EBP meeting

Bratislava, Friday 29th May, 2015

14:30-16:00, Hall A

Agenda

1. Welcome JCM

2. Minutes EBP meeting, Brussels 2014 JCM

3. Brief updates: JCM & RRR

• Curriculum for Common Trunk Training in paediatrics

• Training requirements for the speciality of paediatrics

4. UEMS Council meeting, Brussels, 10-11 April 2015 JCM & TS

• UEMS WG on CME-CPD

• UEMS WG on CESMA

• Proposal for a UEMS meeting between the section of paediatrics and other

sections of adult specialities, Brussels, 26 Nov 2015?

5. How can we implement the assessment of medical training? JCM & RRR

6. How can the EBP better interact with the European Societies of paediatric

specialities? JCM & RRR

7. Network of Accredited Clinical Skills Centres in Europe. Where are we? JZ

Minutes of the EBP meeting, Brussels, 6th Dec 2014 1. Welcome by Jean-Christophe Mercier

2. Minutes of the EBP Meeting in Rzezow, 30th May 2014 were approved.

3. Brief updates • The European Diploma in Paediatric Intensive Care was approved by the UEMS in Granada independently from the

EAP. Likewise, Paediatric surgery and Paediatric urology already have their own diploma. The EAP should establish links with them.

• The paediatric section of Emergency Medicine met during the course of the EuSEM congress in Amsterdam, 28th-1st October 2014. The good news is that Dr. Ian Macconochie (St Mary’s London, UK) was elected chair of the group, as he has always favoured the interplay between the RCPCH and the Royal College of Emergency Physicians that led to the emergence of PEM in the UK, about ten years ago with a formal training program and assessment.

4. UEMS documents • Chapter 6 in paediatrics and paediatric subspecialities to be approved by the UEMS was extensively discussed

and finally approved, provided some small editing details that were later addressed by Robert Ross-Russel.

• The Curriculum for Common Trunk in Paediatrics was then extensively discussed, after the document has been rewritten with the intent to shorten up the different items. After a very live discussion, a general agreement came among the delegates that a far from perfect document was, indeed, better than no document at all. The document was finally endorsed by the General Assembly, provided some editing should be made by Robert Ross-Russel and some additional changes made by Peter Hoyer.

• Later on, Chapter 6 in paediatrics was resent to us by the UEMS, as the template has changed since the first version we had. A new document that followed more strictly the UEMS Training requirements for the Speciality of General Surgery that was given to us as a good example of what we should do for General Paediatrics was then reformatted according to the UEMS requirements and sent again for approval by the UEMS Council.

5. UEMS-CESMA survey of the 28 exams organised by the other UEMS sections was discussed.

6. The recently created Network of Accredited Clinical Skills in Europe (NASCE) was also discussed.

It was decided that the EBP could not lie upon the shoulders of a single individual, but other colleagues should join an EBP WG to follow-up specific items such as this one. Jernerj Zavrsnik volunteered.

7. Finally, the principle of setting up a European Diploma in General Paediatrics still holds, but we certainly need the RCPCH and other National Institutions’ help to make progress.

Brief updates

Both have been sent to the UEMS on 15th April, 2015

for being endorsed by the General Assembly in Warzaw, 16-17 Oct 2015

• Plenary meeting of the UEMS S&Bs

• Meeting of the 3 groupings (A) discussion because of the extracosts of the Domus, lack of transparency, and financial problems of the UEMS

• Plenary meeting of the UEMS S&Bs E-portfolio project supported by Sheffield University (£1,600,000 first year!)

• Council meeting (session 1)

• Domus Medica Europaea warming

• MJC in oncology, pain medicine, section in clinical pharmacology

• WG in:

– CME-CPD

– E-Health

– Postgraduate Training

– Quality in Patient Care

– Specialist practice in current Health Systems

• Council meeting (session 2)

Agenda of the Council Meeting

Brussels, 10-11th, April, 2015

Must always refer to a published Curriculum

Electronic assessment, reduced subjectivity

Secure database, owned by examining body

Discriminates well good and poor candidates

To cover the whole breath of the curriculum

• To negotiate with the RPCPH sharing of their MCQ database?

• To set up a European Board with the contribution of the British RPCPH, French CNPU, German DAKJ, and other national bodies?

• To organise a European consortium of EAP individuals/delegates interested in paediatric assessment?

– 8 Modules • Normal children and child health

• Toolkit for child health and disease

• Child public health

• Community child health

• Common problems in primary care

• Childhood disorders I

• Childhood disorders II

• The child in hospital

– 50 chapters • Allocated to 25 individuals

• In charge of writing up 10 MCQs (deadline 1st Oct)

• Then reviewed by one ad hoc EBP Comittee

Normal children and child health (Van Esso, Adamos)

1. Child health & role of paediatrician A Valiulis

2. Child development RK Saurenmann

3. Psychological development RK Saurenmann

4. Nutrition, infant feeding S. Barak

Toolkit for child health and diseases (DVE, AH)

5. History-taking & physical exam AJ Nicholson

6. Diagnosis & management S del Torso

7. Communication skills AJ Nicholson

8. Evaluation of the newborn T Stiris

9. Clinical genetics ?

10. Pharmacology & Therapeutics J Ramet

11. Ethics & children’s right PJJ Sauer

12. Practical procedures EJ Molloy

13. Evidence-based paediatrics ?

Child public health (D Van Esso, A Hadjipanayis)

14. Epidemiology FB Mimouni

15. Screening Z Meszner

16. Immunization Z Meszner

17. Health promotion ?

Community child health (D Van Esso, A Hadjipanayis)

18. Childhhood disability ?

19. Adolescent health problems E Jaeger-Roman

20. Emotional & behavioural problems ?

21. Child protection RHK Lounamaa

Common problems in primary care (Van Esso, Adamos)

22. Growth M Rudolf

23. Heart and lung disorders I Azevedo

24. Brain & movement disorders L Palm

25. Abdominal disorders D Branski

26. Disorders of the urinary tract Adamos, CJ Stefanidis

27. Skin disorders D Van esso, A Tenore

Childhood disorders I (H Halliday, A Tenore)

28. Central nervous system ?

29. Neurodevelopmental disability D Neubauer

30. Child & adolescent mental health N Kennedy

31. The eye & vision ?

32. Disorders of ear & throat ?

33. Disorders of joints & connective T. RK Saurenmann

34. Inbor errors of metabolism ?

35. Endocrinology & diabetes CE de Beaufort

36. Child abuse & neglect RHK Lounamaa

37. Child health in developing countries ?

Childhood disorders II ((A Tenore)

38. Gastroenterology & hepatology D Branski

39. Urinary system P Hoyer

40. Cardiovascular system S del Torso

41. Respiratory paediatrics M Zach

42. Blood and reticulo-endothelial disorders ?

43. Immunology & infectious diseases J Lopes dos Santos

The child in hospital (A Tenore)

44. Care of the critically ill JC Mercier

45. Neonatology I: prenatal, perinatal N Modi, T Stiris

46. Neonatology II: respiratory, cardiac A Greenough

47. Neonatology III: neurology, haemato, metabolism & sepsis

T Stiris

48. Neonatolgy IV: surgical disorders EJ Molloy

49. Injuries, poisoning & life-threatening events AJ Nicholson

50. Oncology & palliative care ?

To promote harmonisation of European

assessments and guidelines for exams

More than 30 disciplines

To cover the costs

Small scale: up to 50 candidates

Medium: 50-150

Large scale: above 150

To set up a steering committee

To select the examiners

To communicate about the format

of the assessment, venue, date, etc.

To communicate pass-fail rules

To counsel the failed candidates

EU-logbook Based on the University of Sheffield

Developped by the UEMS section of Surgery

£ 1,400,000 for 2 years

Report of the Secretary-general

On EACCME

Led to €4,000 + 4000 revenues in 2014 taken back by the UEMS

How can the EBP better interact with the

European Societies of paediatric specialities?

15 paediatric specialities: • Allergology EACCI

• Cardiology AEPC

• Dermatology ESPD

• Emergency medicine EuSEM

• Endocrine/Diabetes ESPE

• Gastroenterology/hepatology ESPGHAN

• Haematology/Oncology ESH/SIOPE

• Infectious diseases ESPID

• Intensive Care ESPNIC

• Metabolic medicine SSIEM

• Neonatology ESPR/ESN

• Nephrology ESPN

• Neurology EPNS

• Respiratory ERS

• Rheumatology PReS

5 associated medical specialities: • Clinical Genetics

• Pathology

• Physical medicine & rehabilitation

• Psychiatry

• Radiology

9 associated surgical specialities: • Anaesthesia

• Cardiac surgery

• Neurosurgery

• Ophtalmology

• Oro-Maxillo-Facial surgery

• Orthopaedics

• Paediatric surgery

• Paediatric urology

• Plastic, reconstructive, aesthetic surgery

Adolescent medicine & Community medicine

Should we made WGs made of the TCG delegate and corresponding European society?

Approved in Stockholm, 19th Sept, 2014

Criteria_final_approval_Stockholm_September_14_2014

Criteria for accreditation of a NASCE

centre

If the accreditation of single centres of excellence in paediatrics is foreseen

in the future, we cannot make our own rules, but should be part of the process.

Once again, someone from the EAP/paediatric section of the UEMS

or even better a handful of individuals willing to work, should follow this.

Conclusions • We progress, but at a slow pace…

• There is an urgent need to organise a ‘European diploma in general paediatrics’. Three options are:

– To negotiate with the RCPCH?

– To build up a consortium of National Boards of Paediatrics?

– To ask 25 EAP delegates to write 10 MCQs for each of the 50 chapters of the Euromastercourse in order to hold a solid bank?

• We must carefully follow-up the NASCE process and been part of this ad hoc MJC.

• We also must be more active in joining other MJCs (eg, pain medicine, clinical pharmacology)

• Strategically, the EAP mission is to focus on education & assessment, therefore improving the quality of care, and play a growing role within the UEMS family.