Angelos Nikolaou

1
4th Part I European Board Examination ORL-HNS
Angelos Nikolaou
2
(No Transcript)
3
Council for European Specialist Medical
Assessment (UEMS-CESMA)
4
Its main role is to

• 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

5
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. ENTORL-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. Physical and Rehabilitation Medicine
• 17. Plastic Surgery
• 18. Respiratory Medicine
• 19. Surgery (General Surgery)
• 20. Coloproctology
• 21. Endocrine Surgery
• 22. Surgical Oncology
• 23. Thoracic Surgery
• 24. Transplantation
• 25. Trauma Surgery
• 26. Thoracic and Cardiovascular Surgery
• 27. Urology
• 28. Vascular Surgery
• 29. Angiology 
• 30.   Emergency Medicine

6
Sections Boards Represented at UEMS-CESMA
meetings

• 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

7
CESMA MEETING, 2012 MAY, LUBLIANA
8
Who can apply?

• Every country
  Vascular Surgery
  
• Every country
  Pediatric Surgery
  
• Every country
  Respiratory Medicine
  
• Every country
  Intensive Care
  
• Every country
  Nuclear Medicine
  
• Every country
  Pathology
  
• Every country
  Allergology and Clinical Immunology
  
• Every country (S)
  Urology
  
• Every country (S)
  Plastic Surgery
  
• UEMS countries
  Surgery
  
• UEMS countries
  Thoracic and Cardiovascular Surgery
  
• UEMS countries
  Anesthesiology
  
• UEMS countries
  Dermatology Venereology
  
• UEMS countries
  Internal Medicine
  
• UEMS countries
  Ophthalmology
  
• UEMS countries Oral
  and Maxillofacial Surgery
  
• UEMS countries
  Orthopaedics and Traumatology
  
• UEMS countries
  Physical and Rehabilitation Medicine
  
• UEMS countries
  Neurosurgery
  

9
Glasgow DeclarationParagraph 5

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

10
Glasgow DeclarationParagraph 6

• There is no restriction (ethnic or else) for
  anyone to become a candidate for the European
  exams

11
Glasgow DeclarationParagraph 7
12
Why EBEORL should exist?

• 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

13
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

14
EXAMS UNTIL NOW

• SITE
  DATE PARTICIPANTS PASSED
• Mannheim, Germany PART I 29/06/2009 80
  69
• Pamplona, Spain PART I 05/06/2010
  52 47
• Vienna, Austria PART II 01/09/2010
  77 70
• Barcelona, Spain PART I 02/07/2011
  121 101
• Vienna, Austria PART II 19/11/2011
  103 80
• Toulouse, France PART I 18/06/2012
  109 98

15
RESULTS FROM TOULOUSE 10 FAILED 62 THE PASS
RATE 85 HIGHEST SCORE 48 LOWEST BOTH FROM EGYPT
16
(No Transcript)
17
(No Transcript)
18
(No Transcript)
19
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. 
20
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

21

• 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

22
(No Transcript)
23
PROBLEMS

• 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
• Examiners faculty is of grate importance

24

• 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.

25
CONSTITUTION OF THE ASSOCIATION FOR THE
IMPLEMENTATION OF THE EUROPEAN BOARD EXAMINATION
ORL-HNS (EBEORL-HNS) 

•  
• 1 Name and Registered Office
•  
• (1) The name of the association shall be
  Association for the Implementation of the
  European Board Examination ORL-HNS.
•  
• (2) The Associations registered office is
  located in 1040 Vienna, Operngasse 20b, Austria
  (registered office of Mondial GmbH Co KG). It
  extends its activity over Europe
•  
• (3) The Association has no intent to set up
  subsidiaries.
•  
•  
• 2 Aims and Objectives
•  
• 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.
•  

26
Fees
27
Fees
28

• American Board Exam 3000 dollars
• British exam 3000 euros

29

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

30
INTERVENTION OF ORGANIZATIONS IN EBE ORL HNS

• UEMS- ORL Section
• European Federation of Oto-Rhino-Laryngology
  Societies (EU.F.O.S)
• European Academy of Oto-Rhino-Laryngology and
  HeadNeck Surgery (EA-ORL-HNS)
• CONFEDERATION OF ORL

31
ORAL EXAM

• 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

32
The third European ORL-Board Examination (oral
part II,) 1.9.2010 during the ELS 2010 Vienna,
University of Music and Arts
32
33
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
Entrance
Porter
Internet
Buffet
Post-exam Waiting Room 1rst floor
Courtyard
Ways of the Candidates
Toiletts
Buffet for examiners
Chairmen room
Preexam Waiting Room
33
34
Time Time Activity
6.00 Arrival staff
6.30 Arrival candidates 1
7.00 Cand.1preexam. Info questionarrival 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
13.15 14.45 Exam. 4.round
14.45 15.00 Break, coffee,
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
34
35
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
35
36
Distribution of the 38 Examiners and Supervisors
From 13 European Countries for the Oral Exam in
Vienna September 1 2010
36
37
FACULTY OF EXAMINERS 2012 19 countries
38
Internet Sites

• Allergology and Cl. Imm.
  www.eaaci.org
• Anesthesiology
  www.euroanesthesia.org/Education
• Cardiology
  www.escardio.org
• Dermatology and Venereology
  www.uems-dv.com
• Intensive Care
  www.esicm.org
• Internal Medicine
  www.efim.org/
• Neurology
  www.eans.org/site/2599/default.aspx
• Neurosurgery
  www.eans.org/docs/bud.txt
• Nuclear Medicine www.uems.eanm.org/co
  mmittees/fellowship_examination
• Ophthalmology
  www.ebo-online.org
• Oral and Maxillofacial Surgery
  www.ebomfs.eu
• Orthopaedics and Traumatology
  www.ebotexam.20m.com/
• Pathology
  www.europathol.org
• Pediatric Surgery
  www.paediatricsurgeryexam.org
• Physical and Rehabilitation Medicine
  www.esprm.org
• Plastic Surgery
  www.ebopras.eu
• Respiratory Medicine
  www.ersnet.org
• Surgery
  www.uemssurg.org.index
• Urology
  www.ebu.com

39

• www.ebeorl-hns.org

40
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.

41
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.

42
Norway, Annual Meeting ORL section, 2008
43
(No Transcript)
44
(No Transcript)
45
Thank you