www.phoniatrics.eu

Annual Report of the UEMS Representative

The meeting of the ORL section of the UEMS 2014 was organized by Tomislav Baudoin on 3th to 5th October in Dubrovnik. The UEP was represented this year by Jakub Drsata since myself was engaged in the UEP Congress in Moscow at the same time. In Dubrovnik the following new UEMS-delegates were introduced: Robert Stasche (Germany), Lana Kovaè (Croatia), Michael Lüscher (Denmark), Tammo Zijlker (The Netherlands), Amelie Björlin (Sweden), Mehmet Koyuncu (Turkey), and Michael Kuo representing ESPO (UK). The UEMS represents now 31 countries since Croatia and Island officially entered. It was reported that there is a great interest from colleagues coming from Middle East countries to cooperate.

In respect of issues initiated by the UEMS council in Brussels, Ulrik Pedersen reported that 41 sections, 23 divisions, and 10 multidisciplinary committees were working within UEMS in the year 2014. In addition, 21 European examinations had been successfully carried out. The Domus Medica Europa had been finalized being the UEMS meeting place with facilities that in future can be used by the various sections including the ORL-section. He also pointed out that within the UEMS sections a training period for specialists of more than 5 years is demanded but that politicians and financial reasons contradict these demands.

Adrian M. Agius presented the European Reference Networks (ERN). Following the Directive 2011/24/EU patients have a right to cross-border healthcare and to re-imbursement especially when they are suffering from very rare or complex diseases. The aim of the Reference Network is to set up co-operation within European institutions. Goal is pooling knowledge and developing improved standards of patients’ care. However, the funding is not realized so far and the participation in the ERN is voluntary.

In respect of the EACCME subgroup (chair: Sverre Steinsvag) in 2013/2014 there were 13 events accredited including the UEP congress in Moscow. In addition to congresses and eLearning programs LEE i.e. Live Educational Events were introduced as a new format. It is very important to use EACCME accreditation procedures for our international phoniatric activities. The fee for less than 250 participants is 350 €, for 251-500 participants it is 650 €. For further information see www.eaccme.eu.

Klaus Albegger reported about the 124 candidates of the written EBEORL exam in Antalya 2014, 90% passed. Eight candidates came from European countries, 116 from Turkey and Middle East. In Warsaw there were 38 participants in the written exam, including 23 non-european. 87.5% of the participants passed. It was discussed how to motivate young colleagues from European countries to participate. For Vienna in November 2014 144 participants were registered. The next exam in 2015 will be carried out in Praha 7th of June. The members of the review team Victoria Ward (UK), Heikki Loppönen (Finland), Dominik Wild (UK/Austria), Wolfgang Luxenberger and Klaus Albegger (Austria) met in August 2014 in Vienna. Next meeting will be in Gumboldskirchen in August 2015. The UEMS office has congratulated the ORL section for the successfully organized exams. A further important activity is a cooperation with the eLearning platform e-lefENT. Another further project is ECE – the project of the European Certified Examiner.

Information on the manpower and portfolio of European ENT can be read in an article published by Luxenberger et al. 2013, Eur Arch Otorhinolaryngol, DOI 10.1007/s00405-013-2582-1. Further interesting information is prepared within a document called explanatory notes by the UEMS.

In respect of the development of subspecialty logbooks and programs, the drafts can be downloaded from the homepage of the UEMS-ORL section. Most related to our specialty are the existing drafts of Otology, Paediatric ORL, and the Audiovestibular Program.

The next UEMS-ORL Meetings will take place from October, 2nd to 4th 2015 in Amsterdam, organized by Henri Marres and Tammo Zijlker, 2016 in Praha, Czech Republic (Jan Plzak), and 2017 in Warsaw, Poland (Stanislaw Bien).

Prof. Christiane Neuschaefer-Rube (supported by Jakub Drsata)
1. UEMS Representative of UEP, Head of the Phoniatric Subgroup of UEMS-ORL, Phoniatric Member of the European Accreditation Council for Continuous Medical Education (EACCME), 1. President of the European Academy of Phoniatrics (EAP)
Member of the Network for Tuning Standards and Quality of Education Programmes in Speech and Language Therapy / Logopaedics across Europe (NetQues), Aachen, Germany

The meeting of the ORL section of the UEMS 2013 was organized by Francis Marchal on 4th to 6th October in Geneva. Within this meeting there was an election of new board members. Ulrik Pedersen (Denmark) was elected as president and follows Karl Hörmann (Germany).

In respect of issues initiated by the UEMS council in Brussels it was reported that the rules of the EACCME accreditation of courses and congresses are very strict regarding sponsoring. For reasons of independancy, events cannot be accredited if there are any industrial logos on their programmes. If congresses are not accredited, the UEMS fee will not be refunded. This information is very important for our first EAP courses. However, the number of successfully accredited congresses by the EACCME subgroup (chair: Sverre Steinsvag) in 2012/2013 was still rising and it is very important to use this accreditation procedure for our international phoniatric activities. For further information see www.eaccme.eu

One of the main topics of the meeting were the presentations and discussion of the subgroup logbooks. The chairs of the subgroups Head & Neck, Otology/Neurotology, Rhinology/Allergology, Paediatric ORL, and Facial Plastic presented their new logbooks. In addition, Heikki Rhikanen presented the ELS logbook Laryngology as guest. Because the phoniatric logbook was demonstrated several times before and is part of the documents of the UEMS-ORL homepage I (Christiane) showed only selected pages and used the time to present results of the combined IFOS/UEP/UEMS-survey about audiologic and phoniatric training. The UEP members will be informed as soon as the data will have been published. The logbook Audiology/Vestibulogy confirmed a couple of items of our logbook and provides interesting additional information in the description of rehabilitation in hearing disabled that could be implemented in our logbook. However, the Head & Neck logbook prepared 5 years ago will be updated in 2014. We, the UEP members have to decide in what intervalls we want to actualize our phoniatric logbook in the future. In respect of the phoniatric subgroup of UEMS-ORL, Bozena Woznica joins the group while Stefan Skrtic (Sweden) wants to change to a more surgical group.
The other main topic were discussions about the process how to perform board elections (in presence or by mail), how to handle the voting rights (one or two votes per country), how the agendas for the annual meetings should be agreed, and how the executive should be composed. In that context Marc Remacle was a guest of the section to strengthen the board cooperation between the UEMS-ORL and the Confederation of ORL.

Klaus Albegger reported about the written EBEORL exams in Nice and Vienna 2013 and about the oral exams in Vienna in November 2012 and 2013. The results were similar to the last years, the number of participants is still increasing.

A very interesting further part of the meeting was a round tour of international organisations like the United Nations, the World Health Organisation (WHO), the World Trade Organisation (WTO), the International Labour Organisation (ILO), and the Headquarter of the Red Cross. At the Bodmer Foundation we recognized a great number of first prints of books with tremendeous medical, scientific, cultural, artistic, and political importance and had a presentation about the history of medicine in the context of general concepts of body, religion, culture and science.

The next UEMS-ORL Meeting will be organized from 3rd to 5th October 2014 by Tomislav Baudoin in Dubrovnik, Croatia. This date coincidates with the UEP congress in Moscow. For 2015 Henri Marres plans a meeting in the Netherlands, for 2016 Jan Plzak in the Czech Republic, and 2017 Stanislaw Bien in Poland.

Prof. Christiane Neuschaefer-Rube, 1. UEMS Representative of UEP, Head of the Phoniatric Subgroup of UEMS-ORL, Phoniatric Member of the European Accreditation Council for Continuous Medical Education (EACCME)
1. President of the European Academy of Phoniatrics (EAP)
Member of the Network for Tuning Standards and Quality of Education Programmes in Speech and Language Therapy / Logopaedics across Europe (NetQues), Aachen, Germany

The UEMS ORL section is a gremium consisting of 2 delegates per country of all countries belonging to the European Union or the so-called observer countries, respectively. Being the representative of the European Union of Phoniatricians (UEP), I attended the annual meeting in Vilnius, Lithuania that was organized from October the 4th to the 7th, 2012. Karl Hörmann, President of the UEMS ORL Section and Board, welcomed the new delegate Stefan Skrtic who will represent the Swedish delegacy instead of Malou Hultcrantz who attended 2011 for the last time. Afterwards he asked for an approval of the minutes from Izmir 2011, that can now be found on the homepage www.orluems.com . In the first part of the meeting the delegates were informed about the CEN meaning European Committee for Standardization. It was discussed whether this institution would be adequate to save specialty related contents like those of logbooks as political relevant documents. It was proposed to collect additional information about CEN. Angelos Nikolaou and Klaus Albegger reported about the oral EBEORL-Exam in Vienna in November 2011 and about the written EBEORL-Exam in Toulouse in July 2012. The numbers of participants of both types of exams are further increasing. In the following part of the meeting, the subspecialty groups were asked to work on logbook and curriculum for the topics Head & Neck, Otology/Neurootology, Rhinology/Allergology, Paediatric ORL, Facial Plastic, Audiology/Vestibulology and last but not least Phoniatrics. The phoniatric group was joined by the new Swedish delegate Stefan Skrtic. In addition to the logbooks, the groups were asked to collect information about recommended textbooks, guidelines and courses. During the presentation of the results of the subgroups it was evident that there are a lot of overlappings of topics between the groups that have to be consented in future. After the financial report of the treasurer Francis Marchal, Sverre Steinsvag, Norway summarized the extensive activities of the EACCME-committee of the last year, followed by a discussion about the very sophisticated rules for accredited elearning programmes. The current statistics of ENT manpower was presented by Hans W. Mollenhauer. In respect of the section board, Karl Hörmann was confirmed to continue his presidency for another cycle.

The next UEMS-ORL meeting will be organized in Geneva, Switzerland by Francis Marchal from the 3rd to the 5th October 2013, the meeting in 2014 will be organized by Tomislav Baudoin from October 2nd to the 4th in Dubrovnik, Croatia.

Prof. Christiane Neuschaefer-Rube, UEMS Representative of UEP, Phoniatric Member of the European Accreditation Council for Continuous Medical Education (EACCME), Member of the Network for Tuning Standards and Quality of Education Programmes in Speech and Language Therapy / Logopaedics across Europe (NetQues), Aachen, Germany

The UEMS ORL section is a gremium consisting of 2 delegates per country of all countries belonging to the European Union or the so-called observer countries, respectively. Being the representative of the European Union of Phoniatricians (UEP), I am the third German delegate in the section. The last annual meeting was held in Izmir, Turkey from the 29th September – 2nd October 2011. Karl Hörmann, President of the UEMS ORL Section and Board, welcomed the new delegates Peter Robb (U.K.), Chariton Papadakis (Greece), Michalakis Papamichalopoulos (Cyprus) and Antti Makitie (Finland). Malou Hultcrantz attended for the last time this year as one of the Swedish delegates.

In respect of the UEMS organization, it was reported that the UEMS bought a building located in Brussels in June 2011, called Domus Medica Europea, where apart from office locations different activities will take place in future.

Angelos Nikolaou and Klaus Albegger reported about the third written European ORL-Board Examination Part I in Barcelona in July 2011 with a number of 122 participants coming from all over Europe and from diverse other continents and countries. During the UEMS meeting, it was pointed out, that the diploma does not enable the candidates to work in Europe. The Part II oral exam took place in Vienna and a least of 100 candidates had registered so far.

For the participation of European phoniatricians we were asked to prepare 50 MCQ’s until September 2012. Therefore, I ask all colleagues to support that by sending me MCQ’s in English language used in your own countries about subjects of basic knowledge in phoniatrics.

Reidar Grenman presented the results of a questionnaire to the subspecialty training in ORL-HNS within Europe. In respect of the question about the duration of the ORL specialist training in their country, delegates of 8 countries responded 6 yrs. or more, 11 responded 5 yrs., in Turkey it lasts 4 yrs. and in Estonia and Lithuania 3 years. In 5 countries one or more textbooks are obligatory, in 10 countries recommended, in 6 countries national textbooks were used. Exams at the end of the training are obligatory in 20 countries, voluntary in Sweden and not requested in 4 countries. This question, how to organize subspecialty trainings and European courses within ORL and how to accredite them will be topics of the next annual meetings.

Ulf Schoensted-Madsen gave his chair of the EACCME committee to Sverre Steinsvag. The members of the group will continue their activities, me representing phoniatrics.

It is recommended to accredit all international congresses by UEMS by the link: www.eaccme.eu.

In respect of the activities to quantify exchange and manpower of ORL colleagues within Europe Wolfgang Luxemberger, Austria, will be the contact person since 2012.

The next meeting will be organized in Lithuania by Virgilijus Uloza from the 5th to the 8th October 2012.

Prof. Christiane Neuschaefer-Rube, UEMS Representative of UEP, Phoniatric Member of the European Accreditation Council for Continuous Medical Education (EACCME), Member of the Network for Tuning Standards and Quality of Education Programmes in Speech and Language Therapy / Logopaedics across Europe (NetQues), Aachen, Germany