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these activities are coordinated and supervised by the
Jury of the Board. There are several other committees
involved in the examination process, including those
responsible for building and updating the examination
bank of questions, the training requirements, the cur-
riculum and the logbook.
The Board is an active member of the Council for
European Specialists Medical Assessment (CESMA),
an advisory body of the UEMS, whose purpose is to
provide recommendations and advice on the organiza-
tion of European examinations for medical specialists
at the European level. It is also a member of the Eu-
ropean Accreditation Council for continuing medical
education of UEMS (EACCME), functioning as the
assessor of the quality and credits of educational events
in the field of PRM, as mentioned above.
HARMONIZATION OF PRM TRAINING
As reported extensively in the White Book 3 rd edition
(4), the duration of PRM training and contents of
training curricula still present differences throughout
Europe. In order to support the widespread adoption of
standards in PRM education, the UEMS PRM Board
established a curriculum of theoretical knowledge in
its very first year of activity, in 1991. The curriculum
was updated in 2011 and further revised in 2018 as
an annex to the European Training Requirements
(ETR) in PRM (5). ETRs have replaced chapter 6
of the old charter on training of medical specialists
in the European Community (6). The publication of
the ETR, elaborated by the PRM Board and endorsed
by the UEMS Council in 2018, is one of the most
important recent steps towards the harmonization of
PRM education in Europe. The document defines the
content of the training and the standards for training
centres, trainers and training programmes in PRM. A
new educational model for medical trainees has been
introduced, based on applied clinical knowledge and
skills. The final evaluation is based on the level of com-
petencies a resident/trainee must achieve by the end
of their training programme to be fit for independent
Table I. Structure and contents of the curriculum of knowledge in Physical and Rehabilitation Medicine across different editions of the
documents published by the European PRM Board. The 2018 edition of the curriculum is integrated into the European Training Requirement
in PRM. Similar colour enhancement indicates possible correspondence between contents from different editions
1991 2011 2018
Fourteen chapters divided into 76 Sub-chapters
Introduction: Philosophy, Objectives and
Methodology of Physical and Rehabilitation Medicine
Chapter 1 – The fundamentals of PRM
Chapter 2 – Physiology and basic physiopathology Five sections divided into 68 Chapters
A. Topics of General Interest in PRM Nine chapters divided into 140 Learning Units
Including: Field of competence, Main health
interventions in PRM, Specific interventions in PRM,
PRM and sport and expanding the issues of:
Chapter 1 – The fundamentals of PRM
Chapter 2 – Body structures and body functions
• PRM and International Classification of Functioning,
Disability and Health;
• Outcome Measurement in PRM;
• Quality of Life (QOL) Assessment in PRM;
• Role of Complementary/Alternative medicine in PRM
Chapter
PRM
Chapter
Chapter
Chapter
PRM.
Chapter
Chapter
Chapter
Chapter
3 – Clinical and functional assessment in
Chapter 3 – Clinical diagnosis and functional
assessment in PRM
Chapter 4 – Interventions in PRM
Chapter 5 – Rehabilitation approaches to disease-
specific disabilities
4 – Therapies in PRM
5 – The immobile patient.
6 – Adult locomotor system pathology in
Including: the immobile patient, disability
conditions related to Nervous, Musculoskeletal,
Pain, Respiratory, Cardiovascular, Urogenital
disorders, Cancer and Burns
7 – PRM and sport
8 – PRM in nervous system pathology
9 – PRM and respiratory pathology.
10 – PRM and cardiovascular pathology.
B. PRM and Disorders of Nervous System
C. PRM and Orthopaedic and Musculoskeletal Disorders
D. PRM in Other Specific Disabling Conditions
Chapter 6 – PRM approach to disabling conditions
in the elderly
(including the Immobile patient, Respiratory,
Chapter 11 – PRM in paediatric conditions
Chapter 7 – PRM approach to disabling conditions
Cardiovascular, Urogenital disorders, Cancer and Pain
in children
Chapter 12 – PRM in urological and sexual problems disorders, Children and Elderly disabling conditions)
Chapter 13 – PRM in geriatric conditions
Chapter 8 – Research in rehabilitation
Chapter 14 – The reintegration of disabled people, E. Integrative and Clinical Rehabilitation Sciences,
the maintenance of disabled and elderly people at expanding the issues:
Chapter 9 – Integrative and clinical rehabilitation
home
• Services Research, Comprehensive PRM Intervention sciences
Research, Clinical research on best care including
guidelines, organization, coordination, and
education,
• Administration and Management, Standards and
guidelines for the provision of best care (including
Evidence Based Medicine), Quality management,
• Scientific education and training of professionals,
Development and evaluation of the PRM team and
multidisciplinary care,
• Community-based rehabilitation issues, Networks
and pathways in PRM
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