FESSH COUNCIL REPORT FOR DELEGATES JUNE 2016 FESSH

FESSH COUNCIL REPORT FOR DELEGATES ~ JUNE 2016

FESSH DELEGATES ASSEMBLY THURSDAY, 23 JUNE 2016 SANTANDER, SPAIN SECRETARY GENERAL REPORT MAX HAERLE

Appreciation, Trust and Friendship among Europeans Appreciation, Trust and Friendship and Solidarity among Europeans

Before Milan

FOUNDING FESSH

FOUNDING FESSH

SINCE MILAN

CONGRESS COMMITEE Adani, Roberto Italy Boeckstyns, Michel Denmark Bonczar, Mariusz Poland Ferreres, Angel Spain Fibir, Ales Czech Republic Garcia-Elias, Marc Spain Goubau, Jean Belgium Haugstvedt, Jan Ragnar Norway Hintringer, Wolfgang Austria Hovius, S. E. R. The Netherlands Ahmet Ekin Turkey Krimmer, Hermann Germany Nachemson, Ann Sweden Shewring, David UK Silva Cruz, Fernando Portugal Szabo, Zsolt Hungary

FESSH PROFESSIONAL ORGANISATION RC PR REM CONGRESS SURGICAL ORGANISATION EX SC JC

Application for Secretary General Professor David Warwick MD FRCS(Orth) European Diploma of Hand Surgery Consultant Hand Surgeon University Hospital Southampton. United Kingdom Santander June 2016

Application as Secretary General of the FESSH PD Dr. Maurizio Calcagni Div. of Plastic Surgery and Hand Surgery University Hospital, Zurich

TREASURER’S REPORT 2015/16 What did we do 2015/16? • • Daily business: cash flow managing New reimbursement rules Liability insurance Project corporate partnership

Actual account situation per 31. 12. 2015 COST CENTER INCOME EXPENSE BALANCE Secretary general 0. 00 3'532. 80 -3'532. 80 Executive committee meeting costs 0. 00 5'908. 27 -5'908. 27 Council meeting costs 0. 00 32'044. 77 -32'044. 77 Management office 0. 00 27'165. 00 -27'165. 00 Examination committee 0. 00 3'900. 00 -3'900. 00 Hand trauma committee 0. 00 4'970. 50 -4'970. 50 Travelship awards 0. 00 51'200. 00 -51'200. 00 5'000. 00 4'596. 06 403. 94 0. 00 Journal committee, royalty 53'135. 00 0. 00 53'135. 00 Congress committee, congress royalty 46'636. 07 23'830. 82 22'805. 25 0. 00 50'370. 00 450. 00 49'920. 00 50. 21 700. 10 -649. 89 Relationship committee Technical committee Accreditation committee, UEMS, EACCME Membership fee Banking fees

Approval of the financial REPORT 2015 Trustee Saugy Auditors: Mariusz Bonczar and Philippe Bellemère Budget 2016: • • Based on the 2015 expenses Membership fee unchanged Stable situation With the new account management a real-time overview is possible anytime and problems can be anticipated early

Budget 2016: Accounts 2015 Position Income Expenses Balance Budget 2016 Dues Income Expenses Balance Secretary general 0 2'730. 51 -2'730. 51 0 5000 -5000 Executive committee meeting costs 0 3'930. 27 -3'930. 27 0 4000 -4000 Council meeting costs 0 25'115. 55 -25'115. 55 0 30000 -30000 Management office 0 19'800. 00 -19'800. 00 0 39000 -39000 Examination committee 0 900 -900. 00 0 3500 -3500 Hand trauma committee 0 4'970. 50 -4'970. 50 0 5000 -5000 Travelship Award 0 8'000. 00 -8'000. 00 0 20000 -20000 5'000. 00 4'596. 06 403. 94 5000 -5000 53'135. 00 55000 1500 53500 46000 18'261. 00 27'739. 00 40000 15000 25000 49'665. 00 450 49'215. 00 50000 49. 82 547. 1 -497. 28 Relationship committee Journal committee, royalty Congress committee, congress royalty Membership fee Banking fees -4'000. 00 0 50000 1000 -1000

New action this week: • New bank account in Swiss francs in order to balance a possible Euro weakness in case of Brexit • 200‘ 000 Euro transferred to this account

Membership fees and voting list 2016 Society Members Votes Membership fee 2016 ÖGH Austria 78 1 € 1'170 BHG Belgium 47 1 € 705 BSSH Bulgaria 23 1 € 345 CSCR Czech Republic 21 1 € 315 DSFH Denmark 95 1 € 1'425 EKKS Estonia 15 1 € 225 SKKY Finland 113 2 € 1'695 SFCM/GEM France 362 3 € 5'430 DGH Germany 778 3 € 11'670 EEXX Greece 85 1 € 1'275 MKT Hungary 60 1 € 900 IHSS Ireland 31 1 € 465 SICM Italy 762 3 € 11'430 LRKA Latvia 14 1 € 210 NFH Norway 47 1 € 705 PTCR Poland 34 1 € 510 SPOCMA Portugal 60 1 € 900 SRCR Romania 51 1 € 765 RKG Russia 50 1 € 750 SECMA Spain 310 3 € 4'650 SHF Sweden 144 2 € 2'160 SGH Switzerland 167 2 € 2'505 NVv. H The Netherlands 200 2 € 3'000 TCD Turkey 238 2 € 3'570 UHSS Ukraine 11 1 € 165 BSSH United Kingdom 347 3 € 5'205

Liability insurance • • Contract with Zurich insurance Covers the amount of 3 Mio per claim Fee of 2600. - s. Fr. /year 0. - franchise /cost sharing

Re-Imboursement: rules by FESSH Numbers of meetings per year: 1. Ex. Com: 4 x 2. Council: 2 x 3. In between telephone/skype conferences Social activities : • max 2 x year: 1000 Euros/year Secretary General : • Cost re-imboursement : phone, fax, office cost etc: 3000 Euros/year Council members: • Cost re-imboursement : phone, fax, office cost etc: 1000 Euros/year

Re-Imboursement: rules by FESSH Travel: 1. Train: 1 st class train 2. Car: 50 cts per km 3. Plane: Economy flights 4. Taxi as needed Meals: 1. Midday: ± 50 Euros all inclusive 2. Evening: ± 70 Euros all inclusive

Re-Imboursement table according to Big. Mac Index: Country Categories Hotel Categories Lunch Categories Dinner Switzerland 250 75 90 Norway 250 75 90 Denmark 220 60 80 Sweden 220 60 80 Finnland 220 60 80 France 180 55 75 Italy 180 55 75 GB 180 55 75 Belgium 180 50 70 Germany 180 50 70 Spain 180 50 70 Ireland 160 45 65 Netherlands 160 45 65 Turkey 160 45 65 Austria 160 45 65 Greece 150 40 60 Portugal 150 40 60 Tschech Republik 150 40 60

Existing sources of income 1. 2. 3. Membership fee: 15 €/active member (3500): 50’ 000 € Journal: 45’ 000 € Congress: 25’ 000 – 40’ 000 € New source of income: corporate partnership 1. 2. 3. 4. Contract with industrial partners for 2 -3 consecutive years Includes: FESSH congress package and FESSH support Elaborated with 2 industrial partners Different package sizes: a. b. c. d. e. f. g. Different booth sizes and locations Involvement in congress planning Partner of a Med. Tech lounge Support of entrance fee for young hand surgeons Space for advertisement Logo on FESSH website Reception with FESSH council

Content Category/Amount Average size Value Booth XL 25 - 30 m 2 25'000 L 15 - 24 m 2 16'000 M 10 - 15 m 2 10'000 S 6 - 9 m 2 additional premium selection (L/M) 8000 4'000 Support for young handsurgeons 5 (gold) 5000 3 (silver) 3000 1 (bronze) 1000 Free entrance in scientific programm 5 2000 3 1000 Network reception with FESSH council Participation in Med. Tech lounge Logo on congress webpage at least for 3 consecutive years 5000 6000 2000

New source of income: Corporate partnership Premium package Platinum Congress Sponsor title 40'000 50'000 or Gold Congress Sponsor title 25'000 Extra FESSH Support including 10 000 / 25 000 : support for young hand surgeons : network reception with Council : logo on FESSH website : participation in Med. Tech lounge : consultation for social program : briefing and debriefing Business package Gold Congress Sponsor title 25'000 33'000 Extra FESSH Support including 8'000 : support for young hand surgeons : network reception with Council

New source of income: corporate partnership Points to discuss: 1. 2. 3. 4. 5. Separation of FESSH congress income and FESSH support Any other ideas for FESSH support Modular system or fixed packages Duration (proposal 2 -3 years) Starting point (proposal 2017 FESSH)

Examination Committee Report FESSH Council Meeting 22. 06. 2016 Santander

AGENDA 1. EBHS Exam 2016 2. Examiners 3. Exam fee 4. On-line self assessment 5. Future

Candidates 130 declarations of interest 83 accepted 1 postponed 10 come only to the orals (orals failed in 2015 or earlier) 13 non EU applications 13 working in a different state

Origin of candidates

EBHS Examination 2016 MCQ Examination on March the 18 th Examination centres • Zurich • Milan • Munich • Budapest • Göteborg • Utrecht • Manchester • Paris • Ankara

EBHS MCQ Examination 70 candidates 57 passed (81. 42%) Pass note 132 Best note 212 (2 candidates ex-equo)

EBHS Exam: viva voce 54 passed the MCQs 7 passed in previous years 3 postponed 61 candidates for the oral examination 13 failed (21%) Total failure rate 35. 13%

Awards Best Examination • Higinio AYALA-GUTIERREZ Two Best Examinations from supported countries • Merila Mati (Estonia) • Judit Hetthessy (Hungary)

Examiners leaving Daniel Herren Angel Ferreres Marius Boncziar

New examiners Urs Hug (Lucern, CH) Mo Akhavani (London, UK) Berthold Bickert (Ludwigshafen, DE)

Examination Fee 550 Eur for FESSH members 850 Eur non FESSH Members Refund to 2 best examinations from country in lower Big-Mac categories

On-line self-assessment Feasible Starting date Autumn 2016 • EBHS Examination follows in March • ASSH self assessment is always in April-Mai Needed: • Web-based platform (in evaluation with Nandor) • Bigger (different) group of MCQ writers • Price? (proposal 100 -120 Eur) • EACCME approuval

My time with the exam 2004 -2011 examiner 2011 -2016 Chairman of the Examination 2012 On-line MCQ Examination 2013 standardized oral cases 2014 exam appraisal through CESMA The CESMA-UEMS observers were positively impressed by the standard of the European Board of Hand Surgery (EBHS) Part 2 Examination, which was held on Monday June 16 th, 2014 and Tuesday June 17 th, 2014 in Descartes Medical School (Paris, France).

Who take over ? Chairman and FESSH Council Member Co-Chairman

Report of the Journal Commitee Gürsel Leblebicioğlu

• New Editor-in-Chief – Jin Bo Tang, Nantong, China • Associate Editor, JHS-A (2008— 2015) • Editor, Issue of Hand Clinics (2013); • Editor, Issue of Clinics in Plastic Surgery (2014) – Tendon, fracture, biomechanics, fingertip – Current role • Chair of his department – Preferred missions for the journal • Global impact • Education • FESSH (invitation of Hand Societies from all over the world)

• Appointments – Artist cover images • Martin Langer – Statistical advisors • Paul Cool, Felix Freshwater, Martyn Hill – Editors • Mike Reutermann, Tim Hems

Impact factor

3 year submissions • • UK USA Japan Korea China Turkey Netherlands 132 57 53 43 25 45 20 132 76 59 53 34 48 28 104 94 57 49 47 43 42

Activities of the journal related to FESSH • FESSH abstracts online • Top 10 downloads followed by – FESSH reviewer reception – 2016. 06. 24 15: 30 • JHS (E) reader survey – http: //sagepub. checkboxonline. com/Journal-of-Hand-Surgery-European-Volume-Survey. aspx

• JHS Royalty on 2015 sales – The total amount is £ 38. 000 app – € 48’ 116. 55 • Cost of the abstract book – £ 5, 168. 00 (£ 38 x 136 pages ) – € 6615

Most cited 24 Most downloaded 898

Reimbursement Committee Report XXI FESSH Congress Santander 22 nd June 2016

Goals • Obtain data (What is included in the figures) – Centres – Surgeons – Upper and lower extremity • Make these data comparable among countries – Percentage – GDP, AIC, PPS – Gross Domestic Product, – Actual Individual Consumption, – Purchasing Power Standard • Distill conclussion numbers

Procedures Procedure Carpal Tunnel Distal Radius Fracture TFCC Reinsertion Ligament Plasty Wrist Synovectomy Wrist Arthrodesis Partial or Total Wrist Arhropalsty TMC Arthroplasty Procedure to be compared Tarsal tunnel Distal Tibial Facture ACL of the knee Ankle ligament plasty Knee synovectomy Ankle fusion Total Knee Arthroplasty Partial Knee Arthroplasty Flexor Tendon Repair Tenolysis Dupuytren

PUBLIC PRIVATE FRANCE Health System National Health Systems Center Procedure Insurance Companies Surgeon Center Surgeon Day Surg In House TOTAL H. CAS Carpal Tunnel 966, 36 104, 50 1070, 86 389, 49 104, 50 493, 99 Distal Radius Fracture 756, 42 / 125, 40 / 881, 82 381, 01 / 125, 40 / 506, 41 TFCC Reinsertion 1860, 06 205, 61 2065, 67 869, 84 171, 92 1041, 76 Ligament Plasty 1860, 06 165, 91 2025, 97 869, 84 148, 90 1018, 74 Wrist Synovectomy 1417, 29 153, 85 1571, 14 617, 13 141, 90 Lower extremity PUBLIC PRIVATE Wrist Arthrodesis Partial or Total 1796, 44 Total Wrist Arhropalsty 1860, 06 TMC Arthroplasty 1796, 44 236, 81 Flexor Tendon Repair 1341, 19 Tenolysis Procedures to be compared Dupuytren 1341, 19 SCAPHOID FRACTURE MICROVASCULAR PROCEDURE 1341, 19 759, 03 1796, 44 184, 34 1980, 78 790, 09 1860, 06 287, 85 National Health Systems 2147, 91 869, 84 236, 81 2033, 25 790, 09 192, 85 192, 52 1534, 04 528, 55 1341, 19 167, 20 1508, 39 528, 55 1341, 19 376, 20 1717, 39 528, 55 Center 184, 34 Surgeon 790, 09 159, 59 869, 84 237, 18 Insurance Companies 159, 59 949, 68 237, 18 1107, 02 190, 01 980, 10 528, 55 164, 52 693, 07 528, 55 167, 20 528, 55 376, 20 Center Surgeon 695, 75 904, 75 Day Surg In House TOTAL 1860, 06 231, 13 2091, 19 869, 84 186, 72 1056, 56 ambu/H. hospit/H 2412, 96 333, 54 2746, 50 873, 76 333, 54 1207, 30 CAS Tarsal tunnel 893, 37 125, 4 1018, 77 504, 33 125, 40 504, 33 Distal Tibial Facture 3174, 39 237, 52 3411, 91 1756, 55 220, 79 1756, 55 ACL of the knee / 3136, 46 / 444, 54 3581 / 1653, 31 / 388, 62 1653, 31 Ankle ligament plasty / 2852, 17 / 188, 10 3040, 27 / 1204, 32 / 188, 10 1204, 32 Knee synovectomy 2673, 35 205, 61 2673, 35 1272, 33 189, 48 1272, 33

Reports Stuttgart • FRANCE – Pub (C+S) Priv (C+S) • GERMANY – Pub (C ds+ih) Priv (C+S ds+ih) • ITALY – Pub (C ds+ih) Priv (team) • SPAIN – Priv (C+S) Santander • AUSTRIA – Pub (C) • ESTONIA – Pub (C ds+ih) Priv (C+S ds=ih) • PORTUGAL – Pub (C ds+ih) Priv (C ds) • SWITZERLAND

MEAN DIF UPPER & LOWER Dif in € Austria Estonia France Italy Portugal 1. 113, 45 € Dif in % Public Center 527, 22 € 66, 44 Private Center 235, 00 € 21, 77 Private Surgeon 20, 71 € 28, 60 Public Center Public Surgeon Private Center Private Surgeon Private Team Public Center Public Surgeon Private Center 157, 74 € 88, 52 1. 056, 37 € 153, 00 157, 74 € 88, 52 A 1. 113, 45 € 52, 38 Public Center EST 527, 22 € 66, 44 Public Center F 1. 688, 17 € 114, 74 Public Center P 1. 408, 89 € 98, 30 1. 184, 43 € 82, 97 MEAN 114, 74 957, 14 € Center 52, 38 1. 688, 17 € Public Surgeon F 157, 74 € 88, 52 Public Surgeon P 145, 00 € 80, 56 151, 37 € 84, 54 MEAN 44, 15 1. 408, 89 € 98, 30 145, 00 € 80, 56 3. 037, 22 € 110, 45 Private Center EST 235, 00 € 21, 77 Private Center F 1. 056, 37 € 153, 00 Private Center P 3. 037, 22 € 110, 45

€ 9 12 4 3, 7 % , 66 2 9

€ 7 3 1, 15 % 8 4 4, 5 € , 06 9 10 % 4 3 9, 5

Dif upper vs lower in % PUBLIC PRIVATE Center 82, 97 % Surgeon 84, 54 % Centre 92, 66 % Surgeon 49, 53 %

In conclusion • Difficult analysis • Small sample right now • More countries • More than 80% difference Upper < Lower

ACCREDITATION COMMITTEE MEETING We met in Moscow on March 10 th 2016 B. Battiston (Italy), Z Dailiana (Greece), N. Schmelzer-Schmied (Germany), I. Golubev (Russia), P. Houpt (Netherlands), M. San. Martin (Spain). M. Haerle (General secretary)

2015 -16 7 NEW CENTERS OUT OF 13 APPLYING 36 RENEWED CENTERS 24 no renewal !! TOT. 99 ACCREDITED CENTERS (116 on 2015) OUT OF 349 CENTERS OF 29 COUNTRIES

ACTUALLY The clinical activity is evaluated by the number of operated cases on emergency during a 3 months period A total of 24 cases during this 3 months period is a minimum Of these 24 cases, at least 5 cases must need microsurgical technique

WE DECIDED THAT. . . the number of operated cases on emergency during a 3 months period is declared just with a “yes or not” box confirming that any single surgeon performed a minimum of 24 cases during this 3 months period and at least 5 cases with microsurgical technique

IMPROVAL OF THE NET In last HTC meeting we decided to extend the net to Centers performing hand trauma even if non in a 24 h. emergency setting.

IMPROVAL OF THE NET ACCREDITED HAND TRAUMA CENTER ( HUB) : 24 h. access to a specialist hand trauma team (minimum 3 surgeons, members of the national society, with documented case series of hand surgery and microsurgery for trauma cases) TRAUMA UNIT (SPOKE) : offers early hand specialist led assessment and rehabilitation (minimum 3 surgeons, members of the national society, with documented case series of hand trauma) engages in audit /data collection/ research and education with the accredited Trauma centre

The role of the national representatives is important (DATA CHECK, etc. ) !! Some Centers ask for accreditation without passing through the representatives !!

l a n o i t a o n t g on n i o t r t ipa s a tic rk r D o a E w p t E e d n n e N a E ort ld th W upp ui b s

Hand Trauma Committee FESSH STATEMENT : The goals of the HTC are to collect data from the trauma centres, to analyse the differences and similarities between the different European countries and to define guidelines accepted throughout Europe.

Creation of log-books / audit in the accredited centers

PREVENTION COMMITTEE LEAFLETS NATIONAL CAMPAIGNES CONGRESSES

4 th FESSH European Hand Injury Prevention Congress 19 -20 September 2016 Oxford, UK

Subspecialty Committee FESSH Council June 2016 Report – David Shewring

Subspecialty Committee Remit of the Committee A forum where we can discuss potential topics that can be brought up for discussion in FESSH Increased collaboration/cooperation between FESSH and the specialist societies Support and reinvigoration some of the subspecialties, some of which, suffer from heterogeneity and thus fragmentation.

Subspecialty Committee Makeup of the new committee. Rheumatoid ERASS, Microsurgery EFSM, Arthroscopic surgery EWAS Others: Congenital/ Paediatric Nerve/Brachial Plexus/Spasticity ISOLS. . . .

Subspecialty Committee Makeup of the new committee Chair David Shewring Rheumatoid Daniel Herren Treasurer of ERASS (& FESSH). Microsurgery Paediatric/Congenital Prof. Alexandru Georgescu Steven Hovius Secretary General EFSM Arthroscopic Surgery Nerve/Brachial Plexus/Spasticity Jan-Ragnar Haugstvedt Dominic Power Secretary General, EWAS

Subspecialty Committee Meetings 1. Meeting of Committee in Santander 2016 June 22 5. 30 pm 2. Meeting of Scientific Committee for Copenhagen June 24 12. 30

Subspecialty Committee Specific items for discussion The organization of combined courses under the endorsement of both our societies. National/International Registries for various specific conditions. Sessions at future FESSH Congresses dedicated to the various subspecialties Symposia Panels Round table discussions etc.

Public Relation Committee Report Giorgio Pivato Santander, June 21 st, 2016

PR COMMITTEE Website Conventional media Social media

SOCIAL MEDIA FACEBOOK ACCOUNT TWITTER ACCOUNT

TO BE DONE

WEBSITE • • A brand new website is online New design All the features of the previous one were kept A new database of all FESSH members will be implemented

DATABASE

CONVENTIONAL MEDIA • We concluded that for the moment is not realistic to reach an audience all across Europe on this topic • We decided to involve a spokesperson for each Country to collect and promote news related to Hand Surgery • Italy and Germany already have one

WE REALIZED THAT SOMETHING WAS MISSING… Conventional media Website APP Social media

APP • • We thought about creating an App for FESSH and for future meetings The App will allow a mobile-friendly consultation of the new website The social media platform will be integrated Easy access to future online resources (courses, videos, news etc. )

CONFERENCE COMPASS • • Their proposal matches with our basic requirements Other similar societies already choose them A budget proposal has already been delivered On January 20 th demonstration of their products took place

CONFERENCE COMPASS • European Cancer Organization • Cardiovascular and Interventional Radiological Society of Europe • European College of Neuropsychopharmacology

SMARTPHONE TRANSLATION OF THE NEW WEBSITE

MEETING APP • Traditionally was created by the local host • Starting from 2017 it should be created directly by FESSH • This will offer more control and offer reduction of costs • Standardized features

POSSIBLE ADDITIONAL FEATURES: • Long term sponsorships dedicated to congress apps • Extra fees for having a sponsor brand on the main page • Possibility to push notifications of sponsored workshops or courses through the official APP • Possibility to reduce the costs sustained directly by FESSH for the development of the APP

BUDGET PROPOSAL • The package they offered us includes: • Development of the official FESSH APP • Development of three meetings APP (2017 -2018 and 2020) • Assistance • Extended usage analytics • Design package

BUDGET PROPOSAL INVOICING: - 60% at signature - 20% at publication of the first event - 20% at publication of the second event PRICE: - € 13. 500 - € 2. 500 for 1 extra event APP - € 1. 800 for automatic data input

APP FESSH App + 2 Events App New Red: € 20. 000 Conference Compass: € 16. 000 TC Group: No reply Vanadis: No reply

Relationship committee report – Lars B. Dahlin Former Relationship/Accreditation committees Relationship Committee • Portincasa (Italy) and Nicole Schmelzer-Schmied (Germany) FESSH related UEMS activities • members of UEMS elected or appointed by national medical chambers • participation in the UEMS activities. (http: //www. uems. eu/general/faq) • Hand Surgery: not a Section of UEMS, but member of so called a MJC = Multidisciplinary Joint Committee => • European Board of Hand Surgery (EBHS) https: //webmail. lu. se/owa/redir. aspx? C=k. IUzn 0 j. YUk 25 Cv. SHf. TQ 5 l. ZNR 67 NH 8 d. EIDMq. AYVF 07 KFYs. Xunbl. Br. C 6 AK 5 Yed 5 en. Grxjtcx. Ag 1 s. &URL=http: //www. ebhs. info/

Relationship committee report – Lars B. Dahlin Former Relationship/Accreditation committees FESSH strategy • Intention that Hand Surgery will be a section in UEMS. • Full title: Switzerland, Finland, Sweden, Hungary • Added qualification: Germany, Austria, Spain, Turkey and Latvia • Delegates are requested to discuss the possibility within their national society. White book • Work in progress: The white book updated – letter sent and some response received already. Important for the work towards a recognized speciality. Build bridges with other Societies!

Relationship committee report – Lars B. Dahlin Former Relationship/Accreditation committees EFORT • A combined FESSH-EWAS session at EFORT Geneva June 2016. • Topics: Arthroscopy, SL-ligament injuries and CTS. • Other lectures: Arthroplasty DRU-joint, Complex Case Discussion • Participation in EFORT General Assembly • Participation in EFORT Speciality Societies Standing Committee (ESSSC) • Next meeting EFORT Vienna 2017 – separate meeting from EWAS.

Relationship committee report – Lars B. Dahlin Former Relationship/Accreditation committees ESPRAS • Work successful to build connections with ESPRAS official reply after the Ex. Com meeting in Gaia 2015: ESPRAS Ex. Co: “to develop closer relations with FESSH” Strategy: • Common meeting with Ex. Coms ESPRAS and FESSH • Session in each annual meetings

Relationship committee report – Lars B. Dahlin Former Relationship/Accreditation committees EACCME • The EACCME - an institution of European Union of Medical Specialists (UEMS). • FESSH accredited by the European Accreditation Council for Continuing Medical Education (EACCME) to provide CME activity for medical specialists. • On going work to accredit courses in Hand Surgery. Thank you!

ASSZISZTENCIA AS CORE PCO NEW APPROACH 22 YEARS PCO EXPERIENCE 9 YEARS FESSH MANAGEMENT BASICS APPROVED IN MILAN STRUCTURE WORKED OUT LEARNING PROCESS MATCHING BID CRITERIA FESSH COUNCIL APPROVED IN NOVEMBER 2015

FESSH CONGRESS MANUAL GOAL SUPPORT GUIDELINE FOR LEARNING HELP TO ORGANISE NOT TO RESTRICT

CONGRESS COMMITTEE ANGEL FERRERES (SPAIN) FREDERIK VERSTRECKEN (BELGIUM) JEAN GOUBAU (BELGIUM) JAN RAGNAR HAUGSTVEDT (NORWAY) HERMANN KRIMMER (GERMANY) WOLFGANG HINTRINGER (AUSTRIA) ALES FIBIR (CZECH REPUBLIC) STEVEN HOVIUS (NETHERLANDS) MARIUSZ BONCZAR (POLAND) ROBERTO ADANI (ITALY) DAVID SHEWRING (UK) ANN NACHEMSON (SWEDEN) FRANCISCO SILVA CRUZ (PORTUGAL) AHMET EKIN (TURKEY) MARC GARCIA-ELIAS (SPAIN) ZSOLT SZABÓ (HUNGARY) MICHEL BOECKSTYNS (DENMARK) CHRISTOPHE MATHOULIN (FRANCE) MAX HAERLE (GERMANY)

CONGRESS COMMITTEE ANGEL FERRERES (SPAIN) FREDERIK VERSTRECKEN (BELGIUM) JEAN GOUBAU (BELGIUM) JAN RAGNAR HAUGSTVEDT (NORWAY) HERMANN KRIMMER (GERMANY) WOLFGANG HINTRINGER (AUSTRIA) ALES FIBIR (CZECH REPUBLIC) STEVEN HOVIUS (NETHERLANDS) MARIUSZ BONCZAR (POLAND) ROBERTO ADANI (ITALY) DAVID SHEWRING (UK) ANN NACHEMSON (SWEDEN) FRANCISCO SILVA CRUZ (PORTUGAL) AHMET EKIN (TURKEY) MARC GARCIA-ELIAS (SPAIN) ZSOLT SZABÓ (HUNGARY) MICHEL BOECKSTYNS (DENMARK) CHRISTOPHE MATHOULIN (FRANCE) MAX HAERLE (GERMANY)

FESSH CONGRESS MANUAL DEFINES CONGRESS GOALS BID PROCESS SCIENTIFIC COMMITTEE ABSTRACTS AND PRESENTATIONS SCIENTIFIC PROGRAM STRUCTURE INDUSTRY ORGANIZATION STRUCTURE DELEGATES ASSEMBLY SOCIAL PROGRAM

ROLES Congress Committee Core PCO Asszisztencia National Society Organizing Committee Congress President FINANCE COMM SCIENTIFIC COMM Chair: ASSZISZT Chair by Nat. Soc Members by Nat. Soc + Members: Cong. Comm, Nat. Soc Cong. Comm SPONSOR COMM Chair: Cong. Comm Members: Nat. Soc, ASSZISZT LOCAL ARR COMM Chair: Nat. Soc Members: DMC, ASSZISZT

CONGRESS BIDS FIRST STEP BY THE SOCIETY DECLARATION OF INTEREST LETTER FURTHER STEPS BY ASSZISZTENCIA IN COOPERATION WITH THE SOCIETY LOCAL DMC IF NEEDED

FESSH CONGRESS BID INCLUDES CONGRESS CENTRE INFORMATION INTERNATIONAL ACCESS AND DISTANCE (TIME) FROM AIRPORT TO VENUE COST ANALYSIS (DELEGATE COSTS, VENUE COSTS, AV, STAFF, CATERING, SOCIAL PROGRAMME ETC. ) ACCOMMODATION CULTURAL POSSIBILITIES SCIENTIFIC SUPPORT CONGRESS EXPERIENCE LOCAL FINANCIAL SUPPORT GENERAL FUNDING OPPORTUNITIES SWOT ANALYSIS

BIDS FOR 2020 INVITED IN MARCH PRESENTED FOR VOTE IN SANTANDER FOR 2021 SENT OUT IN JULY 2016 SUBMISSION DEADLINE FEBRUARY 2017 EVALUATION BY CONGRESS COMMITTEE IN MARCH 2017 PRESENTED FOR VOTE IN BUDAPEST

FINANCIAL STRUCTURE FINANCIAL RESPONSIBILITY ON ASSZISZTENCIA AS PCO CONGRESS BUDGET TEMPLATE TO START WITH FIGURES BASED ON FORMER DATA AND EXPERIENCE DEFINED TOGETHER WITH LOCAL HOST SOCIETY CONGRESS PROFIT SHARED 60% FESSH 20% NATIONAL SOCIETY HOSTING THE FESSH CONGRESS 20% ASSZISZTENCIA

FESSH 2017 & 2018 FESSH 2017 IN BUDAPEST, HUNGARY FESSH 2018 IN COPENHAGEN, DENMARK CONGRESS MANUAL AND ROLES DISCUSSED WITH CONGRESS CHAIRS NEW STRUCTURE IMPLEMENTED

CONTRACTS bpv Jádi Németh Attorneys at law LETTER OF APPOINTMENT (FESSH & MEMBER SOCIETY) CONTRACT FOR PCO SERVICES (FESSH & ASSZISZTENCIA) CONTRACT FOR DMC SERVICES OPEN FOR NEGOTIATIONS (ASSZISZTENCIA & LOCAL DMC)

DELEGATE INFO � FESSH CONGRESS 2016 REGISTRATION NUMBERS BY COUNTRIES (TOTAL 1486) FRANCE 62 NORWAY 24 NEW ZELAND 7 COLOMBIA 5 NETHERLANDS 115 POLAND 29 CANADA 3 CHINA 6 UK 117 GREECE 14 CHINA 6 INDIA 2 SWITZERLAND 110 SWEDEN 16 SLOVENIA 2 PAKISTAN 1 JAPAN 81 ARGENTINA 29 THAILAND 3 CROATIA 2 GERMANY 81 CHILE 29 UKRAINE 5 COSTA RICA 1 SPAIN 225 RUSSIA 13 SINGAPOUR 11 URUGUAY 1 BELGIUM 51 FINLAND 21 TAIWAN 8 OMAN 1 ITALY 49 ISRAEL 10 SERBIA 2 MARTINIQUE 1 SOUTH KOREA 39 CZECH REPUBLIC 11 NORTH KOREA 10 QATAR 1 TURKEY 31 PORTUGAL 33 ESTONIA 2 JORDAN 1 DENMARK 46 BULGARIA 3 LUXEMBOURG 2 LEBANON 1 USA 54 HUNGARY 12 SAUDI ARABIA 3 OTHERS 24 AUSTRIA 26 ROMANIA 5 UAE 3

DELEGATE INFO � FESSH CONGRESS 2016 TOP 10 COUNTRIES REGISTERED FOR SANTANDER

DELEGATE INFO FESSH CONGRESS 2016 ABSTRACTS SUBMITTED BY COUNTRIES Argentina 25 Hong Kong 3 Serbia 1 Australia 3 Hungary 9 Singapore 22 Austria 15 India 1 Slovenia 1 Belgium 8 Iran 1 South Africa 4 Brazil 7 Ireland 4 South Korea 64 Bulgaria 3 Israel 2 Spain 77 Cambodia 1 Italy 43 Sweden 6 Canada 1 Japan 76 Switzerland 21 Chile 4 Jordan 1 Syria 1 Cote d'Ivoire 1 Netherlands 23 Taiwan 12 Czech Republic 5 Norway 7 Thailand 3 Denmark 6 Philippines 1 Turkey 36 Dominican Republic 2 Poland 3 UK 69 France 33 Portugal 12 Ukraine 5 Germany 28 Romania 11 USA 16

CANDIDATES � EBHS DIPLOMA EXAMINATION 2016 Country APPLICATION MCQ ORAL Accepted Rejected Passed Failed Afghanistan 0 1 0 0 Australia 0 1 0 0 Austria 0 0 0 Belgium 3 2 3 0 2 1 Denmark 1 0 1 0 Egypt 0 1 0 0 Estonia 1 0 0 0 1 0 France 4 1 1 1 3 0 Germany 16 5 12 3 10 3 Greece 0 2 0 0 Hungary 1 1 0 0 1 0 India 1 2 1 0 0 1 Ireland 1 1 0 0 Israel 2 0 2 0 Italy 5 1 2 3 2 0 Netherlands 9 7 8 0 5 4 New Zealand 1 0 1 0 Norway 1 0 1 0 Oman 2 3 1 1 1 0 Pakistan 0 1 0 0 Palestina 0 1 0 0 Qatar 0 2 0 0

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