Zeev Goldik CESMA-UEMS (Council of European Specialty Medical Assessments)

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Zeev Goldik CESMA-UEMS (Council of European Specialty Medical Assessments)

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Zeev Goldik CESMA-UEMS (Council of European Specialty Medical Assessments) Slide 2 Slide 3 International Bureau of Weights and Measures (BIPM, Bureau International des Poids et Mesures) Slide 4 Slide 5 Slide 6 Who wants to sit an exam? Slide 7 Slide 8 Slide 9 Part I Examination Centres Amsterdam NetherlandsAthens GreeceBarcelona Spain Berne SwitzerlandBucharest RomaniaBudapest Hungary Cork IrelandGttingen GermanyGroningen Netherlands Innsbruck AustriaIstanbul TurkeyLige Belgium Lisbon PortugalLjubljana SloveniaLondon United Kingdom Lund SwedenMadrid SpainMoscow Russia Msida MaltaOslo NorwayParis France Porto PortugalRiga LatviaRome Italy St-Petersburg RussiaTel Aviv IsraelTurku Finland Uppsala SwedenVienna AustriaWarsaw Poland Yerevan Armenia Slide 10 VenuesLanguagesDatesDays Gttingen, GermanyEnglish, German20-21 March 2010Sat-Sun Porto, PortugalEnglish, French10 April 2010Saturday Zrich, SwitzerlandEnglish, German23-24 April 2010Fri-Sat Barcelona, SpainEnglish, Spanish08-09 May 2010Sat-Sun Uppsala, SwedenEnglish, Scandinavian25-26 May 2010Tue-Wed Vienna, AustriaEnglish, German11 September 2010Saturday Erlangen, GermanyEnglish, German25 September 2010Saturday Eilat, IsraelEnglish17 October 2010Sunday (Part II- Oral Final Exam) Slide 11 European Examinations 1. Allergology and Clinical Immunology 2. Anesthesiology 3. Dermatology & Venereology 4. ENT+ORL-Head and Neck Surgery 5. Hand Surgery 6. Intensive Care 7. Internal Medicine 8. Neurology 9. Neurosurgery 10. Nuclear Medicine 11. Ophthalmology 12. Oral and Maxillofacial Surgery 13. Orthopaedics and Traumatology 14. Pathology 15. Pediatric Surgery 16. Physical and Rehabilitation Medicine 17. Plastic Surgery 18. Respiratory Medicine 19. Surgery (General Surgery) 20. Coloproctology 21. Endocrine Surgery 22. Surgical Oncology 23. Thoracic Surgery 24. Transplantation 25. Trauma Surgery 26. Thoracic and Cardiovascular Surgery 27. Urology 28. Vascular Surgery 29. Angiology Slide 12 UEMS-CESMA Council of European Specialist Medical Assessment -Chairman: Zeev Goldik (Anaesthesiology) -Vice-Chairman: Alfred Tenore (Pediatrics) -General Secretary: John Boorman (Plastic Surgery) -Honorary Treasurer: Robert Carachi (Paediatric Surgery) - Slide 13 International Bureau of Weights and Measures (BIPM, Bureau International des Poids et Mesures) Slide 14 Definition of Meter One ten-millionth of the distance between the North Pole and the equator at the longitude of Paris (1799) The distance between precision marks on a new 'X' shaped 90% platinum 10% iridium bar at 0 C (1889)platinumiridium Slide 15 Meter Wavelength of light emitted by the krypton- 86 isotope (1960)krypton- 86 The present speed of light is defined as 299,792,458 metres per second (in a vacuum) and is used to indirectly calculate the length of the metre (1983) Slide 16 Liter (litre) A litre is defined as a special name for a cubic decimetre (1 L = 1 dm 3 = 10 3 cm 3 ). Hence 1 L 0.001 m 3 (exactly). So 1,000 L = 1 m 3cm 3m 3 From 1901 to 1964 the litre was defined as the volume of one kilogram of pure water at 4C and 760 millimetres of mercury pressure. During this time, a litre was about 1.000028 dm 3. In 1964 this definition was abandoned in favour of the current one.waterC millimetres of mercury Slide 17 General Conference on Weights and Measures Slide 18 UEMS-CESMA Glossary Diploma Certificate Fellow Certification Specialist Member Trainee Slide 19 Slide 20 1. Allergology and Cl. Imm. www.eaaci.org www.eaaci.org 2. Anesthesiology: www.euroanesthesia.org/Educationwww.euroanesthesia.org/Education 3. Cardiology www.escardio.orgwww.escardio.org 4. Dermatology and Venereology www.uems-dv.comwww.uems-dv.com 5. Intensive Care www.esicm.orgwww.esicm.org 6. Internal Medicine www.efim.org/www.efim.org/ 7. Neurology www.eans.org/site/2599/default.aspxwww.eans.org/site/2599/default.aspx 8. Neurosurgery www.eans.org/docs/bud.txtwww.eans.org/docs/bud.txt 9. Nuclear Medicine www.uems.eanm.org/committees/fellowship_examinationwww.uems.eanm.org/committees/fellowship_examination 10. Ophthalmology www.ebo-online.orgwww.ebo-online.org 11. Oral and Maxillofacial Surgery www.ebomfs.euwww.ebomfs.eu 12. Orthopaedics and Traumatology www.ebotexam.20m.com/www.ebotexam.20m.com/ 13. Pathology www.europathol.orgwww.europathol.org 14. Pediatric Surgery www.paediatricsurgeryexam.orgwww.paediatricsurgeryexam.org 15. Physical and Rehabilitation Medicine www.esprm.orgwww.esprm.org 16. Plastic Surgery www.ebopras.euwww.ebopras.eu 17. Respiratory Medicine www.ersnet.orgwww.ersnet.org 18. Surgery www.uemssurg.org.indexwww.uemssurg.org.index 19. Urology www.ebu.comwww.ebu.com 20. Vascular Surgery www.uemsvascular.comwww.uemsvascular.com Internet Sites Slide 21 European Exam Individual decision In Training Assessment Examination Boards reciprocity National level Slide 22 Individual Benefit Assessment of training Recognition of professional standard and quality Promotion and competition Movement between European countries Slide 23 European Exam Individual decision In Training Assessment Examination Boards reciprocity National level Slide 24 Slide 25 EDA CANDIDATE REPORT FORM In Training Assessment Stage of Training:< 2 yrs Overall Results CandidatesNational Europe wide Average of all Righ Wrong Void % ScoreAverage at thisAverage at this Diploma tage ofStage ofCandidates 13 candidates80 candidates Paper A 140 5110929.6734.59 36.58 47.65 Paper B 177 487543.0043.44 43.88 51.84 Detailed Results Paper A Cardiorespiratory Physiology24.0032.0037.05 46.86 Neurophysiology26.6736.4136.17 43.52 General Physiology20.0035.6042.82 49.45 Cardiovascular Pharmacology28.0036.0039.95 57.60 CNS Pharmacology70.0063.8559.50 77.73 General Pharmacology36.9234.2032.21 46.37 General Physics30.9130.2131.43 40.59 Clinical Measurement28.5738.4639.82 50.89 Statistics10.0021.5427.00 32.30 Paper B General Anaesthesia23.7533.9438.8046.42 Special Anaesthesia29.4138.7339.4654.64 Local, Regional Anaesthesia, Pain35.0030.3830.5044.38 Intensive Care65.0048.4642.4442.07 Internal Medicine44.0048.6246.2057.44 Emergency Medicine0.0017.3125.4433.40 Slide 26 ITA candidate report form Slide 27 EDA CANDIDATE REPORT FORM In Training Assessment Stage of Training:< 2 yrs Overall Results CandidatesNational Europe wide Average of all Right Wrong Void % ScoreAverage at thisAverage at this Diploma stage ofStage ofCandidates 13 candidates80 candidates Paper A 140 5110929.6734.59 36.58 47.65 Paper B 177 487543.0043.44 43.88 51.84 Detailed Results Paper A Cardio-respiratory Physiology24.0032.0037.05 46.86 Neurophysiology26.6736.4136.17 43.52 General Physiology20.0035.6042.82 49.45 Cardiovascular Pharmacology28.0036.0039.95 57.60 CNS Pharmacology70.0063.8559.50 77.73 General Pharmacology36.9234.2032.21 46.37 General Physics30.9130.2131.43 40.59 Clinical Measurement28.5738.4639.82 50.89 Statistics10.0021.5427.00 32.30 Paper B General Anaesthesia23.7533.9438.8046.42 Special Anaesthesia29.4138.7339.4654.64 Local, Regional Anaesthesia, Pain35.0030.3830.5044.38 Intensive Care65.0048.4642.4442.07 Internal Medicine44.0048.6246.2057.44 Emergency Medicine0.0017.3125.4433.40 Slide 28 Slide 29 European Exam Individual decision In Training Assessment Examination Boards reciprocity National level Slide 30 Mutual Recognition Slide 31 Joint meetings Invitation of external examiners Exchange of Examination Questions Strategy meetings Joint research Slide 32 Irish College of Anaesthetists Reciprocity (Mutual recognition) Slide 33 Slide 34 Slide 35 European Exam Individual decision In Training Assessment Examination Boards reciprocity National level Slide 36 Adoption of EDA part I Switzerland 1987/88 1993 Slide 37 EDA in Hungary Slide 38 EDA in Poland Dear Professor Goldik,: Dear Zeev In conjunction with our previous talks with You and the President of ESA, Sir Peter Simpson and following your meeting with representatives of the Polish Ministry of Health, the Director of the Centre of Medical Examinations, the National Advisor in Anaesthesiology and Intensive Therapy, and the Board of the Polish Society of Anaesthesiology and Intensive Therapy, I am declaring readiness to introduce written part of the European Diploma in Anaesthesiology and Intensive Care (EDA) as a part of the Polish National Exam in Anaesthesiology and Intensive Therapy since autumn, 2008. Slide 39 Poland Slide 40 Netherlands Last Monday the Council of the Netherlands Society of Anaesthesiology has discussed the modernized national training program of Anaesthesiology, of which I had the privilege to be one of the architects. Starting the implementation of this program, it was realized that the old exam structure had to be renewed as well. Then the discussion was started whether the European Diploma would not be a very good alternative. The result is that the Council last week decided to recommend the Board of the Netherlands Society to adopt the European Diploma. I guess therefore that you may expect a message from the Netherlands Society in due course. Slide 41 Malta Slide 42 Slide 43 Slide 44 Slide 45 Austria Adoption of Part II Final Oral Exam and Diploma Slide 46 Austrian Recognition At its meeting on 28 th January 2009, the Austrian Medical Chamber decided : The Board of Examiners of Anaesthesiology and Intensive Medicine and the Scientific Society recognize the ESA Exams EDA part I and EDA part II as equivalent to the Austrian Medical Chamber Specialist Exam in Anaesthesiology and Intensive Medicine Slide 47 Slide 48 European Diploma in Turkey Slide 49 Turkey Slide 50 Slide 51 Slovenia meeting Prof.Brigita Drnovek-Olup MD PhD, Medical director UMC Ljubljana Prof.Pavel Poredo MD PhD, Head of Clinical Department for vascular diseases, President of Slovenian Medical Association Associate Prof. Zlatko Fras MD PhD,Medical Director of Division of Internal Medicine, President of UEMS Prof Vesna Paver- Eren MD PhD,councillor, Prof. Vesna Novak-Jankovi MD PhD, Head of Clinical Department of Anaesthesiology and Intensive Therapy, President of Slovenian Society of Anaesthesiology and Intensive Medicine Slide 52 Impact on teaching For every evaluative action, there is an equal (or greater) (and sometimes opposite) educational reaction (Schuwirth, 2001) Slide 53 Assessment drives learning 1. Content 2. Format 3. Timing 4. Feedback The assessment tail wags the curriculum dog Slide 54 Knowledge Assessment Practical Skills Assessment Assessment of Professionalism MCQs on EACCME/S&B accredited Textbook chapters Guidelines Articles CME Products E-logbook E-portfolio DOPS (direct observation of practical skills) CPD activities 360 Appraisal Upon satisfactory completion Diploma issued by ECCIS/S&B Formative process @@@ European Certification: How Should it Work? Applicant applies on-line, provides requested documentation (i.e. licences, diplomas) and proceeds with the 3 assessments Adapted from: Mills P, Kearney P, et al. EBSC, 2008 Slide 55 Electronic Platform Three Specialties: 1) Cardiology 2) Radiology 3) Anesthesiology Slide 56 Glasgow Declaration The role of European Board Examinations is complementary to National Examinations where they exist. Countries which do not have their own examination are encouraged to consider using the appropriate European Board Examination. Slide 57 Glasgow Declaration European Board Examinations are regarded as a quality mark for independent practice at the end of specialist training. Passing a European Board Examination does not give a right to practise in any UEMS country. Such rights are granted solely by the relevant National Authority Slide 58 Glasgow Declaration All European Board Examinations shall publish both a Curriculum (as set out in Chapter 6 of the UEMS Training Charter) and minimum requirements for examination Candidates of any nationality shall be eligible to sit the European Board Examinations. Slide 59 Glasgow Declaration Candidates for the final part of a European Board Examination must be medical graduates and should be either Certified specialists in any country (eligibility to be determined by the relevant Section or Multidisciplinary Joint Committee) or Trainees in the final year of specialist training in a UEMS member country. Slide 60 Glasgow Declaration Candidates who pass a European Board Examination and who are certified specialists may call themselves Fellow of the European Board of .. and will receive a certificate. Trade sponsorship should not be used to subsidise the examination. It was established a UEMS Council for European Specialist Medical Assessments (UEMS-CESMA) as a part of the ECAMSQ (European Council for Accreditation for Medical Specialty Qualification) Slide 61 Slide 62 UEMS Future structure? Specialist Sections* 2 delegates nominated by the National Specialist Association European Boards* 2 delegates per country (Balance profession-academia) Council* Plenary decisions 2 delegates per country Board* Mainly financial matters 1 Head of delegation per country (TM?) ECAMSQ (TM?) European Council for Accreditation of Medical Specialist Qualifications CESMA UEMS WG on PGT National Accreditation Authorities and UEMS Sections&Boards EACCME* European Accreditation Council for CME Advisory Council National authorities and UEMS Sections EACQM (?) European Advisory Council for Quality Management of Specialist Medical Practice Committees National authorities and UEMS Sections Secretariat Brussels Executive* Daily management President, Secretary General, Treasurer, Liaison Officer (4) + vice-Presidents (4) Ref.: UEMS Strategy, 2008 Slide 63 (TM?) UEMS ECAMSQ (TM?) Operation UEMS Sections &Boards UEMS Sections &Boards UEMS WG on MST CESMA National Licensing Authorities National Licensing Authorities National Medical Associations (UEMS Constituency) National Medical Associations (UEMS Constituency) UEMS ECAMSQ Governance Body UEMS ECAMSQ Governance Body Slide 64