1. WHY LEARNING AND TEACHING IN A WOKSHOP? Olivera Masten Cuznar, MD MSc Head of Medical Supervision Department of regional unit Ljubljana Health Insurance Institute of Slovenia Ljubljana, 9. - 11. Junij 2016 Health Insurance Institute of Slovenia

2. In accordance with criterion 24 of document UEMS 2012/30 “Accreditation of Live Educational Events by the EACCME” I have no potential or actual conflicts of interest to report, whether due to financial or other relationship. Olivera Masten Cuznar

4. „Tell me, and I will forget. Show me, and I may remember. Involve me, and I will understand.“ Confucius, 450 BC

6. MILLER‘S PYRAMID presenting a lifelong learning scheme, optimizing actual performance Miller G.E. The assessment of clinical skills/competence/performance. Academic Medicine 1990; 65: 563–67.

7. COMPETENCE the capability to successfully perform discrete observational tasks in a defined assessment environment, in isolation from actual wo rk  “KNOWING” (basic facts - theoretical or practical knowledge and understanding of a subject)  “KNOWING HOW” (be able to apply knowledge)  “SHOWING HOW” (be able to show skills)  “DOING IT” (be able to introduce in practice) … an important prerequisite for PERFORMANCE

8. WHAT? An outcome based medical education program approach using an organising framework of competencies  to design  to implement  to assess  to evaluate

9. WHY?  to train the groups of teachers  to spread the knowledge, approaches and skills throughout individual countries  to run the courses in local settings

10. HOW?  divide into small groups of 6 to10  introduce yourself to other group praticipants  present the case vignette  discusse about the issue and excange experiences  make group final conclusions  report briefly to other group participants  „TAKE HOME MASSEGE“ for the Congress participants

12. Appropriate health care services and absence from work? Case vignette A 35 years old female patient visits GP (insurance practitioner) because of chronic low back pain lasting more than four months. She was examined thoroughly by her GP (insurance practitioner) and has no serious clinical, neurological or X-ray diagnostical findings. She uses NSAIDs, which have little or no effect. She has sleeping problems, is tired because of pain, depressed and seems disturbed. She works as salesclerk in a little shop, and has difficulties being on her feet all day. More than two months absent from work and is still not ready to go back to work.