XXX CONGRÈS DE L’ASSOCIATION POUR L’ENSEIGNEMENT DE LA PÉDIATRIE EN EUROPE (A.E.P.E.)
jeudi 14 – vendredi 15 septembre 2000
LONDON. U.K.

L’ENSEIGNEMENT DE LA MEDECINE NEONATALE EN ESTONIE
Anne Ormisson
Department of Pediatrics, University of Tartu, Tartu, Estonia

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The Estonian system for teaching neonatal medicine was reorganized following the reorganization of university teaching system in medicine in 1993 (stopping undergraduate specialization in pediatrics) and introduction of Family Medicine in 1994.

The goals of teaching are to submit and refresh adequate knowledge in neonatology to the medical students and the two groups of practicing physicians engaged in work with infants but with different knowledge-requirements: pediatricians and family doctors. Teaching activities are exclusively carried out by University personnel in systematic courses.

Requirements for medical students: basic knowledge in neonatology during 7 weeks of pediatrics on 5th year of study, in addition during obstetrics, also on 5th year, altogether 36 teaching hours of neonatology. Teaching includes lectures, bed-side teaching and seminars.

Pediatric residency (4 years) includes 3 months training in neonatal wards and seminars under the guidance of experienced neonatologists. Programmes of residency follow the European regulations of primary and secondary care pediatric training.

For practicing pediatricians obligatory to pass 1-2 weeks pediatric refresher courses per year to collect necessary minimal CME credits for qualification. There is free topic- choice of which refresher course to attend, neonatology is not obligatory. Beyond these offers short training courses in neonatal wards in tertiary care hospitals available which are usually joined by pediatricians working in district hospitals with maternity wards.

Check of knowledge every five years by the Qualification Committee of Pediatric Association

For family doctors non-obligatory refresher-courses are offered but minimal requirements for qualification are worked up by the Department of Pediatrics of the University of Tartu. Teaching of neonatal medicine for family doctors is gradually adapted to some necessary changes.