Multimodality imaging training curriculum—general recommendations

The publication in June 2007 of a White Paper in Multimodality Imaging [1] marked the recognition by both the European Society of Radiology (ESR) and the European Association of Nuclear Medicine (EANM) of the importance of coordinating future work practices to incorporate multimodality imaging. The white paper outlined principles and an approach to cooperation between both societies in response to issues raised by the recent development of hybrid imaging with both positron emission tomography (PET) and single photon emission computed tomography (SPECT). Progress from this agreed position requires formulation of common training structures. A curriculum that ensures the optimal use of complex modalities in patient care will be necessary to promote development of high expertise in integrated imaging. One of the major differences between the two specialties is that traditionally radiology has essentially been based on morphology and nuclear medicine on function. The advent of hybrid imaging necessitates a dual approach by specialists having the required skills. Both societies are working on more detailed recommendations regarding skills and knowledge requirements for nuclear medicine physicians in radiology and radiologists in nuclear medicine. It is intended to publish these recommendations in 2011. Though this curriculum must be practical and economically feasible, it is the responsibility of both ESR and EANM to work towards the highest quality of patient care by ensuring an adequate knowledge base in the efficient use of complex technology. Such an outline could also potentially form the basis for future curricula in other hybrid imaging, e.g., PET and MRI. The Multimodality Imaging Curriculum is a joint European initiative between the EANM and the ESR to define the scope of training for medical specialists in hybrid imaging. The curriculum is a framework outline that may be used by member societies where appropriate to form the basis of discussion on the optimisation of further training of medical specialists. This Curriculum cannot be used to legally justify changes to the organisation, overall specialist training or reimbursement regulations in any member state.