Prof Dr Jorge Mineiro MD, PhD, FRCSEd UEMS-ort / EBOT Spring Meeting Bergen - Norway An update on the EBOT exam Prof Dr Jorge Mineiro MD, PhD, FRCSEd Chairman of EBOT Examining Committee Bergen, 20th May 2017

EBOT Exam – an update ◙ introduction ● demand for the exam came in 1998 ■ dealing with the programs of training (1960) and upon realizing that the programs of training in the whole of Europe were very similar ■ but the outcome of training was very different across Europe and there were app 5 different types of assessment at the end of training ■ all members at the UEMS-ort GA 1999 decided to develop this project to assess the result of training in Europe ■ the need for a common curriculum – Minimal Requirements for Orthopaedics Training – was approved in October 2002 in Bergen j.mineiro 17

EBOT Exam – an update ◙ are we double checking ? ● let’s look at our data from the EBOT PAST DATA Exam Year Venue Nº Candidates Pass Fail %     2001 Rhodes - Greece 11 8 3 73% 2002 Stockholm - Sweden 16 10 6 63% 2003 Amsterdam – Netherlands 12 9 3 75% 2004 Berlin - Germany 15 10 5 67% 2005 Madrid - Spain 10 5 5 50% Torino – Italy 18 12 6 67% Vienna - Austria 12 7 5 58% Geneva – Switzerland 13 6 7 46% Brussels – Belgium 31 15 16 48% **Lisbon – Portugal 35 25 10 72.5% **Paris – France 60 39 21 66.5% **Dublin – Ireland 78 58 20 74,3% **Barcelona - Spain 90 66 24 74% ** Vienna – Austria 86 64 22 75% **Rotterdam - Holland 105 70 35 67% **In 2010 the rules changed and the written paper was set separately + trainees

EBOT Exam – an update ◙ are we double checking ? ● let’s look at our data from the EBOT PAST DATA Exam Year Venue Nº Candidates Pass Fail %     2016 Lisbon - Portugal (english) 138 91 47 66% 2016 *Madrid – Spain (spanish) 36 25 11 69% Passing rate at the written paper was 55% *in close cooperation with SECOT - Spainish Orthopaedic Society *First EBOT Exam in another language – FEBOT-Spain

EBOT Exam – an update ◙ are we double checking ● let’s look at our data from the EBOT - from 2010 the EBOT exam was closed to the rest of the world and this is the data Exam Year Venue Nº Candidates Pass Fail %     2010 Lisbon - Portugal 37(35) 25 10 71% written part I 50 37 13 74% (72,5%) Oral part II EU 12/14 (86%) Non EU 13/21 (62%) j.mineiro 17

EBOT Exam – an update ◙ we are increasing in number of candidates ● since 2010 we have been increasing 30 to 40% / Year 245 candidates - 84 spanish + we'll have 161 candidates from all over Europe who then would eventually sit the English oral part. However, not all will pass. Let's assume it'll be 100/110 who pass plus then the resits for the oral from last year, we'll end up with about 130-150 candidates in Lisbon!!! Years since 2001

EBOT Exam – an update ◙ at present ● Final EBOT Exam Happens regularly since 2001 in the first weekend in October It has 2 parts – Part I written(Spring) + Part II oral (October) Last year in Lisbon – Portugal (this year will be in Edinburgh) Explicar q o exame de outubro é o oral Different locations is Europe with easy low cost access Run in English – discussion in 5 different stations j.mineiro 16

EBOT Exam – an update ◙ over view ● progress over the years – written exam (part I) Meejorar la calidad Pero es interessante ver j.mineiro 17

EBOT Exam – an update ◙ at present ● Interim Exam ● Happens regularly since 2011 - MCQ ● It is run always in the Spring (last year 12th of April 2016) all around Europe on the same day at the same time • 453 registered for Interim, 448 candidates (11th of April 2017) have taken their departments (last year there were 378) Translations will loose quality of the exam – impossibleto grade dthe difficulty of each MCQ in the different languages Run in English – decision taken not to do different translations ■ free of charge for the next 3 years (sponsored by the European Board of Orthopaedics and Traumatology from 2013) j.mineiro 17

EBOT Exam – an update ◙ over view ● progress over the years Meejorar la calidad Pero es interessante ver j.mineiro 17

EBOT Exam – an update ◙ interim exam ● Registered Hospitals j.mineiro 17

EBOT Exam – an update ◙ EBOT 2017 ● Final EBOT Exam ▲ addressing the two different issues optimizing results : A.Exam preparation B.Final assessment ● B.Final Assessment (EBOT Fellowship Examination) : - create different exams centres in October, same day but different languages – this autmn english + german* + spanish ● in order to keep the high standards of the exam we are enquiring with the EBOT pool of examiners, a second language they would be comfortable examining – building pool examiners different languages j.mineiro 16

EBOT Exam – an update ◙ EBOT 2017 ● Final EBOT Exam For second time we have over 150 candidates for part II exam Part II oral ( 6 and 7th of October 2017) - 290 candidates registered for written exam Location – Edinburgh (?) + Madrid (Hotel Melia Castilla) Explicar q o exame de outubro é o oral Pool of 75 “Certified” EBOT Examiners for Exam in Edinburg. Pool 40 “Certified” EBOT Spanish Examiners for Exam Madrid *all costs of the Spanish EBOT Exam will be covered by SECOT j.mineiro 17

EBOT Exam – an update ◙ EBOT 2017 ● Interim & Final Exam ▲ EBOT Examination – how will it be structured : - Interim Exam – European wide, run all around Europe in the different hospitals / centres (more countries on board) – 11th April - Written Part I final – European wide, run all around Europe different centres in each country – English – 8th June Oral Part II final – European, run at one (or two) centre in Europe, in English and other languages by multinational faculty appointed by national societies – 6 & 7th October +Spanish 4 & 5th November j.mineiro 17

EBOT Exam – an update EEP-EFORT

● if there is a loss, EBOT-UEMS shares the loss (up to 25K €) EBOT Exam – an update ◙ what was agreed in Lyon 2016 – UEMS-orth Spring meeting ● support further development of this prestigious European project ● help to reach the end stage of EBOT National Exam ● European National Society involvement ● if there is a loss, EBOT-UEMS shares the loss (up to 25K €) ● continuous/annual feedback on the exam accounts ● reduce costs ● have an EFORT member as a member (EBOT Examiner) of the examining committee j.mineiro 17

EBOT Exam – an update ◙ organization of the EBOT Examining Committee ► Under guidance of the chairman of EBOT Examining Committee – President UEMS-ort + adviser Mr J.Albert (+ Chairman EFORT EduCom) ● from 2001 to 2010 EBOT Exam was run by its secretariat under Mrs Theresa Neves (EBOT Exam administrator) Meejorar la calidad Pero es interessante ver ▲ from 2011 EBOT Exam was run by central EFORT office under Mrs Nina Nurnberger (EBOT Exam administrator) j.mineiro 17

EBOT Exam – an update ◙ what about the future ? j.mineiro 17

EBOT Exam – an update ◙ how can we reduce costs j.mineiro 17 Professor Hervé Tomezeau j.mineiro 17

EBOT Exam – an update ◙ in the future ● budget approved by November – EFORT & EBOT ● separate account for the EBOT exam ● accounts presented annually to be approved by both org. ● Exam fees increased at regular intervals ● Costs and Budget will have to be presented at the EBOT–GA in the Spring Meeting ● limiting number of candidates per exam / exams in different languages (ideally as national board exam) j.mineiro 17

EBOT Exam – an update ◙ conclusion ● European Board Exams are gaining broader base of support Europe wide and throughout the rest of the world ● more and more standards of these exams are being accepted ● tendency within EU is for European qualifications to take relevance over the national ones ● Cooperation EFORT / UEMS / CESMA to reduce costs, optimize outcomes Sustainability ?? ● we do need to work together on finding EU “sponsoring” for development of final assessment at the end of speciality training as a gold standard qualification across the EU j.mineiro 17

EBOT Exam Team ◙ thank you so much to the EBOT Exam – an update j.mineiro 17

EBOT Exam – an update ◙ thank you j.mineiro 17