UEMS Stockholm, Frank van Oosterhout Recertification To be or not to be a medical specialist in The Netherlands, that’s the question

Presentation overview 9-6-2012 To become a certified orthopaedic surgeon To stay a certified orthopaedic surgeon Orthopaedic activity Continuous education Quality Visitation If problems arise The fourth pillar Presentation overview UEMS Stockholm

To become a certified orthopaedic surgeon 9-6-2012 6 years of training, 2 years general surgery, 4 years orthopaedic surgery Interim examinations No final examination Formal assessment with trainer C-paper, pay € 650 to Medical Specialist Registration Council (MSRC) 5 year certification with BIG registration To become a certified orthopaedic surgeon UEMS Stockholm

To stay a certified orthopaedic surgeon 9-6-2012 Recertification every 5 years 3 months prior to expiration, check form and a € 325 bill is sent First pay the bill, then fill out the form !!! Three criteria have to be met with At date of expiration recertification for another period of 5 years To stay a certified orthopaedic surgeon UEMS Stockholm

9-6-2012 Orthopaedic patient related activity of at least 16 hours weekly on average during past 5 years Letter of recommendation from hospital/clinic board Kind of orthopaedic activity has not (yet?) to be specified Criteria (1) UEMS Stockholm

9-6-2012 Certified Medical Education at least 200 hours in past 5 years For recertification not (yet?) specified what kind of education Negative bandwith 10% Internet based personal registration system, GAIA, during fase of recertification opened for Council Criteria (2) UEMS Stockholm

9-6-2012 At least once in past 5 years attend to “Quality Visitation”, in orthopaedics mandatory Visitation is peer to peer examination of all orthopaedic practices and clinics. This criteria has to be met on input, not on output, questions on specific education Quality Visitation is a unique system, possibly not in use in any other European country Criteria (3) UEMS Stockholm

If problems arise Most problems with 200 hours of certified education 9-6-2012 Most problems with 200 hours of certified education Missing 25% max then recertification 2.5 y Missing 50% max then recertification 1 y Missing > 50%, no recertification, but re education 1-2 years Use of GAIA is very helpfull in preventing these problems If problems arise UEMS Stockholm

9-6-2012 Individual Functioning of a Medical Specialist = Appraisal Health authority yearly checks hospital based, not individual, attention to one of the IFMS programs If not 100%, the hospital has to give the explanation New recertification program incorporates IFMS on individual base ??? The fourth pillar UEMS Stockholm

9-6-2012 Recertification in The Netherlands is rather strict, not to say typically Dutch New program is on its way Recertification with examination is not spoken of Quality Visitation becomes mandatory for all medical specialists IFMS will be added as the fourth pillar Summary UEMS Stockholm

9-6-2012 Questions? UEMS Stockholm

Recertification Questions???