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

2. International Prototype of the Meter

3. International Bureau of Weights and Measures (BIPM, Bureau International des Poids et Mesures)

6. Who wants to sit an exam?
One of the first enigmas was: who wants to sit a voluntary exam?. Most of reasonable people have enough with the obligatory exams.
The big gamble taken at the inception of the European Diploma was whether anyone would wish to sit the examination.
Fortunately, anesthetists in Europe did prove to be interested in acquiring the Diploma

9. 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

10. (Part II- Oral Final Exam)
Venues
Languages
Dates
Days
Göttingen, Germany
English, German
20-21 March 2010
Sat-Sun
Porto, Portugal
English, French
10 April 2010
Saturday
Zürich, Switzerland
23-24 April 2010
Fri-Sat
Barcelona, Spain
English, Spanish
08-09 May 2010
Uppsala, Sweden
English, Scandinavian
25-26 May 2010
Tue-Wed
Vienna, Austria
11 September 2010
Erlangen, Germany
25 September 2010
Eilat, Israel
English
17 October 2010
Sunday
(Part II- Oral Final Exam)

11. European Examinations
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

12. Council of European Specialist Medical Assessment
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) -

13. International Bureau of Weights and Measures (BIPM, Bureau International des Poids et Mesures)

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)

15. 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)

16. Liter (litre)
A litre is defined as a special name for a cubic decimetre (1 L = 1 dm3 = 103 cm3). Hence 1 L ≡ 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 dm3. In 1964 this definition was abandoned in favour of the current one.

17. General Conference on Weights and Measures

18. UEMS-CESMA Glossary Diploma Certificate Fellow Certification
Specialist
Member
Trainee

20. Internet Sites Allergology and Cl. Imm. www.eaaci.org
Anesthesiology:
Cardiology
Dermatology and Venereology
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
Urology
Vascular Surgery

21. European Exam Individual decision In Training Assessment
Examination Boards reciprocity
National level

22. Individual Benefit Assessment of training
Recognition of professional standard and quality
Promotion and competition
Movement between European countries

23. European Exam Individual decision In Training Assessment
Examination Boards reciprocity
National level

25. EDA CANDIDATE REPORT FORM In Training Assessment
Stage of Training: < 2 yrs
Overall 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 candidates
Paper A
Paper B
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

26. ITA candidate report form

27. EDA CANDIDATE REPORT FORM In Training Assessment
Stage of Training: < 2 yrs
Overall 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 candidates
Paper A
Paper B
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

29. European Exam Individual decision In Training Assessment
Examination Boards reciprocity
National level

30. Mutual Recognition
                                                                     

31. Joint meetings
Invitation of external examiners
Exchange of Examination Questions
Strategy meetings
Joint research

32. Irish College of Anaesthetists
Reciprocity (Mutual recognition)

35. European Exam Individual decision In Training Assessment
Examination Boards reciprocity
National level

36. Adoption of EDA part I
Switzerland
1987/88
1993

37. EDA in Hungary

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.

39. Poland

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.

41. Malta

42. Malta

45. Austria
Adoption of Part II Final Oral Exam and Diploma

46. 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”

48. European Diploma in Turkey

49. Turkey

51. 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

52. Impact on teaching
“For every evaluative action, there is an equal (or greater) (and sometimes opposite) educational reaction”
(Schuwirth, 2001)

53. Assessment drives learning
Content
Format
Timing
Feedback
“The assessment tail wags the curriculum dog”
The real art comes in using assessment methods to steer students learning appropriately

54. @ @ @ 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 @ @ @
Formative process
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
Adapted from: Mills P, Kearney P, et al. EBSC, 2008

55. Electronic Platform Three Specialties: 1) Cardiology 2) Radiology
3) Anesthesiology

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.

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

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.

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.

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)

62. UEMS – Future structure?
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
ECAMSQ(TM?)
European Council for Accreditation
of Medical Specialist Qualifications
CESMA
UEMS WG on PGT
National Accreditation Authorities
and UEMS Sections&Boards
Executive*
Daily management
President, Secretary General,
Treasurer, Liaison Officer (4)
+ vice-Presidents (4)
Secretariat
Brussels
Council*
Plenary decisions
2 delegates per country
Specialist Sections*
2 delegates nominated by the
National Specialist Association
Board*
Mainly financial matters
1 Head of delegation per country
European Boards*
2 delegates per country
(Balance profession-academia)
Ref.: UEMS Strategy, 2008

63. UEMS ECAMSQ(TM?) Operation
UEMS WG on MST
UEMS
Sections
&Boards
National Medical Associations
(UEMS Constituency)
National
Licensing
Authorities
UEMS ECAMSQ™
Governance Body
CESMA

64. Thank you