Pwg 08 055 Agenda For Pgt Am08

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Pwg 08 055 Agenda For Pgt Am08

  1. 1. PWG 2008/055 Agenda for PGT AM08 Subcommittee PWG Autumn Meeting 7th of November 2008 Tallinn, Estonia From PWG Secretariat To All delegations Note
  2. 2. Agenda PWG Autumn Meeting 2008 Tallinn, Estonia PWG Postgraduate Training Working Group Chairperson: Bernardo Bollen Pinto (PT) Friday, 7th November 2008 09:30 – 11:00 Conference Room: To be announced 1. Opening of the meeting by Chairperson 2. Approval of the agenda Document for decision: PWG 08_055 Agenda for PGT AM08 3. Approval of the minutes of the previous meeting Document for decision: PWG 08_043 Minutes PGT SM08 Bergen 4. UEMS Specialist Sections, European Boards and MJCs (Sections/Boards/MJCs) 4.1. UEMS’s CESMA Background: In 2007 the Council for European Specialist Medical Examinations (CESME) was created as an advisory body to the UEMS and its Sections. The group held 3 meetings in 2007 (February, June and November) where relevant issues related to assessment in PGT and the European Examinations were discussed. No representative of junior doctors was present. A crescent number of Sections/Boards/ MJCs are implementing European Examinations. The Chairperson discussed this matter with the UEMS SG, Dr. Bernard Maillet, and suggested that a representative of the junior doctors should be present on the CESME meetings. This proposal was accepted and a representative of the PWG will attend the CESME meetings, standing by the PWG position on the European Examinations. The group has officially changed its name to Council for European Specialist Medical Assessments (CESMA). In the PWG SM08 in Bergen Miraude Andriaensen (NL) and the Chairperson were appointed as PWG representatives in the CESME. Due to incompatible agendas, none of the representatives attended the meeting held in Brussels at the 14th June 2008. PWG was represented by the EUEEA SC Chairperson, Gabriel Ko. Effective communication between the PGT SC Chairperson and the CESMA has been taking place. The next meeting will be held in Brussels in the 6th December 2008. Documents for information: PWG 2006_20 Proposal for policy statement on European Examination PWG 08_006 CESME UEMS Press Release PWG 08_007 UEMS Glasgow Declaration Nov07 PWG 08_056REV2-DRAFT CESMA Minutes (2008-06-14) PWG 08_057DRAFT CESMA Statutes (2008-06-14) PWG 08_058 CESMA Website
  3. 3. PWG 08_059 CESMA EQF Report PWG 08_060 ORL Training in the EU (Graphics and tables) 4.2. European Rheumatology Curriculum Framework Background: On the 17th June, the Chairperson was address by the PWG representative in the Rheumatology Section requesting the PWG Endorsement to the European Rheumatology Curriculum Framework. The goal is to provide a reference framework to the development and benchmarking of National Curricula for the Specialist Training of Rheumatologists, towards the harmonization of rheumatology specialist training within the European Union. The project applies the principles of competence based learning of CanMeds to PGT in Rheumatology. It was amply discussed among Rheumatology trainees and has their full support. On the 1st October the Chairperson e-mailed the PWG MOs and asked for comments on the issue. No comments were received and on the 10 th October a letter of support was issued. Documents for information: PWG 08_061 European Rheumatology Curriculum Framework (31-01-2008) PWG 08_062 European Rheumatology Curriculum Framework (31-01-2008) -The Trainee´s View PWG 08_069 PWG position on the European Rheumatology Curriculum Framework (10-2008) 4.3 European Board of Neurology (EBN) 4.3.1. Sub-specialization in Neuromuscular Diseases Background: On the 23rd September, the Chairperson was address by the PWG representative in the EBN, asking the PWG position about the issue of sub- specializations at the European level, since the EBN is planning to create a sub- specialization in neuromuscular diseases. The information provided by the representative is: Prof. De Visser from Amsterdam is planning to introduce a sub-specialization on neuromuscular diseases. Preamble was that students were very badly trained in neuromuscular diseases. Goals were to provide training on the pathophysiology, pathology, diagnosis and management of patients with neuromuscular diseases to enhance the quality of care for these patients. Neuromuscular fellow should have completed at least three years of his neurological training or paediatric training, duration of 1 year full time, or longer if the fellow has a part time appointment at a neurophysiology lab. Content of the training programme: 1. Knowledge of workup; 2. Electrophysiology; 3. Muscle biopsy; 4. Muscle imaging studies; 5. Active participation in research process and active role in training. Evaluation should take place with fellow, who gets a written final examination. Trainer must have at least 5 years of experience with neuromuscular diseases. Pros are: that the neuromuscular field is usually rather underrepresented in neurology education. Specific training options would support the field. Also Neurophysiology is in several countries an accepted specialisation; therefore neurophysiology testing (like ENG, EMG) is not performed by neurologists, which reduces also their ability and competence in diagnosing those disorders. Taking this training course would again increase their competency in this field.
  4. 4. Cons are: that again there is an additional training to fulfil. This is a competency, which one might be already basically trained in neurologic departments in most European countries and well trained in specialised departments. Both of these clinical training options would lose their value with this sub-specialization. My personal opinion is to support it, because this field is important and it would – especially in countries where electrophysiology is not done be neurologists – increase competency in diagnosing neuromuscular disorders. Having in consideration the information given by the representative and its own position, the Chairperson supports the initiative. Proposal: That the SC discusses the issue and decides on the support given to the project of the EBN. 4.3.2. PWG representative at the EBN Background: On the 23rd September, the Chairperson was address by the PWG representative in the EBN about his eligibility to the position. The representative finished basic neurology training in 2006. He has continued training in the field of Neurointensive Care which is an additional competency in Austria. He will finish this training period in the end 2009. He is part of the European Association for Young Neurologists and Trainees and therefore in contact with a large number of young neurologists Europe-wide. Most importantly, he is highly involved in the activities of the EBN, particularly in the fields of assessment and site visitations, and maintains a regular communication with the PWG. The Chairperson supports the continuation of the representative in the position. Proposal: That the SC discusses the issue and decides on the eligibility of the candidate to continue to represent the PWG in the EBN. 4.4. European young cardiologists’ forum Background: On the 29th September, the Chairperson was address by the PWG representative in the Cardiology Section about the creation of a European young cardiologists’ forum. The information provided was: A more active role of young cardiologists is required. An idea to found a Young cardiologists forum has been proposed. We can address national cardiac associations to find contact persons in all members of the UEMS. Alternatively, and what I would suggest, we could find the representatives through PWG member states. I would therefore ask the PWG delegates to send me contact details of cardiologists in training who would be prepared to dedicate some time and effort to increase the visibility of young cardiologists within the UEMS, EBSC, and ESC. The delegate names should be coordinated with their national organizations (i.e. cardiac society, medical associations) in order to avoid any unnecessary conflicts. The alternative way is to contact the national cardiac societies; by doing so, we cannot avoid bias to have delegates from the institutions affiliated with board members which may not always be representative of the majority of cardiologists in training within country. I suggest the deadline of 15.11.2008. The Chairperson supports the creation of the forum but believes that an official nomination of national delegates is out of the scope of the PWG responsibilities. In an informal way, PWG MOs can and should support this project by putting the potential interested trainees in contact with the PWG representative at the Cardiology Section. Proposal: That the PWG MOs provide the PWG representative at the UEMS Cardiology Section with contacts from cardiology trainees motivated in being part of
  5. 5. the future European young cardiologists’ forum. [Mitja Lainscak (mitja.lainscak@guest.arnes.si)]. Document for information: PWG 08_063A Cardiology Report from PWG UEMS rep AM08 4.5. Reports from PWG representatives Documents for information: PWG 08_063A Cardiology Report from PWG UEMS rep AM08 PWG 08_063B Paediatrics Report from PWG UEMS rep AM08 PWG 08_063C Radiology Report from PWG UEMS rep AM08 PWG 08_063D Neurology Report from PWG UEMS rep AM08 PWG 08_063E Ob_Gyn Report from PWG UEMS rep AM08 PWG 08_063F MJC Intensive Care Medicine Report from PWG UEMS rep AM08 PWG 08_063G OMFS Report from PWG UEMS rep AM08 PWG 08_063H Endocrinology Report from PWG UEMS rep AM08 4.6. Non-compliance of the responsibilities of the PWG representatives Background: According to the Responsibilities of the PWG representatives at the UEMS Sections/Boards/MJCs approved in the last PWG meeting in Brdo, the representatives that do not fulfill with their obligations (namely, the presentation of a written report prior to the PWG Plenary meeting) should be dismissed from their position and the “post can be declared vacant and nominations can be received for the election of a new PWG representative to UEMS S/B/MJC in question at the next PWG plenary meeting.”. The Chairperson and the Secretariat issued a warning to the representatives relating this matter 7 weeks prior to the plenary meeting. In accordance with a decision taken in the PGT WG meeting in Bergen, an e-mail was also sent to the PWG MOs from the country of origin of the representatives that did not file any report 6 weeks prior to the meeting. A final warning was sent out to the representatives 4 weeks prior to the meeting. At the 10th of October 2008, the situation is as follows. The representatives at the following Sections/Boards/MJCs (or the proposing PWG national delegations) send to the PWG a message referring that the representative was quitting the task of PWG representative:  Internal Medicine (DN);  Orthopaedic Surgery (FI);  Pathology (DN);  Surgery (IT). The representatives at the following Sections/Boards/MJCs send to the PWG a message stating the reasons why they did not file a report to the PWG:  Anesthesiology (SW);  Nuclear Medicine (ND);  Oto-Rhino-Laryngology (FI);  Urology (SL);  MJC Emergency Medicine (IR);  MJC Sports Medicine (IR).
  6. 6. The representatives at the following Sections/Boards/MJCs did not send a report or any other information to the PWG. The places are automatically left open to election:  Allergology (PT);  Cardiothoracic Surgery (SL);  Child Psychiatry (NW);  Geriatrics (FR);  Infectious Diseases (FR);  Internal Medicine (DN);  Medical Biopathology (FR);  Neurosurgery (FR);  Paediatric Surgery (GE);  Pathology (DN);  Plastic Surgery (FR);  Psychiatry (PT, CH);  Public Health (PT);  Radiotherapy (SP);  Rheumatology (PT);  Surgery (IT);  MJC Emergency Medicine (IR);  MJC Sports Medicine (IR). Documents for information: PWG 07_065REV Responsibilities of PWG representatives to UEMS S&B&MJC 4.7. Nomination for representatives Background: Since 1991, the PWG has had the right to have their representatives to the UEMS Specialist Sections and European Boards. Since 2007 the PWG is also represented in the Multidisciplinary Joint Committees (MJCs). The list of PWG representatives to the UEMS Sections/Boards/MJCs continues to have vacancies. Proposal: That the SC selects candidates suitable for election in the Plenary as new representatives for the UEMS Sections/Boards/MJCs which have vacancies:  Allergology;  Cardiology (one application for vice-representative received)  Cardiothoracic Surgery;  Child Psychiatry;  Clinical Neurophysiology (Neurophysiology);  Dermato-venerology  Gastro-Enterology;  Geriatrics;  Infectious Diseases;  Internal Medicine;  Medical Biopathology;
  7. 7.  Medical Microbiology;  Nephrology;  Neurosurgery;  Occupational Medicine;  Ophthalmology;  Orthopaedic Surgery;  Paediatric Surgery;  Pathology;  Physical and Rehabilitation Medicine  Plastic Surgery;  Pneumology;  Psychiatry;  Public Health;  Radiology (one application for vice-representative received)  Radiotherapy;  Rheumatology;  Surgery;  Vascular Surgery (one application received);  MJC Genetics;  MJC Hand Surgery;  MJC Immune Mediated Diseases;  MJC Pain Medicine;  MJC Pediatric Urology. 5. Site Visitations Background: Visitations of PGT-centres were created by the UEMS in order to improve and harmonize medical specialist PGT within the EU. At the PGT WG SM05 in Helsinki, Austria, Denmark, Italy, Netherlands, Norway, Portugal, Sweden, UK informed that they had ongoing visitation systems and Malta was setting up a system. At the PGT WG AM05 in Cefalù it was decided that the PWG should compile a list of countries that had visitations and efforts should be made in order to extend visitations to all PWG- countries. It was also decided that the model of visitation was going to be analyzed in order to establish rules in cooperation with the UEMS. Portugal and Austria volunteered to translate relevant documents on visitations. At the PGT WG SM06 in Porto it was decided that the subcommittee creates a working-group composed of the Chairperson, Dr. Ricardo Mexia (PWG), Dr. Bernardo Bollen Pinto (PT) and Dr. Christian Siva (NO) with the aim to analyze the different models of visitations and to prepare a PWG policy on visitations. The chairperson presented the Swedish model of site visits as a beginning of the work. At the PGT WG AM06 in Berlin Dr. Bernardo Bollen Pinto (PT) gave a presentation on the Portuguese view on what a visitation programme should include. In March 2007, the UEMS WG on PGT discussed a revision of the document UEMS Charter on Visitation of Training Centres, however the UEMS working group decided to defer work on this item until other tasks in the area of PGT had been achieved. Therefore the PGT Chairperson, Dr. Charlotta Savblom, proposed a PWG policy-document on visitations at the PGT WG SM07 in Nice. The national member organizations were asked to send in their comments by the 2007/Jun/30 and a call for comments on the document was sent out twice to the PWG email-list. Three national member organizations (Sweden, Germany, UK) sent in their comments and these were
  8. 8. discussed in the PWGexecutive meeting in Brussels 2007/Sep/01 and the document was revised. With this revision the EC considered that the document should be discussed and decided upon at the PGT WG with the aim to be adopted at the plenary meeting in Brdo in 2007/Nov/03. On the 2007/Sep/29 the Portuguese delegation also sent in their comments and proposed an improvement of the structure of the document as well as on its’ content with more detailed description of each section. In the PGT WG AM07 in Brdo the proposal was presented and discussed. The Portuguese delegation suggested that a detailed guide should be attached to the document and volunteered to write it. The German delegation said that it should be upon the national organizations to decide on the implementation and that visitations should not be mandatory to all countries. The Finish and French delegations said that the policy should emphasize the importance of visitations and reinforce their use. The document was voted with abstention from Austria and a vote against from Germany. The proposal was submitted to the plenary and was not approved. Since the Brdo Meeting, the Chairperson has reviewed the document together with Charlotta Savblom and the Portuguese, German and UK delegations. The issue was also discussed in the EC meeting in 2008/Mar/14. In 2008/Apr/23 a new proposal was sent to the PWG mailing list for comments. Within the EUEEA countries and the PWG MOs countries there is a considerable heterogeneity in postgraduate medical training and the educational system accreditation processes. The aim of the PWG Policy on Visitations is not to help sustaining a perfect visitations system to PGT centers in countries that already have such a process in place. It aims to state that a Visitation is a useful tool for the improvement of quality of postgraduate medical training and provide help to countries that want to implement such system. In the PWG SM08 in Bergen, the Plenary approved the proposal. The Portuguese delegation proposed to present to the WG a document to be used by national organizations as a guide to facilitate implementation of a Visitation System to PGT Centres. Proposal: That the SC discusses the project. Document for discussion: PWG 08_064DRAFT Guide to facilitate implementation of a Visitation System (10-2008) Documents for information: PWG 2005/061 UEMS Charter on visitation of training centres PWG 2006/022 Site Visit – Quality Assurance in Postgraduate Training Sweden PWG 2006/070 PWG Survey on Visitations of Training Centres, +/- 2004 PWG 07_070 Portuguese OM Comments PWG site visits PWG 07_068 BMA_JDC Comments PWG site visits PWG 07_075 Marburger Bund Comments on PWG policy on visitations PWG 07_074 SYLF comments on PWG policy on visitations PWG 07_043 DRAFT PWG policy on Visitations PWG 07_071 Proposal PWG policy on visitations PWG 08_011FINAL PWG policy on site visitations to PGT centres
  9. 9. 6. Leadership training for junior doctors 6.1 PWG Policy Background: At the PGT WG AM06 in Berlin the question of leadership training during PGT was put on the agenda. In some European countries this has become an issue since doctors are considered to lack professional qualifications required for management positions in hospitals or in the health sector overall. In Denmark leadership training is compulsory for doctors in PGT and at the PGT WG SM07 Dr Mette Worsoe (DK) gave a presentation of the Danish leadership programme for junior doctors. Following a discussion it was decided that a WG should be created to work on a PWG policy on leadership-training for junior doctors. A WG was set up with Dr Alex Smallwood (GB) as coordinator, Dr Aicha Charimo Torrent (D), Mette Worsoe (DK), Bernardo Bollen Pinto (PT), Gabriel Ko (F) and Ricardo Mexia (PWG). In the PGT WG AM07 in Brdo Dr. Alex Smallwood (UK) made a presentation on this issue. The French delegation questioned who would teach leadership and added that the trainees would themselves become the teachers and that good training is needed. The Dutch delegation backed the importance of the definition of the teaching body. The Finish delegation stated that the training should be compulsory and part of the specialist training. The PWG MOs were to send their comments on the proposal until the 1st December 2007. On the 31st May Alex Smallwood sent to the PWG mailing list another draft proposal with direct questions for debate. In the PGT WG SM08 in Bergen the document was discussed and it was decided that all MOs should send their comments as soon as possible, in order that a final proposal could be prepared and send back in time to all the MOs and submitted to vote in the PWG AM08 in Tallinn. Proposal: That the SC discusses and votes on the new proposal for Policy on Leadership and Management Training in PGT to be submitted to the Plenary for approval. Document for decision: PWG 08_041REV2-DRAFT PWG Policy on Managment and Leadership Training (10-2008) Document for information: PWG 07_085 Leadership and Management Training Proposal Final PWG_08_041_Policy_on_Leadership_and_Management_Training 6.2. AMEE 2009 pre-conference workshop on leadership skills and learning in the clinical setting On the 7th September the PWG was contacted by Paul de Roos (NL, former EMSA) with a project on leadership skills. Initially only the PWG comments were asked but the SG and the Chairperson immediately seized the opportunity and associated with the project, a joint work with EMSA, IFMSA and AMEE (and PWG). The project consists in an AMEE meeting (Malaga 2009) pre-conference workshop entitled “Leadership skills: coaching and networking”. In addition, it was also decided that the PWG should work on another workshop entitled “How to create learning opportunities in the clinical setting”. Both subjects are of great interest to junior doctors and PGT. The workshop is also an opportunity to interacting closely with other MOs in the field of medical education.
  10. 10. Proposal: That the SC discusses the projects and that two separate WGs are created to work on both workshops. Document for information: PWG 08_065 AMEE 2009 Pre-conference Workshop Final 7. EQF and competence based learning Background: The European Qualifications Framework (EQF) is a European Commission initiative that aims at promoting qualified lifelong learning, as well as professional mobility in Europe. “The objective of this Recommendation is to create a common reference framework which should serve as a translation device between different qualifications systems and their levels, whether for general and higher education or for vocational education and training.” It defines learning outcomes or competences in the terms of knowledge, skills, attitudes and behavior. When applied to Medicine and PGT, these concepts can be seen as a Competence Based Learning (CBL) approach. In the EUEEA WG SM06 in Porto, the EQF was put in the agenda by the Dr. Graeme Eunson (UK). To illustrate existing cross border training systems, the situation in Malta & Luxembourg were discussed. It was felt that such existing systems could serve as pilot projects to allow more accurate assessment of any wider, generisable opportunities. It was also felt that this could become part of a more formal model of mutual recognition of components of training. It was further noted that the executive committee of PWG had a balanced representation of Northern, Southern, Eastern, Western, old & new EU states, which it would likely be looked upon favorably in any approach to the commission. It was decided that PWG executive committee be given a mandate to explore this area further. In the EUEEA WG AM06 There was a general agreement that PWG should get broader support from the European Commission. It was decided to create a WG between UK, Malta and Portugal to produce a document on this issue and be aware of any development within the European Commission. The PWG President wrote to EC Commissioner Figel stating that the PWG interest in the EQF. In December 2006 Commissioner Figel replied positively and stated interest in exploring this issue with the PWG. In the EUEEA WG SM07 in Nice Graeme Eunson (UK) took the stage and delivered an oral background. Unfortunately, and as a result of the situation in the UK at the time, there were no conditions to continue to develop the pilot project. He requested the WG to put this project on hold, since he didn’t expect any further developments on this matter, on the UK perspective. The WG continued to develop the subject, based upon the work of Aljaz Hojski (SI) and Marcus Grima (MT), who offered their national expertise on internal training programs. In the PGT WG AM07 in Brdo, this issue was moved to the PGT SC in order to further exploit the medical education component of the EQF. In the PGT WG SM08 in Bergen, Sergio Chacim (PT) presented to the WG the chief concepts of Competence Based Learning (CBL) and of the EQF. In order to evaluate the current situation regarding Competence Based Learning (CBL) in Europe, it was decided that an explanatory text should be send along with a small questionnaire to the PWG MOs and the PWG representatives in the UEMS Sections/Boards/MJCs. In addition, the PWG should reply to Commissioner Figel office and renew its interest in the EQF. The aim of these actions is to re-launch the PWG EQF Project in the PGT/Medical Education perspective, starting with an assessment of the current status of CBL in Europe. Proposal: That the SC discusses the questionnaires on CBL.
  11. 11. Document for decision: PWG 08_066DRAFT Questionnaire on Competence Based Learning (PWG MOs) PWG 08_067DRAFT Questionnaire on Competence Based Learning (PWG UEMS Rep.) Documents for information: PWG 06_007 Europass 2241-2004-EC PWG 06_008 EC Annual Policy Strategy for 2006 PWG 06_009 European Commission Legislative and Work Programme 2006 PWG 06_010 The Copenhagen Declaration PWG 06_011 Council Future priorities of enhanced European Cooperation in Vocational Education and Training (VET) PWG 06_012 LEONARDO DA VINCI - Community Vocational Training Action Programme PWG 07_022 Free Movement of Students Letter from the Commission PWG 07_023 Mutual recognition and EQF PWG 06_056 Letter to Commissioner Figel PWG 06_059 Commission call for proposals DG EAC No 45-06 - Grants to support mobility in initial vocational training PWG 06_060 Com 2006-0479 EQF for lifelong learning PWG 06_061 Commission Press Release on The European Qualifications Framework PWG 08_040 EQF-CBL_PWG SM2008 PWG 08_068 Letter to Commissioner Figel (10-2008) 8. PWG PGT Policy Background: Following the analysis of the PGT Future Goals Questionnaire in the PGT WG SM08 in Bergen, it was decided that the PWG PGT Policy should be revised. A WG coordinated by the Chairperson with Aicha Charimo-Torrente (G), Francesco Silenzi (IT) and Sérgio Chacim (PT) was formed. The timeline proposed for the project is: i) AM 2008: 1st draft; ii) SM 2009: 2nd draft; iii) AM 2009: final vote. Since the last PWG meeting the Chairperson contacted twice by e-mail the members of the WG, proposing an action plan for the WG. There were no answers from the members. The Chairperson considers that in a complex and vital document as this one, a consensus strategy adopted since the beginning of the project is essential. Proposal: That the SC decides if it wants to continue to develop this project. If so, commitment from the MOs should be made so effective participants are integrated in the WG. Documents for information: PWG 08_009i Future Goals of PGT SC_PWG SM2008_2008Jun24 9. PGT in Private health care facilities Background: Following the analysis of the PGT Future Goals Questionnaire in the PGT WG SM08 in Bergen, it was decided that the SC should discuss the issue of PGT in private health care facilities. This issue was also discussed in the EUEEA WG SM08. A WG formed the Chairperson, Gabriel Ko (FR) and John Morris (IR) was formed and a proposal for discussion sent out to the PWG mailing list sent in the 13th October.
  12. 12. Proposal: Following a request from the Chairperson, this issue will be discussed in the EUEEA SC meeting. Documents for information: PWG 08_070DRAFT PWG Policy on PGT in Private Health Care Facilities (10-2008) 10. PGT in European medical organisations Background: European medical organisations (EMOs) have particular fields of action and represent several different interests. Despite this diversity, medical education is debated in a very similar way throughout the EMOs. Furthermore, sharing different approaches related to the continuing of medical education, from undergraduate to CPD, can be an advantage to all. In fact, there are overlapping projects taking place in more than one organisation. Work can be done in order to approach the EMOs in regard to the medical education projects being developed, in particular to the discussions involving postgraduate training. Some effective collaboration already exists. In order to improve the effective communication and the strength of the medical education projects in Europe, the Permanent Working Group of European Junior Doctors Subcommittee on Postgraduate Medical Training is proposing the following. 1. Proposing partners:  Permanent Working Group of European Junior Doctors Subcommittee on Postgraduate Medical Training;  European Union of Medical Specialists Working Group on Postgraduate Training;  Standing Committee of European Doctors Subcommittee on Medical Training, Continuing Professional Development and Quality Improvement;  European Association of Senior Hospital Physicians Working Group on Pre-, Per- and Postgraduate Medical Training;  European Medical Students' Association Section on Medical Education;  Association for Medical Education in Europe. 2. Measures proposed to the parties:  Sharing of agendas and minutes of meetings;  Incentive the attendance of the meetings of each WG/Section of a representative of all the others (preferably the president/coordinator);  Incentive the development of common projects;  Agenda of a common meeting. Proposal: That the SC discusses the project. 11. Degree of application and impact of the ‘European Working Time Directive 48- hour week’ on the quality of PGT (PWG/UEMS project) Background:
  13. 13. There is no confirmed data on the degree of application of the EWTD 48-hour week or available scientific evidence on the impact of it on the quality of PGT. This data is of paramount importance in the discussions made with the political class. In the UEMS Council meeting 2008April in Brussels, Dr. Gillian Twomey (IR) challenged the PWG and the UEMS PGT WG to work together in order to determine the effect of the application of the 48-hour week on the quality of PGT. During the UEMS PGT WG meeting 2008Oct in Copenhagen, it was decided that the WG supports this project and that the Chairpersons should work together. Proposal: That the SC discusses the project. Documents for information: PWG 08_077DRAFT EWTD on PGT Quality PWG/UEMS Project (10-2008) PWG 08_076 Report from the PWG representative at the UEMS PGT Working Group Meeting Copenhagen (09-10-2008) 12. Emergency Medicine in Europe Background: In the PWG SM08 meeting in Bergen, Francesco Silenzi (IT) requested the PWG MOs to answer a questionnaire related to Emergency Medicine training and practice in their country. The Chairperson would like to invite Francesco Silenzi to present the main results of the questionnaire analysis in the next PWG meeting. Proposal: That the SC discusses the project. 13. Agenda for the next meeting 14. Any other business 15. Meeting adjournment

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