ESTRO educational activities focus an international activities

Philip Poortmans – ESTRO President-Elect

4 April 2014

4 April 2014

ESTRO SCHOOL

CORE ETC ETC LIAISON PERSONS

COURSE DIRECTORS

200 TEACHERS

SCHOOL STAFF

ESTRO school structure

4 April 2014

ESTRO VISION FOR 2020 AND EDUCATION

4 April 2014

ESTRO VISION FOR 2020 AND EDUCATION

Vision 1.3: Access to continuing medical education and continuing

professional and personal development ...

Vision 1.5: ESTRO will take all reasonable measures to further develop as

the preeminent educational and scientific society … unique

strategic responsibility for the future development … within Europe

and at a global level.

4 April 2014

ESTRO VISION FOR 2020 AND EDUCATION

Vision 1.3:

a.  ESTRO will promote and publish journal(s) ... •  Radiotherapy & Oncology will provide access to highest-level

scientific information ... •  … will create new web-based platforms ...

b.  ESTRO will facilitate and enhance the dissemination of science through meetings and educational courses including: •  … integrated interdisciplinary/multidisciplinary approaches •  Organ and technical oriented & Discipline oriented & Health

economic & new horizons and blue-sky •  --- development of partnerships with national RO societies. •  … further development of educational courses ...

4 April 2014

ESTRO VISION FOR 2020 AND EDUCATION

Vision 1.3:

a.  … examine new models of membership to strengthen education, training and professional services ...

c.  … innovative health services research è specialist staffing, level of equipment, implementation of new technology, patient access … … with critical analysis using cost-benefit, cost-utility … and HTA è HERO) project.

d.  … differences exist in individual countries within Europe … together with national societies create and prioritise innovative strategic partnerships to strengthen the specialty in the respective countries è increased level of patient care and quality of treatment

4 April 2014

ESTRO education started slowly and has been growing exponentially: 1985-1989: 5 courses in 5 years

1990-1999: 58 courses in 10 years 2000-2004: 58 courses in 5 years Total: 121 courses for ~ 11.000 participants

2005: Creation of the ESTRO School for Radiotherapy & Oncology è framework for ESTRO’s educational activities è increase profile & quality of education and training

è 2005-2013: 147 courses for ~ 22.000 participants

ESTRO educational activities: milestones

4 April 2014

Courses outside Europe è Started as of 2002 in Russia è  In support of ISRO in India in 2005 è In the frame of the ESTRO School since 2007 Established MoU with RANZCR and RATRO/ROS Upcoming MoU with JASTRO Renewed MoU negotiations with AROI, CSTRO, SEAROG (ALATRO), KOSRO

Up to today: 33.000 participants to ESTRO courses!

ESTRO educational activities: milestones

4 April 2014

0

5

10

15

20

25

30

35

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

1 0

1 1 2

4 5 5 5 5 5

6 6

9 9 10

13 12

11 12

14

16

19

23

28

30 31

34

32

Live ESTRO courses 1985-2013

4 April 2014

0

500

1000

1500

2000

2500

3000

3500

2000

2001

2002

2003

2004

2005

2006

2007

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2011

2012

2013

801 958

1199

1149

1138

1434

1826

1976

2611

2745

2836

2843

3015

2858

Nr of participants Nr of courses

Live courses & participants 2000-2013

4 April 2014

4 April 2014

2015 IN EUROPE 2016 IN EUROPEBASIC BASICEBRO EBROModern BT Modern BTBasic clinical RB Basic clinical RBPhysics PhysicsBasic TP Basic TPTVD TVDT ECHNOLOGY T ECHNOLOGY Advanced TP Advanced TPIMRT IMRT IGRT IGRTSBRT SBRTClinical practicle therapy Clinical practicle therapyBRACHYT HERAPY BRACHYT HERAPY BT prostate BT prostateIGRT & CT in gynae ca, focus on adapt BT IGRT & CT in gynae ca, focus on adapt BTIMAGING IMAGINGPET PETCa imaging Ca imagingCLINICAL/MULT IDISCIPLINARY CLINICAL/MULT IDISCIPLINARYBreast H&NCNS ProstateLung Rectal Paediatric Upper GI - GI week?Haematological malignancies Haematol (2nd time in a row as a new course)GENERAL CLINICAL GENERAL CLINICALUnderstanding and mgmt of morbidity Understanding and mgmt of morbidityPHYSICS PHYSICSDose DoseImaging for phys Imaging for physBIOLOGY BIOLOGYCombined drug radiation treatment + BBPRO BBPROModelling ModellingRT T RT TAdv treatm skills for treatment delivery Adv treatm skills for treatment deliveryTrain the RTT Trainers Train the RTT TrainersRESEARCH RESEARCHMasterclass for medical physicists in RO Masterclass for radiation oncologists MANAGEMENT MANAGEMENTQuality assessm & improv (include HERO) Risk Mgmt and Safety2015 OUTSIDE EUROPE 2016 OUTSIDE EUROPECSTRO - H&N CSTRO???JASTRO/KOSRO - BBPRO SEAROG???SEAROG - Advanced TP AROI???RANZCR - Basic clinical RB??? RUSSIA???RUSSIA - Advanced technologies??? JASTRO???AROI - Advanced technologies???

Biennial planning 2015-2016

2nd Forum ESTRO 31 ESTRO Anniv ESTRO 29

Congress total 2614

Congress total 3285

Congress total 2434

Congress total 3192

Total Teaching courses 513

Total Teaching courses 513

Total Teaching courses 655

Total Teaching courses 516

Focal Therapy 59

How Imaging Innov 133

Brachytherapy 169

Adaptive radiotherapy 229

Molecular imaging 48

Brachytherapy 126

New quality mgmt 105

Functional imaging 155

Dose Verification 134

Proton Therapy 100

Photon beam 144

Tumour Microenvironm 51

Stats 88

Combining Radiation… 84

Research in RT 33

Patient Safety 81

Applied Radiobiology 57

Delineation 70

Stereotact RT 204

Spanish Day 81

Complex Tissue 52

Spanish Day 78

Polish Day 103

8 FALCON WS 126

4 FALCON WS 240

4 FALCON WS 240

3 FALCON WS 180

4 April 2014

ESTRO premeeting courses & workshops

PREMEETING COURSES (registration at the late deadline)

Interdiscipl: Intercranial Stereotactic RT 125

RB: Current Advancem in Immunotherapy and RT 42

Clin: Optimal use of RT and CT in Organ Preservation 58

RTT IGART for RTT 98

Phys: Treatment Planning 187

FALCON CONTOURING WORKSHOP (8) – 177 registration at the late deadline

2x OAR in the thoracic region, 2x esophagus, 2x lymphoma, 2x rectal cancer

4 April 2014

Premeeting educational activities 2014

NEW: MULTIDISCIPLINARY TUMOUR BOARD SESSIONS: H&N, BREAST, RECTAL

Educational tool for RO to become familiar with the complex challenges/needs within the multidisciplinary environment in regard to knowledge and competence to study the decision making process of tumour boards, its possibilities and pitfalls to transfer the demonstrated experience to the live home situation in multidisciplinary oncology of “everyday”.

Concept: to demonstrate how the knowledge about different levels of clinical evidence for various prognostic, predictive, diagnostic and therapeutic measures are finally “tailored” to the needs for decision making of the individual patient with cancer.

Proces: -A radiation oncologist (an ESTRO fellow) prepares and demonstrates a clinical case -The tumour board panel (a diagnostic radiologist, a surgical oncologist, a medical/clinical oncologist, and a radiation oncologist)discuss the case -The session is coordinated by a expert radiation oncologist who interacts also with the audience -Finally a joint decision will be taken for the individual case. Voting systems may be used.

4 April 2014

Premeeting educational activities 2014

PREMEETING COURSES

Four premeeting courses confirmed for the 3rd Forum in Barcelona 2015 – topics will be provided by the respective Scientific Advisory groups (SAG):

•  GEC-ESTRO

•  Physics

•  RTT

•  Clinical

Standing committee liaisons to the ETC to take care that the SAG proposals do not overlap with the planned standing courses for 2015.

The SAG for clinical RT discusses the ETC proposal for a pre-meeting on benign disease

FALCON WS

•  Three topics will be repeated: esophagus, rectal ca, lymphoma

•  One new topic: OAR for pancreas cancer

4 April 2014

Premeeting educational activities 2015

  7 8 9 10 11 12 13 POPUL   7 8 9 10 11 12 13 POPUL

AUS 28 48 38 79 110 99 222 23 IT 72 79 102 84 87 41 66 60

NL 123 149 164 135 194 209 177 17 GR 116 78 132 48 67 54 56 11

IND         123 160 159 1210 PT 50 44 46 58 67 70 55 11

CHINA 114 400 320 231 251 113 147 1347 AT 54 35 18 41 20 34 55 8

PL 138 135 163 206 122 169 141 38 NO 31 39 47 40 29 67 54 5

UK 72 129 113 101 128 101 130 62 DK 56 72 88 101 74 80 52 6

TR 165 95 90 100 200 112 126 74 CH 47 44 66 65 79 62 46 8

RU 69 82 135 140 106 153 125 143 NZ 13 13 18 21 22 11 46 4

BE 123 82 101 94 99 140 112 11 CZ 42 62 52 62 55 31 43 10

DE 117 113 112 92 104 126 104 80 SLOVEN 24 19 19 23 47 41 43 2

ES 50 77 103 93 60 106 98 46 CA 22 34 16 19 13 18 37 35

THAIL       26 50 168 96 65 MALAYS       77 31 44 35 29

SE 41 38 35 28 38 67 80 9 HU 39 32 13 50 33 42 29 10

FR 22 47 43 44 66 50 71 65 INDONES       15 23 33 21 237

4 April 2014

Participants courses 2007-2013

4 April 2014

0% 5%

10% 15%

20% 25% 30% 35% 40% 45%

W-EU C-EU RU M EAST/ AFR FAR EAST CHINA INDIA AUS/NZ L-AMER N-AMER

2011 42% 20% 4% 6% 6% 9% 4% 4% 4% 1%

2012 42% 19% 5% 7% 10% 4% 5% 4% 3% 1%

2013 42% 21% 4% 2% 8% 5% 6% 9% 1% 2%

2011 2012 2013

Origin participants 2011-2013

4 April 2014

RUSSIA CSTRO AROI ALATRO SEAROG RANZCR M EAST JASTRO2002 RB

2003 PHYS

2004 EBRO

2005 BT EBRO

2006 PHYS

2007 2 D-3 D RB PHYS

2008 RB TV D EBRO

2009 2 D-3 D RB/RECT GYNA E/EBRO RB BT

2010 PHYS A DV TECHN BT RB 2 D-3 D

2011 EBRO PHYS GYNA E 2 D-3 D A DV TECHN RB TV D

2012 2 D-3 D GYNA E A DV TECHNEBRO PHYS BREA ST

2013 GYNA E EBRO H&N PHYS TV D RB A DV TECHN

2014 RB LUNG BREA ST COMBINED PA ED TV D

2015 TV D H&N EBRO A DV TP RB PROSTA TE MOL ONC

International courses 2002-2015

0

50

100

150

200

250

300

350

400

M EAST RUSSIA CSTRO AROI SEAROG ALATRO RANZCR

150

152

40

0

164

150

190

350

120

144

141

250

150

130

105

189

250

103

160

105

135

233

128

165

288

75

164

150

135

195

143

2008 2009 2010 2011 2012 2013

4 April 2014

International courses 2008-2013

ESTRO members working in countries with a less competitive economic background can obtain a reduced participation fee of 350€to attend live teaching courses organized in Europe.

Selection Criteria

1. Only ESTRO members for 2013 are eligible (hereunder the list of eligible countries)

2. Only one course per person per year can be subsidized

3. Max 250 participants can register at the subsidized fee in the first semester of 2013 and another 250 in the second semester of 2013.

4. In case the number of applications exceeds the number of places available at subsidized fees, priority will be given to: a. younger people ; b. people applying for a course held in their region

5. Non-European members need to contact ESTRO office to check eligibility

4 April 2014

New system of reduced fees as of 2013

4 April 2014

1 1 1 1 1 1 2 3 4 6 6 11 12 15

22 27

37 40

82

0

10

20

30

40

50

60

70

80

90

Successful applicants for reduced fees 2013

4 April 2014

82

40 37

27 22

15 12 11

126

141

98

43

55 56

29

43

0

20

40

60

80

100

120

140

160

Turkey Poland Spain Slovenia Portugal Greece Hungary Czech Republic

#reduced partic #total partic

Successful applicants for reduced fees 2013

Yea

r

RO

Ph

y

RT

T

RB

Tot

al

2008(1X) 14 9 5 3 31

2009(2X) 1 22 8 0 43

2010(2X) 22 21 6 0 49

2011(2X) 17 11 3 2 33

2012(2X) 21 15 8 0 44

2013(2X) 33 22 6 0 61

TOTAL 118 100 36 5 259

% 45,5 38,5 14 2 100

Year

# P

roposals

# F

un

ded

% F

un

ded

2008 27 19 70

2009 42 22 52

2010 46 25 54

2011 28 21 75

2012 40 33 82

2013 40 29 73

TOTAL 223 149 66

4 April 2014

ESTRO mobility grants (TTG) applications

Budget education 2011-2013

2011 2012 2013

Results EU courses 389 337 373

Results International courses

9 -24 -37

Overall costs Education

-609 -541 -489

Final Results -211 -228 -153

Organisation of FALCON

Vincenzo  Valen+ni  FALCON  CHAIR  

Core  group/Excecu+ve  group  Carl  Salembier,  Jesper  Eriksen,  Sofia  Rivera,  Berardino  De  Bari  

Falcon  in  Live  

courses  Chairs:  Carl  Salembier,  Jesper  Eriksen  

Falcon  in  Live  

workshops  Chairs:  Berardino  De  Bari,  Danilo  Pasini  

Falcon  on  line  

workshops  Chairs:  Sofia  Rivera,  Arturo  Navarro  

Falcon  on  line  cases  

Chair:  Giovanna  Mantello  

Falcon  QA  and  research  Chairs:  Kari  Tanderup,  Arndt  ChrisDan  Muller  …  

ETC

Link  with  the  website:    Sofia  Rivera,  Giovanna  Mantello  

Library  RFP  and  Tools  development  

-delineation exercises in ESTRO live courses 8 in 2012 11 in 2013 9 in 2014

-live WS at ESTRO meetings 4 in 2012 8 in 2013 8 in 2014

-online delineation workshops: 1st edition in Oct 2012 (breast) 3 in 2013 (2 breast and 1 H&N) 4 planned in 2014 (H&N, breast, gynae, rectal)

-4 online cases free for all members: rectal, H&N, 2 gynae 2 about to be published on breast more cases under preparation on rectal ca, H&N ca, lymphoma, ependymoma, Ewing's Sarcoma, medulloblastoma, Hodgkin's Disease

-Development of a database of expert delineations necessitates good collaboration with the course directors or FALCON WS chairs

-More young professionals are to be attracted to support the conduction of FALCON courses and WS

4 April 2014

Online educational

DOVE creates new (online) education possibilities:

-  includes meeting webcasts/e-posters and abstracts, articles from the Green Journals, ESTRO publications, guidelines, FALCON exercises, course material, material fron EU projects... (access regulated according to the member status and participation to specific events)

-extra course material will soon be included from other (oncology) societies such as ESO, ECCO, probably AAPM and more agreements are under investigation

-the DOVE TF works on the development of short educational online learning modules (EAGLE) on specific topics

-the possibilities of DOVE for networking between members with similar (research) interests will be further exploited

4 April 2014

Online educational: Dynamic Oncology Virtual ESTRO

4 April 2014

Setting up international collaboration

4 April 2014

ESTRO MoU: field of interest

•  Education

•  Science

•  Membership

Setting up international collaboration

4 April 2014

Setting up international collaboration

ESTRO MoU: field of interest

•  Education

•  On site Courses •  FALCON on line workshops •  EAGLE

4 April 2014

Setting up international collaboration

ESTRO MoU: field of interest

•  Science

•  Joint symposia •  Premeeting courses •  Best of (symposia, courses) •  R&O “The Green” Journal

Audit of the School - strategic analysis of the future educational needs; ongoing

Future structure of the School within ESTRO -to be discussed at the JSR

Manual for the implementation of the competency based CC

-link to UEMS (J Eriksen)

4 April 2014

Next steps for 2014

4 April 2014

Setting up international collaboration

Acknowledgements: Richard Poetter – Chair ESTRO ETC Christine Verfaillie – ESTRO COO