Transcript European Examinations

Zeev Goldik
CESMA-UEMS
(Council of European Specialty Medical
Assessments)
International Bureau of Weights
and Measures
(BIPM, Bureau International des
Poids et Mesures)
Who wants to sit an exam?
year
2010
2009
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2003
2002
2001
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candidates
EDA Part 1
1300
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1000
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400
300
200
100
0
1993
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Year
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
Candidates
EDA Part II
350
300
250
200
150
100
50
Part I Examination Centres
Amsterdam – Netherlands
Athens – Greece
Barcelona – Spain
Berne – Switzerland
Bucharest – Romania
Budapest – Hungary
Cork – Ireland
Göttingen – Germany
Groningen – Netherlands
Innsbruck – Austria
Istanbul – Turkey
Liège – Belgium
Lisbon – Portugal
Ljubljana – Slovenia
London – United
Kingdom
Lund – Sweden
Madrid – Spain
Moscow – Russia
Msida – Malta
Oslo – Norway
Paris – France
Porto – Portugal
Riga – Latvia
Rome – Italy
St-Petersburg – Russia
Tel Aviv – Israel
Turku – Finland
Uppsala – Sweden
Vienna – Austria
Warsaw – Poland
Yerevan – Armenia
Venues
Languages
Dates
Days
(Part II- Oral Final Exam)
Göttingen, Germany
English, German
20-21 March 2010
Sat-Sun
Porto, Portugal
English, French
10 April 2010
Saturday
Zürich, Switzerland
English, German
23-24 April 2010
Fri-Sat
Barcelona, Spain
English, Spanish
08-09 May 2010
Sat-Sun
Uppsala, Sweden
English, Scandinavian
25-26 May 2010
Tue-Wed
Vienna, Austria
English, German
11 September 2010
Saturday
Erlangen, Germany
English, German
25 September 2010
Saturday
Eilat, Israel
English
17 October 2010
Sunday
European Examinations
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Allergology and Clinical Immunology
Anesthesiology
Dermatology & Venereology
ENT+ORL-Head and Neck Surgery
Hand Surgery
Intensive Care
Internal Medicine
Neurology
Neurosurgery
Nuclear Medicine
Ophthalmology
Oral and Maxillofacial Surgery
Orthopaedics and Traumatology
Pathology
Pediatric Surgery
Physical and Rehabilitation Medicine
Plastic Surgery
Respiratory Medicine
Surgery (General Surgery)
Coloproctology
Endocrine Surgery
Surgical Oncology
Thoracic Surgery
Transplantation
Trauma Surgery
Thoracic and Cardiovascular Surgery
Urology
Vascular Surgery
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)
International Bureau of Weights
and Measures
(BIPM, Bureau International des
Poids et Mesures)
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)
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-CESMA
Glossary
 Diploma
 Certificate
 Fellow
 Certification
 Specialist
 Member
 Trainee
Internet Sites
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.index
19. Urology
www.ebu.com
20. Vascular Surgery
www.uemsvascular.com
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 Assessment
Stage of Training:
< 2 yrs
Overall Results
Righ
Paper A
Paper B
140
177
Wrong
51
48
Void
% Score
Candidates
Average at this
tage of
National
Average at this
Stage of
13 candidates
34.59
43.44
Europe-wide
Diploma
Candidates
80 candidates
36.58
43.88
109
75
29.67
43.00
24.00
26.67
20.00
28.00
70.00
36.92
30.91
28.57
10.00
32.00
36.41
35.60
36.00
63.85
34.20
30.21
38.46
21.54
37.05
36.17
42.82
39.95
59.50
32.21
31.43
39.82
27.00
46.86
43.52
49.45
57.60
77.73
46.37
40.59
50.89
32.30
23.75
29.41
35.00
65.00
44.00
0.00
33.94
38.73
30.38
48.46
48.62
17.31
38.80
39.46
30.50
42.44
46.20
25.44
46.42
54.64
44.38
42.07
57.44
33.40
Detailed Results
Paper A
Cardiorespiratory Physiology
Neurophysiology
General Physiology
Cardiovascular Pharmacology
CNS Pharmacology
General Pharmacology
General Physics
Clinical Measurement
Statistics
Paper B
General Anaesthesia
Special Anaesthesia
Local, Regional Anaesthesia, Pain
Intensive Care
Internal Medicine
Emergency Medicine
Average of all
47.65
51.84
ITA candidate report form
EDA CANDIDATE REPORT FORM
In Training Assessment
Stage of Training:
< 2 yrs
Overall Results
Right
Paper A
Paper B
140
177
Wrong
51
48
Void
% Score
Candidates
Average at this
stage of
National
Average at this
Stage of
13 candidates
34.59
43.44
Europe wide
Diploma
Candidates
80 candidates
36.58
43.88
109
75
29.67
43.00
24.00
26.67
20.00
28.00
70.00
36.92
30.91
28.57
10.00
32.00
36.41
35.60
36.00
63.85
34.20
30.21
38.46
21.54
37.05
36.17
42.82
39.95
59.50
32.21
31.43
39.82
27.00
46.86
43.52
49.45
57.60
77.73
46.37
40.59
50.89
32.30
23.75
29.41
35.00
65.00
44.00
0.00
33.94
38.73
30.38
48.46
48.62
17.31
38.80
39.46
30.50
42.44
46.20
25.44
46.42
54.64
44.38
42.07
57.44
33.40
Detailed Results
Paper A
Cardio-respiratory Physiology
Neurophysiology
General Physiology
Cardiovascular Pharmacology
CNS Pharmacology
General Pharmacology
General Physics
Clinical Measurement
Statistics
Paper B
General Anaesthesia
Special Anaesthesia
Local, Regional Anaesthesia, Pain
Intensive Care
Internal Medicine
Emergency Medicine
Average of all
47.65
51.84
European Exam
 Individual decision
 In Training Assessment
 Examination Boards reciprocity
 National level
Mutual Recognition

 Joint meetings
 Invitation of external examiners
 Exchange of Examination Questions
 Strategy meetings
 Joint research
Irish College of Anaesthetists
 Reciprocity (Mutual recognition)
European Exam
 Individual decision
 In Training Assessment
 Examination Boards reciprocity
 National level
Adoption of EDA part I
 Switzerland
1987/88
1993
EDA in Hungary
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.
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
Content
2. Format
3. Timing
4. Feedback
1.
“The assessment tail wags the curriculum dog”
European Certification: How Should it Work?
Applicant applies on-line, provides
requested documentation (i.e. licences,
diplomas) and proceeds with the 3
assessments
@
@
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
Formative process
@
Upon satisfactory completion
Diploma issued by ECCIS/S&B
Adapted from: Mills P, Kearney P, et al. EBSC, 2008
Electronic Platform
 Three Specialties:
 1) Cardiology
 2) Radiology
 3) Anesthesiology
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.
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 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)
UEMS – Future structure?
EACCME*
European Accreditation
Council for CME
EACQM (?)
European Advisory Council
for Quality Management
of Specialist Medical Practice
Advisory Council
National authorities
and UEMS Sections
Committees
National authorities
and UEMS Sections
Executive*
ECAMSQ(TM?)
European Council for Accreditation
of Medical Specialist Qualifications
CESMA
UEMS WG on PGT
National Accreditation Authorities
and UEMS Sections&Boards
Daily management
President, Secretary General,
Treasurer, Liaison Officer (4)
+ vice-Presidents (4)
Secretariat
Council*
Plenary decisions
2 delegates per country
Brussels
Specialist Sections*
2 delegates nominated by the
National Specialist Association
Board*
European Boards*
Mainly financial matters
1 Head of delegation per country
2 delegates per country
(Balance profession-academia)
Ref.: UEMS Strategy, 2008
UEMS ECAMSQ(TM?)
Operation
UEMS WG on
MST
National Medical
Associations
(UEMS Constituency)
UEMS ECAMSQ™
Governance Body
CESMA
UEMS
Sections
&Boards
National
Licensing
Authorities