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National Societies Meeting June 1 st , 2005 Stockholm

The Curriculum Project European Hematology Association Eva Hellström Lindberg, president-elect EHA. National Societies Meeting June 1 st , 2005 Stockholm. EHA Education Overview. EUROPEAN HEMATOLOGY ASSOCIATION Board and Councilors. EHA EDUCATION COMMITTEE Present chair: DiDi Jasmin

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National Societies Meeting June 1 st , 2005 Stockholm

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  1. The Curriculum ProjectEuropean Hematology Association Eva Hellström Lindberg, president-elect EHA National Societies Meeting June 1st, 2005 Stockholm

  2. EHA EducationOverview EUROPEAN HEMATOLOGY ASSOCIATION Board and Councilors EHA EDUCATION COMMITTEE Present chair: DiDi Jasmin Chair from June 2005: Tony Green • Partner Organizations: • EBMT • ESH • National Societies • European Commission Pan-European Survey • Pan-European Harmonization (EU project) • European Hematology CME system • EHA Curriculum Committee • Professional issues CME Workshops CME Self-learning Tools

  3. EHA Education Committee Members and Responsibilities Chair: Didi Jasmin Project Leaders: Eva Hellström-Lindberg (CME Survey) Dimitris Loukopoulos (CME/ECAH) Robin Foà (EHATol) Laurent Degos (EHA Curriculum Committee) Members: Jane Apperley, Harmut Döhner, Alvaro Urbano EHA President: Emili Montserrat Facilitators: Wieslaw Jedrzejczak (UEMS) Adrian Newland (National Recognition of EHA CME) National Societies Meeting June 1st, 2005 Stockholm

  4. Pan-European CMESurvey in Hematology “What is a hematologist?” 2002-2003 Project Leader: Eva Hellström-Lindberg Full results:www.ehaweb.org National Societies Meeting June 1st, 2005 Stockholm

  5. CME Survey Respondents n =29 • Sweden • Denmark • Iceland • Finland • Norway • Latvia • Lithuania • Poland • Ireland • United Kingdom • The Netherlands • Belgium • Germany • Switzerland • Austria • France • Italy • Spain • Portugal • Hungary • Czech Republic • Albania • Bulgaria • Croatia • Romania • Greece • Israel • Turkey • Ukraine National Societies Meeting June 1st, 2005 Stockholm

  6. CME SurveyResults • Not recognized as a formal separate specialty 2 countries • Only one (hematology) with different sub-spec. 17 countries • >One (clin. hematology, transfusion medicine, medical oncology, hemato-pathology, clinical immunology, coagulation medicine)10 • Not answered 2 National Societies Meeting June 1st, 2005 Stockholm

  7. CME SurveyLength of specialist training Specialist in Hematology only Specialist in Hematology + Internal medicine 8 9 7 8 6 7 5 6 YEARS YEARS 4 5 3 4 2 3 1 2 0 1 Years of training in internal medicine Years of total specialist training period

  8. CME SurveyHematology vs. Hematology + Internal medicine 5,5 8 5 7 4,5 6 4 5 3,5 Years of hematology Months of transplantation 4 3 3 2,5 2 2 1 1,5 0 1 ,5 -1 Hem only Hem + IM Hem only Hem + IM Transplantation training (mo) Hematology training (y) Hematology + internal medicine Hematology

  9. CME SurveySpecialist training in different types of countries 9 8 7 6 5 YEARS 4 3 2 1 Total training Internal medicine EU members EU candidates Non-members National Societies Meeting June 1st, 2005 Stockholm

  10. CME SurveyNational systems for CME, etc. Variable YES NO Obligatory exam 5 24 Guidelines for CME 11 16 Obligatory CME general 9 20 Obligatory CME hem 8 21 CME point system exist 16 13 OK one point / hour 22 2 National Societies Meeting June 1st, 2005 Stockholm

  11. CME Survey Summary • Two main types of hematological specialists • Including specialty in internal medicine • Only hematology, but with more lab training • Median total training time 6 years (4 - 8 y) • Median training in IM 2.5 years (0.5 - 6 y) • No clear differences between different types of European countries • Overall positive reactions to European CME credit point system and OK for 1 point / hour National Societies Meeting June 1st, 2005 Stockholm

  12. Curriculum ProjectBasic statement Hematology is a mono-specialty including clinical & laboratory competences National Societies Meeting June 1st, 2005 Stockholm

  13. The Curriculum ProjectHarmonization of Specialist Training Project Leader: Laurent Degos Vice-Project Leaders: Eva Hellström-Lindberg Alvaro Urbano Mike Greaves Dimitris Loukopoulos Wolf Dieter Ludwig EHA Office Nancy Hamilton National Societies Meeting June 1st, 2005 Stockholm

  14. EHA-Curriculum CommitteeSub-Committees: Senior and junior hematologists from various countries + some with other competences National Societies Meeting June 1st, 2005 Stockholm

  15. EHA Curriculum ProjectUpdate of activities May 2005 Appointment of project leaders April 2004 First meeting project leaders May 2004 Request to national partners to nominate committee members - formation of CC June 2004 CC meeting (25 junior - senior - lab - clinical hematologists + others) September 2004 First CC draft, approved by EHA board and partners Feb 2005 Pan-European CC draft sent our for review by national societies March - May 1 2005 EU report and printing fall 2005 National Societies Meeting June 1st, 2005 Stockholm

  16. EHA Curriculum Project Basic statements • Hematology is a monospeciality including both clinical and laboratory competences • There is a vast European diversity that needs to be considered and respected • The total recommended training period of 6 years, whereof 2 in internal medicine, equals the European median value • The curriculum could be used as a support for national development National Societies Meeting June 1st, 2005 Stockholm

  17. EHA Curriculum Basic Principles • Tick-box system • Descriptive rather than evaluating • Focused to give information that facilitates mobility • Acceptance of European differences • Three skill levels (Competence, Knowledge, Awareness) • Written with the background knowledge of the US curriculum National Societies Meeting June 1st, 2005 Stockholm

  18. EHA Curriculum CV Skill Levels • Each item in the Curriculum is assigned a skill level: • Awareness • Knowledge • Competence National Societies Meeting June 1st, 2005 Stockholm

  19. EHA Curriculum CVDefinitions of Skill Levels • Awareness (A): Basic notions • Knowledge (K): Updated concepts on patho-physiology, epidemiology, diagnosis, prognosis, different therapeutic approaches. • Competence (C): Adequate understanding and practical integration of knowledge and skills for optimal diagnosis and treatment of patients at any phase of their disease. (T - Technical knowledge of the procedure, I - Interpretation of the results) • Technical Competence (TC): Ability to carry out independently specific laboratory tests. In the Diagnosis and Transfusion Medicine sections, the competence is subdivided in technical competence (T - knowledge of the procedure and ability to carry out independently specific laboratory tests) and interpretation competence (I – interpretation of the results).

  20. EHA Curriculum CVClinical Section

  21. EHA Curriculum CVDiagnosis Section

  22. EHA Curriculum CVThrombosis and Hemostasis Section

  23. EHA Curriculum CVTransfusion Section

  24. EHA Curriculum CVGeneral Skills

  25. EHA Curriculum ProjectConclusions • The EHA - Leonardo da Vinci project has finalized a draft for a European curriculum for hematological training • Hematology is a clinical and biological mono-specialty • The individual cv should be based on a sum of defined knowledge • The validity of the CV has to be tested and updated regularly. National Societies Meeting June 1st, 2005 Stockholm

  26. EHA Curriculum ProjectQuestions for the future • How should the printed version be circulated / disseminated? • Better definition of basic pediatric training. • How to become a super specialist? • What is the role of the mentor? • How often should the curriculum be updated? • How should training centers be accredited? National Societies Meeting June 1st, 2005 Stockholm

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