Angelos Nikolaou

4th Part I European Board Examination

ORL-H&NS

Council for European Council for European Specialist Medical Specialist Medical

Assessment Assessment (UEMS-CESMA)(UEMS-CESMA)

Its main role is to:Its main role is to:

To promote harmonisation of European To promote harmonisation of European Board assessmentsBoard assessments

To provide guidelines to the Boards on the To provide guidelines to the Boards on the conduct of assessmentsconduct of assessments

To encourage take up of Board To encourage take up of Board assessments as a quality markassessments as a quality mark

To offer an alternative to To offer an alternative to National assessments, where appropriateassessments, where appropriate

In 1984 the first European Diploma Examination was established. This In 1984 the first European Diploma Examination was established. This was the EDA European Diploma of Anaesthesiology. was the EDA European Diploma of Anaesthesiology. Today 30 disciplines have European Examinations: 30 disciplines have European Examinations:

1. Allergology and Clinical Immunology 1. Allergology and Clinical Immunology 2. Anesthesiology 2. Anesthesiology 3. Dermatology & Venereology 3. Dermatology & Venereology 4. ENT+ORL-Head and Neck Surgery 4. ENT+ORL-Head and Neck Surgery 5. Hand Surgery 5. Hand Surgery 6. Intensive Care 6. Intensive Care 7. Internal Medicine 7. Internal Medicine 8. Neurology 8. Neurology 9. Neurosurgery 9. Neurosurgery 10. Nuclear Medicine 10. Nuclear Medicine 11. Ophthalmology 11. Ophthalmology 12. Oral and Maxillofacial Surgery 12. Oral and Maxillofacial Surgery 13. Orthopaedics and Traumatology 13. Orthopaedics and Traumatology 14. Pathology 14. Pathology 15. Pediatric Surgery 15. Pediatric Surgery

•16. Physical and Rehabilitation Medicine 16. Physical and Rehabilitation Medicine •17. Plastic Surgery 17. Plastic Surgery •18. Respiratory Medicine 18. Respiratory Medicine •19. Surgery (General Surgery) 19. Surgery (General Surgery) •20. Coloproctology 20. Coloproctology •21. Endocrine Surgery 21. Endocrine Surgery •22. Surgical Oncology 22. Surgical Oncology •23. Thoracic Surgery 23. Thoracic Surgery •24. Transplantation 24. Transplantation •25. Trauma Surgery 25. Trauma Surgery •26. Thoracic and Cardiovascular Surgery 26. Thoracic and Cardiovascular Surgery •27. Urology 27. Urology •28. Vascular Surgery 28. Vascular Surgery •29. Angiology  29. Angiology  •30.   Emergency Medicine 30.   Emergency Medicine

Sections & Boards Represented at Sections & Boards Represented at UEMS-CESMA meetings UEMS-CESMA meetings

Allergology and Clinical immunologyAllergology and Clinical immunology AnaesthesiologyAnaesthesiology CardiologyCardiology Dermatology and VenereologyDermatology and Venereology General SurgeryGeneral Surgery Intensive Care MedicineIntensive Care Medicine Internal MedicineInternal Medicine NeurologyNeurology NeurosurgeryNeurosurgery Nuclear MedicineNuclear Medicine Ophthalmic SurgeryOphthalmic Surgery ORL-HNSORL-HNS Oro-Maxillo-Facial SurgeryOro-Maxillo-Facial Surgery Orthopaedics and TraumaOrthopaedics and Trauma Paediatric CardiologyPaediatric Cardiology Paediatric SurgeryPaediatric Surgery Paediatric UrologyPaediatric Urology PaediatricsPathologyPaediatricsPathology Physical and Rehabilitation MedicinePhysical and Rehabilitation Medicine Plastic, Reconstructive and Aesthetic SurgeryPlastic, Reconstructive and Aesthetic Surgery RadiologyRadiology Rehabilitation MedicineRehabilitation Medicine Respiratory MedicineRespiratory Medicine Urological SurgeryUrological Surgery Vascular SurgeryVascular Surgery

CESMA MEETING, 2012 MAY, LUBLIANA

Who can apply?Who can apply? Every country Vascular Surgery Every country Vascular Surgery Every country Pediatric Surgery Every country Pediatric Surgery Every country Respiratory Medicine Every country Respiratory Medicine Every country Intensive Care Every country Intensive Care Every country Nuclear Medicine Every country Nuclear Medicine Every country Pathology Every country Pathology Every country Allergology and Clinical Immunology Every country Allergology and Clinical Immunology Every country (S) Urology Every country (S) Urology Every country (S) Plastic Surgery Every country (S) Plastic Surgery UEMS countries Surgery UEMS countries Surgery UEMS countries Thoracic and Cardiovascular Surgery UEMS countries Thoracic and Cardiovascular Surgery UEMS countries Anesthesiology UEMS countries Anesthesiology UEMS countries Dermatology & Venereology UEMS countries Dermatology & Venereology UEMS countries Internal Medicine UEMS countries Internal Medicine UEMS countries Ophthalmology UEMS countries Ophthalmology UEMS countries Oral and Maxillofacial Surgery UEMS countries Oral and Maxillofacial Surgery UEMS countries Orthopaedics and Traumatology UEMS countries Orthopaedics and Traumatology UEMS countries Physical and Rehabilitation Medicine UEMS countries Physical and Rehabilitation Medicine UEMS countries NeurosurgeryUEMS countries Neurosurgery

Glasgow DeclarationGlasgow DeclarationParagraph 5 Paragraph 5

Candidates for a European diploma should Candidates for a European diploma should be specialists in their countries or in the be specialists in their countries or in the final year of their training in the specialtyfinal year of their training in the specialty

Glasgow DeclarationGlasgow DeclarationParagraph 6 Paragraph 6

There is no restriction (ethnic or There is no restriction (ethnic or else) for anyone to become a else) for anyone to become a candidate for the European candidate for the European exams exams

Glasgow DeclarationGlasgow DeclarationParagraph 7 Paragraph 7

Why EBEORL should exist?Why EBEORL should exist? promotes harmonization of educationpromotes harmonization of education important tool for postgraduate studies in Europeimportant tool for postgraduate studies in Europe basic tool to improve the CVbasic tool to improve the CV equal replacement for the national board exam?equal replacement for the national board exam? indirect assessment of the training centersindirect assessment of the training centers motivation for improvement of trainers and traineesmotivation for improvement of trainers and trainees in a united (?) Europe there must be something equal in a united (?) Europe there must be something equal

to the American Board to the American Board

WHO CAN APPLY?WHO CAN APPLY?POSSIBLE REVISIONSPOSSIBLE REVISIONS

Candidates trained in Candidates trained in EUEU or or associated countries for at least 4 associated countries for at least 4 yearsyears

Candidates trained Candidates trained outside EU outside EU should should have completed their training and have completed their training and have an official national certification have an official national certification of ORL specialty of ORL specialty

EXAMS UNTIL NOWEXAMS UNTIL NOW SITE DATE PARTICIPANTS PASSEDSITE DATE PARTICIPANTS PASSED Mannheim, Germany Mannheim, Germany PART I PART I 29/06/2009 80 6929/06/2009 80 69 Pamplona, Spain Pamplona, Spain PART I PART I 05/06/2010 52 4705/06/2010 52 47 Vienna, Austria Vienna, Austria PART II PART II 01/09/2010 77 7001/09/2010 77 70 Barcelona, Spain Barcelona, Spain PART I PART I 02/07/2011 121 10102/07/2011 121 101 Vienna, Austria Vienna, Austria PART II PART II 19/11/2011 103 8019/11/2011 103 80 Toulouse, France Toulouse, France PART I PART I 18/06/2012 109 9818/06/2012 109 98

RESULTS FROM TOULOUSE

10% FAILED

62% THE PASS RATE

85% HIGHEST SCORE48% LOWESTBOTH FROM EGYPT

1. Part I exam on Friday (afternoon) the 26th April in Nice, FRANCE. This exam will be held during the 2nd Meeting of EAORL-HNS and CEORL-HNS. For more information you can visit the Meeting website.

2. Part I exam on Saturday (morning) the 29th June in Vienna, Austria.  This exam will not be held together with any Congress/meeting, the only event that will take place will be the exam itself. 

FORCOMING EXAMS

REPUTATIONREPUTATION

Increasing number of candidates Increasing number of candidates each yeareach year

Prerequisite for a specialist job in Prerequisite for a specialist job in several parts of the world (Emirates, several parts of the world (Emirates, Israel etc)Israel etc)

Interest from several ORL societies to Interest from several ORL societies to host the written part of the exam host the written part of the exam during their congresses during their congresses

Another evidence of increased Another evidence of increased reputation is that many people were reputation is that many people were queuing just to have a photo with queuing just to have a photo with persons dealing with the organization persons dealing with the organization of the exam of the exam

PROBLEMSPROBLEMS

The site of the exam must have easy and cheap The site of the exam must have easy and cheap access from all over the worldaccess from all over the world

There must be no visa restrictions in the country There must be no visa restrictions in the country hosting the exam, which prevents the hosting the exam, which prevents the participation from middle east countries participation from middle east countries candidates.candidates.

Input of new questions from ENT societies and Input of new questions from ENT societies and subspecialistssubspecialists

Dealing with appeals from candidates who have Dealing with appeals from candidates who have failed the examfailed the exam

Examiner’s faculty is of grate importanceExaminer’s faculty is of grate importance

Establishment of the bylaws of the Establishment of the bylaws of the exam with a constitution and a legal exam with a constitution and a legal basis. For various practical reasons basis. For various practical reasons we have chosen Vienna as the basis we have chosen Vienna as the basis of our organization and Austrian of our organization and Austrian legislation as the platform for our legislation as the platform for our constitution. constitution.

CONSTITUTION OF THE “ASSOCIATION FOR THE CONSTITUTION OF THE “ASSOCIATION FOR THE IMPLEMENTATION OF THE EUROPEAN BOARD IMPLEMENTATION OF THE EUROPEAN BOARD

EXAMINATION ORL-HNS” (EBEORL-HNS)EXAMINATION ORL-HNS” (EBEORL-HNS)  

   § 1: Name and Registered Office § 1: Name and Registered Office    (1) The name of the association shall be “Association for the Implementation of the European Board (1) The name of the association shall be “Association for the Implementation of the European Board

Examination ORL-HNS”. Examination ORL-HNS”.    (2) The Association’s registered office is located in 1040 Vienna, Operngasse 20b, Austria (2) The Association’s registered office is located in 1040 Vienna, Operngasse 20b, Austria

(registered office of “Mondial GmbH & Co KG). It extends its activity over Europe(registered office of “Mondial GmbH & Co KG). It extends its activity over Europe    (3) The Association has no intent to set up subsidiaries.(3) The Association has no intent to set up subsidiaries.       § 2: Aims and Objectives§ 2: Aims and Objectives    The Association, which will be non-profit making, is devoted to the advancement of medical science The Association, which will be non-profit making, is devoted to the advancement of medical science

in the field of ORL-HNS (Otorhinolaryngology – Head and Neck Surgery), especially by preparing, in the field of ORL-HNS (Otorhinolaryngology – Head and Neck Surgery), especially by preparing, carrying out and evaluating of the “European Board Examination” (EBE) in this field of science. The carrying out and evaluating of the “European Board Examination” (EBE) in this field of science. The EBE is an international exam that shall contribute to unifying and harmonizing standards for medical EBE is an international exam that shall contribute to unifying and harmonizing standards for medical specialists in the field of ORL-HNS in Europe, particularly within the EU.specialists in the field of ORL-HNS in Europe, particularly within the EU.

  

FeesFees

0100200300400500

Part I

Part I

FeesFees

0100200300400500

Part II

Part II

American Board Exam 3000 dollarsAmerican Board Exam 3000 dollars British exam 3000 eurosBritish exam 3000 euros

FEESFEES

400 EUROS FOR WRITTEN PART I400 EUROS FOR WRITTEN PART I 400 EUROS FOR ORAL PART II400 EUROS FOR ORAL PART II Plus 200 for successful candidatesPlus 200 for successful candidates

INTERVENTION OF INTERVENTION OF ORGANIZATIONS IN EBE ORL H&NSORGANIZATIONS IN EBE ORL H&NS

UEMS- ORL SectionUEMS- ORL Section European Federation of Oto-European Federation of Oto-

Rhino-Laryngology Societies Rhino-Laryngology Societies (EU.F.O.S)(EU.F.O.S)

European Academy of Oto-Rhino-European Academy of Oto-Rhino-Laryngology and Head&Neck Laryngology and Head&Neck Surgery (EA-ORL-HNS)Surgery (EA-ORL-HNS)

CONFEDERATION OF ORLCONFEDERATION OF ORL

ORAL EXAMORAL EXAM 3 TABLES- 3 rooms3 TABLES- 3 rooms 2 examiners in each table2 examiners in each table every candidate aloneevery candidate alone 4 questions in each table4 questions in each table 25 min in each table25 min in each table failure in one table means total failurefailure in one table means total failure 4 marks4 marks

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The third European ORL-Board Examination (oral part II,) 1.9.2010 during the ELS 2010 Vienna, University of Music and Arts

33

Entrance

Registration

Buffet

Examroom IExamroom IIPreexamWaitingRoom

Buffet for examinersChairmen

room

Courtyard

Toiletts

Post-examWaitingRoom

1rst floor

Supervisors from the Austrian Medical Academy

University of Music and Art Vienna, Anton von Webern Platz 1, 1030 Wien

PorterInternet

Part II Oral Examination EBE-ORL-HNS 2010 September 1: 7.00 -18.00

Ways of the

Candidates

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TimeTime ActivityActivity

6.006.00 Arrival staffArrival staff

6.306.30 Arrival candidates 1Arrival candidates 1

7.007.00 Cand.1preexam.+ Info question+arrival Cand.1preexam.+ Info question+arrival examinersexaminers

7.307.30 9.009.00 Exam 1.roundExam 1.round

9.009.00 9.159.15 Break, coffee, Break, coffee,

9.159.15 10.4510.45 Exam. 2.roundExam. 2.round

10.4510.45 11.0011.00 Break, coffee,Break, coffee,

11.0011.00 12.3012.30 Exam. 3.roundExam. 3.round

12.3012.30 13.1513.15 LunchLunch

13.1513.15 14.4514.45 Exam. 4.roundExam. 4.round

14.4514.45 15.0015.00 Break, coffee, Break, coffee,

15.0015.00 16.3016.30 Exam. 5.roundExam. 5.round

16.3016.30 17.0017.00 Break, Coffee Break, Coffee

17.0017.00 18.3018.30 Call over, Preparation of the lettersCall over, Preparation of the letters

18.3018.30 19.00 19.00 Farewell-Ceremony, Toast with some Farewell-Ceremony, Toast with some wine, proseccho, jiuce, water, wine, proseccho, jiuce, water, snacks…….snacks…….

19.0019.00 Departure for Heurigen WolffDeparture for Heurigen Wolff

8.15 Arrival Cand.2

8.45 preexam. Cand.2

10.00 Arrival Cand.3

10.30 preexam. Cand.3

12.15 Arrival Cand.4

12.45 preexam. Cand.4

14.00 Arrival Cand.5

14.30 preexam. Cand 5

9.00 Postexam room Cand.1

10.45 Postexam room Cand.2

Exit

14.45 Postexam room Cand.4

Exit

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The third European ORL-Board Examination (first oral part II,) 1.9.2010 during the ELS congress 2010 Vienna, University of Music and Arts

38 Examiners, 4 Supervisors, 6 Guides

36

12

4 4 3 3 2 2 2 2 1 1 1 1

Reihe1

Distribution of the 38 Examiners and Supervisors From 13 European Countries for the Oral Exam in Vienna

September 1 2010

FACULTY OF EXAMINERS 201219 countries

1. Allergology and Cl. Imm. www.eaaci.org 2. Anesthesiology: www.euroanesthesia.org/Education 3. Cardiology www.escardio.org 4. Dermatology and Venereology www.uems-dv.com 5. Intensive Care www.esicm.org 6. Internal Medicine www.efim.org/ 7. Neurology www.eans.org/site/2599/default.aspx 8. Neurosurgery www.eans.org/docs/bud.txt 9. Nuclear Medicine www.uems.eanm.org/committees/fellowship_examination 10. Ophthalmology www.ebo-online.org 11. Oral and Maxillofacial Surgery www.ebomfs.eu 12. Orthopaedics and Traumatology www.ebotexam.20m.com/ 13. Pathology www.europathol.org 14. Pediatric Surgery www.paediatricsurgeryexam.org 15. Physical and Rehabilitation Medicine www.esprm.org 16. Plastic Surgery www.ebopras.eu 17. Respiratory Medicine www.ersnet.org 18. Surgery www.uemssurg.org.index19. Urology www.ebu.com 20. Vascular Surgery www.uemsvascular.com

Internet Sites

www.ebeorl-hns.org www.ebeorl-hns.org

SCEPTISMSCEPTISM

Is the EBE ORL exam a back Is the EBE ORL exam a back door for doctors outside door for doctors outside

Europe to enter EU?Europe to enter EU?

No, It is a way to secure who No, It is a way to secure who is coming and also to is coming and also to

introduce standards for introduce standards for outside EU regarding training outside EU regarding training

in ORL.in ORL.

ISSUES FOR THE FUTUREISSUES FOR THE FUTURE

Part I written exam to be run via Part I written exam to be run via computercomputer

To find ways to attract candidates from To find ways to attract candidates from European countries with poor economies European countries with poor economies (grants from national societies, reduced (grants from national societies, reduced fee for EU trainees etc)fee for EU trainees etc)

To encourage countries to accept To encourage countries to accept officially the exam as equal to the officially the exam as equal to the national one. national one.

Norway, Annual Meeting ORL section, 2008

Thank you