Flexibility in Postgraduate Medical Training in the Netherlands

Academic Medicine : Journal of the Association of American Medical Colleges
Reinier G HoffOlle Ten Cate

Abstract

Postgraduate medical training in the Netherlands has become increasingly individualized. In this article, the authors describe current practices for three residency programs at the University Medical Center Utrecht: anesthesiology, pediatrics, and ophthalmology. These programs are diverse yet share characteristics allowing for individualized residency training. New residents enter each program throughout the year, avoiding a large simultaneous influx of inexperienced doctors. The usual duration of each is five years. However, the actual duration of rotations or of the program as a whole can be reduced because of residents' previous medical experience or demonstration of early mastery of relevant competencies. If necessary, the duration of training can also increase.Although working hours are already restricted by the European Working Time Directive, most residents choose to train on a part-time basis. The length of their program then is extended proportionally. The extension period added for those residents training part-time can be used to develop specific competencies, complete an elective rotation or research, or explore a focus area. If the resident meets all training objectives before the extension period is completed, the...Continue Reading

References

Feb 1, 2008·Medical Teacher·Olle Ten Cate
May 20, 2008·Medical Teacher·Fedde ScheeleThalia Hummel
Jan 23, 2010·The British Journal of Surgery·M P SchijvenH M MacRae
May 7, 2010·Medical Education·Jelle T PrinsFrank M M A van der Heijden
Jul 6, 2014·Academic Medicine : Journal of the Association of American Medical Colleges·Joanne P I FokkemaPim W Teunissen
Dec 10, 2015·JAMA : the Journal of the American Medical Association·Douglas A MataSrijan Sen
Jul 15, 2017·The New England Journal of Medicine·Eric C Schneider, David Squires

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Citations

Feb 28, 2018·Academic Medicine : Journal of the Association of American Medical Colleges·Catherine R LuceyOlle Ten Cate
Feb 28, 2018·Academic Medicine : Journal of the Association of American Medical Colleges·Eugène J F M Custers, Olle Ten Cate
Aug 29, 2019·Academic Medicine : Journal of the Association of American Medical Colleges·Olle Ten Cate, Carol Carraccio
Aug 17, 2020·Postgraduate Medical Journal·Cindy Y G NobenBrigitte Essers
Dec 29, 2020·Teaching and Learning in Medicine·Kimberly A GiffordJohn D Mahan
Mar 30, 2021·Medical Education·Christopher WatlingEmily Field
Jun 2, 2021·Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete·P Elsner
Jun 30, 2021·Academic Medicine : Journal of the Association of American Medical Colleges·Jacqueline de GraafOlle Ten Cate

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