UNION EUROPÉENNE DES MÉDECINS SPÉCIALISTES
EUROPEAN UNION OF MEDICAL SPECIALISTS
European Training Charter for Medical Specialists, UEMS 2008
EUROPEAN BOARD OF PATHOLOGY
Chapter 6, CHARTER on TRAINING
of MEDICAL SPECIALISTS in the EU
DRAFT PROPOSAL REQUIREMENTS for Pathology Training
Newcastle meeting May 2008.
CENTRAL MONITORING AUTHORITY for PATHOLOGY at EU LEVEL
1.1. The monitoring authority for the Specialty Pathology is the
European Board of Pathology. The standards are maintained by Institutions
in the individual member states. The principal of subsidiarity
applies to these bodies. Nations without such bodies can have this
function carried out by the European Board of Pathology.
1.2. The Board of Pathology is responsible for the recognition
of institutions and teachers in the specialty. The standards are
laid down in motions accepted by the Board.
1.3. The Board of Pathology is responsible for setting up at national
level a programme of quality assurance of training, of teachers
and of training institutions, in accordance with national rules
and EU legislation as well as considering UEMS/ European Board
recommendations. This will be elaborated in close collaboration
with the European Society of Pathology (ESP) and the European Association
of Pathology Chairs and Residency Program Directors (EAPCP).
1.4. The Board of Pathology organises a European Examination of
Pathology to ensure a system of qualification of medical specialists,
recognised by their national Boards in accordance with national
rules and EU legislation.
1.5. The different members of the Board of Pathology will supply
the Board on a regular basis with the number of training positions
and expected vacancies in their countries.
GENERAL ASPECTS of TRAINING in the SPECIALTY
2.1. The Board of Pathology is responsible for keeping a register
at national level of medical specialists with data about their
specialty, additional qualifications and other relevant matters.
2.2. The duration of training for Pathology is minimum 5 years.
2.3. Every national training programme in pathology should include
training in histopathology, cytopathology and autopsy pathology.
2.4. The training programme should be specifically defined. A logbook
is recommended in pathology training. Residents should keep a documentation
of the number of autopsies and of histological and cytological
investigations that they have done to fulfil the criteria laid
down in the qualification requirements for the specialty.
2.5. Each country should have a system of quality control and assessment
in the training of pathology.
2.6. Trainees should be encouraged to do part of their training
in other European countries.
REQUIREMENTS for TRAINING INSTITUTIONS
3.1. Training institutions for the specialty Pathology should fulfil
the criteria laid down in the motion number 3 of the Board of Pathology.
If the requirements cannot be fulfilled in one institution, a rotation
to other training institutions should be facilitated.
3.2. The size and diversity of the training institutions are laid
down in motion number 3.
3.3. Quality assurance, health and safety regulations and legal
and ethical aspects of medical and pathology practice must be an
integral part of the training programme.
REQUIREMENTS for TEACHERS
4.1. The head of training/tutor should have at least 5 years experience
after qualification before recognition as such. There should be
additional teaching staff. The teacher and the staff should be
actively practising pathology. Teachers in specific or subspecialty
areas may be recognised for periods during the training.
4.2. The head of training/tutor must work out a training programme
for the trainee in accordance with the trainee's own abilities
complying with motion 3.
4.3. The ratio between the number of qualified specialists in the
teaching staff and the number of trainees must guarantee a close
personal monitoring of the trainee during his/her training as well
as provide adequate exposure of the trainee to training activities.
REQUIREMENTS for TRAINEES
5.1. Experience: to build up his/her experience, the trainee must
be involved in the management of a sufficient number of patients,
and perform a sufficient number of autopsies, histological and
cytological investigations of sufficient diversity.
5.2. The trainee must have sufficient linguistic ability to study
international literature and communicate with foreign colleagues.
5.3. The trainee must keep his/her personal inventory of performance
up to date, according to national rules and EU Directives, as well
as considering UEMS/ European Board recommendations.
PATHOLOGY TRAINING IN THE EU
EUROPEAN BOARD of PATHOLOGY of the UEMS
MOTION Nr. 3
UEMS European Board of Pathology in its Newcastle meeting May 2008.
The Section of Pathology recommends the harmonisation of postgraduate
training in Pathology in the EU/EFTA member states. The training
must as a minimum consist of the common trunk stated below. If
the requirements cannot be fulfilled in one institution, a rotation
to other training institutions should be facilitated.
1.The purpose of Pathology is to diagnose all diseases and determine their
cause, to follow their development and the evaluation of diagnostic and prognostic
methods as well as the effect of therapeutic measures by examination of morphological
samples with adequate supplement of supporting techniques including markers
for normal and abnormal expression of proteins and genes, thus offering advice
and support to fellow clinicians in the field of treatment of diseases or their
prevention. The purpose of Pathology includes the continuous scientific search
for a better biological understanding of diseases and the improvement of the
quality of diagnostic methods and their use.
2. Pathology comprises histopathology, cytopathology and autopsy pathology,
and embraces a number of more or less well-defined working areas. In some member
states particular subspecialties like neuropathology, forensic pathology and
paediatric pathology are recognized. These disciplines concern mainly postgraduate
training in pathology. However, training in any such specialty must, include
the following minimal training period in pathology (see below).
3. The minimum full-time postgraduate training period in Pathology should be
4. Specimens from all areas of pathology should be represented in training
5. The trainee should have access to and gain experience in relevant techniques,
including molecular methods.
6. The trainee should regularly attend and, after some experience, participate
in clinico-pathological meetings and teaching sessions for medical students
7. The training laboratories should provide such conditions that the trainee
can meet the requirements within the period of postgraduate training.
8. The training programme should consist of a spectrum of examinations that
includes as a minimum the following procedures in order that it should lead
to competences in the different areas of pathology:
8500 morphological examinations including a minimum of
- 4500 histological examinations (with various types of specimens from all
- 2500 cytological examinations (of which a minimum of 1500 gynae-cytological)
- 500 non-gynaecological (100 screened by the trainee)
- 1000 examinations according to special interest of the trainee
100 autopsies (including microscopy, including paediatric autopsies)
These numbers should be documented
9. Quality assurance, health and safety regulations and legal and ethical aspects
of pathology and medical practice must be an integral part of the training
10. The head of training (tutor) must be qualified professionally. Supervision/accreditation
of heads of training must be done by professionally competent institutions
defined by the Member State.