Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Angelique Goverde - Should colposcopy be a core skill for all gynecologists

268 views

Published on

Dr Goverde

Published in: Health & Medicine
  • Be the first to comment

  • Be the first to like this

Angelique Goverde - Should colposcopy be a core skill for all gynecologists

  1. 1. Prof. Angelique Goverde Consultant gynaecologist at the University Medical Centre in Utrecht
  2. 2. Should colposcopy be a core skill for all gynaecologists? The European training curriculum in Obstetrics and Gynaecology Dr. Angelique J. Goverde Chair EBCOG standing committee Training and Assessment 5th Satellite meeting European Federation for Colposcopy Brussels, December 2017
  3. 3. Disclosures University Medical Centre Utrecht, the Netherlands • Senior consultant Reproductive Medicine and Paediatric and Adolescent Gynaecology • Programme co-director of postgraduate training AJ Goverde: Colposcopy in European training curriculum of Obstetrics and Gynaecology
  4. 4. Disclosures University Medical Centre Utrecht, the Netherlands • Senior consultant Reproductive Medicine and Paediatric and Adolescent Gynaecology • Programme co-director of postgraduate training EBCOG / UEMS • Chair standing committee on Training and Assessment EBCOG • Chair Project Board EBCOG Project on Achieving Consensus in Training • Member European Training Requirements review committee UEMS No financial conflict of interest AJ Goverde: Colposcopy in European training curriculum of Obstetrics and Gynaecology
  5. 5. Should colposcopy be a core skill for all gynaecologists? The European training curriculum in Obstetrics and Gynaecology Dr. Angelique J. Goverde Chair EBCOG standing committee Training and Assessment 5th Satellite meeting European Federation for Colposcopy Brussels, December 2017
  6. 6. Should colposcopy be a core skill for all gynaecologists? YES according to the European training curriculum in Obstetrics and Gynaecology it should Dr. Angelique J. Goverde Chair EBCOG standing committee Training and Assessment 5th Satellite meeting European Federation for Colposcopy Brussels, December 2017
  7. 7. Background: European legislation and regulations • Mutual Recognition Directive in 1975 EC Treaty • European Directive 2005/36/EC, amended by Directive 2013/55/EC • European Working time Directive Certification and training • UEMS Charter on Training of Medical Specialists in Europe • EBCOG Recommendations of Training AJ Goverde: Colposcopy in European training curriculum of Obstetrics and Gynaecology
  8. 8. Background: European legislation and regulations • Mutual Recognition Directive in 1975 EC Treaty • European Directive 2005/36/EC, amended by Directive 2013/55/EC Certification and training • UEMS Charter on Training of Medical Specialists in Europe • EBCOG Recommendations of Training AJ Goverde: Colposcopy in European training curriculum of Obstetrics and Gynaecology
  9. 9. Background: European legislation and regulations • Mutual Recognition Directive in 1975 EC Treaty • European Directive 2005/36/EC, amended by Directive 2013/55/EC Certification and training • UEMS Charter on Training of Medical Specialists in Europe • EBCOG Recommendations of Training AJ Goverde: Colposcopy in European training curriculum of Obstetrics and Gynaecology
  10. 10. Background: Structure and role of EBCOG AJ Goverde: Colposcopy in European training curriculum of Obstetrics and Gynaecology European Board and College of Obstetrics and Gynaecology • Umbrella organisation of all national societies O&G in EU + associated countries • 37 countries • Junior organisation European Network of Trainees in Obstetrics and Gynaecology
  11. 11. Background: Structure and role of EBCOG AJ Goverde: Colposcopy in European training curriculum of Obstetrics and Gynaecology
  12. 12. Background: Structure and role of EBCOG EFC EURAPAG ESC ESGE ISPOG ENTOG subspecialty societies AJ Goverde: Colposcopy in European training curriculum of Obstetrics and Gynaecology standing committee training recognition standing committee training and assessment
  13. 13. Background: Structure and role of EBCOG Aims and goals …. to improve the health of women and their babies in Europe by promoting the highest possible standards of care in all European countries…. Hence, a focus on standards of education and training AJ Goverde: Colposcopy in European training curriculum of Obstetrics and Gynaecology
  14. 14. 1998 2005 Training recommendations additions to Logbook training recommendations 15AJ Goverde: Colposcopy in European training curriculum of Obstetrics and Gynaecology Developing a European curriculum
  15. 15. 1998 2005 Training recommendations additions to Logbook training recommendations trainee is able to carry out without supervision: colposcopy + biopsy conisation of cervix or similar treatment 16AJ Goverde: Colposcopy in European training curriculum of Obstetrics and Gynaecology Developing a European curriculum
  16. 16. 1998 Training recommendations additions to Logbook training recommendations 1999 hospital / training recognition 2009 TtT 2016 exam “Train the trainers” 17AJ Goverde: Colposcopy in European training curriculum of Obstetrics and Gynaecology Developing a European curriculum
  17. 17. Analysis: training disparities in Europe AJ Goverde: Colposcopy in European curriculum in Obstetrics and Gynaecology ENTOG survey 2009, 2011 Disparities in training in Europe, 2011 methods of assessment number of trainees per country, per unit, per specialist AJ Goverde: Colposcopy in European training curriculum of Obstetrics and Gynaecology
  18. 18. Societal changes: perspective on doctors’ roles and training • standardised theoretical training – foundation • skills training using simulation • shared decision making • team training (collaborative practice) • development of professionalism • promotion of reflective practice AJ Goverde: Colposcopy in European training curriculum in Obstetrics and Gynaecology
  19. 19. 1998 2005 2015 2018 Training recommendations additions to EBCOG-PACT Logbook training recommendations 1999 hospital / training recognition 2009 TtT 2016 exam “Train the trainers” 20AJ Goverde: Colposcopy in European training curriculum of Obstetrics and Gynaecology Developing a European curriculum
  20. 20. Developing a European curriculum AJ Goverde: Colposcopy in European training curriculum of Obstetrics and Gynaecology
  21. 21. Developing a European curriculum Principle 1: minimum set of skills to work as a qualified gynaecologist/obstetrician wherever in Europe Principle 2: competency based training Principle 3: continuous formative assessment and feedback AJ Goverde: Colposcopy in European training curriculum of Obstetrics and Gynaecology
  22. 22. Developing a European curriculum: medical content Core set of skills and subjects for every gynaecologist in Europe Electives specific subjects more in depth knowledge based on national or personal needs AJ Goverde: Colposcopy in European training curriculum of Obstetrics and Gynaecology
  23. 23. Developing a European curriculum: medical content Outcomes of training defined by - Delphi procedure; consensus European gynaecologists & trainees, EBCOG council expertise - Bar set at 70% AJ Goverde: Colposcopy in European training curriculum of Obstetrics and Gynaecology
  24. 24. Developing a European curriculum EBCOG-PACT current status: Training in OBGYN: at least 5 years, 3-4 years core + 1-2 years elective core + at least 1 elective simulation training general competencies May 2017 EBCOG Council approval on medical curriculum (knowledge and skills) content November 2017 EBCOG Council approval on skills development AJ Goverde: Colposcopy in European curriculum of Obstetrics and Gynaecology
  25. 25. Developing a European curriculum Postgraduate training consists of core + ≥ 1 elective Duration of training min. 5 years 3-4 year core curriculum training (max. 4 years) 1-2 years electives training Simulation is part of skills training AJ Goverde: Colposcopy in European training curriculum of Obstetrics and Gynaecology
  26. 26. Learning curve training continued practice proficient expert After Dreyfus & Dreyfus, 1986 competent advanced beginner
  27. 27. Developing a European curriculum Delphi first round: colposcopy and loop excision part of core training Delphi third round: conisation part of elective module Concerns regarding quality: new training models and simulation AJ Goverde: Colposcopy in European training curriculum of Obstetrics and Gynaecology
  28. 28. Developing a European curriculum: Perspective: working towards an integrated view on training Curriculum Implementation & Faculty quality assessment development AJ Goverde: Colposcopy in European training curriculum of Obstetrics and Gynaecology
  29. 29. Should colposcopy be a core skill for all gynaecologists? YES according to the European training curriculum in Obstetrics and Gynaecology it should! ebcogpact@gmail.com
  30. 30. Developing a European curriculum in Obstetrics and Gynaecology ebcogpact@gmail.com AJ Goverde: Developing a European curriculum in Obstetris and Gynaecology
  31. 31. Analysis: training disparities in Europe AJ Goverde: Developing a European curriculum in Obstetrics and Gynaecology Average working time ENTOG survey 2011 One on one supervision
  32. 32. Developing a European curriculum AJ Goverde: Developing a European curriculum in Obstetrics and Gynaecology
  33. 33. Developing a European curriculum: medical content subspecialty elective core AJ Goverde: Developing a European curriculum in Obstetrics and Gynaecology increasingknowledgeandskills
  34. 34. Developing a European curriculum: generic competencies Generic competencies: collaboration (team work) communication (shared decision making) leadership management of work etc.. • input from societal stakeholders: nurses, midwives, patients, hospital board members AJ Goverde: Developing a European curriculum in Obstetrics and Gynaecology

×