1. Curriculum training pulmonology in The Netherlands

2. Training in a quick glance
2 years of internal medicine
1 year ward
4 months cardiology
2 x 4 months other subspecialties
4 years of pulmonology

3. 4 years in pulmonology – various internships
1 year pulmonology ward
1 year out door patient clinic (preferably throughout the 4 year training period)
Interventions 4 months (continuously throughout the 4 year training period, for example 1 morning in the week)
Lung function, sleep disordered breathing 4 months
Intensive care 4 months
Consultations at internal, neurology wards 3-6 months
Consultations at surgical wards 3-6 monts
Facultative – 6 months (scientific subject, lung rehabilitation center, and so on)

4. The end terms ~ comparable with HERMES  Divided in themes/topics
Dyspnea analysis
Hemophtisis analysis
Thoracic pain analysis
Chronic cough analysis
Asthma
COPD
Pneumonia
Recurrent lower airway infections

5. The end terms ~ comparable with HERMES  Divided in themes
Tuberculosis
Thoracic oncology
Interstitial lung diseases
Occupational lung diseases
Intensive care
Pleural diseases
Lungfunction

6. The end terms ~ comparable with HERMES  Divided in themes
Repiratory allergology
Sleep disordered breathing
Mediastinal pathology
Vascular pathology

7. Relationship Internship - Theme

8. Individual training programme

9. Interventions

10. Formal education (not in the ‘clinic’)
At a national level (infections, oncology, immunology, and so on) – 10 days a year
At a regional level – 3 days a year
At a local level – 2 days per month
Examination in radiation hygiene (level 4 A/M  to be able to safely use fluoroscopy (2-4 days)
Emphasis in training is on training on the workfloor

11. How is the progress of a trainee followed?
10 times a year a mini CEX
10 times a year OSATS
10 times a year BSTAT
10 times a year judgment of patient correspondence to GP
3 times CAT
3-4 times 360 degree feedback
Yearly HERMES exam
1 scientific paper / presentation (national scientific meeting or internationally)
Mini clinical examination exercise

12. Judgment on the 7 CANMEDS skills
Medical expert
Professional
Scholar
Communications
Collaborator
Manager
Health advocate

13. Longitudinal evaluation

14. An overall picture of the level of competences of one individual trainee

15. Results aggregated in (electronic) PF
2 times yearly feedback session with trainee
Targets met?
New targets set
1 time yearly a formal go or no go judgement