1
U.E.M.SEBOT
Union Européenne des Médecins SpecialistesEuropean Board of
European Union of Medical SpecialistsOrthopaedics and Traumatology
Section of Orthopaedics and Traumatology
MINUTES OF THE MEETING OF THE SECTION ON MAY 27TH-28TH 2016
AT HOTEL GLOBE & CÉCIL, LYON, FRANCE
President:Paulo Felicissimo
Secretary:Thomas Motycka
Treasurer:Henri Schlammes
PRESENT:
AUSTRIAStefan Nehrer
Thomas Motycka
BELGIUMNanni Allington
CROATIADamir Hudetz
Alan Ivkovic
CYPRUS Andreas Tanos
DENMARKBenn Duus
ESTONIAToomas Tein
FINLANDIlkka Kiviranta
FRANCEPatrice Papin
Domenique Chauveaux
GERMANYDietrich Bornemann
GREECEAristides Zoubos
Vasilcios Bitounis
Georges Sapkas
HUNGARYTibor Gunther
ITALYBenazzo Francesco
LUXEMBURGHenri Schlammes
NORWAYKari Indrekvam
THE NETHERLANDSWim Morrenhof
Bart J. Burger
PORTUGALPaulo Felicissimo
ROMANIAAdrian Radulescu
Ioan Christian Stoica
SLOVENIATomaz Silvester
SPAINJose Cordero
SWEDENLi Fellander-Tsai
Hans Mallmin
TURKEYGazi Huri
UNITED KINGDOMDavid Stanley
EFORTEnric Caceres
FORTELuis Miguel Machado
EXAMINATION COMMITTEEJorge Mineiro
GUESTSRene Amalberti
FRIDAY MAY 27th, 2016 – GENERAL MEETING PART I
- OPENING
The president opened the meeting and welcomed Enric Caceres, President of EFORT and all delegates to Lyon
- APOLOGIES
Derek Bennett (Ireland), Andy Cole (U.K.), Gerry McCoy (Ireland), Benn Duus (Denmark), Aare Martson (Estonia), Paulo Leali (Italy), Petri Virolaine (Finland)
3. WELCOME AND RESIGNATIONS
3.1. new delegates:George Sapkas (Greece), Gazi Huri (Turkey)
3.2.Resignations:Aristides Zoubos (Geece), Haluk Berk (Turkey)
4. MINUTESOF SECTION MEETING IN SHEFFIELD, U.K. ON SEPTEMBER
18TH-19TH2015
No corrections, the minutes were approved by the delegates
5. COMMUNICATIONS
5.1. THE PRESIDENT
5.1.1. CESMA:
-to provide forged diplomas UEMS tries to develope a central register
-further future projects are to school examiners and organize courses for exams
5.1.2. UEMS:
our new EEP was presented at the Council meeting, the Council gratulated our section
5.1.3.ETR trauma surgery:
The training requirements of “trauma surgery” as part of general surgery was adopted by the Council meeting in Warsaw. Our president raised concerns about the overlaps with our speciality and remarked that musculoskeletal trauma surgery isalready completely covered by our EEP. In contrast the curriculum of trauma surgery does not define any limit of its activities. In an intensive discussion we decided once more, that trauma surgery and/or emergency medicine might be responsible for first care, but only orthopaedic surgeons are able for elective musculoskeletal surgery .
Decision: Felicissimo will write a letter to the Council, to insist on this demarcation.
5.1.4.EFORT:
- the orthopaedic EEP was adopted by the general assembly
- The relationship to EFORT is important, a strategy meeting of the steering group
took place in February 2016
5.2. THE SECRETARY
The secretary asked for corrections in the list of members and data of the new members.
5.3. THE TREASURER
- The treasurer presented an overview of the finances, which are still healthy, but for
the first time decreasing. The reason is the retention of EACCME fees by the internal
UEMS fund (since 2014 a total of € 29.500.-)
6. INFORMATION ABOUT THE WEBSITE
Bornemann explained again ourwebsite In a new file the rules of
UEMS and decisions of EBOT are shown.
7. EACCME
The number of applications are increasing (since the last meeting about 50 applications). EFORT promotes an European accreditation system to compete the North American system to get a closer cooperation with organisers
8. ELECTION OF THE VICEPRESIDENT
The candidates has been Allington (Belgium) and Bitounis (Greece). In asecret vote Allington won (16 votes, Bitounis 5 votes)
9. MULTIDISCIPLINARY JOINT COMMITTEES
- MJC NASCE: Felländer-Tsaisummarized the activities of the last year. In generally there are more requests from outside Europe, the competition with USA about accreditation of training centers became more intensive.
- MJC hand surgery: Ceruso still represents our board. Our board is still looking for a hand surgeon and delegate, who takes over his duty
- MJC spine: Berk is still representing our board, but will be replaced step by step by Sapkas
- MJC sports medicine: no activities has been told by Hermoso. Tanos will be a new delegate
-MJC rare diseases: Märtson stays our representative
10. PRESENTATION OF THE NATIONAL SOCIETIES. WHAT IS NEW IN YOUR
SOCIETY SINCE LAST PRESENTATION
10.1. Teininformed about changes in Estonia. The training takes 55 months, starting with general surgery. There are yearly evaluations and a final exam, the number of female doctors is high. 75 active orthopaedic surgeons in 4 central and 2 regional hospitals do 13 000 surgical procedures and 5600 day surgery a year. Problems are long waiting lists for total joint replacement and the high number of elder surgeons
10.2.Kiviranta informed about Finland. The percentage of private health care
increased 10% in the last 10 years to a total of 25% of all services, even if every Finn
has obligatory a national health insurance. Health costs increased every year 1,9% to a
total of 9,1% of the gross national product. 2015 the government launched a social and
healthcare reform, starting 2017, to centralize the services and reduce the costs. In
future 18 instead of 151 countries with only 12 on-call hospitals (previously 20) have to
organize it. Also the training will be improved, an entrance examination and the training
only in central or university hospitals is planned.
SATURDAY MAY 28TH 2016 - GENERAL MEETING PART II
11. SAFER HEALTHCARE
Prof. Amalberti presented an overview of challenges in healthcare and possibilities to handle it. Safety in healthcare is a moving target, the problem of multimorbidity and massive aging is still unsolved, the really positive outcome of medical innovation only 7%.
12. EUROPE WIDE CURRICULUM (EEP)
The final version of the orthopaedic curriculum has been presented at the Council meeting. Elements of training of the trainers, exam and accreditation of centers have to be implemented to finish the ETR (European training requirements). A draft should be finished until February 2017 and be approved by the Council meeting in October 2017.
Decision: working groups prepare presentations for the next meeting, where a decision/vote has to be done
- Nehrer: general & specialist training, syllabus, curriculum
- Mineiro: exams, assessments
- Felländer-Tsai, Cordero, Stanley, Burger: training centers, train the trainers
13. EUROPEAN EXAM
- The exam becomes more and more popular (245 candidates in 2016) , the exam will be in English and Spanish, a database of over 1700 MCQs and 75 certified examiners exist already, a validation committee is planned.
- Nevertheless there is still a double checking by EBOT and the national exam. In future a multilingual oral part will be promoted, the clinical part II should be done national with examiners appointed by national societies and EBOT.
- The costs are extremely rising, the recent economic situation is very risky. If central UEMS also in the future will not transfer the fees of EACCME accreditation to our
account, in the long runEBOT will run out of money. In the future EFORT will cover
only 50% of administration costs.
For the last year the overall costs havebeen € 114.000.- (78.000.- exam, 44.000.- administration), the exam income were € 66.000.-, € 48.000.- were not covered. The costs of the interim exam are € 9.400.- (€25 per candidate) In 2016 Spain overtakes partly the costs, the exam is financed, but it is not in 2017.
- In the discussion it was determined, that it is very important to go on with the
developement of the exam, but because of the reduced transfer money a finance
commitment for a longer period is not serious and not possible.
Decisions:- In a vote it was decided, that EBOT will support the exam for 3 years more. In the first year the total sum (inclusively interim exam) is up to
€ 25.000.-.
- Mineiro will try to reduce administration costs, looks for new sponsorships and evaluates to rise the fees of the exam.
- At the spring meeting 2017 he has to report new numbers and the further procedure has to be discussed and voted
14. LOG BOOK
Burger presented the new webbased dutch log book. It was introduced 2014, useable for all specialities, paid by the government. It works on one hand with an easy smiley- index, on the other hand it is very sophisticated and has a lot of statistics in it. Each trainee can follow his own log book, but also the head of the department. It is a very useful tool to control the level of training
15. ACCREDITATIONCENTERS & TRAINING OF THE TRAINERS
Cordero presented the result of an enquiry of the nowadays situation. As suspected the procedures are very different, the integration of general regulations as part of the ETR is recommended.
16. FORTE – ORGANISATION AND PROJECTS
Machado explained the structure und aims of FORTE and presented the summer school of FORTE, the first of its kind. 30 hours of courses within 5 days with an international faculty was a big success and an international come together. Further aims are the developement of an extension course and of book series.
17. FUTURE STRATEGY AND WORKING PROCEDURES FOR THE SECTION
14.1.ETR -> see 12
14.2. France and Germanywill present news of their national societies
14.3. Election of the secretary and the treasurer
18. NEXT MEETINGS
9-10 of September2016:Bucarest, Romania
Spring meeting 2017:Bergen, Norway
Autumn meeting 2017:Croatia
19. ANY OTHER BUSINESS
19.1 Tanos reported about the unsatisfying situation of training in Cyprus, which totally depends on greek standards. He asked for support, our president will write an official statement against the recent situation
16.2.In Stanley apologied for the next meeting
20. CLOSURE OF THE MEETING
Felicissimo closed the meeting thanking Papin for hosting the meetingand all delegates for coming
.
Dr. Thomas MotyckaDr. Paulo Felicissimo
Secretary President
All relevant presentations of this meeting are shown on the webside under the subfile “Lyon”. The number the title is starting with is ident with the number of the item on the agenda.
On Friday afternoon our accompaning partners had the opportunity to participate in a cooking class. In the evening we had dinner in a typical “Bouchon”. Saturday afternoon we made a guided stroll through the old center and in the evening we visited Villa Lumiere with a private tour and a had a superb gala dinner