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

International Prototype of the Meter

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

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

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

(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)

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

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) -

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 Allergology and Cl. Imm. www.eaaci.org Anesthesiology: www.euroanesthesia.org/Education Cardiology www.escardio.org Dermatology and Venereology www.uems-dv.com Intensive Care www.esicm.org Internal Medicine www.efim.org/ Neurology www.eans.org/site/2599/default.aspx Neurosurgery www.eans.org/docs/bud.txt Nuclear Medicine www.uems.eanm.org/committees/fellowship_examination Ophthalmology www.ebo-online.org Oral and Maxillofacial Surgery www.ebomfs.eu Orthopaedics and Traumatology www.ebotexam.20m.com/ Pathology www.europathol.org Pediatric Surgery www.paediatricsurgeryexam.org Physical and Rehabilitation Medicine www.esprm.org Plastic Surgery www.ebopras.eu Respiratory Medicine www.ersnet.org Surgery www.uemssurg.org.index Urology www.ebu.com 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 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 140 51 109 29.67 34.59 36.58 47.65 Paper B 177 48 75 43.00 43.44 43.88 51.84 Detailed Results Paper A Cardiorespiratory Physiology 24.00 32.00 37.05 46.86 Neurophysiology 26.67 36.41 36.17 43.52 General Physiology 20.00 35.60 42.82 49.45 Cardiovascular Pharmacology 28.00 36.00 39.95 57.60 CNS Pharmacology 70.00 63.85 59.50 77.73 General Pharmacology 36.92 34.20 32.21 46.37 General Physics 30.91 30.21 31.43 40.59 Clinical Measurement 28.57 38.46 39.82 50.89 Statistics 10.00 21.54 27.00 32.30 Paper B General Anaesthesia 23.75 33.94 38.80 46.42 Special Anaesthesia 29.41 38.73 39.46 54.64 Local, Regional Anaesthesia, Pain 35.00 30.38 30.50 44.38 Intensive Care 65.00 48.46 42.44 42.07 Internal Medicine 44.00 48.62 46.20 57.44 Emergency Medicine 0.00 17.31 25.44 33.40

ITA candidate report form

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 140 51 109 29.67 34.59 36.58 47.65 Paper B 177 48 75 43.00 43.44 43.88 51.84 Detailed Results Paper A Cardio-respiratory Physiology 24.00 32.00 37.05 46.86 Neurophysiology 26.67 36.41 36.17 43.52 General Physiology 20.00 35.60 42.82 49.45 Cardiovascular Pharmacology 28.00 36.00 39.95 57.60 CNS Pharmacology 70.00 63.85 59.50 77.73 General Pharmacology 36.92 34.20 32.21 46.37 General Physics 30.91 30.21 31.43 40.59 Clinical Measurement 28.57 38.46 39.82 50.89 Statistics 10.00 21.54 27.00 32.30 Paper B General Anaesthesia 23.75 33.94 38.80 46.42 Special Anaesthesia 29.41 38.73 39.46 54.64 Local, Regional Anaesthesia, Pain 35.00 30.38 30.50 44.38 Intensive Care 65.00 48.46 42.44 42.07 Internal Medicine 44.00 48.62 46.20 57.44 Emergency Medicine 0.00 17.31 25.44 33.40

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

@ @ @ 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

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 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

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

Thank you