1 EUROPEAN DIPLOMA IN INTENSIVE CARE … DESC Paris 2012 1 EUROPEAN DIPLOMA IN INTENSIVE CARE...
Transcript of 1 EUROPEAN DIPLOMA IN INTENSIVE CARE … DESC Paris 2012 1 EUROPEAN DIPLOMA IN INTENSIVE CARE...
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EUROPEAN DIPLOMA IN INTENSIVE CARE MEDICINE
C. Guérin
Réanimation médicale
Lyon, France.
Member of EDIC subcommittee of the ESICM.
Slides from the courtesy of Marco Maggiorini, MD
Medical ICU
Zürich, Switerland
Head of DPD at the ESICM
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2 Educational Structure and Organization within the ESICM
Council National
Presidents committee
National Training Organizations
PACT CoBa-
Faculty CTC EDIC
NC-CT CoBaForum NC-EDIC
Subcommittee (Elected)
Appointed at the national level
Committee (Elected)
ESICM
Pro
fessio
nal
Deve
lop
me
nt P
rogram
Education & Training Committee Chair: Head of Division of Professional Development (DPD)
COBATRICE Competency Based Training programme in Intensive Care Medicine for Europe
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Aims of EDIC
• To promote quality standards in education and training for intensive care medicine in Europe and elsewhere.
• To be complementary to specialist postgraduate medical training
• The taking of the two components of the exam should normally correspond with stages of experience/training in intensive care medicine
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EDIC part 1 – Written exam
Criteria for entry
1. Fully registered Medical Doctor (i.e. internship
completed).
2. Entry into a national training programme in a primary
speciality: Anaesthesiology, General/Internal Medicine,
and other, General Surgery and other, Accident &
Emergency Medicine, Paediatrics, or Intensive Care
Medicine if a primary speciality.
3. Entry into a national training programme in intensive
care medicine or satisfactory completion of 12 months
training/experience in ICM.
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EDIC part 2 - Clinical
1. Possession of EDIC Part 1
2. Satisfactory completion of national
intensive care medicine training programme
or 24 months of training/experience in ICM
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Specialists
• Specialists (Consultants/Attendings) may take the EDIC if they have a regular, substantive day-time and emergency call commitment to intensive/critical care medicine.
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Candidate considerations
• The Part 1 exam is conducted in English.
• The Part 2 should be conducted in English or in the language of the candidate or in another European language chosen by the candidate, subject to the availability of approved examiners. At least one of the faculty of examiners at the exam must be board certified (or equivalent) in the primary speciality of the candidate.
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8 Ressources recommended for EDIC preparation
• Local or national critical care medicine education and training opportunities especially those associated with training programmes.
• Up-to-date clinical textbooks on intensive/critical care.
• PACT (Patient-centred Acute Care Training) the ESICM distance-learning multi-media programme for intensive care.
• Current research and review literature in journals such as Intensive Care Medicine, Critical Care Medicine and other major journals.
• The annual congresses of the ESICM, particularly the Educational track.
• The ESICM homepage (http://www.esicm.org) carries information from time to time on ESICM approved or sponsored educational meetings and courses.
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Part 1. The multiple choice questionnaire (MCQ) examination
• Conducted during the annual European Congress on Intensive Care Medicine and also during specific sessions in selected cities.
• It consists of 100 stems.
• Questions from the entire spectrum of intensive care medicine.
• Maximum 3.0 hours allowed for the examination
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1.
Sym
pto
ms
ass
ess
ment
Dia
gnost
ic p
rocedure
2.
Clinic
al cours
e,
monit
ori
ng
3.
Thera
py,
managem
ent,
pharm
acolo
gy
4.
Path
ophysi
olo
gy,
Eti
olo
gy
5.
Pro
gnost
ic, so
cia
l
asp
ects
1. Symptoms assessment
Diagnostic procedure 2. Clinical course, monitoring
3. Therapy, management,
pharmacology 4. Pathophysiology, Etiology
5. Prognostic, social aspects
Weig
ht
%
Weig
ht
num
ber
of
quest
ions
Two types of questions
• type A questions: 5 options, only one answer correct (n=50)
• type K questions: each of the four (or five) options may be either true or false (n=50)
• Evaluation of answers – Type A
• correct = 1 point
• wrong or blank = 0 point
– Type K • 4 correct anwers out of 4 questions = 1 point
• 3 correct answers out of 4 questions = 0.5 point
• < 3 correct answers out of 4 questions = 0 point
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Item difficulty =number of points achieved by the candidates on one item
Divided by maximum number of points that could be achieved
Item selectivity =correlation between the number of points achieved in this item
and the total number of points in the examination excluding this item
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Construction and evaluation of MCQ
Reinhard Westkaemper, MD
IML Institute for Medical learning
Bern University
Evaluation of the part 1
Pass mark = Mean – 0.6 SD
ESICM Berlin 2007
Mean = 606.66 points
Pass mark > 56 points
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Organisation of Part 2 clinical/oral examination
• Location – In European countries, a group of suitable, major hospital general
Intensive Care Units will be identified in conjunction with relevant Council members and the ESICM Examinations subcommittee.
• EDIC panel of examiners – In European countries, a panel of ESICM approved examiners is agreed
with the advice of the relevant ESICM Council member(s) and the panel will be held by the Society Secretariat. The examiners should, in so far as is possible, be members of the ESICM.
• Extern examiner – Where possible and suitable, an extern examiner may be invited from
another European country with the prior agreement of the ESICM Examinations subcommittee. Externs provide reports to the ESICM (and local examiners) on the conduct of the examination, with a view to the facilitation of Europe-wide harmonisation of standards.
• Exam frequency – The Part 2 exam will usually be held several times annually in various
locations.
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Conduct of the (Part 2) examination
• The exam will consist of clinical and oral (viva voce) components.
• It is anticipated that each candidate will have around two hours for the clinical and oral parts, including patient examination and discussion with the examiners.
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The candidate must be observed by the examiners in the clinical environment examining more than one patient.
• The clinical component: 60-90 minutes.
– One Major case. This should preferably be a
patient with a range of clinical problems (
ARDS): 30 minutes
– Two to three Minor cases focusing on a
clinical sign or other issue: 10-15 min/case
• The oral component: 30-40 minutes.
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Marking process • The candidate will be assessed by the
examiners for both the clinical and the
oral components of the exam, and graded
for each component
Oral-clinical examination Mark Sheet
Oral-clinical examination Mark Sheet
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Awarding and Conferring of Diploma (EDIC)
• The diploma is awarded to those who have properly and successfully completed Part 2 (EDIC), provided specialist status in the candidates base specialty has been achieved.
• A conferring ceremony for successful candidates may be held at the annual Congress of the Society.
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EDIC part 1 Sites 2010-11
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26 EDIC: Exam results 2010-11 Pass mark 57.3%
Relative Standard: Mean – (0.6 * SD) = 55 Points or 57.3% correct answers
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27 EDIC: Exam results 2010-11
* Au, Cz, Gr, Po, Sp, Be, Hu, It, Ne
ƒ Albania, Belize, Iraq, Lybia, El Salvador
ƒ
*
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EDIC: Exam results 2010-11
Medical experience Years in Intensive Care
Forthcoming written exam sessions in 2012
Forthcoming oral exam sessions in 2012