English summaries 48/2019 vsk 74 s. 2808 - 2812

A hat-trick by neurologists – specialist training audited for the third time

Eino SoljeKati Valkonen
Kyselyyn vastanneiden erikoistuvien lääkärien (n = 72) tiedot
Auditoitujen neurologian yliopistoklinikoiden virat, päivystykset ja koulutukset
Hyväksi havaitut käytänteet koulutusyksikkövierailuilla
Valtakunnalliset suositukset neurologian erikoislääkärikoulutuksen kehittämiseksi (12)

Background Neurology is the only specialty in Finland that has carried out systematic auditing of specialist medical training on a long-term basis. Previous audits have been conducted in 1997 and 2007. In 2017, the Young Doctors Association conducted a survey on specialist programmes in Finland, neurology being the last of the assessed specialties. Weak success in the survey, and the fact that the previous audit had been conducted 10 years earlier led to the third audit of specialist neurology training.

Methods In autumn 2018, an electronic questionnaire was sent to residents, chief neurologists, and professors. The auditing visits were conducted at all university hospitals and two central hospitals.

Results In general, the units´ research and collegiality were praised. Best practices identified were systematic orientation (Oulu), training content portal and welcome letter (Helsinki), organization level feedback system (Turku), contact teaching at the stroke unit (Tampere), systematic instruction on botulinum toxin treatment and specialized work management (Rovaniemi), mentoring (Kuopio), and on-call training (Jyväskylä). Problems were recognized in the design of the education, orientation of new residents, and lack of feedback. Core analysis of the substance of specialist medical training was missing or outdated in all audited units.

Conclusions Audit produces up-to-date information, e.g. for those who consider training in the specialty, and enables systematic development of specialized education. Assessment of the quality of specialty education is particularly important and these assessments should be performed more frequently.


Eino Solje
LT, erikoistuva lääkäri
Itä-Suomen yliopisto, lääketieteen laitos, kliininen lääketiede, neurologia ja KYS Neurokeskus
Kati Valkonen
LL, neurologian erikoislääkäri
Helsingin yliopisto, kliiniset neurotieteet, neurologia ja
HUS Neurokeskus

Lääkäriliitto Fimnet Lääkärilehti Potilaanlaakarilehti Lääkäripäivät Lääkärikompassi Erikoisalani Lääkäri 2030