1. Ten years specialist training in ID medicine How it changed the landscape Frans Ewals, ID physician Educational training ID physician Erasmus MC Rotterdam Bridge 2010 Bristol

2. 1.10 years ID Medicine: the outcome 2. 10 years training in ID Medicine: the results 3. The training program: making it future proof 4. 10 years ID Medicine: looking back, looking forward

3. 2000: Why a specialism ID Medicine?

4. 1.10 years ID Medicine: the outcome 2. 10 years training in ID Medicine: the results 3. The training program: making it future proof 4. 10 years ID Medicine: looking back, looking forward

5. 10 years ID Medicine: the outcome 43 outpatient clinics - General ID Medicine - Specialised Mental health Sleep disorders Etiology related (DS, Angelman, TSC, …)

7. 10 years ID Medicine: the outcome Quality Improvement 1. Guidelines concerning medical care for people with ID Screening for visual impairment Screening for hearing impairment Screening for breast cancer Screening for cervical cancer Epilepsy Pharmacological sedation Gastro-esophageal reflux Contraception and parenting Prescribing psychotropic drugs Decision making at the end of life Dental care (Verenso) Cerebral palsy (CBO) Coeliakie (CBO) Drugs and brain injury (CBO)

8. 10 years ID Medicine: the outcome Quality Improvement 2. Formalized collaboration with GP’s (NVAVG/LHV) - transition of care - professional domains 3. Effective working alliances with parent associations - medical advisor - supporting better primary and secundairy health care - research: setting the agenda, study design - specialized out patient care for rare diseases

9. 1.10 years ID Medicine: the outcome 2. 10 years training in ID Medicine: the results 3. The training program: making it future proof 4. 10 years ID Medicine: looking back, looking forward

10. 10 years training in ID Medicine: the results 1. ID physicians How many trainees completed the program? Total number 68 ( ♂ : 10; ♀ : 58) Not working as (ID)physician: 3 Trainee psychiatry1 Active as ID physician64 Where?Netherlands61 Belgium 2 USA 1

11. 10 years training in ID Medicine: the results ID physicians Involved in Patient care63 training program Erasmus supervisor13 staff member 2 Research 8 Guideline development8

13. 10 years training in ID Medicine: the results Results of Scientific Research Education Topics all relevant for for the field of ID Medicine 22 research projects finished  - 11 published ( 3 Dutch, 8 English journals)  - 23 scientific presentations (9 Dutch, 14 International)  - multiple presentations at other settings  - all reports are (in Dutch) web available  JPPID dec 2009 Evenhuis/Penning

14. 10 years training in ID Medicine The output: dissemination of knowledge Erasmus MC - participation in course clinical decision making (all students) - minor The patient with an ID (4 weeks) - internships in ID Medicine - short course for all trainees GP AMC Amsterdam - participation in Minor Health care in the big city - trainees GP: The GP and the patient with a ID (voluntary/2 half days) Free University Amsterdam - program for specialists in geriatric medicine working with people with ID (5 weeks, well over-subscribed) - Trainees specialist in ger.med..: A better craftsman for patients with ID (half day)