BACKGROUND: the European Union of Medical Specialists (UEMS-GMS) recommendations for training in Geriatric Medicine were published in 1993. The practice of Geriatric Medicine has developed considerably since then and it has therefore become necessary to update these recommendations. METHODS: under the auspices of the UEMS-GMS, the European Geriatric Medicine Society (EuGMS) and the European Academy of Medicine of Ageing (EAMA), a group of experts, representing all member states of the respective bodies developed a new framework for education and training of specialists in Geriatric Medicine using a modified Delphi technique. Thirty-two expert panel members from 30 different countries participated in the process comprising three Delphi rounds for consensus. The process was led by five facilitators. RESULTS: the final recommendations include four different domains: 'General Considerations' on the structure and aim of the syllabus as well as quality indicators for training (6 sub-items), 'Knowledge in patient care' (36 sub-items), 'Additional Skills and Attitude required for a Geriatrician' (9 sub-items) and a domain on 'Assessment of postgraduate education: which items are important for the transnational comparison process' (1 item). CONCLUSION: the current publication describes the development of the new recommendations endorsed by UEMS-GMS, EuGMS and EAMA as minimum training requirements to become a geriatrician at specialist level in EU member states.

CLAHRC East Midlands 'Caring for Older People and Stroke Survivors'

Clinical Centre of Endocrinology and Gerontology Medical University of SofiaBoulevard Akademik Ivan Evstratiev Geshov 15 Sofia Center Sofia Bulgaria

Department Geriatric Medicine Royal Infirmary Glasgow UK

Department of Clinical Gerontology College Green Dublin 2 Ireland

Department of Clinical Science University of Bergen Bergen Norway

Department of Clinical Sciences Helsingborg Helsingborg Hospital Lund University Svartbrödragränden 3 5 Helsingborg Sweden

Department of Family Medicine Faculty of Medicine University of Ljubljana Korytkova ulica 2 Ljubljana Slovenia

Department of Geriatric Medicine Ghent University Hospital Corneel Heymanslaan 10 Gent Belgium

Department of Geriatric Medicine Hopital de la Timone 264 Rue Saint Pierre 13005 Marseille 05 Provence Alpes Côte d'Azur France

Department of Geriatric Medicine Odense University Hospital and Department of Clinical Research University of Southern Denmark J B Winsløws Vej 4 Odense Denmark

Department of Geriatric Medicine Paracelsus Medical University Strubergasse 22 Salzburg Austria

Department of Geriatric Medicine Radboud University Medical Centre Geert Grooteplein Zuid 10 Nijmegen Netherlands

Department of Geriatric Medicine Seinäjoki Central Hospital Hanneksenrinne 7 Seinäjoki Finland

Department of Geriatric Medicine The National University Hospital of Iceland Landakoti 101 Reykjavík Iceland

Department of Geriatrics Geriatrische Klinik St Gallen and University of Zürich Zürich Switzerland

Department of Geriatrics Klinikum Nürnberg Paracelsus Private Medical University Prof Ernst Nathan Straße 1 Nürnberg Germany

Department of Geriatrics Medical University of Lodz plac Hallera 1 Łódź Poland

Department of Geriatrics The Faculty of Nursing Medical Academy Lithuanian University of Health Sciences A Mickevičiaus g 9 Kaunas Lithuania

Department of Geriatrics University of Turku Turku Finland

Department of Gerontology and Geriatrics 1st Faculty of Medicine Charles University and General Faculty HospitalOvocný trh 3 5 Staré Město Czechia

Department of Healthcare for Older People Nottingham University Hospitals NHS Trust Derby Road Nottingham UK

Department of Internal Medicine Medical University of Graz Auenbruggerplatz 15 Graz Austria

Department of Internal Medicine University of Tartu Ülikooli 18 Tartu Estonia

Department of Neurobiology Care Sciences and Society Division of Clinical geriatrics Solnavägen 1 Solna Sweden

Faculty of Medicine Carol Davila University of Medicine and Pharmacy Ana Aslan National Institute of Gerontology and Geriatrics Romania

Geriatria Accettazione geriatrica e Centro di ricerca per l'invecchiamento IRCCS INRCA Ancona Italia

Geriatric Department CHU Rue de Gaillarmont 600 Liège Belgium

Geriatric Department Slovak Medical University 831 01 Bratislava Slovakia

Hellenic Association of Gerontology and Geriatrics Past President Age Platform Europe Greece

House Omega and LTCF Alzheimer University of Luxembourg 2 avenue de l'Université Esch sur Alzette Luxembourg

Hungarian Association of Gerontology and Geriatrics

Institute of Biomedicine of Ageing Friedrich Alexander University Erlangen Schloßplatz 4 Erlangen Germany

Internal Medicine Specialist with Geriatrics Competence Orthogeriatric Unit Coordinator Internal Medicine Department Hospital São Francisco Xavier Centro Hospitalar de Lisboa Ocidental Invited Lecturer of Geriatrics Faculdade de Medicina Universidade de Lisboa Estr Forte do Alto Duque Lisboa Portugal

Medizinische Klinik 4 Geriatrie und Palliativmedizin Klinikum Osnabrück Germany

Royal Bournemouth and Christchurch NHS Hospitals Foundation Trust Castle Lane East Bournemouth UK

Section of Geriatrics Department of Internal Medicine School of Medicine Ege University Erzene Mahallesi Bornova İzmir Turkey

Serbian Association of Geriatricians and Gerontologist Udruženje gerijatara i gerontologa Srbije Preševska 31 Beograd Serbia

Servicio de Geriatría Hospital Universitario Ramón y Cajal Madrid Spain

The Geriatric Medicine Society of Malta Karin Grech Hospital Telghat Gwardamangia Pieta' Malta PTA Malta

Zobrazit více v PubMed

Charter on Training of Medical Specialists in the European Community Charter adopted by the Management Council of the UEMS.1993 UEMS.

Kern DE, Thomas PA, Hughes MT, Chen BY. Curriculum Development for Medical Education: A Six-Step Approach. Springer Publishing Company, 2015.

Singler K, Holm EA, Jackson T, Robertson G, Muller-Eggenberger E, Roller RE. European postgraduate training in geriatric medicine: data of a systematic international survey. Aging Clin Exp Res 2015; 27: 741–50. PubMed

Singler K, Gordon AL, Robertson G, Roller RE. The development of a geriatric postgraduate education assessment instrument using a modified Delphi procedure. Age Ageing 2016; 45: 718–22. PubMed

Masud T, Blundell A, Gordon AL et al. . European undergraduate curriculum in geriatric medicine developed using an international modified Delphi technique. Age Ageing 2014; 43: 695–702. PubMed PMC

Adler M, Ziglio E. Gazing Into the Oracle: The Delphi Method and Its Application to Social Policy and Public Health. London: Jessica Kingsley Publishers, 1996.

Vernon W. The Delphi technique: a review. Int J Therapy Rehabil 2009; 16: 69–76.

Singler K, Stuck AE, Masud T, Goeldlin A, Roller RE. Lernzielkatalog für die studentische Lehre im Fachbereich, Geriatrie‘ an Fakultäten für Humanmedizin. Zeitschrift für Gerontologie und Geriatrie 2014; 47: 570–6. PubMed

Vilches-Moraga A, Ariño-Blasco S, Verdejo-Bravo C, Mateos-Nozal J. Plan de estudios universitarios en medicina geriátrica desarrollado utilizando una técnica internacional Delphi modificada. Revista Española de Geriatría y Gerontología 2015; 50: 82–8. PubMed

Laurie R, Nonoyama-Tarumi Y, McKeown R, Hopkins C. Contributions of Education for Sustainable Development (ESD) to Quality Education: a synthesis of research. J Educ Sustain Dev 2016; 10: 226–42.

Brady SR. Utilizing and adapting the Delphi method for use in qualitative research. Int J Qual Methods 2015; 14: 1609406915621381.

Training in Geriatric Medicine in the EU Training Requirement 2016. uemsgeriatricmedicine.org/www/dok/Minimum Training Requirment 2016.pdf; accessed 4th August 2018.

Fisher JM, Masud T, Holm EA et al. . New horizons in geriatric medicine education and training: the need for pan-European education and training standards. Eur Geriatr Med 2017; 8: 467–73.

Leipzig R, Sauvigne MK, Granville LJ et al. . What is a geriatrician? American Geriatrics Society and Association of Directors of Geriatric Academic Programs end-of-training entrustable professional activities for geriatric medicine. J Am Geriatr Soc 2014; 62: 924–9. PubMed

ten Cate O, Scheele F. Competency-based postgraduate training: can we bridge the gap between theory and clinical practice? Acad Med 2007; 82: 542–7. PubMed

WHO , IFMSA Teaching Geriatrics in Medical Education II, Department of Ageing and Life Course and IFMSA. 2018http://www.who.int/ageing/publications/geriatrics_survey/en/; Accessed 24th August 2018.

Windhaber T, Koula ML, Ntzani E et al. . Educational strategies to train health care professionals across the education continuum on the process of frailty prevention and frailty management: a systematic review. Aging Clin Exp Res 2018. 10.1007/s40520-018-0918-9. PubMed DOI PMC

Kidd E. Promoting a sustainable workforce for health in Europe. New York: Eurohealth, 2009; Vol 15: 20–2.

Windhaber T, Koula ML, Ntzani E et al. . Educational strategies to train health care professionals across the education continuum on the process of frailty prevention and frailty management: a systematic review. Aging Clin Exp Res 2018. 10.1007/s40520-018-0918-9. PubMed DOI PMC

Michel JP, Huber P, Cruz‐Jentoft AJ. Europe‐wide survey of teaching in geriatric medicine. J Am Ger Soc 2008; 56: 1536–42. PubMed

Roller RE, Petermans J. Education and training in geriatrics in the 21st century—where do we come from—where do we go? Eur Geriatr Med 2015; 6: 205–7.

Miller GE. The assessment of clinical skills/competence/performance. Acad Med 1990; 65: S63–7. PubMed