Journal of Rehabilitation Medicine 51-11 | Page 17

The European PRM Board Fellowship is a seal of excellence practice of PRM. Table I illustrates the evolution of the main structure and contents of the PRM curriculum of knowledge across different editions. CONDITIONAL ENDORSEMENT OF TRAINING PROGRAMMES The number of PRM trainees and specialists varies significantly among European countries (7), in some of which the specialty does not officially exist. The Board has elaborated a set of requirements for the conditional endorsement of PRM training program- mes for European countries in which the specialty of Physical and Rehabilitation Medicine is under deve- lopment. Following the proposed scheme, the national health authorities or PRM-related medical societies can organize the training according to the high European quality standards set by the European PRM Board. The procedure, which is under the supervision of the Board, leads to the certification of training centres, trainers and fellows upon its completion. THE FELLOWSHIP DIPLOMA 831 in the field of PRM (e.g. as an independent PRM physician, as a leader of a multi-professional reha- bilitation team for in- or out-patients, as a trainer for PRM trainees, as a teacher of PRM subjects in medi- cal schools and PRM training centres, publications, etc.). Activities in professional PRM organizations and patients’ organizations may also be taken into account. Over the last 25 years, approximately 1,800 PRM specialists have been Board certified by Equivalence and 1,200 by Examination. HISTORY OF THE EXAMINATION The first examination was held in Ghent, in 1993, with applicants from 6 pioneer countries. Within a few years, an increasing number of European countries joined, and nowadays the examination is delivered in approximately 18 countries each year (Fig. 1). The date, starting time and duration of the exami- nation is the same for all participating countries. The examination is scheduled once annually, at the end of autumn. Several organizational changes have taken place in the last 25 years. Starting from 2007 the submission of applications and the management of registrations for the examination have been conduc- ted electronically, through an internet-based system. Further improvements in the handling of examination material occurred in 2012, and advances in statistical processing of the results, implemented in 2017, led to a significant decrease in the time required to release the results. Moreover, these changes allowed the Jury to provide detailed feedback on each candidate’s absolute and relative performance. Until 2017, the examination was exclusively paper-based. In 2018 a small number of countries delivered a computer-based version of the examination. Starting from 2019 the examination The Diploma of the European PRM Board Fellowship is a seal of excellence in the specialty of PRM and proof that the training of PRM physicians was carried out according to the European Standards for medical train- ing in PRM. The Fellowship of the European Board of PRM is granted to physicians who have been trained and licensed to practice PRM in a member country of the UEMS and have successfully passed the European examination in PRM. To date, 3 countries (Slovenia, Switzerland and Belgium) have adopted the European PRM Board examination as part of their national qua- lification system in the specialty of PRM. As an alternative, the Fellowship is also granted “by Equivalence” to senior PRM doctors who: • hold a valid qualification as medical No. of Countries specialists in PRM, issued by a compe- 20 tent authority of a UEMS full member 18 18 18 17 17 18 country; 15 15 15 15 16 • have been practicing the medical speci- 14 13 14 alty of PRM in a UEMS member country 11 12 for at least 7 years at the time of the 10 10 9 10 application; 8 • can document 250 Continuing Medical 6 Education/Continuing Professional 4 Development (CME/CPD) credits col- 2 lected during the 5 years preceding the 0 application; 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 • can document a satisfactory degree of Fig. 1. Number of countries that organized the European PRM Board examination, during clinical, educative and research activities 2004–2018. Prior to 2004 the numbers ranged between 6 and 10. J Rehabil Med 51, 2019