Report on EBEORL exam by Angelos Nikolaou - UEMS

4th

Part I European Board Examination ORL-H&NS Angelos Nikolaou

Council for European Specialist Medical Assessment (UEMS-CESMA)

Its main role is to: 

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To promote harmonisation of European Board assessments To provide guidelines to the Boards on the conduct of assessments To encourage take up of Board assessments as a quality mark To offer an alternative to National assessments, where appropriate

In 1984 the first European Diploma Examination was established. This was the EDA European Diploma of Anaesthesiology. Today 30 disciplines have European Examinations:               

1. Allergology and Clinical Immunology 2. Anesthesiology 3. Dermatology & Venereology 4. ENT+ORL-Head and Neck Surgery 5. Hand Surgery 6. Intensive Care 7. Internal Medicine 8. Neurology 9. Neurosurgery 10. Nuclear Medicine 11. Ophthalmology 12. Oral and Maxillofacial Surgery 13. Orthopaedics and Traumatology 14. Pathology 15. Pediatric Surgery

•16. •17. •18. •19. •20. •21. •22. •23. •24. •25. •26. •27. •28. •29. •30.

Physical and Rehabilitation Medicine Plastic Surgery Respiratory Medicine Surgery (General Surgery) Coloproctology Endocrine Surgery Surgical Oncology Thoracic Surgery Transplantation Trauma Surgery Thoracic and Cardiovascular Surgery Urology Vascular Surgery Angiology Emergency Medicine

Sections & Boards Represented at UEMS-CESMA meetings          

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Allergology and Clinical immunology Anaesthesiology Cardiology Dermatology and Venereology General Surgery Intensive Care Medicine Internal Medicine Neurology Neurosurgery Nuclear Medicine Ophthalmic Surgery ORL-HNS Oro-Maxillo-Facial Surgery Orthopaedics and Trauma Paediatric Cardiology Paediatric Surgery Paediatric Urology PaediatricsPathology Physical and Rehabilitation Medicine Plastic, Reconstructive and Aesthetic Surgery Radiology Rehabilitation Medicine Respiratory Medicine Urological Surgery Vascular Surgery

CESMA MEETING, 2012 MAY, LUBLIANA

Who can apply?

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Every Every Every Every Every Every Every Every Every UEMS UEMS UEMS UEMS UEMS UEMS UEMS UEMS UEMS

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UEMS countries

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country country country country country country country country (S) country (S) countries countries countries countries countries countries countries countries countries

Vascular Surgery Pediatric Surgery Respiratory Medicine Intensive Care Nuclear Medicine Pathology Allergology and Clinical Immunology Urology Plastic Surgery Surgery Thoracic and Cardiovascular Surgery Anesthesiology Dermatology & Venereology Internal Medicine Ophthalmology Oral and Maxillofacial Surgery Orthopaedics and Traumatology Physical and Rehabilitation Medicine Neurosurgery

Glasgow Declaration Paragraph 5 

Candidates for a European diploma should be specialists in their countries or in the final year of their training in the specialty

Glasgow Declaration Paragraph 6 There is no restriction (ethnic or else) for anyone to become a candidate for the European exams

Glasgow Declaration Paragraph 7

Why EBEORL should exist? 

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promotes harmonization of education important tool for postgraduate studies in Europe basic tool to improve the CV equal replacement for the national board exam? indirect assessment of the training centers motivation for improvement of trainers and trainees in a united (?) Europe there must be something equal to the American Board

WHO CAN APPLY? POSSIBLE REVISIONS Candidates trained in EU or associated countries for at least 4 years  Candidates trained outside EU should have completed their training and have an official national certification of ORL specialty 

EXAMS UNTIL NOW 

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SITE Mannheim, Germany Pamplona, Spain Vienna, Austria Barcelona, Spain Vienna, Austria Toulouse, France

DATE PARTICIPANTS PART I 29/06/2009 80 PART I 05/06/2010 52 PART II 01/09/2010 77 PART I 02/07/2011 121 PART II 19/11/2011 103 PART I 18/06/2012 109

PASSED 69 47 70 101 80 98

RESULTS FROM TOULOUSE 10% FAILED 62% THE PASS RATE 85% HIGHEST SCORE 48% LOWEST BOTH FROM EGYPT

FORCOMING EXAMS 1. Part I exam on Friday (afternoon) the 26th April in Nice, FRANCE. This exam will be held during the 2nd Meeting of EAORL-HNS and CEORL-HNS. For more information you can visit the Meeting website. 2. Part I exam on Saturday (morning) the 29th June in Vienna, Austria. This exam will not be held together with any Congress/meeting, the only event that will take place will be the exam itself.

REPUTATION Increasing number of candidates each year  Prerequisite for a specialist job in several parts of the world (Emirates, Israel etc)  Interest from several ORL societies to host the written part of the exam during their congresses 

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Another evidence of increased reputation is that many people were queuing just to have a photo with persons dealing with the organization of the exam

PROBLEMS 

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The site of the exam must have easy and cheap access from all over the world There must be no visa restrictions in the country hosting the exam, which prevents the participation from middle east countries candidates. Input of new questions from ENT societies and subspecialists Dealing with appeals from candidates who have failed the exam Examiner’s faculty is of grate importance

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Establishment of the bylaws of the exam with a constitution and a legal basis. For various practical reasons we have chosen Vienna as the basis of our organization and Austrian legislation as the platform for our constitution.

CONSTITUTION OF THE “ASSOCIATION FOR THE IMPLEMENTATION OF THE EUROPEAN BOARD EXAMINATION ORL-HNS” (EBEORL-HNS)  

§ 1: Name and Registered Office

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(1) The name of the association shall be “Association for the Implementation of the European Board Examination ORL-HNS”.

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(2) The Association’s registered office is located in 1040 Vienna, Operngasse 20b, Austria (registered office of “Mondial GmbH & Co KG). It extends its activity over Europe

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(3) The Association has no intent to set up subsidiaries.

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§ 2: Aims and Objectives

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The Association, which will be non-profit making, is devoted to the advancement of medical science in the field of ORL-HNS (Otorhinolaryngology – Head and Neck Surgery), especially by preparing, carrying out and evaluating of the “European Board Examination” (EBE) in this field of science. The EBE is an international exam that shall contribute to unifying and harmonizing standards for medical specialists in the field of ORL-HNS in Europe, particularly within the EU.

Fees Part I 500 400 300 200 100 0 y ery gy ar e .. ry ne gy gy ry gy ... ... r e r g lo C . ge ici lo lo ge lo ac & g ur su sio ive gy & ur e d lmo tho ur Ur o o- F ics S ro e s o S M a a r S ill ed t h l c c P n t u r i i x a o t r h a pa ul at Ne nes Inte at las lea Op i c M - tho s m P uc A r o ed a r r e P N V O O D

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Fees

Part II

500 400 300 200 100 0 Part II

American Board Exam 3000 dollars  British exam 3000 euros 

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FEES

400 EUROS FOR WRITTEN PART I  400 EUROS FOR ORAL PART II  Plus 200 for successful candidates 

INTERVENTION OF ORGANIZATIONS IN EBE ORL H&NS UEMS- ORL Section  European Federation of OtoRhino-Laryngology Societies (EU.F.O.S)  European Academy of Oto-RhinoLaryngology and Head&Neck Surgery (EA-ORL-HNS)  CONFEDERATION OF ORL 

ORAL EXAM 

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3 TABLES- 3 rooms 2 examiners in each table every candidate alone 4 questions in each table 25 min in each table failure in one table means total failure 4 marks

The third European ORL-Board Examination (oral part II,) 1.9.2010 during the ELS 2010 Vienna, University of Music and Arts

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University of Music and Art Vienna, Anton von Webern Platz 1, 1030 Wien Part II Oral Examination EBE-ORL-HNS 2010 September 1: 7.00 -18.00 Internet

Entrance

Porter

Buffet

Registration

Post-exam Waiting Room 1rst floor

Courtyard Supervisors from the Austrian Medical Academy Ways of the Candidates

Toiletts Buffet for examiners

Chairmen room

Preexam Waiting Room

Examroom II

Examroom I 33

Time

Activity

6.00

Arrival staff

6.30

Arrival candidates 1

7.00

Cand.1preexam.+ Info question+arrival examiners

7.30

9.00

Exam 1.round

9.00

9.15

Break, coffee,

9.15

10.45

Exam. 2.round

10.45

11.00

Break, coffee,

11.00

12.30

Exam. 3.round

12.30

13.15

Lunch

12.45 preexam. Cand.4

13.15

14.45

Exam. 4.round

14.00 Arrival Cand.5

14.45

15.00

Break, coffee,

9.00 Postexam room Cand.1

8.15 Arrival Cand.2 8.45 preexam. Cand.2 10.00 Arrival Cand.3 10.30 preexam. Cand.3 12.15 Arrival Cand.4

14.30 preexam. Cand 5

10.45 Postexam room Cand.2

Exit

14.45 Postexam room Cand.4

Exit 15.00

16.30

Exam. 5.round

16.30

17.00

Break, Coffee

17.00

18.30

Call over, Preparation of the letters

18.30

19.00

Farewell-Ceremony, Toast with some wine, proseccho, jiuce, water, snacks…….

19.00

Departure for Heurigen Wolff

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The third European ORL-Board Examination (first oral part II,) 1.9.2010 during the ELS congress 2010 Vienna, University of Music and Arts 38 Examiners, 4 Supervisors, 6 Guides

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Distribution of the 38 Examiners and Supervisors From 13 European Countries for the Oral Exam in Vienna September 1 2010

Reihe1 12

3

3

2

2

2

2

1

1

1

1

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Po la nd Sp ai Be n lg iu m Fr an ce G re ec Sw e ed en C ro at ia Fi nl an Po d rtu ga Sl l ov ak ia

4

U

G er m an y Au st ria

4

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FACULTY OF EXAMINERS 2012 19 countries 16

14

12

10

8

6

4

2

0

Series1

Internet Sites

1. Allergology and Cl. Imm. www.eaaci.org 2. Anesthesiology: www.euroanesthesia.org/Education 3. Cardiology www.escardio.org 4. Dermatology and Venereology www.uems-dv.com 5. Intensive Care www.esicm.org 6. Internal Medicine www.efim.org/ 7. Neurology www.eans.org/site/2599/default.aspx 8. Neurosurgery www.eans.org/docs/bud.txt 9. Nuclear Medicine www.uems.eanm.org/committees/fellowship_examination 10. Ophthalmology www.ebo-online.org 11. Oral and Maxillofacial Surgery www.ebomfs.eu 12. Orthopaedics and Traumatology www.ebotexam.20m.com/ 13. Pathology www.europathol.org 14. Pediatric Surgery www.paediatricsurgeryexam.org 15. Physical and Rehabilitation Medicine www.esprm.org 16. Plastic Surgery www.ebopras.eu 17. Respiratory Medicine www.ersnet.org 18. Surgery www.uemssurg.org.index 19. Urology www.ebu.com 20. Vascular Surgery www.uemsvascular.com

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www.ebeorl-hns.org

SCEPTISM Is the EBE ORL exam a back door for doctors outside Europe to enter EU? No, It is a way to secure who is coming and also to introduce standards for outside EU regarding training in ORL.

ISSUES FOR THE FUTURE Part I written exam to be run via computer  To find ways to attract candidates from European countries with poor economies (grants from national societies, reduced fee for EU trainees etc)  To encourage countries to accept officially the exam as equal to the national one. 

Norway, Annual Meeting ORL section, 2008

Thank you