Fellowship cts2012

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ESCTS 2012

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Fellowship cts2012

  1. 1. EGYPTIAN FELLOWSHIP OF CARDIOTHORACIC SURGERY EFCTS 2001-2012 SAMEH ELAMEEN M.D.Consultant Cardiac Surgery National Heart Institute- Imbaba. Program Director & Exam Organizer of EBCTS
  2. 2. Fellowship of Cardio-Thoracic Surgery Major Cardiac Surgery – 3 years cardiac / one year thoracic Major Thoracic Surgery – 3 years thoracic / one year cardiacMarch 18, 2012 EFCTS 2001-2012 2
  3. 3. Training Centers This training program which started in September 2001, is carried out in high volume centers, (national Heart Institute, Nasser Institute and Omrania Chest Hospital). This is to ensure exposure of the candidates to the vast majority of clinical cases required to complete their training program.March 18, 2012 EFCTS 2001-2012 3
  4. 4. EFCTS: General Objective To provide comprehensive cardio-thoracic surgical training program at the completion of which, the trainee can be regarded as knowledgeable, competent, safe and practical surgeon in the matters related to the diagnosis, surgical treatment and post– operative management of conditions considered to within the realm of cardio- thoracic surgery.March 18, 2012 EFCTS 2001-2012 4
  5. 5. EFCTS: structure Protocol Curriculum Trainers Candidates Program director Exam Organizer Higher councilMarch 18, 2012 EFCTS 2001-2012 5
  6. 6. Protocol and Curriculum The theoretical part can be found in their curriculum book which is derived from the American and European boards and modified by the Egyptian Professors of the specialty. The practical part, volume of surgical procedures, and other program details are found in their protocol book. March 18, 2012 EFCTS 2001-2012 6
  7. 7. The Logbook Thirdly comes the logbook which is the backbone of the evaluation process. It includes their scientific activities, meetings, lectures, special training attendance, assistance, and surgical procedures.March 18, 2012 EFCTS 2001-2012 7
  8. 8. Supplementary Courses A- Before starting the program: – Medico-legal aspects of the specialty – Time management – Communication skills – Basic Life supportMarch 18, 2012 EFCTS 2001-2012 8
  9. 9. Supplementary Courses B- During the training – Advanced life support – How to make a research – How to write a paper – Clinical statistics – Managerial TasksMarch 18, 2012 EFCTS 2001-2012 9
  10. 10. Supplementary Courses C-Before the Exam – Theoretical intensive course before the written exam – Mock Exam – Open Book exam – How to answer MCQ – Clinical intensive course before the oral examMarch 18, 2012 EFCTS 2001-2012 10
  11. 11. EFCTS: Evaluation How Frequent?Year-to-yearMonth-to-monthWeek-to-weekDay-to-dayMarch 18, 2012 EFCTS 2001-2012 11
  12. 12.  Month-to- month report March 18, 2012 EFCTS 2001-2012 12
  13. 13. EFCTS: What to Evaluate? The evaluation process is very close, strict, objective and periodical. All candidates are subjected to evaluation in three main aspects: (a) Knowledge, (b) Skills and (c) behavior and attitude, according to which the candidate will be eligible for final evaluation “final exam”.March 18, 2012 EFCTS 2001-2012 13
  14. 14. EFCTS: What to Evaluate? I-Attitude and Behavior: Attitude and Behavior: – With colleagues – With consultants – With patients – With patients’ relatives – With managers – With nursesMarch 18, 2012 EFCTS 2001-2012 14
  15. 15. EFCTS: What to Evaluate? II-Knowledge How to acquire knowledge Main source of knowledge Can he use and apply this knowledge? Registration (filling the pt. file & sheet) Computer skills English language Use of lay languageMarch 18, 2012 EFCTS 2001-2012 15
  16. 16. EFCTS: What to Evaluate? II-Knowledge Watching him in friendly scientific discussion Presentation of surgical papers in the Journal Club. Direct questions Mock Exam Open book exam Scientific research Clinical rounds March 18, 2012 EFCTS 2001-2012 16
  17. 17. EFCTS: III-Evaluation of Skills Surgical skills Diagnostic skills (eg tapping) Bed side clinical skills Wet LabMarch 18, 2012 EFCTS 2001-2012 17
  18. 18. Wet Lab:Mitral RepairMarch 18, 2012 EFCTS 2001-2012 18
  19. 19. Wet Lab: Mitral RepairMarch 18, 2012 EFCTS 2001-2012 19
  20. 20. EFCTS: Scientific Activities  Journal Club  Morbidity & Mortality Meeting  Clinical Rounds  Grand Round [all departments]  Passive & active lectures  Symposia & workshops March 18, 2012 EFCTS 2001-2012 20
  21. 21. “How to write a paper” course presented by Prof. Ahmed HassounaMarch 18, 2012 EFCTS 2001-2012 21
  22. 22. Annual Evaluation  LOGBOOK 25%  EXAM (WRITTEN & ORAL) 25%  SCIENTIFIC & PRACTICAL ACTIVITIES 25%  ATTENDENCE 25% [OR-ICU-FLOOR- OUTPATIENT….etc.]March 18, 2012 EFCTS 2001-2012 22
  23. 23. ANNUAL EVALUATION I-LOGBOOKMarch 18, 2012 EFCTS 2001-2012 23
  24. 24. March 18, 2012 EFCTS 2001-2012 24
  25. 25. March 18, 2012 EFCTS 2001-2012 25
  26. 26. March 18, 2012 EFCTS 2001-2012 26
  27. 27. March 18, 2012 EFCTS 2001-2012 27
  28. 28. March 18, 2012 EFCTS 2001-2012 28
  29. 29. March 18, 2012 EFCTS 2001-2012 29
  30. 30. March 18, 2012 EFCTS 2001-2012 30
  31. 31. ANNUAL EVALUATION II-EXAMMarch 18, 2012 EFCTS 2001-2012 31
  32. 32.  MCQ: True=1 False=-1 Do not know =0 March 18, 2012 EFCTS 2001-2012 32
  33. 33.  Each question has its mark either +ve or –ve value March 18, 2012 EFCTS 2001-2012 33
  34. 34.  MCQ: Clinical case March 18, 2012 EFCTS 2001-2012 34
  35. 35. ANNUAL EVALUATION III-ATTENDENCEMarch 18, 2012 EFCTS 2001-2012 35
  36. 36.  Attendance: Scientific sessions OR ICU Floor OutpatientMarch 18, 2012 EFCTS 2001-2012 36
  37. 37. March 18, 2012 EFCTS 2001-2012 37
  38. 38.  Serious Evaluation March 18, 2012 EFCTS 2001-2012 38
  39. 39. Serious Evaluation This process entails supervision, guidance, evaluation and repeated revision. It is done by several consultants and at different levels, firstly the training consultant, then by the program director, then by the higher council of the specialty.March 18, 2012 EFCTS 2001-2012 39
  40. 40. Clinical research work During these 4 years the candidate has to prepare a clinical research work and present it in a paper at the end of his training program to gain access to the final exam. This paper is supervised by his training consultant and subjected to discussion by a three-member committee before acceptance. EFCTS 2001-2012March 18, 2012 40
  41. 41. Final Evaluation:Eligibility for Exam Finished 4 years training. Satisfied his trainer  Approval Clinical research paper accepted by judging committee. Completed his surgical volume Approval of the program directorMarch 18, 2012 EFCTS 2001-2012 41
  42. 42. Final Evaluation:Exam Written: MCQ & problem solving (2 papers) Short Essays: 2 papers Oral: fixed questions for all candidates & all examiners Model Answers are pre-written and given to each examiner before test. Marks are divided, and fixed over the questions.March 18, 2012 EFCTS 2001-2012 42
  43. 43. Examination Variants A- The Question B- The Examiner C- The candidateMarch 18, 2012 EFCTS 2001-2012 43
  44. 44. Examination Objectivity For a fair, reliable exam we must fix the first and second variables. The only variant will be the candidate and according to his knowledge, Skills and behavior, he will be evaluated.March 18, 2012 EFCTS 2001-2012 44
  45. 45. First Variant I-The Question – Clear – Reliable – Comprehensive – Up to the standard – Set time for the exam – Structured question with structured answerMarch 18, 2012 EFCTS 2001-2012 45
  46. 46. The Examiner; 2nd Variant1. Should know the exam technique2. Should have the highest behavior.3. should have no relation to the candidateMarch 18, 2012 EFCTS 2001-2012 46
  47. 47. OSCE Exam How to set OSCE stations. No. of OSCE stations. What knowledge and skills best evaluated in OSCE station (X-ray- MRI– Angio-Instruments-ECG, etc.. How to chase material for OSCEMarch 18, 2012 EFCTS 2001-2012 47
  48. 48. Close Marking System Consists of 4 marks only: 8,9,10 &11 Equivalent to: – 11= 80% or more – 10= 60-80% – 9 =50-60% – 8 = < 50% Passing Mark is 40, excellent is 42, failing < 39, borderline to be revaluated (39)March 18, 2012 EFCTS 2001-2012 48
  49. 49. External Examiner Being the national board of the country all Egyptian professors are considered internal examiners External examiner who is invited from abroad 2008/2009 Prof. khaled Iskander 2010 Prof. Howeida ElquethamyMarch 18, 2012 EFCTS 2001-2012 49
  50. 50. March 18, 2012 EFCTS 2001-2012 50
  51. 51. 10 Years outcome During these 10 years, 56 candidates applied for the Egyptian board, Eleven only completed the full course and were successfully graduated (19.6%) Two did not pass their thoracic exam (3.5%) Two were dismissed for misbehavior (3.5%) Twelve did not withstand the strict program and quit (21.5%) Four left the program for the Gulf (7%)March 18, 2012 EFCTS 2001-2012 51
  52. 52. 10 Years outcome one failed the written exam 3 times and was not allowed again before repeating his training, one finished his training but did not present his research paper so he was not allowed for the exam, 23 participating in the program at various levels (41%) one of them is receiving training in UKMarch 18, 2012 EFCTS 2001-2012 52
  53. 53. Success Rate: 85% Out of thirteen candidates who were allowed to apply for the final Exam and who have met the criteria for eligibility, eleven succeeded and were graduated making 85% success rate.March 18, 2012 EFCTS 2001-2012 53
  54. 54. Members of the EgyptianBoard of CardiothoracicSurgeryProf MagdyGomaaChief ofscientificcouncil ofEBCTS(2007-Now) March 18, 2012 EFCTS 2001-2012 54
  55. 55. Members of the EgyptianBoard of CardiothoracicSurgery*Prof. Sayed AKL*Prof. M. AbdelRaouf*Prof. AhmedHassouna*Prof. M. ElfikkyProf. Adel Elbanna March 18, 2012 EFCTS 2001-2012 55
  56. 56. Special dedication to the professor Hussien Gaafar Formal Chief of the EBCTS (2001-2007)March 18, 2012 EFCTS 2001-2012 56
  57. 57. March 18, 2012 EFCTS 2001-2012 57

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