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Ann Rheum Dis. 2019 Aug 9. pii: annrheumdis-2019-215803. doi: 10.1136/annrheumdis-2019-215803. [Epub ahead of print]

2019 EULAR recommendations for the generic core competences of health professionals in rheumatology.

Author information

1
Orthopaedics, Rehabilitation and Physical Therapy, J11, Leiden University Medical Center, Leiden, The Netherlands.
2
Amsterdam Rehabilitation Research Center, Reade, Amsterdam, The Netherlands.
3
Inflammation Biology, King's College London, London, UK.
4
Institute of Infection, Immunity and Inflammation, University of Glasgow School of Medicine, Glasgow, UK.
5
Scienze Cliniche e Biologiche, Università degli Studi di Torino, Turin, Italy.
6
EULAR, Zurich, Switzerland.
7
Clinical Education, King's College London, London, UK.
8
Standing Committee of People with Arthritis/Rheumatism in Europe (PARE), EULAR, Zurich, Switzerland.
9
Rheumatology, Hospital Garcia de Orta, Almada, Portugal.
10
Divsion of Clinical Immunology and Rheumatology, University of Zagreb School of Medicine, Zagreb, Croatia.
11
Nursery and Midwifery, University of the West of England Bristol, Bristol, UK.
12
Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.
13
Danish Hospital for Rheumatic Diseases, Graasten, Denmark.
14
Regional Health Research, University of Salford, Salford, UK.
15
Rheumatology Outpatients, Mid Cheshire Hospitals NHS Foundation Trust, Crewe, UK.
16
Section for Outcomes Research, Centre for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Vienna, Austria.
17
Occupational Therapy, University of Applied Sciences FH Campus Wien, Wien, Austria.
18
III. Medical Clinic, Dept of Oncology, Hematology and Rheumatology, University Hospital Bonn, Bonn, Germany.
19
Center of Medical Rehabilitation, Institute of Rheumatology, Praha, Czech Republic.
20
Rheumatology, Diakonhjemmet Hospital, Oslo, Norway.
21
Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genova, Genova, Italy.
22
Orthopaedics, Rehabilitation and Physical Therapy, J11, Leiden University Medical Center, Leiden, The Netherlands T.P.M.Vliet_Vlieland@lumc.nl.

Abstract

BACKGROUND/OBJECTIVES:

To maintain and optimise the quality of care provided by health professionals in rheumatology (HPRs), adequate educational offerings are needed. This task force (TF) aimed to develop evidence-based recommendations for the generic core competences of HPRs, with specific reference to nurses, physical therapists (PTs) and occupational therapists (OTs) to serve as a basis for their postgraduate education.

METHODS:

The EULAR standardised operating procedures for the development of recommendations were followed. A TF including rheumatologists, nurses, PTs, OTs, patient-representatives, an educationalist, methodologists and researchers from 12 countries met twice. In the first TF meeting, 13 research questions were defined to support a systematic literature review (SLR). In the second meeting, the SLR evidence was discussed and recommendations formulated. Subsequently, level of evidence and strength of recommendation were assigned and level of agreement (LoA) determined (0-10 rating scale).

RESULTS:

Three overarching principles were identified and 10 recommendations were developed for the generic core competences of HPRs. The SLR included 79 full-text papers, 20 of which addressed the competences, knowledge, skills, attitudes and/or educational needs of HPRs from multiple professions. The average LoA for each recommendation ranged from 9.42 to 9.79. Consensus was reached both on a research and educational agenda.

CONCLUSION:

Evidence and expert opinion informed a set of recommendations providing guidance on the generic core competences of HPRs. Implementation of these recommendations in the postgraduate education of HPRs at the international and national level is advised, considering variation in healthcare systems and professional roles.

KEYWORDS:

competences; educational needs; health professionals; recommendations; rheumatology

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