European Curriculum Development Project in Neurotology NORWAY OCTOBER 2008 Thomas Somers

Background Training in O&NO is central to the EAONO mission Goals To maintain high professional levels in Neuro-otology Harmonize teaching and knowledge To gain (also medico-legal) recognition of this subspeciality of ORL&HNS This can only be achieved through excellence in a structured training programme Need for a fit for purpose curriculum Aim is to develop a 2-years master level curriculum appropriate to the needs of advanced trainees in neuro-otology

Neuro- Otology Rare and complicated disorders in otology and skullbase surgery No current official recognition as a discipline Present centers are run by self-made men No official university programmes Many cases are not treated or inadequately treated Risk of medico-legal implications

European Curriculum Development Project in Neurotology Prof. J. Magnan co-ordinated a submission to the EU through its Socrates programme (2006) Administration was done through the University of Marseille (Legal representative: Prof Berland) The bid was approved and funded in 2006

Consortium of 20 partner centers Prof Ramos (Palma de Gran Canarias) Prof Ramsden (Manchester) Prof.Hüttenbrink (Köln) Prof ODonoghue (Nottingham) Prof.Cenjor (Madrid) Prof Tran-ba-huy (Paris) Prof Offeciers (Antwerp) Prof Lenarz (Hannover) Prof Filipo (Roma) Prof Ozgirgin (Ankara) Prof Bebear (Bordeaux) Prof Wszyfter (Poznan) Prof Dubreuil (Lyon) Prof Gersdorff (Brussels) Prof Pauw (Rotterdam) Prof Sanna (Chieti) Prof Laszig (Freiburg) Prof Zenner (Tübingen Prof Uziel (Montpellier)

Master Degree in Neuro-otology The curriculum development must be trans- national So far no centre is able to cover all aspects Large variety of knowledge and practice in different countries Using the strengths of the various participating centers Needs = 1 neuro-otologist for every 2 mio inh

Practicalities 2007 – 2008 Bring together 20 EU partner centers Create a common 2 y curriculum Incorporate student and staff mobility 2009 Develop e-based (eg video-conferencing) and web-based educational materials to support clinical training Create assessment standards for students, teachers and university centers Expand the network of university center partners

Selection After completion of training in ORL-HNS followed by a training in advanced otology training Advanced otological knowledge and skills Human and ethical skills, communicator, scholar (in terms of teaching and research), team-worker, manager of resources Exact criteria have to be defined

Curriculum A vast multicentric work has been done to define the scope of modern Neuro-otology and the relevant knowledge base, as well as clinical and technical skills needed for competent practice Curriculum for a 2 y Master type diploma in accordance to the Bologna rules 120 credits divided into 2 y and 4 semesters

Credits 1 credit = 30 student work hours Lecture hours: 1 H class time = + 5 H prep so e.g. 5 H lectures + 25 H prep = 30 H = 1 credit Lab hours: 1 H lab = + 2 H prep So e.g. 10 h lab = 20 F prep = 30 H = 1 credit Surgical theatre: no prep So e.g. 30 H theatre = 30 student hours = 1 credit

Some examples of the curriculum: Practicum and analysis in electro-physiologic testing deafness, vertigo, facial paralysis Knowledge in oto-and neuro imaging Training in skull base surgery Parallel teaching at the university centres Cross border teaching for special zones of expertise (e.g. NF2) eLearning website Logbook Scientific study to be presented at an international forum

Assessment Standards assessing competence will need to be defined (need to be reliable, high validity, low cost and practicable) Structured examination (clinical or written)? Work-based evaluation?

Stage in life of projectOutputs: By the end of this stage we will have achieved / produced Activities leading to this output Activity to be this date and completed date Start started by by this Complet e Partners / Persons i- nvolved Time input (person / days or person /months) 1 Beginning Development-task division within working groups and due dates for subtasks -confirmation of FM and CM dates for duration of project -establish working & communication protocol between participants -administrative secretary hired 1st -1st Coordinators' Meeting (CM) -2nd CM -1st -1st Full Meeting (FM) Early October 2006 Late October Coordinators -All project participants - Administrative Secretary -Coordinators – 2 working days + 2 day s preparation -All project participants – 1 working day plus 1 day preparation 2 Mid-Development-Informational website online and 1B1 evaluation by FM mid development phase project evaluation -1st draft of Curriculum presented at FM external input by North American expert -eLearning working group formed -webmaster hired and website put online -working groups complete work on curriculum -coordinators complete 1St draft -3m CM 2nd FM 2 FM Oct 2006Oct 2007_ -Coordinators -All project participants -Administrative Secretary -Webmaster -Coordinators – 3 full working days + 24 days preparation (per person) -All project participants – 1 working day + 12 days preparation 3 Post Development – Beginning Dissemination/Implementation -final version of curriculum approved at FM -new working groups & new task division with due dates -evaluation of informational website – recommendations for changes -1st review of eLearning website -Working Groups and Coordinators work to finalize curriculum -all information posted to informational Website by webmaster and administrative secretary -webmaster & eLearning working group use the draft version of curriculum to develop draft of eLearning site 5th CM -6th CM -3rd FM Oct 2007June Coordinators -All project participants -Administrative Secretary -Webmaster -Coordinators – 3 full working days + 24 days preparation (per person) -All project participants – 1 working day + 12 days preparation

4 Mid-Dissemination/Implementation-review and evaluation of draft assessment standards and systems -draft publications presented for approval 2nd review of eLearning website – g recommendations for final changes -new partners approved -review of accreditation progress process -final version of informational website presented -working group on assessment finishes draft -all project partner present finalized curriculum to their university for approval -webmaster completes work on informational website -search for new partners conducted -working group on publications finishes and presents final draft to coordinators -7th CM June 2008April Coordinators -All project participants -Administrative Secretary -Webmaster -Coordinators – 1 full working days + 12 days preparation (per person) -All project participants 6 days preparation 5 End Dissemination/Implementation-final project evaluation -plan for post-funding continuation of project decided -7th CM -8th CM 4th, FM -publications sent -articles published in journals and on academic websites -evaluation and assessment standards approved -eLearning site completed April 2009June 2009 Coordinators All project participants -Administrative Secretary Webmaster -Coordinators – 3 full working days + 24 days preparation (per person) -All project participants – 1 working day + 12 days preparation

UEMS Recommendations? Working group together with EAONO?

Thank you