Mark Westwood President z Maeve Durkan Vice President

Mark Westwood, President z Maeve Durkan, Vice President UEMS-CESMA December 2019 For the department of Public Health Medicine, Turkey

z Outline § Background § Current and future meetings § Proposed plans in the future § Q and A

z Background § CESMA § § The Council for European Specialists Medical Assessment ADVISORY Body to UEMS § Recommends/advises on European examinations § Created 2007 § Harmonisation, Guidelines, Encourage

z Appraisal

z Appraisal § The single most important function of CESMA § Inform Drive standards AND ITS NOW COMPULSORY!!!!!! § § Consistency § 3 year validity § Reapplication will asses performance against prior recommendations § Several volunteers to be appraisers § Area of increasing activity § Will continue to grow

z Appraisal: Written § Outlined plan for UK Federation appraisal/Template development § Extraordinary Meeting of ‘Core CESMA Appraisal Group’ § § § London, June 2019 In person review of written examination processes § Question Writing § Exam Board Meeting/Review § Standard Setting Further extraordinary Meeting of ’Core CESMA Appraisal Group’ § Collate and review evidence § Develop standards for future use

z Meetings

z Meetings § Barcelona 2018 (Winter Meeting): 7 th – 8 th December 2018 § Nice 2019 (Spring Meeting): 31 st May – 1 st June 2019 § Tel Aviv 2019 (Winter Meeting): 6 th – 7 th December 2019 § Other Items

z Barcelona, December 2018

z Barcelona, December 2018 § 2 Day Meeting § Day 1 § § MCQ Workshop Day 2 § CESMA Meeting (similar structure to London, May 2018)

z Barcelona, December 2018 § Day 1 – MCQ Workshop § Expert faculty § Including 2 International Experts / Question Writers** § Focussed on producing high level MCQs § Over 25 attendees § Over 20 subspecialties across whole of Medical Practice ** Required additional remuneration from CESMA

z Barcelona, December 2018 § Day 2 – CESMA Meeting § Overview of assessment and examinations § § Examples from 5 sections throughout the day § Infectious diseases § Occupational medicine § Obstetrics and Gynaecology § Orthopaedics § Radiology Candidate eligibility § Proposed further discussion and position statement from CESMA § Nice 2019

z Barcelona, December 2018 § Day 2 – CESMA Meeting § OVERRIDING FEEDBACK - More workshops required § § Every CEMSA Meeting: § Day 1 – workshop § Proposals include, EMQ, Oral Exams, Openbook Also will plan future workshops on § Appraisals § ETR writing/guidance

z Nice, June 2019

z Nice, June 2019 § 2 Day Meeting § Day 1 § § EMQ/MCQ/Oral Workshop § Changed based on ongoing feedback Day 2 § CESMA Meeting (similar structure to London And Barcelona)

z Nice, June 2019 § Day 1 – CESMA Workshop § Planning and Exam § What type § MCQ, Essay, Oral, Practical, Openbook § What are you examining § European training vs Rest of World § Selecting formats of exams § Matching formats to ETR’s § Standard Setting

z Nice, June 2019 § Day 2 – CESMA Meeting § UEMS have asked for specific eligibility criteria § Exam Diploma – implications vs Fellows of European Board § Aligned with structured ETR/Training § European training vs Rest of World § Overview of examinations § Leadership of examination § Use of feedback questionnaire

z Nice, June 2019 § Day 2 – CESMA Meeting § UEMS committee governance and structure § Overview of examinations § Particularly New Sections with Examinations § Also those currently planning examinations

z Tel Aviv, December 2019

z Tel Aviv, December 2019 § 2 Day Meeting § Day 1 § § Appraisal Workshop Day 2 § CESMA Meeting (similar structure to meetings 2018 onwards)

z Tel Aviv, December 2019 § Day 1 – CESMA Workshop § Exam Appraisal § Brainstorming session on standards § How to prepare § What (not) to do – Part 1 § What (not) to do – Part 2 § Writing a report of an Appraisal as an Appraiser

z Tel Aviv, December 2019 § Day 2 – CESMA Meeting § Business (closed meeting) § Finance and viability – action plan § Update from sections (this part usually challenges) § Business (closed meeting) § Formative and Summative Appraisal § Expansion of Appraisal and update with RCP § Structure of Exam Committees § And interaction with UEMS Boards

z Finance

z Financial Position § Unsustainable § Outgoings have increased considerably § Increased costs (2 day meetings) § Executive costs previously absorbed by relevant section § Increased travel/networking of executive § § Extra meetings eg to develop written appraisal documentation Demands have increased § Appraisal now mandatory § 7 requests for 2020 already

z Financial Position § Meetings § Despite collaborations costs have increased § § Revert to 1 meeting at UEMS Headquarters in Brussels Need to increase income § Increase fees for CESMA (€ 50 per annum) § Increase cost of appraisal (will need to change over time) § Commercial providers – potential conflict of interest § Central funding from UEMS – discussion with UEMS Executive

z Financial Position § Priorities § § § Functions of CESMA not to be curtailed (UEMS Executive) § Continue 2 meetings a year § Continue workshop Continue appraisal § This is likely to expand significantly and be sustained § Need to constantly train/update CESMA appraisers Also need to facilitate assessment with rolling cycle of workshops § To fulfil remit of training and education § And develop high quality sustainable examinations

z Conclusion § Background § Current and future meetings § Proposed plans in the future § Q and A

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