Relaciones ESTRO Internacional

Philip Poortmans

2 Philip Poortmans, MD, PhD

Past-President

President-Elect

3

No tengo un conflicto de interés

5

Relaciones ESTRO Internacional

1. Escuela ESTRO

2. Alianza Mundial de Tecnólogos

3. Proyecto HERO

4. Congreso 2018

5. El futuro?

ESTRO SCHOOL: where do we stand?

• 40.000 participants in 460 ESTRO live courses (62 outside Europe)

• > 40 ≠ course topics

50 course directors and 217 teachers in 2016

• > 6400 participants FALCON contouring:

• Live courses

• WS at the ESTRO & other congresses

• Online FALCON WS

5 FALCON Board members, 7 FALCON group members and 25-30 WS tutors

ESTRO SCHOOL: where do we stand?

• Electronic online library DOVE with > 14.000 scientific/educational publications, a.o. course material in flipping book format

• 231 mobility grants awarded

• 23 Fellows

10 staff members

SCHOOL GOVERNANCE

Education Council

Live programme

Blended learning

programme

Intercontinental Education

programme

CC/UEMS/ exams/Fellow programme

Pedagogical programme

Mobility programme

FALCON

ESTRO SCHOOL BIBLE

Benefits teachers and

course directors

Intercontinental

travel

https://user-swndwmf.cld.bz/Manual-for-ESTRO-Teachers

ESTRO LIVE COURSES

ANNUAL PROGRAMME SINCE 2013

ESTRO LIVE COURSES

EVOLUTION COURSES IN EUROPE & OUTSIDE 2006-2015

Total Part Europe Outside Total courses Courses Outside

2006 1826 87% 13% 16 1

2007 1976 87% 13% 19 3

2008 2611 72% 28% 23 3

2009 2745 77% 23% 28 6

2010 2836 74% 26% 30 6

2011 2843 66% 34% 31 6

2012 3015 66% 34% 34 6

2013 2858 67% 33% 32 5

2014 2561 67% 33% 33 6

2015 2490 71% 29% 34 6

2016 2426 67% 33% 33 7

INTERCONTINENTAL COURSES: HISTORY & PLANNING

CSTRO SEAROG JASTRO KOSRO RANZCR AROI RUSSIA ALATRO CARO M East S Africa 2002-2016

2002 RB RB 10x

2003 PHYS Adv Techn 10x

2004 EBRO EBRO 9x

2005 EBRO Modern BT Physics 7x

2006 PHYS Gynae 5x

2007 RB 2D-3D PHYS 2D-3D 5x

2008 TVD RB EBRO FALCON WS 5x

2009 RB/RECT GYNAE/EBRO RB 2D-3D Modern BT H&N 4x

2010 AdvTechn RB PHYS Modern BT 2D-3D EBRO TVD 4x

2011 Physics Adv Techn RB GYNAE EBRO 2D-3D TVD Modern BT 3x

2012 Gynae PHYSICS Adv Techn 2D-3D EBRO Breast Combined 2x

2013 EBRO TVD RB H&N GYNAE Breast 2x

2014 Lung Combined TVD FALCON WS Adv Techn COMBINED Adv Techn Lung 2x

2015 H&N Adv TP BBPRO RB/FALCON WS Adv Techn EBRO Rect 2x

2016 RB Paed Multi Breast EBRO Adv Techn Multi Lung Gynae FALCON WS BBPRO 1x

2017 Quality mgmt Multi H&N Multi rectal

GYNAE

AdvTechn in coll FALCON WS Paed 1x

2018 Physics Adv Techn Multi H&N ??

GYNAE

AdvTechn in coll ?? ?? ?? QA 1x

BLENDED LEARNING

EGLO

*** without staff salaries

ESTRO SCHOOL BUDGET 2011-2015

2011 2012 2013 2014 2015 2016

INCOME COURSES

EU COURSES € 389.108 € 336.771 € 372.768 € 258.429 € 286.567 € 272.982

INTL COURSES € 8.552 € -24.179 € -37.231 € -12.704 € -735 € 2.709

OVERALL COURSES € 397.660 € 312.592 € 335.537 € 245.725 € 285.832 € 275.691

GENERAL EDUC

Unrestricted grant € 50.000 € 41.500 € 91.500 € 41.500 € 0 € 0

FALCON € -125.000 € -60.000 € -46.250 € -77.150 -€ 61.600 -€ 57.050

Educ income € 78.604 € 86.388 € 78.500 € 71.300 € 74.608 € 73.551

Educ Expenses € -100.144 € -125.133 € -117.000 € -95.372 -€ 87.800 -€ 94.935

TOTAL EDUC € -96.540 € -57.245 € 6.750 € -59.722 € -74.792 € -73.884

OVERALL RESULT**** € 301.120 € 255.347 € 342.287 € 186.003 € 211.040 € 201.807

THE

ESTRO

SCHOOL

STAFF

19

Relaciones ESTRO Internacional

1. Escuela ESTRO

2. Alianza Mundial de Tecnólogos

3. Proyecto HERO

4. Congreso 2018

5. El futuro?

Alianza Mundial de Tecnólogos en Radioterapia – ESTRO

Origen del proyecto

La estructura de las sociedades nacionales que representan los tecnólogos en radioterapia esta muy diversificada:

Sociedades nacionales exclusivamente dedicadas a la profesión

Sociedades nacionales conjuntas (por ejemplo, tecnólogos en Radioterapia con técnico en radiología, tecnólogos en medicina nuclear, dosimetristas y enfermeros)

Sociedades nacionales interdisciplinarias (tecnólogos en Radioterapia, radioterapeutas, físicos médicos y enfermeros)

Estudio para identificar necesidades

Un cuestionario que ha sido enviado a los sociedades nacionales representando tecnólogos en radioterapia (90 contactos en 43 países) reveló varias necesidades:

Una representación nacional débil de la profesión y mayoritariamente en órganos inter/multidisciplinarios

Gran interés por pertenecer a un órgano de representación internacional

Inicio del proyecto en enero 2017

Objetivos de la Alianza

Reforzar la representación profesional al nivel internacional

Apoyar la creación de sociedades nacionales dedicadas a la profesión

Obtener un mayor reconocimiento de la profesión ante entidades políticas internacionales y apoyar el desarrollo profesional de los tecnólogos en radioterapia

Ofrecer a los tecnólogos en radioterapia la posibilidad, a través de su Sociedad Nacional, de crear una red de contactos, de acceder a información a través de profesionales y utilizar la red científica y educacional de la ESTRO

Promocionar la educación y el intercambio de ideas, así como la creación de una red significativa de profesionales con intereses comunes

Beneficios para los miembros de la Alianza

Una reducción del precio para registrarse a un curso o congreso ESTRO (tarifa “RTT” – tarifa la más ventajosa)

Tarifa reducida de publicación en la revista de acceso abierto: tipsRO

Acceso a subsidies y premios

Acceso a publicaciones ESTRO con precios reducidos

Acceso online a la revista ESTRO y al reporte anual

Acceso al directorio de los miembros

Beneficios para la Sociedad Nacional

Visibilidad internacional

En el boletín informativo de la ESTRO

Página web de la ESTRO

Posibilidad de participar gratuitamente como exponente durante el congreso anual de la ESTRO

Modelo inclusivo

La cuota por miembro varía según clasificación del país por el Banco Mundial:

8 EUR anuales por miembro y 40 EUR para 6 años

15 EUR anuales por miembro y 75 EUR por 6 años

Estatuto actual

La Alianza de técnicos en radioterapia posiciona dentro el ESTRO como el principal representante internacional de técnicos en radioterapia

11 sociedades nacionales Europeos ya son miembros de la Alianza

Perspectiva internacional: la Alianza internacional se acaba de lanzar y cuenta ya a India como miembro

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Relaciones ESTRO Internacional

1. Escuela ESTRO

2. Alianza Mundial de Tecnólogos

3. Proyecto HERO

4. Congreso 2018

5. El futuro?

to develop a knowledge base of radiation therapy availability and needs

and a model for costing and health economic evaluation of RT

Health Economics in Radiation Oncology (HERO)

at the European country level

AVAILABILITY equipment & staffing

guidelines reimbursement

in Europe

NEEDS optimal radiotherapy utilisation in European countries

ACTIVITY-BASED COSTING

cost and productivity at the national level

within European countries

ECONOMIC EVALUATION of radiotherapy treatments and techniques in Europe HERO-project

Lievens & Grau. R&O 2012

All data Most data Some data No data

Responses were obtained from: Equipment 28 countries Staffing 24 countries Guidelines 29 countries

Thanks to all National Societies for their great interest in the HERO project

what do we have?

HERO survey

Lievens et al. Clin Oncol 2015

European map of resource availability

(/million inhabitants)

GNI per capita (USD)

MV

un

its

per

mill

ion

in

hab

itan

ts

resource availability (MV units / million inhabitants vs. GNI per capita)

Grau et al, R&0 2014

What do we need? What do our patients need?

Half of all patients diagnosed with cancer require radiotherapy in the course of their disease

Barton et al, R&O 2014

optimal radiotherapy utilization (by country)

Global: 51%

Borras et al, R&O 2015

the difference between countries is primarily due to variation in cancer site distribution

0,0 20,0 40,0 60,0 80,0 100,0 120,0

Montenegro

Netherlands

Belgium

France

Poland

Spain

Sweden

Bulgaria

Iceland

Hungary

Portugal

Estonia

0% 100%

only about 2 out of 3 cancer patients in Europe receive

the radiotherapy treatment they deserve!

how is the actual use of radiotherapy, compared to the calculated optimum?

Borras et al, R&O 2015

needs are increasing (radiotherapy demand 2025)

large variation across Europe,

overall 16% increase

Borras et al, R&O 2016

RESOURCES

ACTIVITIES

TREATMENTS

Times & frequency

of activities

Taskforce

Equipment

Consumables

N° treatments per

Technique

Fractionation

Localisation

HERO data staffing & equipment Literature data

Expert estimates

Literature data Expert estimates

CCORE model Cancer registries data

Time-Driven Activity Based Costing model

RESOURCES

ACTIVITIES

TREATMENTS

Times & frequency

of activities

Taskforce

Equipment

Consumables

N° treatments per

Technique

Fractionation

Localisation

Time-Driven Activity Based Costing model

National Cost

estimate

Resource Utilisation & needs

release during ESTRO governance week December 5th 2017, Brussels

Yolande Lievens Cai Grau Peter Dunscombe Josep Borras Mary Coffey Lionel Perrier Judith van Loon Ben Slotman Julian Malicki Marta Bogusz-Czerniewicz Donal Hollywood Chiara Gasparotto Noémie Defourny Julietta Corral ESTRO board and office

Done by:

42

Relaciones ESTRO Internacional

1. Escuela ESTRO

2. Alianza Mundial de Tecnólogos

3. Proyecto HERO

4. Congreso 2018

5. El futuro?

43

44

45

Relaciones ESTRO Internacional

1. Escuela ESTRO

2. Alianza Mundial de Tecnólogos

3. Proyecto HERO

4. Congreso 2018

5. El futuro?

AGENDA INTERNATIONAL PROGRAMME

ESTRO SCHOOL INTERNATIONAL PROGRAMME

2018: renewal educational agreements 2019 – 2021 ‘Tailored’ courses outside Europe, in answer to very heterogeneous situations

and requests? duration, size, topics, pedagogical approach, …

TTT approach: how to start, how to consolidate, how to hand it over, how to continue to support it

Core Curriculum, certification/examination, harmonization? Globalisation, free movement of medical staff

Link to ASIA / FARO - What about the rest of the world?

Define educational and political priorities

Define decision making procedures

Alianza Mundial de Tecnólogos en Radioterapia – ESTRO

AVAILABILITY equipment & staffing

guidelines reimbursement

in Europe

NEEDS optimal radiotherapy utilisation in European countries

ACTIVITY-BASED COSTING

cost and productivity at the national level

within European countries

ECONOMIC EVALUATION of radiotherapy treatments and techniques in Europe HERO-project

Lievens & Grau. R&O 2012

Strategy 2015-2020

ECCO’s vision and purpose Vision:

•To improve outcomes for all cancer patients in Europe through multidisciplinarity and multi-professionality

ECCO’s core purpose:

•To provide a cohesive platform that promotes the concept and practice of multidisciplinarity across all areas of cancer care

•To be the united voice of European cancer professionals to address common policy issues

Patient centricity

Quality Cancer Care

Multidisciplinarity

ECCO Stakeholders

ECCO Patient Advisory Committee (ECCO PAC)

54 | PN

ECCO Member Societies

ECCO Stakeholders

Other Stakeholders

• Industry partners

• EU Institutions

• Currently inviting collaboration with various stakeholders through the new ECCO Partnership and Collaboration policy • Support for policy initiatives

• Support for scientific/educational initiatives

55 | PN

ECCO Stakeholders

56 | PP

ECCO 2018 European Cancer Summit will integrate multidisciplinarity and patient perspective across three pillars:

• Outcome Research

• Health Economics of Cancer Care

• Organisation of Cancer Care Delivery

57 | PP

ECCO 2018 Summit: Three Pillars

• To provide a unique forum for all interested stakeholders to convene and determine together policy needs to be met

• To produce consensus resolutions on how to address these needs

• To determine an action plan on how to turn the resolutions from statements to reality

58 | PP

ECCO 2018 Summit: Objectives

Strategy 2015-2020

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