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ORL TRAINING IN THE EUORL TRAINING IN THE EU
Updated september 2007Updated september 2007
BASIC TRAININGBASIC TRAINING
Medical school training duration
AUSTRIABELGIUM
CYPRUSCZECH REPUBLIC
DENMARKESTONIA
FINLANDFRANCE
GERMANYGREECEHUNGARYIRELANDITALYLITHUANIA
LUXEMBURGMALTA
NORWAYPOLANDPORTUGALROMANIASERBIASLOVAK REPUBLICSPAIN
SWEDENSWITZERLANDTHE NETHERLANDSTURKEY
UK
0 1 2 3 4 5 6 7 8 9 10
Years
BASIC TRAININGBASIC TRAINING
2 2
19
1 1 1 1 1
0
2
4
6
8
10
12
14
16
18
20
Number
of countries
5 5,5 6 6,5 7 9 NO MEDICAL
EDUCATION
NO ANSWER
Years
Medical school training duration
ORL TRAINING INCLUDED IN ORL TRAINING INCLUDED IN BASIC TRAININGBASIC TRAINING
AUSTRIA BELGIUM CYPRUS CZECH REPUBLIC DENMARK ESTONIA FINLAND
2 8 N/A 2 8 3 5
FRANCE GERMANY GREECE HUNGARY IRELAND ITALY LITHUANIA
1 2 4 2 2 ---- 2
LUXEMBURG MALTA NORWAY POLAND PORTUGAL ROMANIA SERBIA
N/A 3 9 2 2 4 3
SLOVAK REPUBLIC SPAIN SWEDEN SWITZERLAND NETHERLANDS TURKEY UK
2 2 3-6 ---- 2-5 2-4 1
All these results are in weeks
PRE-SPECIALIST TRAINING PRE-SPECIALIST TRAINING AFTER GRADUATION IN MEDICAL AFTER GRADUATION IN MEDICAL SCHOOLSCHOOL
AUSTRIA BELGIUM CYPRUS CZECH REPUBLIC DENMARK ESTONIA FINLAND
1 - 31 - 3 1,51,5 00 00 1,51,5 0,50,5 22
FRANCE GERMANY GREECE HUNGARY IRELAND ITALY LITHUANIA
1 00 11 2 2 0,250,25 1
LUXEMBURG MALTA NORWAY POLAND PORTUGAL ROMANIA SERBIA
00 2 5 1 1 0 2
SLOVAK REPUBLIC SPAIN SWEDEN SWITZERLAND NETHERLANDS TURKEY UK
0 0 2 11 0 0 2
All these results are in years
SPECIALIST TRAINING IN SPECIALIST TRAINING IN ORL/HNSORL/HNS
0 10 20 30 40 50 60 70 80 90 100
AUSTRIA
BELGIUM
CYPRUS
CZECH REPUBLIC
DENMARK
ESTONIA
FINLAND
FRANCE
GERMANY
GREECE
HUNGARY
IRELAND
ITALY
LITHUANIA
LUXEMBURG
MALTA
NORWAY
POLAND
PORTUGAL
ROMANIA
SERBIA
SLOVAK REPUBLIC
SPAIN
SWEDEN
SWITZERLAND
THE NETHERLANDS
TURKEY
UK
months
1. ORL training 2.1. General practice 2.2. General Surgery 2.3. Plastic Surgery 2.4. Accident & Emergency
2.5. Neurosurgery 2.6. Research 2.7. One of them to choose 2.8 Others
SELECTION OF TRAINEESSELECTION OF TRAINEESNational selection and nomination
11%
29%
60%
YES
NO
N/A
Training institution selects / nominates
46%
43%
11%
YES
NO
N/A
Examination for selection
32%
57%
11%
YES
NO
N/A
Interview for selection
29%
18%
53%
YES
NO
N/A
NUMBERS / MANPOWERNUMBERS / MANPOWER
Inhabitants (Mill.) ENT-Specialists ENT/Inhabitants Trainees/yearTrainees at any
one timeTrainees per
year/ENTSpecialists
Austria 8.1 400 1:20.000 differs differs, 25 in 2007
Belgium 10.4 550 1:19.000 8 40 1,45%
Croatia 4,4 n/a n/a
Cyprus 0.7 52 1:13.000 - 3
Czech Republic
10.2 748 1:14.00015
- 2,01%
Denmark 5.4 320 1:17.000 24 55-60 7,50%
Estonia 1.4 96 1:15.000 1,5 4-5 1,56%
Finland 5.2 318 1:16.000 7 30 2,20%
France 59,8 2600 1:23.000 25-40 60-80 1,23%
Germany 82.5 5420 1:15.000 200 1000 3,69%
Greece 11.0 1250 1:9.000 - -
Hungary 10.1 800 1:13.000 15 60 1,88%
Ireland 4.0 40 1:100.000 2 21 5,00%
Italy 57.6 5009 1:11.000 85 340 1,70%
Latvia 2.3 --- --- n/a n/a
Lithuania 3.4 320 1:11.000 7-8 22-24 2,50%
NUMBERS / MANPOWERNUMBERS / MANPOWER
Inhabitants (Mill.) ENT-Specialists ENT/Inhabitants Trainees/yearTrainees at any
one time
Trainees per year/ENT Specialists
Luxembourg 0.4 28 1:14.000 - -
Malta 0.4 8 + 3 1:36.000 1 every two years 4 4,55%
Netherlands 16.2 372 1:44.000 24 108 6,45%
Norway 4.5 314 1:14.000 20 80 6,37%
Poland 38.2 1311 1:29.000 40 200 3,05%
Portugal 10.4 470 1:22.000 6-10 50 1,70%
Rumania 21.7 794 1:27.000 42 210 5,29%
Russia 150.0 4000 1:38.000 n/a n/a
Slovak Rep. 5.4 400 1:14.000 15 50 3,75%
Slovenia 2.0 80 1:25.000 n/a 22
Spain 41.9 2100 1:20.000 60 240 2,86%
Sweden 9.0 573 1:16.000 15 100 2,60%
Switzerland 7.2 350 1:21.000 10-15 60 3,43%
Turkey 70.7 2551 1:28.000 100 400 3,92%
United Kingdom
59.5 614 1:97.00045 350 7,33%
EXAMINATION IN ORL/HNSEXAMINATION IN ORL/HNS Entry exam
7
17
4
YES
NO
N/A
EXAMINATION IN ORL/HNSEXAMINATION IN ORL/HNS
WrittenWritten 1515
OralOral 1919
TheoreticalTheoretical 1818
PracticalPractical 1212
Type of exit examinationType of exit examination
Local in hospitalLocal in hospital 22
UniversityUniversity 88
NationalNational 1414
VoluntaryVoluntary 11
Compulsory/obligatoryCompulsory/obligatory 1717
Exit exam
22
5
1
YES
NO
N/A
LOG-BOOKLOG-BOOK
Do you use a log book?
89%
7% 4%
YES
NO
N/A
UEMS log book?
8
15
1 1YES
NO
NOANSWER
YES, BUTMODIFIED
TRAINING FACILITIES / TRAINING FACILITIES / TRAINERTRAINER
Do trainees have a personal tutor?
61%
32%
7%
YES
NO
NO ANSWER
Do trainees have influence inthe selection of trainer?
21%
72%
7%
YES
NO
NO ANSWER
Do trainees formallyevaluate the trainer?
29%
60%
11%
YES
NO
NO ANSWER
Can trainees choose to trainin foreign centres?
50%
39%
11%
YES
NO
NO ANSWER
DEDICATED TIMEDEDICATED TIME
0 5 10 15 20 25 30 35 40 45
AUSTRIA
BELGIUM
CYPRUS
CZECH REPUBLIC
DENMARK
ESTONIA
FINLAND
FRANCE
GERMANY
GREECE
HUNGARY
IRELAND
ITALY
LITHUANIA
LUXEMBURG
MALTA
NORWAY
POLAND
PORTUGAL
ROMANIA
SERBIA
SLOVAK REPUBLIC
SPAIN
SWEDEN
SWITZERLAND
THE NETHERLANDS
TURKEY
UK
Hours per week
Outpatient consultation Operating theatre Ward work On call duties Dedicated time for other business
CERTIFICATION OF ORL CERTIFICATION OF ORL SPECIALISTSSPECIALISTS
By whom are they certified?
17
8
3
8
2
Government / Ministry of health
National / Federal Medical Association
National / Federal specialty Association
Program Director or Chief of training
No answer
How are trainees certified as ORL specialists?
7
13
10
2
Automatic at the end of training
By application
Additional examination
No answer
SALARYSALARYDo trainees get extra money to attend educational meeting /
courses?
53%43%
4% YES
NO
NO ANSWER
Are trainees allowed to undertake private practice during their training?
21%
75%
4%
YES
NO
NO ANSWER
EUROPEAN WORKING TIME EUROPEAN WORKING TIME DIRECTIVEDIRECTIVE
How many hours are trainees regularly working per week?
35 37 38 38,25 40 40 40 40 40 40 42 42 42 42,545 45 45
48 48 5055 56
59 6062
7074
0
10
20
30
40
50
60
70
80
C
Y
P
R
U
S
D
E
N
M
A
R
K
I
T
A
L
Y
F
I
N
L
A
N
D
B
E
L
G
I
U
M
E
S
T
O
N
I
A
L
I
T
H
U
A
N
I
A
R
O
M
A
N
I
A
S
E
R
B
I
A
S
W
E
D
E
N
H
U
N
G
A
R
Y
P
O
R
T
U
G
A
L
S
L
O
V
A
K
R
E
P
U
B
L
I
C
C
Z
E
C
H
R
E
P
U
B
L
I
C
F
R
A
N
C
E
N
O
R
W
A
Y
T
U
R
K
E
Y
G
E
R
M
A
N
Y
M
A
L
T
A
S
W
I
T
Z
E
R
L
A
N
D
T
H
E
N
E
T
H
E
R
L
A
N
D
S
U
K
P
O
L
A
N
D
A
U
S
T
R
I
A
S
P
A
I
N
I
R
E
L
A
N
D
G
R
E
E
C
E
L
U
X
E
M
B
U
R
G
EUROPEAN WORKING TIME EUROPEAN WORKING TIME DIRECTIVEDIRECTIVE Can trainees voluntarily
work more hours?
60%
36%
4%
YES
NO
NO ANSWER
How many?
CYPRUS ESTONIA LITHUANIA ROMANIA SERBIA PORTUGAL SLOVAK REPUBLIC
5 24-48 20 10 no criteria 12 56
CZECH REPUBLIC TURKEY MALTA SWITZERLAND POLAND SPAIN IRELAND
unlimited as much as the trainees wants 55 not oficially up to 80-100 no criteria 48 weekend on-call
EUROPEAN WORKING TIME EUROPEAN WORKING TIME DIRECTIVEDIRECTIVE
AUSTRIA BELGIUM CYPRUS CZECH REPUBLIC DENMARK ESTONIA FINLAND
25-45 20 18 25 30-40 28 28
FRANCE GERMANY GREECE HUNGARY IRELAND ITALY LITHUANIA
35 26 30 24 42 30 35
LUXEMBURG MALTA NORWAY POLAND PORTUGAL ROMANIA SERBIA
30-40as
needed
26 25 21 25
SLOVAK REPUBLIC SPAIN SWEDEN SWITZERLAND THE NETHERLANDS TURKEY UK
28 37 25 20 24 20 30
HOLIDAYS ALLOWED (IN DAYS PER YEAR)