Union Européenne Des Médecins Specialistes European Board Of
6
U.E.M.S EBOT
Union Européenne des Médecins Specialistes European Board of
European Union of Medical Specialists Orthopaedics and Traumatology
Section of Orthopaedics and Traumatology 2005-13
MINUTES OF THE MEETING OF THE SECTION ON 28-29 OCTOBER 2005 AT SANA LISBOA HOTEL, LISBON, PORTUGAL
PRESENT:
AUSTRIA : Dr. Thomas Motycka
BELGIUM : Prof. Dr. Jean-Jaques Rombouts
Prof. Dr. Hugo Boeck
DENMARK : Dr. Hans Jeremiassen
FINLAND : Dr. Ilkka Kiviranta
FRANCE : Dr Patrice Papin
GERMANY : Dr. Günter Abt
Prof. Dr. Joachim Grifka
GREECE : Assoc prof. Aristides Zoubos
: Dr Savas Sourmelis
IRELAND : Dr. Paraic Murray
: Dr. John Corrigan
ITALY : Prof. Dr. Francesco Marotti
: Prof. Lamberto Perugia
LUXEMBURG : Dr. Henri Schlammes
THE NETHERLANDS : Prof. Rob Nelissen
NORWAY : Dr. Kari Indrekvam
PORTUGAL : Dr. Jorge Mineiro
ROMANIA Dr. Christian Ioan Stoica
SPAIN : Prof. José Cordero
SWEDEN : Dr. Richard Wallensten
: Dr. Hanne Hedin
TURKEY : Prof. Dr. Mehmet Demirhan
UNITED KINGDOM : Mr. David Finlayson
President: Dr. Richard Wallensten
Secretary: Dr. Hanne Hedin
Treasurer: Dr. Henri Schlammes
FIRST PART OF THE MEETING ON FRIDAY 28 OCTOBER 2005
1. OPENING
1.1. The president opened the meeting, welcomed the delegates to Lisbon and thanked
Dr Jorge Mineiro and the Portuguese Orthopaedic Association for hosting the meeting.
Dr. Mineiro gave some practical information about the meeting and the social programme.
2. APOLOGIES
2.1. Apologies were received from Dr Maroudias and Dr Georgiou, Cyprus; Dr Matějovsky,
Czech Republique; Dr Jensen, Denmark; Dr Järvinen, Finland; Dr Szepesi, Hungary; Dr
Oosterhout, The Netherlands; Dr. Witsö, Norway; Prof. Dick and Dr Lehmann, Switzerland; Mr
Albert, United Kingdom; Dr. Hašpl, Croatia.
Not present: Prof. Alfred Engel, Austria; Prof George Zafiroski, Macedonia; Dr Torlough
O’Malley PWG, Prof Puget, France, Dr Lubos Rehak, Slovakia.
3. WELCOME AND RESIGNATIONS
3.1. The president welcomed the new delegate. From The Netherlands: Dr Rob Nelissen
replacing Dr Marc Speeckaert.
Since the last meeting the president has again tried to contact the new member countries that
have not yet appointed delegates: Estonia, Latvia, Lithuania, Malta, Poland and Slovenia.
So far he has received positive answers from Poland, Lithuania and Malta, but they have not yet
sent delegates. Bulgaria has applied to be an observer country and will be invited to the next
meeting. The president will also try to address other countries, members in EFORT but not in
the EU, Albania, Boznia-Herzegovia and Iceland.
4. MINUTES OF THE MEETING OF THE SECTION IN ISTANBUL 13-14 MAY, 2005
4.1. No more remarks were made and the minutes were approved.
5. COMMUNICATIONS
5.1. THE PRESIDENT
5.1.1 Incoming post: A. The president has received a letter from Dr Romain Seil, General Secretary in ESSKA, (European Society of Sports Traumatology, Knee Surgery and Arthroscopy) concerning the position of the Orthopedic Section of UEMS towards sub-specialization. The president has proposed that ESSKA work with our section the same way as we have worked with EPOS (European Pediatric Orthopedic Society), i.e. ESSKA can be a scientific adviser in matters of mutual interest such as our Minimal Requirements for training and the EBOT-exam. Discussion about how to co-operate with the sub-specialties in general. Decision to invite all interested sub-specialties to our meeting in Switzerland in autumn 2006 for discussion.
B. A letter from David Limb, member of the Editorial Board of the Journal ‘Current Orthopaedics’ about CME points for journal reading. An answer will be sent with recommendation to send the actual papers to Dr Abt for evaluation and if possible clarification.
5.1.2. Outgoing post: The president has sent a letter to Mr. Michael Benson, president of BOA concerning non clinically trained personnel operating with a copy to the Medical Council and the General Secretary in UEMS. According to David Finlayson it has had no impact so far. Decision to go on and write again to Central UEMS with a demand for action. Follow-up at the next meeting.
5.2. THE SECRETARY
5.2.1. The secretary asked for corrections in the list of members (2005-11). It seems that the list now is almost correct and that the e-mail list is functioning for nearly all delegates.
5.3. THE TREASURER.
5.3.1. The treasurer went through the finances. Not so much had happened since our last meeting. We still have not received money from EFORT for the EBOT-exam. We need the money for the exam in Madrid. A reminder will be sent. Three countries have not yet paid their fee for 2004 and eight countries have not paid for 2005. Reminders will be sent. The key for fees according to size of the country and population has been presented and will be used for fees from 2006 and forward. The treasurer will notice the countries about the amount.
5.4 UEMS
5.4.1. The president went shortly through some of the documents from central UEMS. The
documents have been mailed to all delegates and can be found on UEMS home page
www.uems.net and even on our own home-page www.uems-ortho.org. Since the last meeting
the news letters 05.07, 05.08, 05.09, 05.11, 05.12, 05.13 have been mailed to all delegates.
5.4.2. Report on a meeting for Surgical Disciplines within UEMS with the intension to build an
European federation of Surgical Specialties on May 20, 2005. The federation was established
and two Convenors was elected: Professor Holschneider and Professor Greenhalgh with the task
of carrying the view of the surgeons to the Management Council. Some of the subjects discussed
were the log-book with an European Board qualification, a recommendation that the UEMS
Boards should run the examinations not the European Specialist Societies and that a task force
will be set up within the Cardiothoracic Section to investigate litigation matters. Decision the
president will write a letter telling that our section is interested in participating. One problem has
not been solved yet and that is the financing of participation of the sections in the federation.
5.4.3. Prof. Jean-Jacques Rombouts reported from the meeting for presidents and secretaries in
Brussels May 21. The minutes from the meeting has been sent to all delegates. The most
important items was the definition of the Medical Art. The definition that was accepted was the
one our section found most valuable. Another important item was the working hour directive.
The implementation has been postponed until 2009.
5.5 EFORT
5.5.1.Dr Mineiro reported from the EFORT congress in Lisbon June 2005. The congress was a success. More than 3000 papers were accepted. Our section participated in 2 symposia. One on Training in Europe with Dr Mineiro and Dr Wallenstein as participants and one on CME in Europe with Dr Cordero as participant.
5.5.2. Dr Marc Speeckaert has been in charge of EFORT on Tour with courses mostly in Eastern and Southern Europe on different subjects. It was a personal initiative of Dr Speeckaert and supported by our section but paid for by EFORT. The next course will be in Cyprus March 2006. After that Dr Speeckaert has a wish that another delegate in our section takes over the responsibility. Dr Rob Nelissen agrees to continue the work of Dr Speeckaert.
6. CONSEQUENCES OF THE WORKING HOUR DIRECTIVE FOR TRAINING
AND WORKING ENVIRONMENT IN ORTHOPAEDICS QUESTIONNAIRE
RESULTS
A questionnaire concerning EWHD and its implementation in different member countries and
some questions about work environment has been sent out to all delegates before the last
meeting. Still only delegates from 16 countries have answered. Dr Kari Indrekvam presented the results. There are some differences between the countries concerning numbers of
trainees, vacancies in different positions, retirement ages, the length of maternity and paternity
leave and the use of it etc. The results will be completed with answers from the remaining
countries that have not yet answered. The final results will be presented at the next meeting in
Helsinki and after approval added to the web site.
7. REPORT FROM THE WORKING GROUP ON PAEDIATRIC ORTHOPAEDICS
IN CO-OPERATION WITH THE ORTHOPAEDIC SECTION OF UEMS
The working group consisting of Prof. Hugo de Boeck and Dr Hanne Hedin from our section and Prof Franz Grill and Prof Gerard Bollini from EPOS (European Paediatric Orthopaedic Society) has had a meeting just before this meeting. Prof. Grill is chairman of the educational committee of EPOS. He expressed four items that are important for EPOS. 1. A wish to create a subsection for paediatric orthopaedic surgery, as he thinks there is a big difference between paediatric orthopaedics and the other sub-specialties. 2. To participate in validation and construction of paediatric orthopaedic questions for the EBOT- exam. 3. Providing examiners for the paediatric orthopaedic section of the EBOT-exam. 4. In co-operation with the working group make minimal requirements for training centres training orthopaedic surgeons to sub- specialize in paediatric orthopaedics. After discussion and voting it was decided it is too early for creation of a sub-section. We will wait for the combined meeting with the other sub-specialties at our meeting in Switzerland before we decide in the matter. The three other items were approved. EPOS represents the scientific part in paediatric orthopaedic matters and the orthopaedic section of UEMS the ‘political’ part. Prof. Grill will be the liaison officer between EPOS and our section.
8. MANPOWER DATA
Mr David Finlayson went through subjects that can be important for manpower data such as number of operations per surgeon, future trends with respect to EWHD, early retirement, part-time work, gender issues etc. It all depends on what we want to know. What we will use it for and whom we will bring the results to. Decision Mr Finlayson will lead a group of people looking into what is important data and how to collect them. The group will consist of David Finlayson., Rob Nelissen, John Corrigan and Christian Stoica. The result will be presented at the next meeting.
9. REPORT FROM THE 5th EBOT-EXAMINATION IN MADRID OCTOBER 6-8,
2005
Dr Jorge Mineiro reported from the examination in Madrid. Only eleven candidates had applied
for the exam. The passing rate was 50%. Discussion about whether the sub-specialties should
validate and provide questions for the exam. One risk is that the questions can be too
specialized. The exam is for orthopaedics in general. Another discussion was about how to get
more applicants. One way could be to let the exam replace the national exam as is used in other
specialties i.e. Urology. Decision all delegates will ask their national societies on their opinion.
The president will send a reminder to the delegates. Another proposal was to make it possible to
do the MCQ’s in your own country the same day through internet and after passing the test do
the oral part together with the other that have passed. This will save time and money. Nothing
was decided but the matter will be discussed further at the next meeting. The venue for the next
exam will be Torino in Italy with Elena Brach de Priver as the local organizer. The dates are 7-8
October, 2006. The address for the homepage is www.ebotexam.20m.com and the mail address
is
Theresa Neves secretary of Dr Mineiro presented a database for organizing the exam. It will
make it much easier to administrate the exam and easier for the next delegate to take over the
responsibility when Dr Mineiro finishes his term. The database was impressing and seems to be
very useful. The delegates thanked Theresa Neves for her great work with creating the database.
10. INFORMATION ABOUT THE WEB SITE
Dr Abt informed shortly about the home page. The address is www.uems-ortho.org. There is a link to central UEMS the address is www.uems.net. A search machine is under construction. All new documents will be placed on the home page.
11. EUROPEAN SCALE OF IMPAIRMENT
In our last minutes it was informed that Dr Marc Speeckaert has tried to collect information
about the European Scale of Impairment that originate from a French scale produced by
CEREDOC, a group of experts of several European countries. The scale originates from a poorly
translated French scale. The scale is used by the Commission for its personnel and the fear is
that it can be imposed in every country. The scale is very different from the scale used in many
countries. Dr Speeckaert has tried to gather information about the system in the different
member countries. This work will now be continued by Dr Frank Oosterhout the new delegate of
the Netherlands. Dr Oosterhout was not present at this meeting. Dr Nelissen has tried to get
information if anything has been done and it seems not to be the case. The impression was that
we should make our own scale. This is not the intension. The scale already exists and we need to
look into it and protest if it is incorrect and very far from our national scales. Most of the scales
are made by the insurance companies and there should be a harmonization throughout Europe.
Decision will be asked to present the scale in question together with the scale of AMA at the
meeting in Helsinki.
SECOND PART OF THE MEETING ON SATURDAY OCTOBER 29 2005
12. LIABILITY
Dr Patrice Papin, France has taken over the responsibility for continuing the work of Marc
Speeckaert on collecting data on the different systems in Europe. He gave a background for the
question. The trend is to increase patient safety, safety accountability and how to compensate if
anything has gone wrong. It is in the health care system but there are big differences throughout Europe. Dr Wallensten made a short summary of the Swedish system. This was a paper presented at the EFORT congress in Lisbon. Dr Maillet, General Secretary of UEMS stressed that there is no system for noticing if a doctor has been suspended in another country.
Decision Dr Papin will prepare a questionnaire about liability systems in the different countries and send it to all delegates. The result will be presented at our next meeting in Helsinki.
13. EACCME AND CENTRAL UEMS INFORMATION
The General Secretary of UEMS Dr Bernard Maillet visited our section again and was
welcomed by our president. Dr Maillet shortly went through the latest news from UEMS. The
Management Council has changed its name to UEMS Council. From 1 January, 2006 a new