Welcome to Vilnius - & thank you to Professor Virgilijus Uloza

1. Welcome to Vilnius - & thank you to Professor Virgilijus Uloza Conclusion (Izmir 2011) • More documentation to go out ahead of meeting • More time for discussion , less time for lectures • More feedback re UEMS Council and the UEMS Sections & Boards meetings/business

2. 1. More documentation to go out ahead of meeting • Minutes Meeting Izmir 2011 • Subspecialty groups for Vilnius (new chair in rhinology – Adrian Agius , Milan Profant not here to chair otol/neurotol) • Final version Chapter 6 (Charter on Training of Medical Specialists In European Union – Requirements for ORL) • Proposition of structure chapter 6 • Final version Log-book • New UEMS website • UEMS General Secretary annual report for 2011 • UEMS position on PQD • S&B-UEMS accounts managed by Sections • S&B-CEN´s Initiative

3. 2. More time for discussion , less time for lectures • This meeting predominantly given over to subspecialty discussions (2 hrs 30 mins) regarding syllabus/logbook/recommended courses, books etc • For those groups that have done no/minimal work in the past 12 months, you may wish to use the time to discuss the general ORL ‘Logbook’ & ‘Chapter 6’ documents as a ‘start’ for your discussions

4. 3. More feedback re UEMS Council and the UEMS Sections & Boards meetings/business in 2011/12 • New UEMS website • UEMS General Secretary annual report for 2011 • S&B-UEMS accounts managed by Sections • Proposition of structure chapter 6 • UEMS position on PQD (Professional Qualifications Directive 2005/36/EC) • S&B- CEN´s Initiative (CEN = European Committee for Standardisation) • Application for MJC status of Aesthetic Medicine • Taskforce to be established to explore new options for calculating membership fees • MOMENTUM – European project aimed at building network of telemedicine practitioners

5. 1. New UEMS website • 1st August 2012 – new website – www.uems.net • Provide accurate, relevant, up-to-date info • Improve communication & cooperation for & between members of UEMS

6. 2. UEMS General Secretary annual report for 2011 • New President – Prof Romuald Krajewski (Poland, Neurosurg) • New Sec Gen – Dr. Edwin Borman (UK, Anaesth) • Opening date for Domus Medica Apr 2013 • UEMS now ‘large organisation’ (subscriptions 250K Euro, budget 1.3 million Euro) – designation requires greater accountability/greater external audit/greater clarity re VAT liability • 39 sections/boards, 10 MJC’s (e.g. sports medicine). 21 have developed training charters (Chapter 6) – often used as guidelines for developing National systems (ORL last amended Oct 2007).New template discussed Brussels April 2012

7. 3. S&B-UEMS accounts managed by Sections • UEMS = international not-for-profit organisation (AISBL – Association internationale sans but lucratif) • Transfers outside & into an organisation may be liable to Belgian and National tax regimes • Transfers within the organisation are not subject to these requirements • New Executive plan to open accounts based in Belgium for all sections • Only the President/ Sec Gen can open UEMS accounts – then account managed by designated signatories • Current ORL plan – Belgian account for EACCME fees Swiss account for membership fees

8. 4. Proposition of structure of Chapter 6 • Chapter 6 Charter on Training of Medical Specialists in the European Union. Requirements for the Specialty of ORL H & N Surgery last amended Oct 2007. Document is brief overview - principles - 7 page document - minimum of 5 yrs ORL training Subspecialty training programmes WILL be developed Content of training programme is principle responsibility of National Boards • Chapter 6 should develop into “Training Requirements for the Specialty of X”. • Currently criteria for recognition of medical qualifications based solely on length of training. Hoped that revised Chapter 6 will introduce ‘competence’ element to recognition (Ch 6 will define European standards in their respective specialty) • Directive on Mutual Recognition of Professional Qualifications (2005/36/EC) currently being revised – aims to provide mechanisms by which qualifications gained in European Member States can be recognised by other Member States

9. 5. UEMS position on PQD • UEMS advocates gradual, stepwise harmonisation of specialist medical training and facilitation of medical mobility • UEMS concerned that PQD is “very protective of local authorities….it is in favour of preservation of local authority over all aspects of medical education & training” • UEMS would prefer proposals that facilitate, simplify and shorten administrative procedures • UEMS is aware of imminent& real problems with quality of medical specialist training – some related to economic problems. UEMS is opposed to moves towards reduction in duration and content of medical training • As seen in discussion of Ch 6 – UEMS wishes to see competencies considered as well as length of training in PQD

10. 6. S&B- CEN´s Initiative • CEN = European Committee for Standardisation • CEN 403 – to look at aesthetic surgery & establish ‘standards’ for practice • If current working draft completed, it would be automatically applied as national standard in each member country • UEMS response (unanimous response from all involved S & B’s) was “ UEMS Council expressed its deep concerns that a non-medical organisation is attempting to develop standards in a medical discipline”

11. 7. Application for MJC status of Aesthetic Medicine • Proposed by Dr. Peter Prendergast (Venus Medical Beauty, Heritage House, Dublin, Ireland) • “all aesthetic procedures are included in the syllabi of the monospecialist sections of dermato-venereology, ORL, Max-Fax, ophthalmology and plastic, reconstructive & aesthetic surgery” (Prof Andreas Yiacoumettis, Pres UEMS PRAS) • Meeting involving all of the interested parties in Brussels (April 2012) recommended there was no need to establish an MJC of aesthetic medicine

12. 8. Taskforce to be established to explore new options for calculating membership fees No further information available at this stage

13. 9. MOMENTUM • MOMENTUM is a European project aiming at building a network of telemedicine practitioners to help develop European capacities for deploying telemedicine services in daily practice. Its principal outcome will be a blueprint for European deployment of telemedicine services, which will be developed, validated and tested over two years