1. What is a hematologist? Results from the EHA inquiry 2001-2003 Final update May 2003 Eva Hellström Lindberg EHA Education

2. Aim of the study To describe the ”median” European hematologist, and variations To make an inventory of existing and planned CME credit systems in Europe To prepare for an EHA-based CME credit system

3. Methods Inquiry form sent to national representatives in 16 European countries, fall 2001 A second round sent out during fall 2002, and a third round during spring 2003 –Description of specialist training –Guidelines for continuous hematological education –CME system –Future directions

4. Countries, n =29 Sweden Denmark Iceland Finland Norway Latvia Lithuania Poland Ireland United Kingdom The Netherlands Belgium Germany Switzerland Austria France Italy Spain Portugal Hungary Czech Republic Albania Bulgaria Croatia Romania Greece Israel Turkey Ukraine

5. Formal hematological specialities Not recognized as a formal separate speciality (part of internal medicine) Only one (hematology) with different subspec. > One (clin. hematology, transfusion medicine, medical oncology, hematopathology, clinical immunology, coagulation medicine) Not answered A hematologist is always a specialist in internal medicine (adult or pediatric) A hematologist is always a specialist in cytomorphology 2 17 10 2 17 yes 12 no 4 yes

6. Length of specialist training Hematology + Internal medicine Hematology only 0 1 2 3 4 5 6 7 8 YEARS 1 2 3 4 5 6 7 8 9 Years of training in internal medicine Years of total specialist training period

7. 7 Hematology vs Hematology +Internal medicine,5 1 1,5 2 2,5 3 3,5 4 4,5 5 5,5 Years of hematology Hem onlyHem + IM 0 1 2 3 4 5 6 7 8 Months of transplantation Hem onlyHem + IM Hematology + internal medicine Hematology Hematology training (y)Transplantation training (mo)

8. Specialist training in different types of countries 1 2 3 4 5 6 7 8 9 YEARS Internal medicine Total training EU members EU candidates Non-members

9. National systems for CME, etc VariableYESNO Obligatory exam524 Guidelines for CME1116 Obligatory CME general920 Obligatory CME hem821 CME point systemexist1613 OK one point / hour222

10. Summary Two main types of hematological specialists –Including speciality in internal medicine –Only hematology, but with more lab training Median total education time 6 years (4 - 8 y) Median training in int. med. 2.5 years (0.5 - 6 y) No clear differences between different types of European countries Overall positive reactions to European CME credit point system and OK for 1 point / hour Eva Hellström Lindberg EHA Education