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1 CoBaTrICE CoBaForum: October 09, 2013, 09:45-12:00

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© ESICM 2013 – Document Confidentiel 1

CoBaTrICE CoBaForum: October 09, 2013, 09:45-12:00

Meeting Wednesday October 09, 2013, 09:45-12:00

Agenda

Welcome HU. Rothen

Minutes of CoBaForum, Oct. 17, 2012 HU. Rothen

CoBaTrICE: Actual state HU. Rothen

Latest development at the European level F. Rubulotta

What does my NTO / Nat. Soc. expect? All

Updating CoBaTRICE competencies HU. Rothen

Any other business All

Next meetings: Oct. 01, 2014, 09:45-12:00, Barcelona

Concluding remarks M. Maggiorini

CoBaForum (The CoBaTrICE network)

Meeting Wednesday October 09, 2013, 09:45-12:00

Agenda

Welcome HU. Rothen

Minutes of CoBaForum, Oct. 17, 2012 HU. Rothen

CoBaTrICE: Actual state HU. Rothen

Latest development at the European level F. Rubulotta

What does my NTO / Nat. Soc. expect? All

Updating CoBaTRICE competencies HU. Rothen

Any other business All

Next meetings: Oct. 01, 2014, 09:45-12:00, Barcelona

Concluding remarks M. Maggiorini

CoBaForum (The CoBaTrICE network)

CoBaFaculty (CoBaTrICE steering committee)

CoBaTrICE: who is who

CoBaForum (The CoBaTrICE network)

CoBaTrICE: who is who

Purpose

• To advance the Society’s relations and shared objectives with other

National Training Organizations (NTO) and with other stakeholders

related to education and training in Intensive Care Medicine

Duties

• To be responsible for mutual contacts between the Society and the NTOs,

in order to improve the relations between both parts

• To promote training and education based on the concepts of CoBaTrICE

in the respective Country

• To develop and maintain the partnerships between ESICM and each NTO

• To present proposals to CoBaFaculty

• The CoBaTrICE National Coordinators should seek to maintain existing

and to develop improved, novel approaches in order to strengthen the

collaboration between ESICM, NTOs, National Societies, and further

stakeholders in the field of education and training in ICM.

CoBaForum: Purpose, Composition & Duties

Composition

• One representative (CoBaTrICE National Coordinator, NC) of each NTO

that has an agreement with ESICM. More than one representative from a

given country may exist when there exists in that country more than one

NTO.

• Observers, approved by the Executive Committee, or ESICM Officers.

They may include: Trainees in Intensive Care Medicine, Delegates from

other societies related to education and training in Intensive Care

Medicine.

• Tenure for each elected member: three years, renewable once.

CoBaForum: Purpose, Composition & Duties

Meeting Wednesday October 09, 2013, 09:45-12:00

Agenda

Welcome HU. Rothen

Minutes of CoBaForum, Oct. 17, 2012 HU. Rothen

CoBaTrICE: Actual state HU. Rothen

Latest development at the European level F. Rubulotta

What does my NTO / Nat. Soc. expect? All

Updating CoBaTRICE competencies HU. Rothen

Any other business All

Next meetings: Oct. 01, 2014, 09:45-12:00, Barcelona

Concluding remarks M. Maggiorini

CoBaForum (The CoBaTrICE network)

Meeting Wednesday October 09, 2013, 09:45-12:00

Agenda

Welcome HU. Rothen

Minutes of CoBaForum, Oct. 17, 2012 HU. Rothen

CoBaTrICE: Actual state HU. Rothen

Latest development at the European level F. Rubulotta

What does my NTO / Nat. Soc. expect? All

Updating CoBaTRICE competencies HU. Rothen

Any other business All

Next meetings: Oct. 01, 2014, 09:45-12:00, Barcelona

Concluding remarks M. Maggiorini

CoBaForum (The CoBaTrICE network)

• Improve the quality of care of acutely, critically ill and

injured patients and their families through high quality

education & training

• As research is necessary for the creation of new

knowledge, effective education is essential to generate

new doctors

– Accountability of doctors

– Postgraduate training adopted to meet the population needs

– Take into account advances in education

– Free movement of professionals across Europe

• Improve the quality of care of acutely, critically ill and

injured patients and their families through high quality

education & training

• CoBaTrICE concept

– Is a set of standards

– Defines the „Intensivist“

• Knowledge, skills & competencies

– Defines how to get there

• Standards for PG training courses

• Workplace based assessment

• Logbook / Portfolio

• Improve the quality of care of acutely, critically ill and

injured patients and their families through high quality

education & training

• Set standards for postgraduate training

and training programmes in ICM

– Syllabus: Knowledge, skills and competencies

– Workplace based assessment and logbook / portfolio

– European Diploma in Intensive Care Medicine

• Harmonize training in ICM without interfering with national

specific regulations

– To allow for free movement of professionals across Europe

Training •Formal

• Lectures / Seminars

• Practical

•Informal

• Clinical practice

• Reading

• Discussing

Examination •Oral

• Case discussion

• Simulation

• …

•Written

• MC

• Essay

Lectures, seminars and courses • ACLS, ATLS, PALS, …

• Basic assessment & support in intensive care (BASIC)

• Fundamental critical care support course (fccs-course)

• Clinical training courses (CTC)

• Advanced trainings courses in intensive care (ATCIC)

• Postgraduate courses

• MSc courses

IM Specialist

Assessment •Workplace based (WBA)

• DOPS

• miniCEX

• Multi-source feedback (MSF)

• etc.

•Formative – summative

Robust measure of

competent professional

Certificate • EDIC

• National diploma

Educational material • Syllabus (list of competencie)

• PACT (e-learning)

• Other

Examination •Oral

• Case discussion

• Simulation

• …

•Written

• MC

• Essay

IM Specialist

Certificate • EDIC

• National diploma

Training •Formal

• Lectures / Seminars

• Practical

•Informal

• Clinical practice

• Reading

• Discussing

Assessment •Workplace based (WBA)

• DOPS

• miniCEX

• Multi-source feedback (MSF)

• etc.

•Formative – summative

Lectures, seminars and courses • ACLS, ATLS, PALS, …

• Basic assessment & support in intensive care (BASIC)

• Fundamental critical care support course (fccs-course)

• Clinical training courses (CTC)

• Advanced trainings courses in intensive care (ATCIC)

• Postgraduate courses

• MSc courses

Educational material • Syllabus (list of competencie)

• PACT (e-learning)

• Other

•Learned Society (College, Academy, Medical Board)

•University (e.g. Master)

•(Accredited) Professional or Scientific Society

•Government (e.g. Ministry of Health)

Training •Formal

• Lectures / Seminars

• Practical

•Informal

• Clinical practice

• Reading

• Discussing

Examination •Oral

• Case discussion

• Simulation

• …

•Written

• MC

• Essay

Lectures, seminars and courses • ACLS, ATLS, PALS, …

• Basic assessment & support in intensive care (BASIC)

• Fundamental critical care support course (fccs-course)

• Clinical training courses (CTC)

• Advanced trainings courses in intensive care (ATCIC)

• Postgraduate courses

• MSc courses

IM Specialist

Assessment •Workplace based (WBA)

• DOPS

• miniCEX

• Multi-source feedback (MSF)

• etc.

•Formative – summative Certificate • EDIC

• National diploma

Educational material • Syllabus (list of competencie)

• PACT (e-learning)

• Other

CTC

EDIC

PACT

Training •Formal

• Lectures / Seminars

• Practical

•Informal

• Clinical practice

• Reading

• Standards for training programmes

Examination •Oral

• Case discussion

• Simulation

• …

•Written

• MC

• Essay

Lectures, seminars and courses • ACLS, ATLS, PALS, …

• Basic assessment & support in intensive care (BASIC)

• Fundamental critical care support course (fccs-course)

• Clinical training courses (CTC)

• Advanced trainings courses in intensive care (ATCIC)

• Postgraduate courses

• MSc courses

IM Specialist

Assessment •Workplace based (WBA)

• DOPS

• miniCEX

• Multi-source feedback (MSF)

• etc.

•Formative – summative Certificate • EDIC

• National diploma

Educational material • Syllabus (list of competencie)

• PACT (e-learning)

• Other

CoBaFolio (logbook e-portfolio)

CTC

PACT

EDIC

knowledge

skills

attitudes

«The Intensivist»

ICM: particular qualification (Art. 49 of EC proposal)

Base disciplines (Anaesthesiology, Internal Med., Cardiology, Pneumology,

General, Cardiac, Neuro-Surg., Paediatrics) or primary speciality, depending on nat. regulations

Workplace-

based

assessment (WBA)

Mini-CEX

DOPS

Multi-source feedback

etc.

Documenting

progress

Logbook

Portfolio

Paper- or ICT-based

Postgraduate

training

programmes

Standards for:

Training centres

Training programmes

Selection of trainees

Trainers’ profiles

Competencies Common training framwork

Syllabus: Standards for knowledge, skills and attitudes of 102 competencies

PG Training in ICM The General Concept

NORTH SEA

ATLANTIC OCEAN

MEDTERRANEAN SEA

Denmark

Finnland

Poland

France

Germany

Spain

Portugal

Greece

Italy Turkey

Switzer-land

Austria

Czech Republic

Estonia

Latvia

Lithuania

Belarus

Ukraine

Romania Hungary

Slovakia Moldova

Bulgaria

Russia

Ireland

Great Britain

Monte- negro

Serbia

Slovenia

Croatia Bosnia/ Herze- govina

Mace- donia

Albania

Norway

Nether-

lands

Belgium

Luxembourg

Malta

PG Training in ICM Programmes based on CoBaTrICE

Sweden

Cyprus Israel

Formally adopted (15 of 32) 2009: 9 of 28

Planned or considered (12 of 32)

Survey March-May 2013

Georgia

PG Training in ICM List of Competencies and Syllabus

PG Training in ICM List of Competencies and Syllabus

www.cobatrice.org

Linking CoBaTrICE to

PACT, training courses, and EDIC

www.cobatrice.org

Updated CoBaTrICE website

www.cobatrice.org

Updated CoBaTrICE website

www.cobatrice.org

Updated CoBaTrICE website

Number of Countries adopting the concept of

competency-based training increases

Translated version of CoBaTrICE syllabus

– Croatian, Czech, Dutch, Flemish (Belgium), French, (Italian),

Spanish

– Work ongoing: Georgian, Polish, Portuguese, Turkish

Website: Update ongoing – Language Versions of Syllabus

– Links (as simple table):

Competencies – PACT – Courses (BASIC, fccs, ACTIC) – EDIC

CoBaTrICE: Where are we 2013?

Competencies / Syllabus

Needs to be updated (e.g. Ultrasound, Echocardiography)

Standards for PG training programmes

Proposed, but implementation unclear

Workplace based assessment

– Status of implementation unknown

Logbook or Portfolio

– CoBaFolio still as prototype

– National solutions (UK, Netherlands, Switzerland, … )

Effect on the process of patient care??

CoBaTrICE: Where are we 2013?

Meeting Wednesday October 09, 2013, 09:45-12:00

Agenda

Welcome HU. Rothen

Minutes of CoBaForum, Oct. 17, 2012 HU. Rothen

CoBaTrICE: Actual state HU. Rothen

Latest development at the European level F. Rubulotta

What does my NTO / Nat. Soc. expect? All

Updating CoBaTRICE competencies HU. Rothen

Any other business All

Next meetings: Oct. 01, 2014, 09:45-12:00, Barcelona

Concluding remarks M. Maggiorini

CoBaForum (The CoBaTrICE network)

Meeting Wednesday October 09, 2013, 09:45-12:00

Agenda

Welcome HU. Rothen

Minutes of CoBaForum, Oct. 17, 2012 HU. Rothen

CoBaTrICE: Actual state HU. Rothen

Latest development at the European level F. Rubulotta

What does my NTO / Nat. Soc. expect? All

Updating CoBaTRICE competencies HU. Rothen

Any other business All

Next meetings: Oct. 01, 2014, 09:45-12:00, Barcelona

Concluding remarks M. Maggiorini

CoBaForum (The CoBaTrICE network)

Implementation at the national level

Re-engage nat. soc. <-> nat. training organizations (NTO)

Know the needs (Nat. Soc., NTO, other stakeholders)

Workplace based assessment

• Support implementation (courses, symposia)

Logbook or Portfolio

• Evaluate a common solution (basic e-logbook/e-portfolio)

Standards for PG training programmes

• Hospital visiting programme (audit) ?

ICM recognized as “particular qualification”

Competencies / Syllabus

ESICM‘s other educational activities mapped to competencies

Competencies updated (with NC and NTO involved)

Assess the effect on the process of patient care

CoBaTrICE: Where should we be 2016?

Meeting Wednesday October 09, 2013, 09:45-12:00

Agenda

Welcome HU. Rothen

Minutes of CoBaForum, Oct. 17, 2012 HU. Rothen

CoBaTrICE: Actual state HU. Rothen

Latest development at the European level F. Rubulotta

What does my NTO / Nat. Soc. expect? All

Updating CoBaTRICE competencies HU. Rothen

Any other business All

Next meetings: Oct. 01, 2014, 09:45-12:00, Barcelona

Concluding remarks M. Maggiorini

CoBaForum (The CoBaTrICE network)

Suggestions and Input

Experts (DPD)

Authors of PACT

Authors of training courses (CTC)

EDIC

NTO (NC and NC deputy)

Trainees (NEXT)

Other stakeholders

Integrating all suggestions and any other input

Collecting information (standardised form)

Consensus (workshop?)

Publishing new version of CoBaTrICE competencies

Updating

CoBaTrICE competencies & syllabus

Meeting Wednesday October 09, 2013, 09:45-12:00

Agenda

Welcome HU. Rothen

Minutes of CoBaForum, Oct. 17, 2012 HU. Rothen

CoBaTrICE: Actual state HU. Rothen

Latest development at the European level F. Rubulotta

What does my NTO / Nat. Soc. expect? All

Updating CoBaTRICE competencies HU. Rothen

Any other business All

Next meetings: Oct. 01, 2014, 09:45-12:00, Barcelona

Concluding remarks M. Maggiorini

CoBaForum (The CoBaTrICE network)

Meeting Wednesday October 09, 2013, 09:45-12:00

Agenda

Welcome HU. Rothen

Minutes of CoBaForum, Oct. 17, 2012 HU. Rothen

CoBaTrICE: Actual state HU. Rothen

Latest development at the European level F. Rubulotta

What does my NTO / Nat. Soc. expect? All

Updating CoBaTRICE competencies HU. Rothen

Any other business All

Next meetings: Oct. 01, 2014, 09:45-12:00, Barcelona

Concluding remarks M. Maggiorini

CoBaForum (The CoBaTrICE network)

An International Quality Improvement ‘Social Movement’