Paediatric and adult congenital cardiology education and training in Europe

Background: Limited data exist on training of European paediatric and adult congenital cardiologists. Methods: A structured and approved questionnaire was circulated to national delegates of Association for European Paediatric and Congenital Cardiology in 33 European countries. Results: Delegates from 30 countries (91%) responded. Paediatric cardiology was not recognised as a distinct speciality by the respective ministry of Health in seven countries (23%). Twenty countries (67%) have formally accredited paediatric cardiology training programmes, seven (23%) have substantial informal (not accredited or certified) training, and three (10%) have very limited or no programme. Twenty-two countries have a curriculum. Twelve countries have a national training director. There was one paediatric cardiology centre per 2.66 million population (range 0.87-9.64 million), one cardiac surgical centre per 4.73 million population (range 1.63-10.72 million), and one training centre per 4.29 million population (range 1.63-10.72 million population). The median number of paediatric cardiology fellows per training programme was 4 (range 1-17), and duration of training was 3 years (range 2-5 years). An exit examination in paediatric cardiology was conducted in 16 countries (53%) and certification provided by 20 countries (67%). Paediatric cardiologist number is affected by gross domestic product (R-2 = 0.41). Conclusion: Training varies markedly across European countries. Although formal fellowship programmes exist in many countries, several countries have informal training or no training. Only a minority of countries provide both exit examination and certification. Harmonisation of training and standardisation of exit examination and certification could reduce variation in training thereby promoting high-quality care by European congenital cardiologists.Developmen

Infants' social evaluation of helpers and hinderers: A large-scale, multi-lab, coordinated replication study

Evaluating whether someone's behavior is praiseworthy or blameworthy is a fundamental human trait. A seminal study by Hamlin and colleagues in 2007 suggested that the ability to form social evaluations based on third-party interactions emerges within the first year of life: infants preferred a character who helped, over hindered, another who tried but failed to climb a hill. This sparked a new line of inquiry into the origins of social evaluations; however, replication attempts have yielded mixed results. We present a preregistered, multi-laboratory, standardized study aimed at replicating infants' preference for Helpers over Hinderers. We intended to (1) provide a precise estimate of the effect size of infants' preference for Helpers over Hinderers, and (2) determine the degree to which preferences are based on social information. Using the ManyBabies framework for big team-based science, we tested 1018 infants (567 included, 5.5-10.5 months) from 37 labs across five continents. Overall, 49.34% of infants preferred Helpers over Hinderers in the social condition, and 55.85% preferred characters who pushed up, versus down, an inanimate object in the nonsocial condition; neither proportion differed from chance or from each other. This study provides evidence against infants' prosocial preferences in the hill paradigm, suggesting the effect size is weaker, absent, and/or develops later than previously estimated. As the first of its kind, this study serves as a proof-of-concept for using active behavioral measures (e.g., manual choice) in large-scale, multi-lab projects studying infants