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

Zeev GoldikCESMA-UEMS

(Council of European Specialty Medical Assessments)

Who wants to sit an exam?

Part I Examination Centres Amsterdam

– NetherlandsAthens – GreeceBarcelona – Spain

Berne – SwitzerlandBucharest – RomaniaBudapest – Hungary

Cork – IrelandGöttingen – GermanyGroningen – Netherlands

Innsbruck – AustriaIstanbul – TurkeyLiège – Belgium

Lisbon – PortugalLjubljana – SloveniaLondon – United Kingdom

Lund – SwedenMadrid – SpainMoscow – Russia

Msida – MaltaOslo – NorwayParis – France

Porto – PortugalRiga – LatviaRome – Italy

St-Petersburg – Russia

Tel Aviv – IsraelTurku – Finland

Uppsala – SwedenVienna – AustriaWarsaw – Poland

Yerevan – Armenia

VenuesLanguagesDatesDays

Göttingen, Germany

English, German20-21 March 2010Sat-Sun

Porto, PortugalEnglish, French10 April 2010Saturday

Zürich, Switzerland

English, 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, Germany

English, German25 September 2010Saturday

Eilat, IsraelEnglish17 October 2010Sunday

(Part II- Oral Final Exam)

European Examinations1. Allergology and Clinical Immunology2. Anesthesiology3. Dermatology & Venereology4. ENT+ORL-Head and Neck Surgery5. Hand Surgery6. Intensive Care7. Internal Medicine8. Neurology9. Neurosurgery10. Nuclear Medicine11. Ophthalmology12. Oral and Maxillofacial Surgery13. Orthopaedics and Traumatology14. Pathology15. Pediatric Surgery16. Physical and Rehabilitation Medicine17. Plastic Surgery18. Respiratory Medicine19. Surgery (General Surgery)20. Coloproctology21. Endocrine Surgery22. Surgical Oncology23. Thoracic Surgery24. Transplantation25. Trauma Surgery26. Thoracic and Cardiovascular Surgery27. Urology28. Vascular Surgery29. Angiology

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)-

Definition of MeterOne 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)

Meter

Wavelength of light emitted by the krypton-86 isotope (1960)

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)

Liter (litre)A litre is defined as a special name for a cubic

decimetre (1 L = 1 dm3 = 103 cm3). Hence 1 L ≡ 0.001 m3 (exactly). So 1,000 L = 1 m3

From 1901 to 1964 the litre was defined as the volume of one kilogram of pure water at 4°C and 760 millimetres of mercury pressure. During this time, a litre was about 1.000028 dm3. In 1964 this definition was abandoned in favour of the current one.

General Conference on Weights and Measures

UEMS-CESMAGlossary

DiplomaCertificateFellowCertificationSpecialistMemberTrainee

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

European Exam

Individual decision

In Training Assessment

Examination Boards reciprocity

National level

Individual Benefit

Assessment of training

Recognition of professional standard and quality

Promotion and competition

Movement between European countries

European Exam

Individual decision

In Training Assessment

Examination Boards reciprocity

National level

EDA CANDIDATE REPORT FORM

In Training AssessmentStage of Training: < 2 yrsOverall Results

Candidates National Europe‑wide Average of all Righ Wrong Void % Score Average at this Average at this Diploma

tage of Stage of Candidates 13 candidates 80 candidatesPaper A 140 51 109 29.67 34.59 36.58 47.65Paper B 177 48 75 43.00 43.44 43.88 51.84

Detailed ResultsPaper A

Cardiorespiratory Physiology 24.00 32.00 37.05 46.86Neurophysiology 26.67 36.41 36.17 43.52General Physiology 20.00 35.60 42.82 49.45Cardiovascular Pharmacology 28.00 36.00 39.95 57.60CNS Pharmacology 70.00 63.85 59.50 77.73General Pharmacology 36.92 34.20 32.21 46.37General Physics 30.91 30.21 31.43 40.59Clinical Measurement 28.57 38.46 39.82 50.89Statistics 10.00 21.54 27.00 32.30

Paper B

General Anaesthesia 23.75 33.94 38.80 46.42Special Anaesthesia 29.41 38.73 39.46 54.64Local, Regional Anaesthesia, Pain 35.00 30.38 30.50 44.38Intensive Care 65.00 48.46 42.44 42.07Internal Medicine 44.00 48.62 46.20 57.44Emergency Medicine 0.00 17.31 25.44 33.40

EDA CANDIDATE REPORT FORM

In Training AssessmentStage of Training: < 2 yrsOverall Results

Candidates National Europe wide Average of all Right Wrong Void % Score Average at this Average at this Diploma

stage of Stage of Candidates 13 candidates 80 candidatesPaper A 140 51 109 29.67 34.59 36.58 47.65Paper B 177 48 75 43.00 43.44 43.88 51.84

Detailed ResultsPaper A

Cardio-respiratory Physiology 24.00 32.00 37.05 46.86Neurophysiology 26.67 36.41 36.17 43.52General Physiology 20.00 35.60 42.82 49.45Cardiovascular Pharmacology 28.00 36.00 39.95 57.60CNS Pharmacology 70.00 63.85 59.50 77.73General Pharmacology 36.92 34.20 32.21 46.37General Physics 30.91 30.21 31.43 40.59Clinical Measurement 28.57 38.46 39.82 50.89Statistics 10.00 21.54 27.00 32.30

Paper B

General Anaesthesia 23.75 33.94 38.80 46.42Special Anaesthesia 29.41 38.73 39.46 54.64Local, Regional Anaesthesia, Pain 35.00 30.38 30.50 44.38Intensive Care 65.00 48.46 42.44 42.07Internal Medicine 44.00 48.62 46.20 57.44Emergency Medicine 0.00 17.31 25.44 33.40

European Exam

Individual decision

In Training Assessment

Examination Boards reciprocity

National level

Mutual Recognition

Joint meetingsInvitation of external examinersExchange of Examination QuestionsStrategy meetingsJoint research

Irish College of Anaesthetists

Reciprocity (Mutual recognition)

European Exam

Individual decision

In Training Assessment

Examination Boards reciprocity

National level

Adoption of EDA part ISwitzerland

1987/88

1993

EDA in Hungary

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 .

Poland

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.

Malta

Malta

Austria

Adoption of Part II Final Oral Exam and Diploma

Austrian Recognition

At its meeting on 28th 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”

European Diploma in Turkey

Turkey

Slovenia meeting Prof.Brigita Drnovšek-Olup MD PhD, Medical director

UMC Ljubljana

Prof.Pavel Poredoš 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- Eržen MD PhD,councillor,

Prof. Vesna Novak-Jankovič MD PhD, Head of Clinical Department of Anaesthesiology and Intensive Therapy, President of Slovenian Society of Anaesthesiology and Intensive Medicine

Impact on teaching

“For every evaluative action, there is an equal (or greater) (and sometimes opposite) educational reaction”

(Schuwirth, 2001)

Assessment drives learning

1. Content2. Format3. Timing4. Feedback

“The assessment tail wags the curriculum dog”

Knowledge Assessment

Practical Skills Assessment

Assessment of Professionalism

MCQs on EACCME/S&B accredited

Textbook chaptersGuidelines

ArticlesCME Products

E-logbookE-portfolio

DOPS (direct observation of practical skills)

CPD activities360° Appraisal

Upon satisfactory completion Diploma issued by ECCIS/S&B

Form

ative process

@ @ @

European Certification: How Should it Work?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

Electronic Platform

Three Specialties:

1) Cardiology

2) Radiology

3) Anesthesiology

Glasgow DeclarationThe 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.

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

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.

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.  

Glasgow DeclarationCandidates 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)

UEMS – Future structure?UEMS – Future structure?

Specialist Sections*

2 delegates nominated by the National Specialist Association

European Boards*

2 delegates per country(Balance profession-academia)

Council*

Plenary decisions2 delegates per country

Board*

Mainly financial matters1 Head of delegation per country

ECAMSQ(TM?)(TM?)

European Council for Accreditationof Medical Specialist Qualifications

CESMAUEMS 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 Councilfor Quality Management

of Specialist Medical Practice

Committees

National authorities and UEMS Sections

SecretariatBrussels

Executive*Daily management

President, Secretary General ,Treasurer, Liaison Officer (4)

+vice-Presidents (4)

Ref.: UEMS Strategy, 2008

UEMS ECAMSQ(TM?)(TM?)

OperationUEMS ECAMSQ(TM?)(TM?)

Operation

UEMSSections

&Boards

UEMSSections

&Boards

UEMS WG on MST

UEMS WG on MST

CESMACESMA

NationalLicensing

Authorities

NationalLicensing

Authorities

National Medical Associations

)UEMS Constituency (

National Medical Associations

)UEMS Constituency (

UEMS ECAMSQ™Governance Body

UEMS ECAMSQ™Governance Body