EMS ORL Section and Board Meeting
The ORL section of the UEMS 2014 meeting was organized by Tomislav Baudoin 2. – 5. October in Dubrovnik, Croatia. The substantial results are as follows:
European Board ORL Exams (K. Albegger, M. de la Mota): performed 2013 in Antalya: 47 candidates from Turkey (Europe 6%), 90% passed. July 2014 in Warsaw 38 candidates only (16% EU only), 87% passed. Need for promotion to attract European candidates. Next exam in Prague will be on 7th June 2015.
UEMS Diploma: is not a locally authorised certification, but is important for a certification of knowledge at a European standard. Also for European grants and similar ways of collaboration, EB exams can be required.
Presentation of subspecialty groups: H&N group (A. Makitie) prepared a logbook with the aim to meet European standards. No overlappings with phoniatrics (marginally laryngology procedures). Otology (R. Walsh) prepared a subspecialty training programme. No overlappings. Rhinology (A. Agius; European Rhinologic Society) accepted and supported the UEMS programme. No overlappings with phoniatrics. Paediatric ORL (ESPO) vaguely defined, many questions opened. Possible overlappings in children laryngology, otology; logbook not purified yet. Audiology-vestibulology (E. Raglan) – overlappings in the field of interest of hearing & balance disorders, tinnitus, auditory communication problems! Proposals – training programs that should soften possible overlaps and tensions with other specialties (basic science: auditory and vestibular systems, age-related, prevention; practical experience: congenital deafness, age-related, ADNS, tinnitus ...all obviously overlapping with phoniatrics). Plastic surgeries (Apaydin) are not crossing the interests of phoniatrics.
Phoniatrics were presented by Drsata and delegated by Prof. Neuschaefer-Rube. The new UEP board was presented, UEP’s scientific activity (8 congresses with UEP organization/participation), education (logbook finished and published on UEP websites, European Manual of Medicine, public education), announced the founding of EAP and UEP promotion activities. In the discussion the logbook on the website was valued as a good suggestion (Welsh).
Fellowship programs in young specialist exchange USA - Europe /CEORL/ (Sziklai instead of Remacle): the aim is to improve the level of subspecialisation, exchange USA – Europe. Practical issues are serious (salary scale, working time differences US - EU, logbook guidelines - procedure alone in the US), insurance. Future perspectives: logbook for each subspecialty society, accreditation and fellowships inside Europe.
EACCME ORL Section (Steinsvåg): overview of courses and credits granted (UEP Congress Moscow 2014: 15 pts). Educational objectives: requirement to the provider, scientific and organising committee requirements, programme, funding, advertisement and promotion material, review by learners, criteria and decision making of the applications, fees (350-420 EUR). For the mechanism of application please visit www.eaccme.com.
Unfortunately, the criteria are too tough (Pedersen), the rules for sponsoring make some courses inaccreditable (Baudoin). Confirmed, the issues can be discussed but yet the current rules are valid, the system is valid for all medical societies. UEMS network for accreditation of clinical skills centres in Europe (NASCE) were discussed further.
Exchange and manpower (Luxenberger): varying ratios of ENT specialists. Discussed data gaining, ideal number of ENT specialist per population – phoniatrics faces similar problems, too.
Next meetings: 2015 Amsterdam (2 days), 2016 Prague, 2017 Warsaw; topic (suggestions): migration of doctors and patients, manpower, procedures for visitation. Peter Robb, Stanislaw Bien and Heiki Löppönen resigned from the committee.
Jakub Dršata, MD, PhD
Secretary of UEP, UEMS representative of UEP 2014, Hradec Kralove, Czech Republic