Information for Trainers

What requirements must training centers meet?

  • Single institution, or network of institutions working together, providing training in the full spectrum of clinical conditions and skills detailed in the NEN curriculum.
  • A training institution must have national accreditation, in agreement with UEMS and ENETS standards, and should possess an adequate infrastructure and offer qualitative and quantitative clinical exposure.
  • Optimally, training centers are members of one or more European Reference Networks (ERNs) and accredited as ENETS Centers of Excellence.
  • Each participating institution in a network must be individually recognized as a provider of a defined section of the NEN curriculum.
  • Training centers must have a sufficient throughput of patients, an appropriate case-mix to meet training objectives, and be adequately resourced with teaching staff.
  • There should be written general guidelines within the training institution concerning patient care and patient information (including informed consent), referrals, medical records, documentation, on-call and back-up schedules, conference attendance and educational activities.
  • The staff of a training center should engage collaboratively in regular reviews and audit of the center’s clinical activity and performance.
  • There should be regular multi-disciplinary meetings to determine optimal care for patients, involving both medical and other healthcare professionals.
  • A training center should have enough equipment and support to enable optimal clinical practice and provide the necessary educational opportunities for trainees.
  • Training centers must have available Computing, Information Technology and library resources and should offer trainees the opportunity to engage in research.

What requirements must trainers meet?

  • The trainers must be specialists active in the practice, with personal responsibility for the management of patients with NEN.
  • Within a training center there should be a team of specialists, each with subspecialty expertise and able to supervise and train a trainee.
  • Allied specialties must be present to a sufficient extent to provide the trainee with the opportunity of developing his/her skills in a multidisciplinary approach to patient care.
  • Although no specific trainee/trainer ratio is required, there should be a minimum of two trainers in a training center, possibly including non-medical healthcare professionals.
  • Specialist staff appointed to a training center will have completed all training requirements themselves and will have been trained also in teaching and mentoring trainee staff, and in multidisciplinary team working.

What criteria of quality management must training centers meet?


  • Training centers must be accredited with competent National Medical Boards.
  • Ideally, they must also be accredited as ENETS Center of Excellence (detailed requirements at Institutions with expertise and infrastructure comparable with ENETS Centers of Excellence must be approved by ENETS.
  • Training centers must have an internal system of medical audit or quality assurance, which must be an integral part of the training programme and networks.

Clinical governance

  • Employee structure needs to be designed to accommodate for competency training.
  • Workload must be managed with a priority on training: allotted time of at least one day per workweek should be implemented for competency training interaction.

Responsibility of the training center’s programme director

  • Composition, implementation and supervision of a competency training programme.
  • Compliance of the training programme with current guidelines, directives or regulations of competent medical boards and local medical school.

Transparency of training programmes

  • Annual reports on various aspects of the training center’s competency training programme should be made publicly available.
  • Training centers are strongly encouraged to formulate defined training programmes and make them publicly available.
  • Training centers should publish details of the clinical service provided by the training programme, the nature of the clinical or laboratory experiences in which a trainee would be engaged, the support and interaction with the trainer and programme director and the names of the trainers.

Framework of approval

  • It should also be made clear how and by whom key achievements of training will be ascertained, leading the trainee to a higher level of clinical responsibility and new assignments.
  • Satisfactory completion of a training programme in NENs would be verified both by relevant documents and by the testimony of trainers and programme director.

Feedback from trainers and trainees

  • Feedback about programme quality from both trainers and trainees must be systematically sought, analysed, and acted upon.
  • Trainers and trainees should be actively involved in using its results for programme improvement and development.