary yes 200 €Ireland yes 500 €Italy yesNetherlands ? 200-300 €Norway yes ± 500 €Sweden yes 500 €