5
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
MINUTES OF THE MEETING OF THE SECTION ON SEPTEMBER 9TH- 10TH 2016
AT CROWNE PLAZA HOTEL, BUCAREST, ROMANIA
President: Paulo Felicissimo
Secretary: Thomas Motycka
Treasurer: Henri Schlammes
PRESENT:
AUSTRIA Stefan Nehrer
Thomas Motycka
BELGIUM Nanni Allington
CROATIA Damir Hudetz
CYPRUS Andreas Tanos
DENMARK Benn Duus
ESTONIA Toomas Tein
Aare Märtson
FINLAND Petri Virolainen
GERMANY Dietrich Bornemann
GREECE Vasilcios Bitounis
Georges Sapkas
ITALY Francesco Benazzo
LUXEMBURG Henri Schlammes
NORWAY Kari Indrekvam
THE NETHERLANDS Wim Morrenhof
Bart J. Burger
PORTUGAL Paulo Felicissimo
Andre Gomesd
ROMANIA Adrian Radulescu
Ioan Christian Stoica
SLOVENIA Gregor Recnik
SWEDEN Li Fellander-Tsai
Hans Mallmin
TURKEY Gazi Huri
FRIDAY September 9th, 2016 – GENERAL MEETING PART I
1. OPENING
The president opened the meeting, welcomed all delegates to Bucarest and thanked the hosts for organising the meeting
2. APOLOGIES
Dominique Chauveaux (France), Jose Cordero (Spain), Andreas Hammerschmidt
(EJD), Ilkka Kiviravta (Finland).Luis Machado (Forte), Carsten Mohrhardt (EJD), Joao Machado (Forte)
3. WELCOME AND RESIGNATIONS
no new delegates, no resignations
4. MINUTES OF SECTION MEETING IN LYON ON MAY 27TH-28TH 2016
Two corrections:
- Benn Duus (Denmark) did not attend the meeting.
- 5.1.3. “trauma surgery and/or emergency medicine might be responsible for first 24hour care, but only surgeons are in charge of successive musculoskeletal emergency surgery” has been replaced by: “ trauma surgery and/or emergency medicine might be responsible for primary aid, but only orthopaedic surgeons are qualified for elective musculoskeletal surgery”
The corrected minutes were approved by the delegates
5. COMMUNICATIONS
5.1. THE PRESIDENT
5.1.1. CESMA:
Because of terror danger, the meeting was moved to December, in the meantime there has been no relevant news
5.1.2. UEMS:
- debts of central UEMS:
The depts of central UEMS to our section are € 9343.- (1/7/2016: € 8900.- + bonus
€ 443.-). This lack of money reduces our financuial mobility. Märtson asked, why
central UEMS cannot be forced to take a regular bank loan, Schlammes suggested
to write a letter to the European Commission. As a result of this debt obligation the
sections will try to get more influence at the Council and to get a voice for voting
- Traumatology:
At the last Council meeting after a strong discussion, finally “trauma surgery” was adopted. The delegates obviously voted without realising the overlapping and without asking their national authorities. Even if it is taken by EFORT it is absolutely unacceptable for our section.
Decisions: - the president will write a new letter to the Council to put it on the
agenda again
- In “Chapter 6” we have to clarify it once more and more detailed
- All delegates are asked to inform their national delegates of the Council
about this item
5.2. THE SECRETARY
The secretary asked for corrections in the list of members
5.3. THE TREASURER
- The treasurer presented an overview of the finances, which are still healthy with a
total of about € 130. 000.-. In a budget forecast there are total expenses of € 58.000.-
a year, the income only € 10.000.- , the payment of ECCME from central UEMS is
still missing.
- The main expense is the exam, including the interim exam and expenses of the
examiners. In future it should be aspired, that the exam will be organised by local
organisations under the supervision of EBOT. The support of FFORT is still not clear. - - At the next meeting Mineiro has to present cutting measures.
6. INFORMATION ABOUT THE WEBSITE
Bornemann explained again our website www.uems-ortho.org.
7. EACCME
Since the last meeting 47 accreditations has been done. Trusted providers benefit from a faster and simpler process (at the moment only EFORT has this status). In a new publication in 2016 the EACCME criteria for the accreditation of LEE (life educational events) has been summarized and updated.
8. ELECTION OF THE SECRETARY AND THE TREASURER
Schlammes (Luxenburg) has been reelected as treasurer. In an unanimous vote Motycka (Austria) was replaced by Tanos (Cyprus) as secretary
9. MULTIDISCIPLINARY JOINT COMMITTEES
- MJC NASCE: Felländer-Tsai gave us a short update, eight centers for simulation based training have already been accredited
- MJC hand surgery: Ceruso still represents our board. Our board is still looking for a hand surgeon and delegate, who takes over his duty. We got no new informations since the last meeting
- MJC spine: A final draft is already done. Sapkas and Berk will be our representatives until the curriculum is finished
- MJC sports medicine: The MJC works on a recognition by EU and UEMS as a medical speciality. The aim is a “G.P. of the athletes”, the training will include 6- 12 months of orthopaedics and traumatology. A syllabus has to be done. Tanos invited all delegates to participate actively in it and to support him by mail.
. MJC pain medice: no delegate is interested to participate
- MJC rare diseases: no communication since our last meeting
10. PRESENTATION OF THE NATIONAL SOCIETIES. WHAT IS NEW IN YOUR
SOCIETY SINCE LAST PRESENTATION
10.1. France was not represented at the meeting and will do the presentation next time
10.2. Bornemann informed about Germany. He gave us an overview and a lot of
statistics about the development in the last ten years. The health system costs 328
Billion Euros ( =11,2% GDP) a year and Germany is the greatest health care
market in Europe. The foreign physicans rised from ten thousand (1993) to forty
thousand (2015), since 2005 the percentage of physicans under 35 years is rising
every year,so the open access and free choice of physicans for everyone will be also
possible in the future.
SATURDAY SEPTEMBER 10TH 2016 - GENERAL MEETING PART II
11. PROFESSIONAL MIGRATION IN MEDICINE FROM THE ROMANIAN
PERSPECTIVE
Radulescu talked about the big problem of emigration. The Romanian population in generally becomes less because of a decrising birth rate and rising emigration. Emigration is also a severe problem in medicine. The number of medical students and residents increases, but also the rate of emigration, so every year the Romanian state spends useless 140 millions Euros of training costs. Every year there is a deficite of 500 physicans, statistically in 10 years there will be no more doctor in Romania anymore. Reasons are much higher salaries and better equipment abroad, but it exists also a high in country migration, 89% of all physicans work in urban areas. To stop this development not only salaries will have to be higher, but it is also discussed, to force physicans, to work at least five years in Romania after training
12. ETR
The final draft has to be presented and hopefully improved on the next council meeting
12.1. Nehrer presented his draft of the general part and demanded a quick procedure. Only if our draft will be accepted on the next council meeting, there is a realistic chance to delimit our ETR from trauma surgery
12.2. The president will urge Mineiro, to present a draft about exams and assessment until end of November
12.3. The working group about training centers and train the trainer presented examples from BOA (Stanley), requirements for training centers in Sweden (Felländer- Tsai) and Dutch accreditation centers for resident training (Burger)
Decisions: - all working groups have to finish a draft and send it to the Secretary until end of November, he will send it out to all delegates.
- After a discussion by email until the end of January, Nehrer will integrate all improvements and send out a final draft
- On the next meeting this draft will be voted
13. EUROPEAN EXAM
- In 2016 there are 150 candidates with 70 examineers. For the first time, the exam
will be in Spanish with 38 candidates in Madrid. Even if the rising of numbers is a
intended development, it breaks the financial possibilities of EBOT. Mineiro will have
to present at the next meeting, how to reduce administration costs, look for new
sponsorships and evaluate the rise of the fees. It also should be aspired if the exam
can be organised by local organisations under supervision of EBOT:
- Until yet the position of EBOT and UEMS about exams of subspecialities is not clear
and has to discussed. Until yet, this exams (e.g. Foot&Ankle) has not been exepted
by EBOT, because it put at risk at the patronage of Orthopaedics as a whole.
14. FUTURE STRATEGY AND WORKING PROCEDURES FOR THE SECTION
14.1. ETR will be the main topic and a vote in Bergen
14.2.France and Greece will present news of their national societies
15. NEXT MEETINGS
19th & 20th of May 2017: Bergen, Norway
You will find all relevant informations and the registration form on www.uemsbergen2017.no
13th & 14th of October 2017: Dubrovnik, Croatia
16. ANY OTHER BUSINESS
16.1 Hudetz informed about the unsatisfying situation, that croatian medical qualification is not recognised in Switzerland yet, this will hopefully change 2017 (Horizon 2020)
16.2. Duus (Denmark) and Mallmin (Sweden) urged, that a vote in a meeting can only be done, if it has been circulated in advance. Only under this circumstances it is possible to discuss the items with national authorities
16.3. Huri presented the ESTRO project (“European School for Training of Orthopaedics”). Submitted from Turkey it is an exchange program, recently 5 universities participate. Education activities, workshops, meetings and publishing are also planned. At the moment exists a budget of € 190.000.-, a move into the funding system of Europe seems to be realistic. Huri asked for the official support of EBOT,
Decision: - In a vote it was decided, that in future EBOT will support projects focused
on the EBOT exam after being analysed and voted on an EBOT meeting
(pro 13, obstations 3, against 0)
- In a second vote it was decided, that ESTRO will be supported by EBOT,
but Huri has to present the development of the project on our next
meeting.
17. CLOSURE OF THE MEETING
Felicissimo closed the meeting thanking Radulescu and Stoica for hosting the meeting and all delegates for coming
.
Dr. Thomas Motycka Dr. Paulo Felicissimo
Secretary President
All relevant presentations of this meeting are shown on the webside www.uems-ortho.org under the subfile “Bucarest”. The number the title is starting with is ident with the number of the item on the agenda.
Friday evening we had a superb gala dinner at Hilton Athénée Palace. Saturday afternoon we visited the Village Museum and the Parliament Palace. In the evening a traditional Romanian Night took place at Crowne Palace, the Secretary said good bye