ESHI Diploma THE EUROPEAN SPECIALISATION IN TRANSPLANTATION IMMUNOLOGY

ESHI Diploma THE EUROPEAN SPECIALISATION IN TRANSPLANTATION IMMUNOLOGY, HISTOCOMPATIBILITY & IMMUNOGENETICS The Division of Transplantation - Section of Surgery Union Européene des Medecins Spécialistes (UEMS) European Board of Transplantation Immunology (EBTI) In collaboration with: The European Federation of Immunogenetics (EFI) Marco Andreani, Ph. D. Laboratory of Immunogenetics and Transplant Biology, IME Foundation at Policlinic of Tor Vergata, Rome Chair Executive Committee of the European Board of Transplantation Immunology On behalf of the Executive Committee of the European Board of Transplantation Immunology (EBTI EC)

EBTI Executive Committee Chair: Co-Chair: Senior Secretary: Junior Secretary: Treasurer: Marco Andreani (IT) Tony Slavcev (CZ) David Turner (UK) Eduard Palau (SP) Valerie Dubois (FR) May 2021 Dec 2020 EFI Board Representative: Valeria Miotti (IT) May 2021 Elected by the Assembly Members in Mannheim 2017 - Next Elections in May 2021

EBTI Assembly members Country Albania Name Country Name Ron Loewenthal Genc Sulcebe Israel Armenia Frieda Jordan Mihran Nazaretyan Italy Marco Andreani Franco Papola Austria Belarus Belgium Gottfried Fischer Anna Startseva Marie-Paule Emonds Bulgaria Elissaveta Naumova Milena Ivanova Croatia Cyprus Renata Zunec Paul Costeas Czech Republic Pavel Jindra Tony Slavcev Denmark Estonia Finland Bjarne Moller Lina Vassil Juha Perasaari France Valerie Dubois Jean-Luc Taupin Kazakhstan Lithuania Luxembourg Moldavia Netherlands Norway Poland Portugal Romania Russia Serbia Slovakia Slovenia Indira Ramilyeva Raminta Vilkeviciene Francois Hentges Vera Sali Junior Lardy John Vaage Katarzyna Bogunia-Kubik Antonio Martinho Ileana Constantinescu Ludmila Bubnova Ruzica Simonovic Vladimir Bosak Blanka Vidan-Jeras FYROM Mirko Spiroski Spain Guadalupe Ercilla Eduard Palou-Rivera Germany Joannis Mytilineos Peter Horn Sweden Mats Bengtsson Marie Schaffer Greece Hungary Ireland Chryssa Papasteriades Katalin Rajczy Richard Hagan Switzerland Turkey UK Jean-Marie Tiercy Fatma Oguz David Turner Assembly representatives must be nominated by the national H&I Society or the National Transplantation Society or the Ministry of Health or otherwise by EFI

EBTI Assembly Meetings Six Assembly meetings: • • 12/10/2012 – Leiden (The Netherlands) 09/05/2013 – Maastricht (The Netherlands) 25/06/2014 – Stockholm (Sweden) 26/04/2015 – Geneva (Switzerland) 10/05/2016 – Kos (Greece) 29/05/2017 – Mannheim (Germany) 08/05/2018 – Mannheim (Germany) • 08/05/2019 – Lisbon (Portugal)

Honorary Diploma Current Status 276 Applicants from 32 different countries 29 Review Rounds • 251 approved • 25 failed 1 (1) 7 (6) 4 (3) 1 (1) 38 (36) 1 (0) 1 (1) 6 (3) 1 (1) 3 (3) 13 (12) Albania Belgium Cyprus Estonia Germany India Lithuania Portugal Saudi Arabia Sweden The Netherlands - 1 after appeal and re-review - 2 of them re-applied for ESHI Exam (1 passed, 1 failed) 1 (1) 6 (6) 2 (2) 15 (15) 2 (2) 1 (1) 9 (7) 6 (6) Armenia Bulgaria Czech Republic Finland Greece Israel Luxembourg Romania Slovenia Switzerland United Kingdom 4 (4) 3 (2) 2 (2) 53 (51) 1 (1) 57 (49) 3 (3) 1 (1) 30 (28) 1 (0) Austria Croatia Denmark France Ireland Italy Poland Serbia Spain Syria

Honorary Diploma Current Status

EBTI – What comes next • We expect a regular flow on applications for the ESHI-exam • Re-evaluation of all diploma holders – Renewal of Diplomas • Preparatory courses for the examination

EBTI – What comes next • We expect a regular flow on applications for the ESHI-exam • Re-evaluation of all diploma holders – Renewal of Diplomas • Preparatory courses for the examination

ESHI Exam Current Status 15 Applicants (from 11 Countries) 2/15 not eligible to undertake the exam 2/10 failed 2/10 passed some modules 6/15 passed all modules applied for 3/13 undertook the exam in Venice on May the 8 th, 2018 Stockholm session, June 2014 2 Applicants Mannheim session, June 2017 4 Applicants Sofia session, October 2017 2 Applicants Venice session, May 2018 3 Applicants

ESHI Exam Current Status 15 Applicants (from 11 countries) 16 14 12 10 8 6 Applicants per exam 4 Cumulative Number 2 tu m g 2 01 4 n 2 0 Sp rin 14 Au g 20 tu 15 m n Sp 201 5 rin Au g 20 tu 16 m n Sp 201 6 rin Au g 20 tu 17 m n Sp 201 7 rin g 2 01 8 0 rin 1 x Armenia 1 x France 1 x Germany 2 x India 1 x Portugal 1 x Saudi Arabia 2 x Sweden 2 x Denmark 1 x Netherlands 1 x Belgium 2 x Italy Au – – – Sp • 13 eligible to take exam • – – – 9/13 passed all modules applied for (1 after re-sit) 1/13 passed some modules 3/13 failed

Modules within the training • Not all H&I specialists will experience all areas of H&I in their career • Requirement for knowledge in core areas with the option for assessment against additional modules. • All applicants must be able to provide evidence of training in H&I as it relates to supporting – clinical solid organ (core Module 1) and/or – clinical HSC transplantation (core Module 2). • Additionally, applicants may apply to be assessed for their knowledge in H&I relating to – disease association studies (Module 3) – transfusion (Module 4).

Examination • • • Held twice a year 3 -4 examiners 1 -1. 5 hrs Paper/case studies given 1 hr before exam Have to pass at least one of the core modules Certificate awarded indicating modules passed

EBTI – What comes next • We expect a regular flow on applications for the ESHI-exam • Re-evaluation of all diploma holders – Renewal of Diplomas • Preparatory courses for the examination

EFI CME/CPD Scheme • Important for all staff to record development activities • Some countries already have such schemes; either generic or specific to H&I • Decided that holders of the ESHI Diploma, either Honorary or by examination will need to show ongoing CME/CPD • To facilitate this the EFI Education Committee has developed a simple spreadsheet to record CME/CPD • Being piloted in 2018 • 31 participants (~50% ESHI Diploma holders)

EFI CME/CPD Scheme

Registration page

Categories of expected activity

Record of activity per year

Future of CME/CPD scheme • Launch properly in 2019 • All holders of the ESHI Diploma will be expected to show evidence of CME/CPD over a 3 year period • Can use local schemes as well, don’t have to use the EFI scheme • Assessment of some or all CME/CPD returns made by Education Committee • Have to work on: – Submission of documents to EBTI to support CME/CPD – How will submissions be assessed? – Re-certification process (cost? )

EBTI – What comes next • We expect a regular flow on applications for the ESHI-exam • Re-evaluation of all diploma holders – Renewal of Diplomas • Preparatory courses for the examination

Preparatory courses for the examination Face to face courses: • National or International workshops/ conferences/ meetings (approved by the EFI Educational committee (EDU) • Meet the expert Session at the EFI Meeting (last in Venice 2018) • Specific courses dedicated to the ESHI Exam (to be started) In the web: http: //www. uemssurg. org/divisions/transplantation/transplantimmunology 2

Preparatory courses for the examination

Oral Examination

Oral Examination

Oral Examination

Oral Examination