www.phoniatrics.eu

Sweden

Phoniatrics in Sweden

Organisation and specialist education:
Phoniatrics in Sweden is a subspecialty of otorhinolaryngology or rather a branch-speciality. Phoniatric specialisation can either be planned from the start of an internship in ENT and accomplished in parallel with the basic ENT-training or entered upon after specialist competence in ENT has been achieved. At present we are 29 specialists in phoniatrics and 3 under formal education. However, we are at present 45 members in the Swedish Phoniatric Society (SFF) as we also have ENT-colleagues with an active phoniatric interest as members. Quite a few of these colleagues eventually fulfil the requirements for specialist competence. We use the UEMS Logbook of Phoniatrics, and to facilitate this we have written an addendum to the logbook and specified which performance category must be achieved for each skill, in order to meet the stipulations of the Swedish medical system for phoniatrics. Clinical responsibilities for phoniatricians in Sweden include phonosurgery and often also routine follow-up of laryngeal cancer treatment as well as the more traditional phoniatrics. Teaching, basic as well as advanced, and research are part of the daily work for many of us. 30% of our members hold a PhD and we have four Assistant Professors.

2014:
January 30th-31st SFF Annual Educational Symposium, this year on phonosurgery, was hosted by the phoniatricians in Stockholm. The meeting was attended by almost all of our members and also by several ENT-colleagues doing some phonosurgery.

In March a very popular national course in phoniatrics for colleagues doing ENT-internships was organized by Per-Åke Lindestad in Stockholm.

During the ENT-days in May, this year in Uppsala, the phoniatricians attached to the cleft-palate teams in Uppsala and Malmö together with a speech and language therapist held a symposium on “Multi-disciplinary approach to velopharyngeal insufficiency”. The symposium was well visited by both experienced colleagues and ENT-interns.

During the autumn we continued focusing on velopharyngeal insufficiency. Umeå phoniatrician Katarina Olofsson together with an oral radiologist lectured at a multi-disciplinary conference organised by odontology colleagues in northern Sweden and at Swede Cleft (the national meeting for cleft palate teams) we had phoniatric representations from four different teams planning further collaboration in this field.

SFF continues to take active part in a revision of the guidelines for medical specialisation in Sweden. In this we act both as a speciality in our own right and in collaboration with our ENT-colleagues. Our collaboration with ENT works well and we are satisfied that phoniatrics remains a branch of ENT.

2015:
In January we look forward to our annual educational symposium, this year on Voice, Language and the Brain, hosted in Umeå. We will also be active during the ENT-days in May – this year in Stockholm as well as during the European Craniofacial Congress in Gothenburg in June.

Malin Josefsson MD PhD, Lund, Sweden
President of the Swedish Phoniatric Society

Phoniatrics in Sweden

Organisation and specialist education
Phoniatrics in Sweden is a subspecialty of Otorhinolaryngoglogy or rather a branch-speciality. Phoniatric specialisation can either be planned from the start of an internship in ENT and accomplished parallel with the basic ENT-training or entered upon after specialist competence in ENT has been achieved. At present we are 22 specialists in phoniatrics and 3 under formal education. However, we are at present 45 members in the Swedish Phoniatric Society (SFF) as we also have ENT-colleagues with an active phoniatric interest as members. Quite a few of these colleagues eventually fulfil the requirements for specialist competence. We use the UEMS Logbook of Phoniatrics, and to facilitate this we have written an addendum to the logbook and specified which performance category must be achieved for each skill, in order to meet the stipulations of the Swedish medical system for Phoniatrics. Clinical responsibilities for phoniatricians in Sweden include phonosurgery and often also routine follow-up of laryngeal cancer treatment as well as the more tradional phoniatrics. Teaching, basic as well as advanced, and research are part of the daily work for many of us. 30% of our members hold a PhD and we have four Assistant Professors.

2013
January 31’st-February
1’st SFF Annual educational symposium this year on Velopharyngeal Insufficiency, hosted by Staffan Morén in Uppsala. The meeting was attended by most of our members and included discussions with plastic surgeons from different parts of Sweden as well as specialised Speech and Language therapists.
April National course in phoniatrics for colleagues doing ENT-internships organized by Per-Åke Lindestad in Stockholm.

May
ENT national educational days in Lund. Symposium on Hoarse Children and phoniatric participation in symposium on Minimal invasive surgery. We also organised a mini-course in Dysphagia aimed at doctors in ENT-training.

September
Regional course in Phoniatrics for colleagues doing ENT-internships in northern Sweden organized by Katarina Olofsson and Stellan Hertegård.

Autumn
SFF takes an active part in a revision of the guidelines for medical specialisation in Sweden. In this we act both as a speciality in our own right and in collaboration with our ENT-colleagues. Our collaboration with ENT works well and we are satisfied that Phoniatrics remain a branch of ENT. A group of experts from SFF has recently been revising the need for courses on phoniatric subjects during specialist training at the request of the National Board of Health and Welfare.

2014
In January we look forward to our annual educational symposium, this year on Phonosurgery and hosted in Stockholm. We will also be active during the ENT-days in May – this year in Uppsala.

Malin Josefsson MD PhD, Lund, Sweden
President of the Swedish Phoniatric Society

Phoniatrics in Sweden

Organization and specialist education
Phoniatrics in Sweden ceased to be an independent medical specialty in May 2008 and became, like the Audiology, a branch specialty within the Otorhinolaryngology, Head &Neck Surgery. At present, specialists in phoniatrics are working at/ are connected to the 7 university clinics (Umeå, Uppsala, Stockholm, Örebro, Göteborg, Linköping and Lund/Malmö) and on part time basis at Hospital of Kristianstad and Helsingborg. The specialist education will take about 5 years and aims to fulfill the goals according to UEP´s phoniatric logbook.

Besides the traditional clinical responsibilities for diagnostics and treatment of disorders of voice, speech, language and swallowing, most of the Swedish phoniatricians work with phonosurgery. We are also involved in teaching of medical students as well as ENT, H&N-specialists and logopeds. Scientific research is focused mostly on different aspects of voice and swallowing. At present, the 10/17 active phoniatricians have achieved PhD degree. SFF was a co-organizer of The XXV the Congress of Union of European Phoniatricians (UEP) May 2011, Lund.

Actual situation in phoniatric clinics in Sweden
Ongoing process of fusion of University Hospitals in Lund and Malmö, together with a planned retirement, caused undesired reduction of phoniatric specialists in service. Another retirement and reorganizations 2012 in University Hospitals of Linköping and Umeå, respectively, has caused an increased workload on remaining phoniatricians in those clinics. Since phoniatrics has become a „branch specialty“ within ENT there are also everywhere increasing demands on phoniatricians to participate in basic ENT work, including emergency , along with the phoniatric issues.

Members and educational activities
SFF has at present 20 clinically active - , four resident-, and six retired members. The goal of the Society is to take care of professional and educational issues of phoniatrics. Twice every year SFF organizes educational and scientific meetings: annual 2 days- symposium for the SFF members in January/February and a phoniatric seminar during ENT educational days in May/June.

- Jan 2012 „Speech and language development in children”, Skåne University Hospital, Lund
- 2013 31/1-1/2 “Velopharyngeal insufficiency“, Akademiska University Hospital, Uppsala
- 2013 9-12/4 „Disturbances of voice and speech“, Karolinska University Hospital, Huddinge
- 2013 8/3 Nordic laryngological symposium, Skane University Hospital, Lund.

Academic dissertations for PhD degree and scientific projects
- Jan 2012 MD Bengt Svensson: “Restoration of Scarred Vocal Folds with Stem cell Implantation” Karolinska Institute, (supervisor phoniatrician Stellan Hertegård stellan.hertegard@ki.se)
- May 2012 Logoped Viveka Lyberg Åhlander:”Voice Use in Teaching Environments. Speakers’ comfort”, Lund University (supervisor phoniatrician Roland Rydell roland.rydell@skane.se)
- Dec 2012 MD resident in phoniatrics Elin Marsk: “Bells palsy: study design, prognosis and quality of life”, Karolinska Institute, elin.marsk@karolinska.se.

Scientific clinical studies at the University of Umeå
1. laryngeal papilloma and 2. Swallowing dysfunction in deep brain stimulated Parkinson patients. Further information may be obtained from christos.loizou@vll.se, stina.sundstedt@gmail.com and katarina.olofsson@vll.se.

Phoniatric Fond in Memory of Anna Björk Magnusdottir
We are glad to notify that the fond has been established during 2012, with aim to support our participation in congresses and educational courses.

For more information about Swedish phoniatrics please visit SFF´s home page http://www.foniater.se/ Do not hesitate for Swedish language! You will easily find links to our board, members, current meetings and, not least, the program and abstracts for the XXVI Congress of UEP 2011. You may also contact lucyna.schalen@telia.com.

As. Professor Lucyna Schalen, Past President of UEP, Lund

Phoniatrics in Sweden

Phoniatrics in Sweden ceased to be an independent medical specialty in May 2008 and became, like the Audiology, a branch specialty within the Otorhinolaryngology, Head &Neck Surgery. At present, 17 specialists are working at/ are connected to the 7 university clinics (Umeå, Uppsala, Stockholm, Örebro, Göteborg, Linköping and Lund/Malmö) and 5 are under various stages of specialist training. The specialist education will take about 5 years and aims to fulfill the goals according to UEP´s phoniatric logbook. Besides the traditional clinical responsibilities for diagnostics and treatment of disorders of voice, speech, language and swallowing, most of the Swedish phoniatricians work with phonosurgery. We are also involved in teaching of medical students as well as ENT, H&N-specialists and logopeds. Scientific research is focused mostly on different aspects of voice and swallowing. At present, the 9/17 active phoniatricians have achieved PhD degree. Svensk Foniatrisk Förening (SFF) i.e. Swedish Phoniatric Society has at present 34 members, clinically active- or retired- or future specialists in phoniatrics as well as ENT- or other specialist involved in phoniatric activities in their clinical work. The goal of the Society is to take care of professional and educational issues of phoniatrics. Twice every year SFF organizes educational and scientific meetings: annual 2 days- symposium for the SFF members in January/February and a phoniatric seminar during ENT educational days in May/June.

This last year was exceptionally important for the SFF since the society was a co-organizer of The XXVI th Congress of Union of European Phoniatricians (UEP) which took place 12-14 May 2011 in Lund, Sweden, under the title “ Examination and treatment in phoniatrics, today and tomorrow”, with 120 participants from 14 countries.

SFF organized a seminar “Vocal fold augmentation in the office.” Five main lectures and over 30 scientific papers gave inside in actual research within the scope of the title of the congress.

Current information about SFF is available on the website http://www.foniater.se/ Do not hesitate for Swedish language! You will easily find links to our board, members, current meetings and, not least, the program and abstracts for the XXVI Congress of UEP.

Ass. Prof. Lucyna Schalen, Past-President of UEP, Lund, Sweden