report of euract council meeting prague, 23-25 …...report of euract council meeting - prague,...

Report of EURACT Council Meeting - Prague, 23-25 April 2015 1

Network organisation within WONCA Region Europe – ESGP/FM

Report of EURACT Council Meeting Prague, 23-25 April 2015

President: Prof Janko Kersnik, Koroska 13, SI-4280 Kranjska Gora, Slovenia, e-mail: [email protected] Honorary Secretary: Dr. Mario R Sammut, Mtarfa Primary Health Clinic, Town Centre, Triq ir-Regimenti Maltin, Mtarfa

MTF 1540, Malta. Phone +356-21464271, e-mail: [email protected] Honorary Treasurer: Prof. Esra Saatci, Cukurova University, Department of Family Medicine, Adana, Turkey, Phone:

903 365 483 904, Fax: 903 223 386 572, e-mail: [email protected] Admin. Secretary: Barbara Toplek, Institute for development of Family Medicine, Poljanski nasip 58, SI-1000 Ljubljana,

Slovenia. Phone +386 1 43 86 913, fax + 386 1 43 86 910, e-mail: [email protected]

mailto:[email protected]





Dedication: Prof. Janko Kersnik, President of EURACT 2010-2015 This report compiled by Dr Mario R Sammut, Hon. Secretary of EURACT, was finalised on the 17th May 2015. It is dedicated to the memory of Prof. Janko Kersnik, President of EURACT 2010-2015, who sadly passed away on the 16th May 2015, just 3 weeks following the conclusion of this meeting – RIP.

Contents Dedication: Prof. Janko Kersnik, President of EURACT 2010-2015 ........................................................... 2 Contents ............................................................................................................................................................ 2 List of participants ........................................................................................................................................... 3

Not present: .................................................................................................................................................... 3 Report of the Meeting ...................................................................................................................................... 4

Pre-Council Executive Board Meeting ........................................................................................................... 4 Pre-Council Journal Club ............................................................................................................................... 4 Session 1: Welcome, approval of meeting agenda ....................................................................................... 5 Session 2a: Updates on committees’ and task groups’ work ........................................................................ 5 Session 2b: Committees’ work – part 1 ......................................................................................................... 5 Session 3: Committees’ work (continued) and reports .................................................................................. 5 Session 4a: Task groups session .................................................................................................................. 6 Session 5a: Business meeting – part 1 .......................................................................................................... 6 Session 6: EURACT educational conference Dublin 2016 ............................................................................ 8 Session 7: 1 slide 5 minutes presentations.................................................................................................... 9 Session 4b: Task groups session – cont. ...................................................................................................... 9 Session 8: Educational research / Future of EURACT (Presentations by 3 Council members to Czech trainers in concurrent session) ....................................................................................................................... 9 Session 9: Joint Meeting with Czech EURACT members ........................................................................... 10 Session 5b: Business meeting – cont. ......................................................................................................... 11 Session 10: Review of meeting. ................................................................................................................... 11 Post-Council Executive Board Meeting. ....................................................................................................... 11

Appendix 1: Updates on committees’ work since last meeting ............................................................... 13 Basic Medical Education (BME) ................................................................................................................... 13 Specialist Training (ST) ................................................................................................................................ 13 CME/CPD ..................................................................................................................................................... 14 Member services (MS) ................................................................................................................................. 16

Appendix 2: Updates on task groups’ work since last meeting ............................................................... 17 Website task group ...................................................................................................................................... 17 Educational Research task group ................................................................................................................ 17 Appraisal of GP Teachers task group .......................................................................................................... 18

Appendix 3: Reports from committees ....................................................................................................... 19 Basic Medical Education (BME) ................................................................................................................... 19 Specialist Training (ST) ................................................................................................................................ 19 CME/CPD ..................................................................................................................................................... 20 Member services (MS) ................................................................................................................................. 21

Appendix 4: President’s Report ................................................................................................................... 24 Appendix 5: New EURACT members ........................................................................................................... 25 Appendix 6: Financial report ........................................................................................................................ 28 Appendix 7: EURACT educational conference, Dublin, Ireland, 9-10 September 2016 ......................... 32 Appendix 8: Reports from task groups ....................................................................................................... 35

Website task group ...................................................................................................................................... 35 Educational Research task group ................................................................................................................ 35 Appraisal of GP Teachers task group .......................................................................................................... 36

Appendix 9: The future of EURACT as an organisation – time for a change? ........................................ 38


List of participants

1. Prof. Janko Kersnik, Slovenia, President 2. Dr. Mario R. Sammut, Malta, Honorary Secretary 3. Prof. Esra Saatci, Turkey, Honorary Treasurer 4. Prof. Francesco Carelli, Italy, EB member 5. Prof. Ruth Kalda, Estonia, EB member 6. Prof. Adam Windak, Poland, EB member 7. Dr. Jachym Bednar, Czech Republic 8. Dr. Jana Bendova, Slovakia 9. Dr. Bruce Brinkley, Switzerland 10. Dr. Jo Buchanan, UK 11. Prof. Jan Degryse, Belgium 12. Dr. Eva de Fine Licht, Sweden 13. Dr. Dolores Forés, Spain 14. Prof. Elena Frolova, Russia 15. Dr Martine Granek-Katarivas, Israel 16. Dr. Ilse Hellemann, Austria 17. Dr. Zaim Jatic, Bosnia & Herzegovina 18. Dr. Dimitrios Karnasios, Greece 19. Dr. Durdica Lazic, Croatia 20. Dr. Inguna Locmele, Latvia 21. Assoc. Prof. Roar Maagaard, Denmark (for Saturday sessions only) 22. Assoc. Prof. Valentina Madjova, Bulgaria 23. Dr. Razvan Miftode Florentin, Romania 24. Dr. Peter Prydz, Norway 25. Assoc. Prof. Llukan Rrumbullaku, Albania 26. Dr. Nynke Sherpbier de Hann, The Netherlands 27. Prof. Katarina Stavric, FYR Macedonia 28. Prof. Markku Timonen, Finland 29. Dr. Peter Vajer, Hungary 30. Dr. Sonata Varvuolyte, Lithuania 31. Dr. Mira Kiš Veljković, Serbia 32. Prof. Stefan Wilm, Germany (for Saturday sessions only) 33. Dr. Natalia Zarbailov, Moldova Ms Barbara Toplek, Administrative Secretary, Slovenia

Not present:

1. Dr. Denise Alexandra Cunha Velho, Portugal 2. Dr. Ljudmila Bohush, Belarus 3. Prof. Ljiljana Cvejanov Kezunovic, Montenegro 4. Dr. Givi Javashvili, Georgia 5. Dr. Darach Ó Ciardha, Ireland


Report of the Meeting

Thursday 23rd April 2015

Pre-Council Executive Board Meeting

Present – Janko, Mario, Esra, Adam, Francesco, Ruth, Barbara Items discussed: 1. Planning of Council Meeting

Timetable of council meeting: agreed.

Timetable of business meeting: agreed.

Tbilisi Level 1 course: Esra, Ruth, Mario & Francesco to decide on sponsored participants according to the agreed criteria.

Conference task group: to split into groups (managerial, etc.)

Criteria for OiC: MSC to finalise for approval by Council.

Other items:

Belarus Council Member has not attended despite warning: to be dismissed as Council member.

No members from Belarus paid for 2014: to send reminder before official dismissal. 2. EB joined by Katarina. ST Committee Katarina reported on the activities carried out and planned by the committee for this meeting. CME Committee Ruth (o.b.o. Jachym) reported on the activities carried out and planned by the committee for this meeting. BME Committee Francesco reported on the activities carried out and planned by the committee for this meeting. Membership services Committee In absence of Denise, Janko reported on the activities planned by the committee for this meeting.

Pre-Council Journal Club

Facilitated by Jan Degryse The presentation given may be viewed on: http://euract.eu/resources/educational-research-presentations

http://euract.eu/resources/educational-research-presentations

http://euract.eu/resources/educational-research-presentations


Session 1: Welcome, approval of meeting agenda

President Janko Kersnik welcomed all. New member Martine Granek-Katarivas, Israel was introduced. The Meeting Agenda was approved. Jachym Bednar, as host, gave some organisational announcements. The members then split into 3 small groups as directed by Janko in a brain-storming exercise related to the 2016 EURACT Medical Education Conference.

Session 2a: Updates on committees’ and task groups’ work

The chairpersons of the committees and task groups each gave presentations as follows: Committees:

Basic Medical Education (BME) – Francesco, chair: see Appendix 1

Specialist Training (ST) – Katarina, chair: see Appendix 1

CME/CPD – Jachym, chair: see Appendix 1

Member services (MS) – Janko, for chair (no presentation as chair absent) - Problem of membership and payment of fees, task of implementing Organisations

in Collaboration Task groups:

Appraisal of GP Teachers – Jo, chair: see Appendix 2

Educational Research task group – Jan, chair: see Appendix 2

Website task group – Mario, for chair (no presentation as chair absent) - The main topic should be the rebuilding/transfer of the website.

Session 2b: Committees’ work – part 1

All members then split up to work in the 4 committees:

Basic Medical Education (BME)

Specialist Training (ST)

CME/CPD

Member services (MS)

Friday 24th April 2015

Session 3: Committees’ work (continued) and reports

All members continued to work in the 4 committees. Short reports were then presented on the work done:


CME/CPD: Jachym: Discussed organising workshops in Istanbul, ePortfolios for teachers, proposing workshops for Copenhagen

BME: Natalia: Developing and finalising current research projects; Francesco: involvement in Dublin conference (through topics of mapping and core curriculum)

ST: Katarina: Worked on document being prepared on importance of research training during ST programmes (why, how, what)

MS: Bruce: Worked on the organisations in collaboration (eligibility, advantages) The full reports of the committees may be seen in Appendix 3.

Session 4a: Task groups session

The task groups met as follows:

Website task group

Educational Research task group

Appraisal of GP Teachers

Session 5a: Business meeting – part 1

1. Janko welcomed Council members and presented the Agenda

2. The report of the October 2014 EURACT Council Meeting in Porto prepared by the

Honorary Secretary Mario R Sammut (available on the EURACT website) was

taken as read and, with no feedback forthcoming from the council members

present, was approved.

3. The President’s Report (Appendix 4) was taken as read. The report was approved.

4. Approval of new members: 67 applicants, all endorsed by their respective country

representatives, were unanimously approved. The full list may be seen in Appendix

5.

5. General meeting

a. The 1st General Meeting for 2015 was opened by President Janko Kersnik,

and the set agenda was approved by the Council.

b. As 31 out of 38 Council Members were present (as confirmed by Hon.

Secretary Mario Sammut), the required quorum was reached.

c. Financial report 2014 (Appendix 6) was presented by Esra:

- New membership fees for 2015

- Income for 2014

- Details of membership fees paid in 2014

- Expenditure

Following a query by Dimitrios, Mario clarified that, according to the Articles of

Association No. 7.4, if a member does not pay his/her membership fee by the 1st

December despite repeated reminders, s/he should be issued with a notice of

termination of membership with 4 weeks’ notice.

The report was approved unanimously.


d. Audit report for 2014 (Appendix 6) was presented by Esra: only one report

from Filipe Gomes was received with a query which was clarified by the

secretariat. The other auditor did not submit a report. After a call for

volunteers, Razvan accepted to be the second auditor. The 2014 audit report

therefore will be presented for approval in the Sarajevo Council Meeting next

October following receipt of Razvan’s report.

e. Membership fees: already discussed and approved under item (c).

f. Predicted budget for 2015 (Appendix 6): this was presented by Esra and

unanimously approved.

g. Election of Honorary Treasurer (Mario): one nomination from Esra was

received by the closing date of 1 month before the election (as per point I of

the EURACT guidelines approved in Prague in 2006). According to Article

15.3 of the Articles of Association, as none of the Council members desired a

poll, the President proposed that she be elected by acclamation and the

nomination was approved with a round of applause.

h. Other issues

- Belarus Council member Dr. Ljudmila Bohush has not attended this

meeting despite receiving a letter of warning sent to Council members

who have not attended for 2 or more meetings. As per Article 9.6 of

the EURACT Articles of Association, the Council regretfully dismissed

her as Council member.

- Council members Dr. Givi Javashvili, Georgia, and Prof. Ljiljana

Cvejanov Kezunovic, Montenegro have not attended a second

Council meeting in succession. As per Article 9.6 of the EURACT

Articles of Association, the Council decided to send them a notice of a

letter of warning.

6. Activities reports

a. Leonardo da Vinci project “Continuing educational development and

harmonisation of expert teachers in General Practice/Family Medicine in

Europe through a systematic process of quality improvement”. Adam

presented an update on the project, which is on time and as planned. The

ePortfolio is nearly ready for use, and the handbook is being considered. If

translations are required for countries, representatives will need to do this

themselves by writing to Jo Buchannan as chair of the GP Teacher Appraisal

Task Group. Two meetings of the project are left till November, and a

workshop will be presented in the next WONCA Europe conference.

b. EURACT website: to be reported in Session 4b.

7. Approval of the ‘EURACT Statement on Assessment in Specialty Training for

Family Medicine’ (Francesco): approved by EB in January 2015, and distributed

twice by Francesco since then. Only one suggestion was received by Stefan

regarding a reference to EUPA which has been implemented. The statement was

unanimously approved. The statement may be viewed on

http://www.euract.eu/publications/others.

8. Future EURACT courses

http://www.euract.eu/publications/others


a. Level 1 Course, Tbilisi, Georgia, 15-17 October 2015. Esra noted that

eighteen nominations for sponsored participation have been received. These

nominations will be vetted according to the approved criteria by a committee

appointed by the EB. Janko appealed to council members to publicise the

course for paying participants.

b. Level 2 Course, Tartu, Estonia, 6-8 October 2016. Ruth gave an update of

the plans.

c. EURACT educational conference, Dublin, Ireland, 9-10 September 2016. In

absence of Darach, Janko presented an overview of the current plans

(Appendix 7 - which he emphasised was a working document) to be

discussed in the next session.

9. Future Council Meetings

a. Autumn meeting 8-11 October 2015, Sarajevo, Bosnia and Herzegovina:

Zaim gave a presentation inviting participants to attend.

b. Spring meeting 7-9 April 2016, Adana, Turkey. Esra confimed the dates.

c. Autumn meeting 7-8 September 2016, Dublin, Ireland (see Session 6)

d. Spring meeting 2017: offer from Israel (Martine) accepted by Council.

10. WONCA Europe/World Conferences

a. WONCA Europe Istanbul Conference 21-25 October 2015: workshops,

information session, keynote, booth, etc. To be organised as usual: members

are invited to volunteer to be present at the stand.

b. WONCA Europe Copenhagen Conference June 15-18 2016: Janko invited

members to start thinking of workshops for this meeting

c. WONCA World Conference, Rio de Janeiro, Brasil, 2-6 November 2016: a

number of members are already interested in attending.

11. Action points not covered elsewhere: none.

12. Any other business

a. The website regarding next September’s Bled Course is to be updated soon

and members will be informed by Barbara when it is ready.

Session 6: EURACT educational conference Dublin 2016

The Council split into a number of groups and made proposals as follows:

Mario’s group: additions made to the plan prepared by Darach and added to by the EB in January

Jan’s group: proposed list of topics for keynotes and workshops

Ruth’s group: proposed list of topics for workshops. Abstracts are needed.

Janko’s group: some general proposals were made and questions were asked. Janko asked the moderators to send in their proposals and questions for incorporation into the plan.


Session 7: 1 slide 5 minutes presentations

The following presentations were made

A proposal and decision for LdV courses - Francesco Carelli (Italy)

5th European Conference on Interprofessional Practice & Education - Nynke Scherpbier-de Haan (Netherlands)

Public Health Focused Model Programme in Primary Care - Peter Vajer (Hungary)

Supply of doctors to a rural region - occupations of Tromsø medical graduates 1979–2012 - Peter Prydz (Norway)

Beyond Biochemistry 2.0 – time for a new version? – Bruce Brinkley (Switzerland)

CANMEDS 2015 – Jan Degryse (Belgium)

Comprehensive Geriatric Assessment: www.geristeps.org – Jan Degryse (Belgium) The presentations may be viewed on http://www.euract.eu/resources/one-slide-five-minute-presentations/.

Saturday 25th April 2015

Session 4b: Task groups session – cont.

The task groups submitted presentations of their work. The full reports of the Task Groups may be seen in Appendix 8. Educational Research task group: Nynke gave a verbal presentation. The Council Meeting unanimously agreed to the group’s request that a research questionnaire be sent to council members regarding selection of GP Trainees. GP Teacher Appraisal task group: Jo gave a slide presentation. Applications for translation should be submitted by October to Jo. Website task group: Mario gave a report using Word. The Council unanimously agreed with the group’s recommendation that the EURACT website be transferred to the WONCA Europe website.

Session 8: Educational research / Future of EURACT (Presentations by 3 Council members to Czech trainers in concurrent session)

The following presentations were given:

There was a goat: impressions of teaching and learning – Francesco Carelli (Italy)

The future of EURACT as an organisation – time for a change? – Jan Degryse (Belgium) – see Appendix 9.

http://www.geristeps.org/

http://www.euract.eu/resources/one-slide-five-minute-presentations/

http://www.euract.eu/resources/one-slide-five-minute-presentations/


A discussion followed Jan’s presentation, with the following being a summary of the suggestions and comments:

Jan’s proposals should be discussed during the next Council Meeting.

Agreement was expressed with a mission statement be drawn up for EURACT.

Young GP Teachers need a stage where they present their work.

Requests for funding could be made through EURACT, and that departments from different countries could collaborate together in projects.

Prospective representatives could be allowed to accompany outgoing representatives at Council meetings.

It was augured that young VdGM doctors from the host country will, as in the past, continue to participate in Council Meetings.

There should be regular turnover of country representatives, with new blood coming in.

A sub-group of EURACT be formed for young members, allowing them to meet in parallel to the Council meeting. Also special interest sub-groups could be formed.

The importance of taking the opportunity of Council meetings to organise visits to local GPs in their practices.

EURACT provides the opportunity for networking.

Council members must work in between meetings as well.

Council membership should be neither a lifetime mandate nor a short rotation.

We need to find a way to involve all national members, not just the young trainees.

Council Members should be able to present their works and their research: this is a vital point for involvement.

The national representative's role should involve less bureaucracy and more time to be a proactive pioneer

Mario stated that the EB will discuss and plan the best way to tackle Jan’s proposals and the suggestions made by members during the next Council meeting. (In a concurrent session, 3 Council members gave the following presentations to Czech trainers:

CME-CPD and re-certification of GPs in Europe - Ruth Kalda (Estonia)

Framework for continuing educational development of trainers in GP-FM in Europe - Adam Windak (Poland)

What FM teaching in BME can add to the students' knowledge, skills and attitudes - Janko Kersnik (Slovenia)

The above presentations may be downloaded from: http://www.euract.eu/resources/education-a-training-presentations)

Session 9: Joint Meeting with Czech EURACT members

EURACT Council member Dr Jachym Bednar gave a presentation entitled ‘Czech Republic – heart of Europe’, after which Dr Josef Stolfa, leader of Czech ST trainers, talked about Specialist Training in the Czech Republic.

http://www.euract.eu/resources/education-a-training-presentations


Dr Bednar’s presentation may be downloaded from: http://www.euract.eu/resources/education-a-training-presentations

Session 5b: Business meeting – cont.

Report by Barbara Toplek

Farewell to Jana Bendova, interim election to be held in Slovakia

Roar Maagaard reported on development of “Recognition of Professional Qualifications in EU/Document on professional standards”. The Council supports Roar to continue with the process. A discussion for the next meeting, a topic for agenda.

Martine Granek invited the Council to the 1st International Congress on Controversies in Primary Care and Outpatient Care (COPOC) in Tel Aviv, May 20 - 22.

Session 10: Review of meeting.


Group work in trios, discussing future topics and giving comments on the Prague meeting (journal club and appraisal work were great - more work, less business; excellent organization of the Prague meeting, excellent Jachym’s presentation – a proposal that every country prepare a PP presentation of a national GP history to be put on the website… We have to send the meeting topics and papers soon enough so the Council members can prepare).

At the end of the meeting, Janko thanked Jachym and the Czech College.

Post-Council Executive Board Meeting.


Tbilisi course: agreement to be signed, deadline for approved sponsorship, names to be known by May 5th

Elections in Belgium and Slovakia, letters to be sent out by May 10

Dublin conference: regular contacts to be established, skype meetings for important items, PCO is probably needed. Website with preliminary programme and key note speakers, fees is urgently needed. External visibility is needed, promotion materials for Istanbul (leaflet with keynotes and topics). Janko will write to Darach by May 5th to suggest a skype meeting (Darach, Janko and Mario). Proposals for keynotes: Mette Brekke, 1 Irish… 6 key notes is too much, 3 – 4 is enough. We go for up to 200 participants and intense promotion after this summer. We go for abstracts and posters. Should we invite other networks and WESIGs – How to teach special topics? Social programme to be organized to attract people. Perhaps an Irish style of the opening ceremony in the pub?

Journal club after Jan: how can we keep it? Nynke will probably take over but that will be decided next time. Perhaps we can include it in the programme of the Sarajevo meeting?

http://www.euract.eu/resources/education-a-training-presentations


Appraisal workshop in Sarajevo: we plan 1 hour and a half. Just for a demonstration? Task force members to be educated first?

Institutional membership: 4 members at least, application form to be modified with introduction text (Adam). We have to change the text on the website. Bruce and Dimitrios to be informed. A list of these organizations to be published on the website.

EUPA invoice to be paid


Appendix 1: Updates on committees’ work since last meeting


Francesco Carelli, Chair Here BME Committee !

• Since I am there: • ECE ( Early Clinical Exposure ) • EURACT Checklist for Attachment Program Organisers • European Minimal Core Curriculum in undergraduate • Mapping academic situation of undergraduate teaching for family medicine in

Europe Recently

• EURACT Statement on Undergraduate Teaching of Family Medicine in Europe • Published also on Eur.J.Gen.Pract. and on WONCA World News

Now:

Activities to enforce General Practice / Family Medicine around Europe with Delphi Method through discussions and questionnaire with EURACT Council Members

…but it seems to be sleeping since two seasons….

Committee, please…WAKE UP, we must be proud to finalise as the previous ones !!!


Katarina Stavric, Chair Porto 2014 – Prague 2015

• EURACT Statement on Assessment in Specialty Training for Family Medicine “Assessment for learning”

• Questioner on research in countries members of the EURACT (Romania, Hungary, Belgium, Bulgaria, Finland, Germany)

• Specialty Training for Family medicine database • Statement document “Research in GP/FM Specialty Training”

Spring Council meeting Prague 2015

• Specialty Training for Family medicine database finalise the data (Slovakia, Switzerland, Moldova, Montenegro, B&H, Spain, Albania, Poland, Romania, Lithuania, Hungary, Belgium, Bulgaria, Finland, Germany)

• Continue work on Statement document “Research in GP/FM Specialty Training” • Continue discussion on advanced diagnostic techniques /technology in the ST

curriculum.


CME/CPD

Jachym Bednar, Chair Progress since Porto meeting

Participants in Porto: Elena Frolova, Ruth Kalda , Jachym Bednar A:CPD/CME has submitted 2 abstracts for workshops for WONCA Istanbul 2015 - autumn 22-25, October : 1.„Multimorbidity in family practice – educational needs”. 2.Learning cultural competence in family medicine. Development of teaching curriculum in culturally responsive healthcare for medical education in Europe. B: Our future plan to work out module for the 1-day international course on MEMs Health Care Proposal of this module for a 2016 Bled course topic was postponed C:Re-certification of GPs ´ in Europe - further development of the topic - done by Ruth D:Participation at: Continuing Educational Development and Harmonisation of Expert Teachers in GP/FM in Europe through a systematic process of quality improvement Worshop (CEDinGPII Project) Project No. 2013-1-PL1-LEO05-37537 February 2015 Ruth, Jachym – experience with e-protfolio and submitting evidences that show level of competence

Objectives to be tackled

• To discuss WONCA Istanbul 2015 workshop topics • To discuss CEDinGPII Project • To discuss domains of teacher´s expertise • To discuss how to submitt evidence of teacher´s expertise to e-portfolio/ how to

promote it to colleagues at national level • ?

„Multimorbidity in family practice – educational needs”.

• „Multimorbidity in family practice – educational needs”. • R. Kalda, Tartu, Estonia, J. Bednář, Prague, Czech Republic, E. Frolova,St.

Peterburg, Russia, F. Carelli, Milano, Italy. • Background. A 2007 study from the UK showed that approximately 80% of patients

aged 50 years and older in the primary care setting have multiple health problems. Despite the increasing numbers of patients with multimorbidity, the delivery of care is usually built around one single disease. Guidelines are derived from studies that often exclude patients with multimorbidities. The studies highlight difficulties of managing multimorbidity in family practice. The amount of educational literature about patients with multimorbidities is very limited. However, findings indicate that recognition of the significance of multimorbidity in family practice is growing. Clinicians need a management approach that considers the challenges particular to each individual, including patient preferences, goals and prognosis.

• Aim of the workshop.


• Identifying the most challenging areas of clinical practice in the case of patients with multimorbidity.

• Methods of the workshop. The workshop will start with a small presentation about clarification of the terms and importance of multimorbidity in primary care setting. After this participants will be divided into small groups (5-6 people) to discuss on a case-vignette on a preestablished structured way. The groups are organised so that in each there are some younger and some more experienced FDs. These groups will be asked to identify the most problematic areas in working with patients with multiple diseases as well as components of good practice to overcome these problems.

• Results and Conclusion. At the end of the workshop the participants are more aware about the complexity of the multimorbidity and know more about their personal learning needs related to this challenging topic.

Learning needs for cultural competence in family medicine, so to develop a teaching curriculum in culturally responsive healthcare for medical education in Europe.

• Euract: J. Bednář, Prague, Czech Republic, R.Kalda, Tartu, Estonia, E. Frolova, St. Peterburg, Russia, F. Carelli, Milano, Italia, GPs and teachers

• Learning needs for cultural competence in family medicine, so to develop a teaching curriculum in culturally responsive healthcare for medical education in Europe.

• Background: • Cultural competence is a set of behaviors, attitudes, and policies that come together

in a system and among professionals that enables the system or the professionals to work effectively in cross–cultural situations. It is an important skill because it reduces disparities in health services and increases detection of culture-specific diseases. Adoption of cultural competent behaviour is a lifelong continual process starting from sensitivity and awareness leading to knowledge and skillful practice. The problem of racial and ethnic health disparities and specific barriers affecting the provision of this care are documented and well known. At the present time, in Europe, no universal professional training and curriculum in cultural competence exists. It is dealt differently and with significant differences across the European Union.

• Aim of the workshop: We let participants to be aware of what cultural competence is to think over and summarize in 1,5 hour workshop their learning needs in GP, so to work out a future model as teaching curriculum in culturally responsive healthcare .

• Methods of the workshop: Participants will be split into three groups and each group will be asked to make up learning needs for one of three target groups they choose (group at BME, ST, CPD/CME level) describing besides the learning objective of the WS (according to adoption of cultural competence in level of awareness knowledge or skill - they choose the level too: also methods, tools, used materials and resources,). The groups will present the results to the others.

• Results and conclusion: After the workshop participants are more aware of their learning needs and as well as colleagues´ ones and through learning cultural competence they are more interested to be involved also in teaching and developing of the model of culturally responsive healthcare in their countries. Together with WONCA SIG - Migrant Care EURACT group would like to develop teaching curriculum in culturally responsive healthcare for medical education in Europe.



Denise Alexandra, Chair Not available as chair absent


Appendix 2: Updates on task groups’ work since last meeting

Website task group

Darach O’ Ciardha, Chair Not available as chair absent


Jan Degryse, Chair

Two new binders:

• Qualitative research methods / how to assess the quality of qualitative research • Generalizability theory / How to analyse data from educational assessment

procedures.

• We tried to formulate a research question on the implantations of the EUPA document, but could not reach an agreement.

• Professionalism

– make inventory of what has been done, scepticism about this ambition - A multi-cent study: aggregated assessment, but what if no relevant assessment at all is implemented? Reflect on a roadmap to reach such system.

EUREKA!

• Admission and selection of GP trainees. • What is the validity of different proposed assessment procedures? • We will also try to make an inventory of the relationship number of

candidates/number of vacancies in all of the European countries. • Nynke will introduce the topic and present the “competency based selection

procedure” for Dutch trainees.


Appraisal of GP Teachers task group

Jo Buchanan, Chair Leonardo Project – Development of GP/FM teacher’s appraisal process Jan 2014-Dec 2015 • EU funded • EURACT working in partnership with GP organisations in Poland, Slovenia, Estonia,

Denmark and Austria and ZiZ. • Using the EURACT framework for the continuing educational development of trainers –

can be asessed as either competent or expert • Nearing completion – the e-portfolio is in place and has been tested by volunteers • Final stage is handover to EURACT for implementation – we need to decide how this

process should be managed.


Appendix 3: Reports from committees


Francesco Carelli, Chair Present. Natalia, Ivana, Ilse, Mira, Markku, Diurdica, Francesco Absent: Stefan, Givi On Thursday, Natalia presented the development in our long and really difficult research on "Activities to enforce General Practice / Family Medicine around Europe - a Delphi method". This took near all the first hour at disposal. The matter was going forward really well. Also, on Saturday, Natalia and Stefan (arrived on Friday evening) discussed on Saturday morning, the best methodology to interpret, analyze and congregate the collected data for a paper of research to be published as the Committee used to do. On Friday (half an hour at disposal) we agreed to present a WS at the EURACT Educational Conference in Dublin, September 2016. We decided to focus on our last publications: Core Curriculum and Mapping of Undergraduate in Europe, to be managed as a WS. Ilse will manage in large as timetable during the period going to September 2017 and as speakers duties and as abstract. Valentina and Francesco will develop the matter also as a questionnaire concerning the Mapping. Natalia, Ivana, Mira, Markku will develop the matter also a questionnaire for WS participants concerning Core Curriculum. Really concretely working committee in Prague. Francesco, BME Committee


Katarina Stavric, Chair Present: Katarina Stavric (Macedonia), Eva De Fine Licht (Sweden), Jan Degryse (Belgium), Dolores Fores Garcia (Spain), Mario R Sammut (Malta), Inguna Locmele (Latvia), Llukan Rrumbullaku (Albania), Peter Prydz (Norway). Jo Buchanan (UK), Nynke Scherpbier de Haan (Nederlands)

1. Specialty Training for Family medicine database - Final reminder of the countries to

send written report of family medicine specialisation in their country. Katarina will

collect and organize the document in the period between two meetings. The

document will be published on our web site.

2. The main task of the ST Committee was to continue work on the document about

Research in GP/FM Specialty Training. All members of the Committee agree that

research should be part of the specialization, and different experiences to be given


as an example in the document. The members continue to work on the second part

of the document on the implementation of research in ST. We agreed to work

further on the document between two meetings.

Katarina Stavric, chair

CME/CPD

Jachym Bednar, Chair Participants: Elena Frolova, Ruth Kalda ,Sonata Varvuolyte, Jachym Bednar, Razvan Miftode, Zaim Jatic, Peter Vajer 1.Welcome/Short Information about progress made since Porto meeting described in 5 minutes 2 slide presentation, sent to Honorary Secretary of Euract and CPD/CME members 2. We have submitted 2 abstracts for workshops for WONCA Istanbul 2015 - autumn 22-25, October We were discussing technical and organizational issues, Ruth, Peter, Sonata, Zaim will be available for the workshops, Elena not, Razvan? 1.„Multimorbidity in family practice – educational needs”. We have got agreement about case vignettes as way how to present this workshop, to be stressed out: treatment cascade, complexity of the problem, 5 steps approach, to be adjusted and particularized by Ruth until the next meeting 2.Learning cultural competence in family medicine. Development of teaching curriculum in culturally responsive healthcare for medical education in Europe. We have got agreement about case vignettes as way how to present also the 2nd workshop, not necessarily to propose curriculum, learning plan would be enough, only short introduction of the topic to have enough time for group work and discussion Objective? : to identify 5 major problems of migrants, to identify optimal teaching method for specific problem To be adjusted and particularized by Jachym until the next meeting, to contact WIG, whether they would join us 3. We were discussing project : Continuing Educational Development and Harmonisation of Expert Teachers in GP/FM in Europe through a systematic process of quality improvement and experiencesformtheworshop (CEDinGPII Project)Project No. 2013-1-PL1-LEO05-37537 in Vienna, further discussed by special committee during the meeting in Prague 4. We were discussing possible topics for future WONCA workshops/ Council meetings: - Dublin: GP in y. 2030, modern equipment of GP office, telemedicine - Vaccination - challenges: proposed by Peter (he will present poster in Istanbul about pneumococcal vaccination and Sonata is also interested) - Zaim: CPD/CME curriculum on multimorbidity - ? or position paper, how to train it


Jachym Bednar, chair of the committee


Bruce Brinkley, rapporteur Present: Esra, Adam, Janko, Dimitrios, Bruce The session was devoted to clarify conditions that could attract new members and (new) Organizations in Collaboration (OiC). Any Organization seeking OiC membership in EURACT must

be actively involved in teaching of General Practice/Family Medicine

submit the dedicated application form with at least 4 individuals appointed as EURACT members

membership fees must be timely and fully paid

should support their country's delegate to EURACT Council Benefits for Organizations in Collaboration

OiCs will be listed on EURACT website

OiC can use the EURACT logo

Members of the OiC are eligible to reductions on participation fees for EURACT's courses and conferences

Free use of educational material developed by EURACT

Take advantage of EURACT's expertise and network in different fields of medical education


Proposed EURACT OiC membership form:

Organizational in Collaboration Information Form

Membership type:

Organisation in

collaboration

Please fill out this form with a typewriter or in capital letters

Name of the Organization in Collaboration: ..........................................................................

................................................................................................................................................

Contact person of Organization in Collaboration:

................................................................................................................................................

Official address (max. 4 lines) : .............................................................................................

................................................................................................................................................

................................................................................................................................................

................................................................................................................................................

Country : ...........................................................

Phone :............................................................... Fax : ..........................................................

E-mail : ..............................................................

Structure of this Organization in Collaboration: University

College

Scientific Association

Professional group

Trade union group

Governmental body

Other

Area covered by this Organization (more than 1 possible):

Basic Med. Educ. Vocational Train. Contin. Med. Educ. Research Other

Network organisation with WONCA Region Europe - ESGP/FM


Describe in 8 lines the activity of the organization in collaboration:

.............................................................................................................................................

.............................................................................................................................................

.............................................................................................................................................

.............................................................................................................................................

.............................................................................................................................................

.............................................................................................................................................

.............................................................................................................................................

Details of the individuals appointed to be EURACT members on behalf of the Organization in

Collaboration :

NAME SURENAME FUNCTION E-MAIL TELEPHONE

On behalf of the Organization in Collaboration

Name :

Function:

Signature :

Date:


Appendix 4: President’s Report Since the last meeting in Porto I attended Continuing Educational Development and Harmonisation of Expert Teachers in General Practice/Family Medicine in Europe through a systematic process of quality improvement (CEDinGPII, No. 2013-1-PL1-LEO05-37537) project meeting in Ljubljana November 21-22. Jo Buchanan replaced Justin Allen because he was not able to attend. There were also EURACT invited experts on assessment Renzo de Gabriele and Francesco Carelli taking part. Next project meeting I took part was in Vienna 20-21 February. Jo Buchanan also took part as member of the EURACT staff on behalf of missing Justin Allen. There were also EURACT invited participants Jachym Bednar and Jana Bendova, who were asked to fill in electronic portfolio; Renzo de Gabriele attended at his own expenses. More details on the progress of the project will be presented during other sessions. I attended winter EB meeting in Vienna January 9-11. We reviewed EURACT businesses and reached some decisions including the proposal on the draft criteria for organisations in collaboration which shall be finalised by MSC and approved by EURACT Council. Membership fees were adjusted to the GDP. More details in the attached EB report. As Honorary Secretary I attended two WONCA Europe EB meetings in Prague in November 7-9 and in Istanbul April 9-12. The composition of the WONCA Europe EB will not change drastically if WONCA Europe Council accepts our most recent proposal, i.e. 4 officers proposed by MO, 3 nominated by EURACT, EGPRN and EQuiP and one by VdGM. WONCA Europe Conference: 16 – 18 June 2016, Copenhagen, Denmark: All networks will be represented – streams related to key topics (education, research, quality, VdGM). EB will propose to the Council that EJGP becomes open access. On behalf of WONCA Europe I attended the XIV. congress of CSAKOSZ, a Hungarian member of WONA Europe in Hajduszoboszlo near Debrecen in Hungary February 26-28. I used the opportunity to present EURACT. As a result of good collaboration with EURIPA (I sit in EURIPA EB as a representative of EURACT and I am liaison for EURIPA in WONCA Europe EB) I was invited speaker at the 13th Wonca World Rural Health Conference 2015, Dubrovnik April 15-18. I co-authored a few WS and the conclusion of one was to work on a statement what rural practice teaching can add to undergraduate education of future doctors. EURACT and EURIPA shall join in this task. Similar collaborative efforts will lead me to Timisoara to EGPRN conference, where we will discuss teaching research skills. Our statement is waiting to be published in EJGP. Kranjska Gora, 16/4/2015 Janko Kersnik


Appendix 5: New EURACT members

Austria 1. Dr. Ernst EICHER

Bulgaria

1. Kireva Levena 2. Zornitsa Ambareva 3. Stefanov Yanko 4. Alexandrova Vanya 5. Stefan Fartunov 6. Dimova Rosita 7. Petar Kosev 8. Kiril Elenski 9. Mileva – Nikolova Daniela

Finland

1. Helena Karppinen 2. Liisa Cajan Suokas 3. Essi Varkki

Georgia

1. Maia Ioseliani 2. Iamze Rusishvili 3. Lia Rusieshvili 4. Ketevan Chkhaidze 5. Nona Mindiashvili

Greece

1. Apostolos Manolis 2. Alekou Zoi 3. Kaliora Harikleia 4. Tsolaki Kuola 5. Sbardos Aristofanis 6. Theou Zoi 7. Voutsela Dorothea 8. Tsiaousis Ilias 9. Tziraki Mariza 10. Karpouzi Athina 11. Tsironis Georgios 12. Fragoudi Fotini 13. Karakatsanis Ioannis 14. Gkolias Vasilis 15. Leontidou Eleni 16. Bakola Maria


Italy 1. Vincenzo Conturs 2. Franco Carnesalli 3. Giovanni Colucci 4. Nicola Buono 5. Brunello Gorini 6. Antonio Orazio Nicodemo Millesoli 7. Pasquale Iacovazzo

Malta 1. Dr Marco Grech 2. Dr Edward Zammit

Moldova

1. SALARU VIRGINIA 2. CHIOSA DIANA 3. IGNAT RODICA 4. GRIGORITA LILIA 5. ROSCA NONA 6. DORUC MELANIA

Norway

1. Erik L Werner 2. Ole Rikard Haavet 3. Atle Klovning

Russian Federation

1. Olga Lesnyak Serbia

1. Milica Ilić The Netherlands

1. Nynke van Dijk Turkey

1. Oztekin Coskun 2. COSKUN OZDEMIR 3. CIGDEM GEREKLIOGLU 4. ONDER SEZER 5. MUSTAFA KURSAT SAHIN 6. Aclan Ozder

UK

1. Dr Mark Reed 2. Dr Tahir Mehmood 3. Dr Mary Howman 4. Dr Ben Jackson


5. Dr Steve Walter

Ukraine

1. Pavlo Kolesnyk Total new members: 67


Appendix 6: Financial report


Appendix 7: EURACT educational conference, Dublin, Ireland, 9-10 September 2016


Appendix 8: Reports from task groups

Website task group

Mario R Sammut, substitute chair in absence of Darach O’ Ciardha Present: Mario, Bruce, Dimitrios, Markku, Razvan, Katarina, Darach (latter through Skype) Topic: Rebuilding/transfer of website A site-map and list of articles is needed before rebuilding or moving the website. This would enable us to take the decision what needs to be archived and what needs to be kept for the new website. This work will be shared between members of the editorial board according to a timetable. Articles would be rated as follows: essential, useful, to be archived, to be omitted. Regarding the rebuilding/transfer option, rebuilding the website in Ireland would cost 3-4000 Euros. As regards transferring it, contact has been made with WONCA Europe who has offered to host the EURACT website on www.woncaeurope.org. The advantages of the latter option are:

no cost to EURACT

website still managed by EURACT, with different people given different roles

allows regular servicing and upgrades

present website would be maintained until new website on WONCA Europe website is ready, or as a fall-back option if problems are encountered

The WONCA Europe webmaster has already been in contact the webmaster of the current website

WONCA Europe webmaster has done an analysis of the current website and no major challenges to the transfer were encountered

The Website Task Group thus agreed to recommend to Council that an official decision be taken that the EURACT website is transferred to the WONCA Europe website.


Nynke Sherpbier de Hann, rapporteur We started with critical assessment of a research paper: A competency based selection procedure for Dutch postgraduate GP training, a pilot study on validity and reliability - Margit Vermeulen et al. We discussed the psychometrics of a test. We had a discussion on the goal of selection procedures: predicting poor performance of selecting the best candidates? We decided to propose the council to perform a survey on selection procedures, to answer the following research questions:

http://www.woncaeurope.org/


• How many countries have a selection procedure?

• What is the purpose of the selection?

• What kind of selection procedure is used?

• Who is performing the selection procedure?

• Who defines the number of vacancies for primary care specialty training?

• How many vacancies are available each year, how many candidates apply, how

many candidates are not admitted?

• Is there an entrance limitation for medical school?

• How many doctors qualify every year from medical school?

• How many dotors that were trained abroad apply for primary care specialty training?

• Who is financing the training program and the salary of the trainees?

Council members agreed with a survey, which will be held before the meeting in Autumn 2015.

Appraisal of GP Teachers task group

Jo Buchanan, Chair Present: Durdica Lazic, Croatia; Mira Kis Veljkovic, Serbia; Peter Vajer, Hungary; Francesco

Carelli, Italy Esra Saatchi, Turkey Jachym Bednar, Czech republic Peter Prydz, Norway; Ruth

Kalda, Estonia Ingune Locmela, Latvia; Eva de Fine Licht, Sweden; Adam Windak, Poland Janko

Kersnik, Slovenia, Jo Buchanan, UK.

Interested in translation: Sweden Latvia, Lithuania,, Czech republic, Turkey, Italy, Spain, Dutch and

French [Jan], Macedonia, Croatia, Russia, Bosnia, Serbia, Greece.

Will be translated into the languages of the partner organisations: Poland, Denmark, Estonia,

Austria, Slovenia.

Adam summarized the current position of the project which is on schedule and will be ready to be

passed on to EURACT by December 2015. The e-portfolio is reaching completion having been

trialled at the last partner’s meeting. The electronic platform is straightforward to use and the

process of assessment is simple and not time consuming. The group considered how EURACT

should take this project forward to the implementation stage.


Administration – there needs to be one administrator for the electronic platform – this could be

part of the EURACT secretariat or contracted elsewhere. The role does not require a high level of

technical expertise.

Council will need to have an oversight of the process and it was thought that this would best be

done by a permanent task group.

The question of funding was discussed, it was thought this should be a benefit of membership for

assessment at the competent level. It was thought, reasonable to charge a fee for the assessment

at expert level to cover administrative costs.

Assessment - at the competent level this will be done at a country level by one appraiser,

although it was suggested initially that there should be an option for this to be done out with an

applicant’s country. The competent level will be able to be completed in the national language and

there is a facility for making translation straightforward, the expense of translation will need to be

met by individual countries. The expert level will be assessed internationally and in English.

The selection and training of appraisers: It is envisaged that council members and authors of

the project would be expected to take on this role and implement the system in their country.

Training will be provided in a two-stage process at the council meetings in October 2015 and April

2016.

An observation was made about the risk of problems that may occur when an appraisee is known

to an appraiser as will occur commonly and the potential difficulties where judgements are made

on areas where cultural bias may be relevant. These issues will need to be dealt with in training.

The appraiser will not be paid even at the expert level. It was felt that this could be seen to be part

of our academic role and it is not expected to be onerous. The assessment will generally take

about 30 minutes once the appraiser will be

Promotion – The national representative will promote the process at a national level. Workshops

at international conferences such as WONCA will be used to disseminate information and training

about the project. The project provides an opportunity to increase EURACT’s profile and expand

the membership.

Jo Buchanan

24.4.2015


Appendix 9: The future of EURACT as an organisation – time for a change? Jan Degryse

report of euract council meeting prague, 23-25 …...report of euract council meeting - prague,...

Documents