1. 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

2. 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

3. 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 %
   
Rhodes - Greece %
Stockholm - Sweden %
Amsterdam – Netherlands %
Berlin - Germany %
Madrid - Spain %
Torino – Italy %
Vienna - Austria %
Geneva – Switzerland %
Brussels – Belgium %
**Lisbon – Portugal %
**Paris – France %
**Dublin – Ireland ,3%
**Barcelona - Spain %
** Vienna – Austria %
**Rotterdam - Holland %
**In 2010 the rules changed and the written paper was set separately + trainees

4. 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 %
   
Lisbon - Portugal (english) %
*Madrid – Spain (spanish) %
Passing rate at the written paper was 55%
*in close cooperation with SECOT - Spainish Orthopaedic Society
*First EBOT Exam in another language – FEBOT-Spain

5. 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 %
   
Lisbon - Portugal (35) %
written part I %
(72,5%)
Oral part II EU 12/14 (86%) Non EU 13/21 (62%)
j.mineiro 17

6. EBOT Exam – an update ◙ we are increasing in number of candidates
● since 2010 we have been increasing 30 to 40% / Year
245 candidates 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 candidates in Lisbon!!!
Years since 2001

7. 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

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

9. EBOT Exam – an update ◙ at present ● Interim Exam
● Happens regularly since 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

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

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

12. 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

13. 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

14. 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

15. EBOT Exam – an update
EEP-EFORT

16. ● 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

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 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

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

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

20. 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

21. 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

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

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