1. Adrian M Agius

2. UEMS European Union Medical Specialist society, represented by the National Associations of each country. Decision makers (voting rights) 37 countries, 1.6 million specialists; EU population 500 million. Lobbies European Commission regarding legislation (legal body) 42 Specialist Sections, including UEMS-ORL

3. UEMS Council meetings twice a year Current topics: Domus Medica Harmonisation of European Training Process of accreditation of training centres and mechanism to maintain standards E-learning platform: still under development

4. Day 1 Domus Medica spending over budget (Prof Krajewski) Attempts to make UEMS acounts more transparent (Prof Vassilios) Attempts to attract UEMS Boards to hold meetings (limit of 70 delegates) and use secretarial services of domus medica for payment UEMS central is asking Boards to contribute from their accounts and is witholding EACCME payments for 2015/2016. Payments will then be resumed.

5. UEMS Central assets 7.6 million 4.6 million spent on Domus Medica (1.1 million over budget) 300,000 euro pending payments UEMS central income approx 250,000 euro annually and there are permanent staff (CEO Bertrand Daval, and secretaries).

6. European training Requirements Presented by Prof Papalois (vice president of UEMS) for all surgical specialties Process of harmonisation (not all countries have provisions for all types of surgical specialties) UEMS does not supercede the individual National Authorities in defining the training process but can advise with the weight of all the other EU countries in order to ensure high quality training across Europe

7. Domus Medica

9. Day 2 Section of Clinical Pharmacology created Multidisciplinary committee in breast care Training document in neurosurgery presented Multidisciplinary committee on pain management Working group on medical specialist training (Zlatko Fras) Update on Cesma, recruitment of assessors of examinations, preparatory courses for exams discussed, format discussed whether MCQ or OSCE-objective structured clinical examination Reports of falsification of European Board certificates

10. E learning platform Minerva platform, developed at University of Sheffield Competency-based assessment of trainees is very important Database of European specialists List of those passing EB examinations Cost approx 250,000 euro Being evaluated in Basle and Helsinki Project delay because of Domus Medica expenses

11. Thank you