This document provides the agenda for the PWG Autumn Meeting in Tallinn, Estonia on November 7th, 2008. The agenda includes discussing and approving previous meeting minutes, updates from various UEMS specialty sections and boards, reports from PWG representatives, non-compliance of representative responsibilities, and nominating representatives for open positions. Representatives that did not provide reports risk being dismissed. The agenda also includes discussing site visitations to improve postgraduate medical training across Europe.
Working with your education committee to make and deliver content consistently.
How to build up an education curriculum at your event.
Differences between US and Europe: Who pays for education?
Adrian Ott,Chief Executive Officer of European Federation of National Associations of Orthopaedics and Traumatology.
www.associationcongress.com
The EuSoMII 2015 newsletter containing information on the European Society of Medical Imaging Informatics and articles on the topic of Medical Imaging Informatics
European Union Action in the field of Rare Diseases. Antoni Monserrat Moliner. Presentation of the Strategy in Rare Diseases of the National Health System. (Madrid, Ministry of Health and Social Politics, 2009).
The European Multidisciplinary Colorectal Cancer Congress (EMCCC) is the European conference that truly provides a platform for in-depth multidisciplinary interaction among the various research areas involved. The Dutch Colorectal Cancer Group (DCCG) has taken the initiative for the EMCCC since 2001. The conference in 2016 builds upon seven previous successful multidisciplinary conferences on colorectal cancer which were held in the Netherlands, Germany and France. The EMCCC offers an intimate scientific/educational environment for 700 participants.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Working with your education committee to make and deliver content consistently.
How to build up an education curriculum at your event.
Differences between US and Europe: Who pays for education?
Adrian Ott,Chief Executive Officer of European Federation of National Associations of Orthopaedics and Traumatology.
www.associationcongress.com
The EuSoMII 2015 newsletter containing information on the European Society of Medical Imaging Informatics and articles on the topic of Medical Imaging Informatics
European Union Action in the field of Rare Diseases. Antoni Monserrat Moliner. Presentation of the Strategy in Rare Diseases of the National Health System. (Madrid, Ministry of Health and Social Politics, 2009).
The European Multidisciplinary Colorectal Cancer Congress (EMCCC) is the European conference that truly provides a platform for in-depth multidisciplinary interaction among the various research areas involved. The Dutch Colorectal Cancer Group (DCCG) has taken the initiative for the EMCCC since 2001. The conference in 2016 builds upon seven previous successful multidisciplinary conferences on colorectal cancer which were held in the Netherlands, Germany and France. The EMCCC offers an intimate scientific/educational environment for 700 participants.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
Pwg 08 055 Agenda For Pgt Am08
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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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