1. Pediatric ORL Geneve 2013 Pediatric ORL Geneve 2013 Baudoin T, Robb P, Akre H, Albegger K, Motta G, Panosetti E, Somers T

2. Pediatric ORL Pediatric ORL Dubrovnik 2014 Baudoin T, Robb P, Bjoerlin A, Akre H, Albegger K, Motta G, Panosetti E, Somers T, Conde A Kuo M (ESPO)

3. Members: Gaetano Motta Harriet Akre Peter Robb Klaus Albegger Thomas Somers Eugene Panosetti Tomislav Baudoin Michael Kuo (ESPO)

4. ESPO cooperation  ESPO Education Committee to review Log book  Invite ESPO to advise/propose Log book  Invite ESPO to recommend courses  Invite ESPO representative to Dubrovnik

5. Pediatric ORL PORL subspecialty is ORL-HNS in its entirety, applied to children „WHO definition of pediatric ≤18 years of age.”

6. Trainees  Target group of trainees highly motivated  Sub-specialist post-CCT only (national or/and EBEORL-HNS)

7. Super-specialties 1.Pediatric Otology 2.Pediatric Rhinology and Facial Plastics 3.Pediatric Laryngology and Phoniatrics 4.Pediatric H&N Surgery

8. 4 chapters within 1 subspecialty 1. Pediatric Otology 2. Pediatric Rhinology and Facial Plastics 3. Pediatric Laryngology and Phoniatrics 4. Pediatric H&N Surgery

9. Level of competency Any trainee must attain general competency level in the entire PORL subspecialty area, and advanced competency levels in his/her chosen super-specialty.  A  S  I  In each super-specialty area, the surgeon must be “emergency-safe”. Subspecialist Super-specialist

10. Level of competency Any trainee must attain advanced competency level of the majority skills of PORL subspecialty area.  A  S  I  The surgeon must be “emergency-safe”!

11. Questions? 1.Duration – two years or goal achievement model? 2.Should we define the number of operations in each area? 3.Is it possible to accept transfer of some competency from general ORL training? 4.Previous experience in general ORL – HNS? (2 ys, 5 ys ?) 5.Courses? 6.Exam?

12. Duration  2 years  Minimum 1 year  Goal achievement  The competency and skills are the responsibility of the local supervisor

13. Number of operations  Defined  Not defined

14. Transfer of competency  No  Yes!

15. Previous experience 2 ys 5 ys none

16. Courses  Trainee should attend no less than two relevant courses Desirable!  Courses must be UEMS accredited or accreditation sought  Ideally, the course should have a competency sign- off

17.  European Paediatric Fellowship Programmes  Great Ormond Street Hospital (2 posts)  Birmingham Children’s Hospital  Evelina Children’s Hospital  Royal Manchester Children’s Hospital  Royal Hospital for Sick Children, Glasgow  Sheffield Children’s Hospital (These posts are renumerated and are for one year by competitive interview. These hospitals also accept observers.)  Necker Children’s Hospital, Paris (observerships for 6 months)  US and Australian (Sydney, Melbourne, Perth) fellowships require registration with US and Australian medical boards by examination.

18. International Paediatric Otolaryngology Meetings and Courses  European Society for Paediatric Otolaryngology (Congress every 2 years)  British Paediatric Otolaryngology Course (once a year)  American Society for Paediatric Otolaryngology (once a year)  Paediatric Advanced Life Support (or equivalent course)  School or Paediatric ENT (SPENT - CRO)

19. Exam  According other subspecialties

20. Literature  Graham, Scadding, Bull: Pediatric ENT 1st Edition  Wetmore, Muntz, McGill: Pediatric Otolaryngology – Principles and Practice Pathways 2nd Edition  Bluestone and Stool’s Pediatric Otolaryngology 5th Edition

21. Pediatric ORL