EVALUATION OF THE CURRICULUM AND PROGRAMMES FOR PHYSICIANS SPECIALITY COSMETOLOGY AT THE UNIVERSITY OF LATVIA The specialisation to cosmetology after getting diploma from faculty of medicine is completely new development among medical specialities. In the University of Latvia the curriculum was started, 1996 based first on Faculty of Philosophy and later, starting 1999, it was moved to the Faculty of Medicine. The medical faculty graduates are learning during 1,5 years the following disciplines: plastic anatomy, surgery for cosmetologists, pharmacology for cosmetologists, aesthetic dermatology, stylistics, drawing and composition, some disciplines connected to marketing, economy administration, culture and history, psychology and venerological diseases. The curriculum consists of programmes on A(compulsory) and B (optional) parts 63% and 37% of credit points accordingly. All the subjects end with exams or tests to be credited. The aim is to give to the graduates as professionals possibilities of setting up the praxis of the doctor cosmetologist. The students pay all the expenses of training. Few problems come out of curriculum, as it has presented to us. This is not the real residency training as is required in Europe - the minimum time to be spent in residency, is 2 years. This requirement is not fulfilled, and that is why the cosmetologists can loose their qualification as physicians. They have not passed the residency of dermato-venerology or surgery, or plastic surgery. Also the speciality of Cosmetology is not among medical specialities in European context. It seems that the cosmetology has to be counted among residency programs in Latvia and the curriculum should be prolonged at least up to 2 years. I agree with the accreditation of the speciality "Cosmetology" for two years to master further the curriculum as needed for residency teaching of medical speciality or to change it to the course of subspecialisation for physicians. Professor Lembit Allikmets University of Tartu Riga, June 6, 2000 INDIVIDUAL REPORT ABOUT COSMETOLOGY PROGRAMME in Medical Faculty, University of Latvia I visited university of Latvia like member of the joint Evaluation Comission for the cosmetology. I read written curriculum in cosmetology, visited University of Latvia. I have possibility to discuss with teaching staff and students of University about this Programm, training, research work and practical work. Goals and aims of the study programme. This program gives a possibility of obtaining the qualification of the cosmetologist to the practising medical workers and to acquire additional higher professional education. Structure and division of the study programme. This program consists of two parts: part A - 38 credit points and part B - 22 credit points. (Total 60 credit points. The educational process and assessment. Educational process consists from lectures, practical works, seminars, student presentations and their research in library. Course evaluation consists of oral and written examination, verbal tests, essays, projects etc. Students work is evaluated on a 10-point scale. Remarks: In Baltic countries we can acquire doctor specialities by residency. And only narrow professional skills we can acquire by special courses for doctors like internist in endocrinology, endoscopy etc. My opinion, that Cosmetology program can be detached like special doctors courses today. After finishing this program, they can acquire only certificate in Cosmetology. If it is new profession in medicine (we haven't this profession on European standard list, we haven't doctors cosmetologist in another Baltic countries), it must be acquired by residency. For some reason necessary to enlarge this program till 80 or 100 credit points and to create new speciality in cosmetology by residency. Conclusion. Level of Cosmetology Program in Faculty of Medicine University of Latvia is debatable. I think, that specialist with higher medical education in cosmetology must be prepared by residency (minimum course - 80 credit points) way. My final advice in accordance with above - mentioned points would be to give accreditation in the Cosmetology program for 2 years. Assoc. prof. Juozas Stanaitis, M.D., Ph.D. Head of general surgery clinic of Vilnius University, Lithuania. President of Baltic Association of Surgeons Ingrid Thorell-Ekstrand Individual report The Professional Program for Cosmetology. This short report was written immediately after the visit to the University and the meeting with staff and students. Goals and aims of the study program The aim of the study program is to provide a possibility of optaining the qualifications of the cosmetologist to the practising medical workers by giving a higher education. The goals are clear and well defined. It seems that there is a proper need for this kind of education in Latvia. There are given some international comparisons in the self-evaluation report which further strengthen the need for a development of an academic cosmetological education. However there are many questions. Structure and division of the study program, organisation The structure of the program is in general well divided and easy to follow. The educational process and assessment The program is described with exams after important parts. Resources, management of education and resources There are teachers with high enough qualifications. The inclusion to the University of Latvia gives the students possibility to use the facilities there. Research, involvement of students in the research is not described in the curriculum, nor has we been shown any research work. Quality assurance, feedback is not discussed in the program in any details. Conclusion. It is not immediately clear that the students must have a completed medical education before entering the cosmotology program. However, it is a new way of thinking to give a higher education in what is ususually called 'cosmetics'. There is a possibility to get a broader thinking about what it means to be healthy, to have a good health. In conclusion, the program seems to me to need further development, either as a medical specialization ansd as such be much longer and broader, or as a health care career also for nurses. The latter suggestion is due to the fact that nurses now get a higher medical education and that the suggested cosmetological education include a lot of humanistic subjects which could well be suitable for nurses. Also the surgical content of the curriculum was not very elaborated and therefore could be excluded, and the farmacological content could well be suitable for nurses as well as doctors. July 07 2000 Ingrid Thorell-Ekstrand, RN, PhD Senior Clinical Lecturer The Swedish Red Cross College/Karolinska Hospital, Karolinska Institute Department of Nursing Research