{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T20:13:43Z","timestamp":1773346423239,"version":"3.50.1"},"reference-count":18,"publisher":"BMJ","issue":"2","license":[{"start":{"date-parts":[[2020,5,29]],"date-time":"2020-05-29T00:00:00Z","timestamp":1590710400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["RMD Open"],"accepted":{"date-parts":[[2020,3,29]]},"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:sec id=\"s1\">\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>To gain insight into current methods and practices for the assessment of competences during rheumatology training, and to explore the underlying priorities and rationales for competence assessment.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"s2\">\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We used a qualitative approach through online focus groups (FGs) of rheumatology trainers and trainees, separately. The study included five countries\u2014Denmark, the Netherlands, Slovenia, Spain and the United Kingdom. A summary of current practices of assessment of competences was developed, modified and validated by the FGs based on an independent response to a questionnaire. A prioritising method (9 Diamond technique) was then used to identify and justify key assessment priorities.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"s3\">\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Overall, 26 participants (12 trainers, 14 trainees) participated in nine online FGs (2 per country, Slovenia 1 joint), totalling 12\u00a0hours of online discussion. Strong nationally (the Netherlands, UK) or institutionally (Spain, Slovenia, Denmark) standardised approaches were described. Most groups identified providing frequent formative feedback to trainees for developmental purposes as the highest priority. Most discussions identified a need for improvement, particularly in developing streamlined approaches to portfolios that remain close to clinical practice, protecting time for quality observation and feedback, and adopting systematic approaches to incorporating teamwork and professionalism into assessment systems.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"s4\">\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>This paper presents a clearer picture of the current practice on the assessment of competences in rheumatology in five European countries and the underlying rationale of trainers\u2019 and trainees\u2019 priorities. This work will inform EULAR Points-to-Consider for the assessment of competences in rheumatology training across Europe.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/rmdopen-2020-001183","type":"journal-article","created":{"date-parts":[[2020,7,8]],"date-time":"2020-07-08T09:45:36Z","timestamp":1594201536000},"page":"e001183","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Strategies for the assessment of competences during rheumatology training across Europe: results of a qualitative study"],"prefix":"10.1136","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6008-503X","authenticated-orcid":false,"given":"Aur\u00e9lie","family":"Najm","sequence":"first","affiliation":[{"name":"Rheumatology, University of Glasgow Institute of Infection Immunity and Inflammation, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1105-5640","authenticated-orcid":false,"given":"Alessia","family":"Alunno","sequence":"additional","affiliation":[{"name":"Department of Medicine, Rheumatology Unit, University of Perugia, Perugia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisca","family":"Sivera","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Hospital General Universitario Elda, Elda, Spain"},{"name":"Department of Rheumatology, Universidad Miguel Hernandez De Elche, Elche, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sofia","family":"Ramiro","sequence":"additional","affiliation":[{"name":"Leiden University Medical Center, Leiden, Netherlands"},{"name":"Zuyderland Medical Centre Heerlen, Heerlen, Limburg, Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Haines","sequence":"additional","affiliation":[{"name":"EULAR, Zurich, Switzerland"},{"name":"Clinical Education, King\u2019s College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,7,8]]},"reference":[{"key":"2025090312444688000_6.2.e001183.1","doi-asserted-by":"crossref","first-page":"1166","DOI":"10.1002\/acr.22817","article-title":"What is a rheumatologist and how do we make one?","volume":"68","author":"Brown","year":"2016","journal-title":"Arthritis Care Res (Hoboken)"},{"key":"2025090312444688000_6.2.e001183.2","unstructured":"European-training-requirements-in-rheumatology, endorsed UEMS April 12, 2014.pdf. 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