1. EBOT examination in 2013 UEMS / EBOT spring meeting Dublin - Ireland
Jorge Mineiro MD PhD
Chairman of EBOT Examining Committee
Dublin, 11th May 2013

2. EBOT examination in 2013 ◙ introduction ◙ interim exam 2013
◙ final exam
◙ changes for the future – 2014 ?
◙ conclusions
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3. EBOT examination in 2013 ◙ introduction ● the European reality
Europe as a continent is a collection of countries with different backgrounds
The standards of medical education from undergraduate to resident training, postgraduate training and to professional competence are high but vary across different countries
The standards of speciality training are also very demanding but different among all European countries
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4. EBOT examination in 2013 ◙ 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%
**In 2010 the rules changes and the written paper was set separately + trainees
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5. EBOT examination in 2013 ◙ at the second decade of the exam
▲ what can we do to improve these standards ?
A.Exam preparation
B.Final assessment
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6. EBOT examination in 2013 ◙ planned for the future ■ A.Exam preparation
▲ we are addressing two different issues optimizing results: A.Exam preparation B.Final assessment
■ A.Exam preparation
-Interim Exam
-Review Courses
-Educational Platform (EFORT)
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7. EBOT examination in 2013 ◙ planned for the future ● Interim Exam
Happens regularly since 2011
It is run always in the Spring (17th of April 2013) all around Europe on the same day
Approximately 100 candidates have taken the exam in their departments
Run in English – discussion on different translations
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8. EBOT examination in 2013 ◙ interim exam 2011, 2012, 2013 ● the results
▲provide information to the resident, to the head of training and to the National body controlling orthopaedic residency
■ what sort of information do they need ???
● let’s look at some examples
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9. EBOT examination in 2013 ◙ interim exam 2013 ● the results
▲year 4 residents
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10. EBOT examination in 2013 ◙ interim exam 2013 ● the results
▲focus on a country’s performance – let’s look at Portugal for instance !
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11. EBOT examination in 2013 ◙ at present ● Final Exam
Happens regularly since 2000 in the first weekend in October
It has two parts – Part I written + Part II oral
Approximately 80 candidates have taken the exam in Dublin
Run in English – discussion in 5 different stations
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12. EBOT examination in 2013 ◙ at present ● Final Exam
▲ we are addressing two different issues optimizing results : A.Exam preparation B.Final assessment
● B.Final Assessment (EBOT Fellowship Examination) :
-separated written part I (Pearson Vue examining centres)
-invited all european speciality societies to join the writing committee
-improved the set up of part II – examinations halls
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13. EBOT examination in 2013 ◙ plans for 2014 ? ● Final Exam
▲ we are addressing 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
● 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
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14. EBOT examination in 2013 ◙ plans for 2014 ? ● Final Exam
▲ we are addressing two different issues optimizing results : A.Exam preparation B.Final assessment
● B.Final Assessment (EBOT Fellowship Examination) :
-create part III clinical exam same day but different languages but local national faculty in each country with candidates
● in order to keep the high standards of the exam we suggest to have an examining board of 3 examiners – two national and one appointed by the EBOT Examining Committee but that would speak that local language
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15. EBOT examination in 2013 ◙ plans for 2014 ? ● Final Exam
▲ Clinical Part III – Final EBOT Examination : How will it be structured ?
● exam with patients performed at a hospital set up :
- two short cases (UL / LL) ( example – wrist ganglion / carpal tunnel syndrome / bunion ) – 10 min each (5min for examination + 5min for discussion)
- four long cases ( example – hip OA, knee OA, spinal stenosis, scoliosis ) – 15 min each for examination (5 min taking history + 5min clinical exam + 5min discussion)
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16. EBOT examination in 2013 ● what are the advantages of this part III ?
◙ plans for 2014 ?
● Final Exam
▲ Clinical Part III – Final EBOT Examination :
● what are the advantages of this part III ?
- test professional behaviour and clinical skills and not only knowledge basis
- to have input from each country to the final EBOT qualification FEBOT Ireland, FEBOT Germany, FEBOT France, FEBOT Spain, etc ...
- to have a EU qualification that is the end result of a combined true European multinational final assessment improving the standards of orthopaedic training in EU
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17. EBOT examination in 2013 ● what are the drawbacks of this part III ?
◙ plans for 2014 ?
● Final Exam
▲ Clinical Part III – Final EBOT Examination :
● what are the drawbacks of this part III ?
- lack of culture in clinical exams in different countries
- national legal requirements using patients for medical exams
- patients “compensation” for cooperation in the exam event
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18. EBOT examination in 2013 ◙ plans for 2014 ? ● Final Exam
▲ Final EBOT Examination – how will it be structured :
- Written Part I – European wide, run all around Europe different centres in each country
- Clinical Part II – National, run in each country, by their own board in their own language with examiners appointed Nat Soc+EBOT
- Oral Part III – European, run at different centres in Europe, in english and other languages by multinational faculty appointed by the national societies
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19. EBOT examination in 2013 ◙ conclusion
● EBOT Exam is gaining broader base of support Europe wide
● restriction to EU + Non EU working in Europe
● more and more the standards of the exam are being accepted
● it is vital to link this assessment at the end of training to the European curriculum + log book – work from UEMS / EBOT
● introduction of the clinical part III will enable a direct national input
● it will improve the outcome of orthopaedic residency in Europe
● a professional writing committee task force is vital for the exam – thanks to the European Speciality Societies
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20. EBOT examination in 2013
◙ introduction
● “bureaucracy”
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