4th
Part I European
Board Examination
ORL-H&NS
Angelos Nikolaou
Council for European
Specialist Medical
Assessment
(UEMS-CESMA)
Its main role is to:




To promote harmonisation of European
Board assessments
To provide guidelines to the Boards on the
conduct of assessments
To encourage take up of Board
assessments as a quality mark
To offer an alternative to National
assessments, where appropriate
In 1984 the first European Diploma Examination was established. This
was the EDA European Diploma of Anaesthesiology.
Today 30 disciplines have European Examinations:















1. Allergology and Clinical Immunology
2. Anesthesiology
3. Dermatology & Venereology
4. ENT+ORL-Head and Neck Surgery
5. Hand Surgery
6. Intensive Care
7. Internal Medicine
8. Neurology
9. Neurosurgery
10. Nuclear Medicine
11. Ophthalmology
12. Oral and Maxillofacial Surgery
13. Orthopaedics and Traumatology
14. Pathology
15. Pediatric Surgery
•16.
•17.
•18.
•19.
•20.
•21.
•22.
•23.
•24.
•25.
•26.
•27.
•28.
•29.
•30.
Physical and Rehabilitation Medicine
Plastic Surgery
Respiratory Medicine
Surgery (General Surgery)
Coloproctology
Endocrine Surgery
Surgical Oncology
Thoracic Surgery
Transplantation
Trauma Surgery
Thoracic and Cardiovascular Surgery
Urology
Vascular Surgery
Angiology
Emergency Medicine
Sections & Boards Represented at
UEMS-CESMA meetings

























Allergology and Clinical immunology
Anaesthesiology
Cardiology
Dermatology and Venereology
General Surgery
Intensive Care Medicine
Internal Medicine
Neurology
Neurosurgery
Nuclear Medicine
Ophthalmic Surgery
ORL-HNS
Oro-Maxillo-Facial Surgery
Orthopaedics and Trauma
Paediatric Cardiology
Paediatric Surgery
Paediatric Urology
PaediatricsPathology
Physical and Rehabilitation Medicine
Plastic, Reconstructive and Aesthetic Surgery
Radiology
Rehabilitation Medicine
Respiratory Medicine
Urological Surgery
Vascular Surgery
CESMA MEETING, 2012 MAY, LUBLIANA
Who can apply?

Every
Every
Every
Every
Every
Every
Every
Every
Every
UEMS
UEMS
UEMS
UEMS
UEMS
UEMS
UEMS
UEMS
UEMS

UEMS countries

















country
country
country
country
country
country
country
country (S)
country (S)
countries
countries
countries
countries
countries
countries
countries
countries
countries
Vascular Surgery
Pediatric Surgery
Respiratory Medicine
Intensive Care
Nuclear Medicine
Pathology
Allergology and Clinical Immunology
Urology
Plastic Surgery
Surgery
Thoracic and Cardiovascular Surgery
Anesthesiology
Dermatology & Venereology
Internal Medicine
Ophthalmology
Oral and Maxillofacial Surgery
Orthopaedics and Traumatology
Physical and Rehabilitation Medicine
Neurosurgery
Glasgow Declaration
Paragraph 5

Candidates for a European diploma should
be specialists in their countries or in the
final year of their training in the specialty
Glasgow Declaration
Paragraph 6
There is no restriction (ethnic or
else) for anyone to become a
candidate for the European
exams
Glasgow Declaration
Paragraph 7
Why EBEORL should exist?







promotes harmonization of education
important tool for postgraduate studies in Europe
basic tool to improve the CV
equal replacement for the national board exam?
indirect assessment of the training centers
motivation for improvement of trainers and trainees
in a united (?) Europe there must be something equal
to the American Board
WHO CAN APPLY?
POSSIBLE REVISIONS
Candidates trained in EU or
associated countries for at least 4
years
 Candidates trained outside EU should
have completed their training and
have an official national certification
of ORL specialty

EXAMS UNTIL NOW







SITE
Mannheim, Germany
Pamplona, Spain
Vienna, Austria
Barcelona, Spain
Vienna, Austria
Toulouse, France
DATE PARTICIPANTS
PART I 29/06/2009
80
PART I 05/06/2010
52
PART II 01/09/2010
77
PART I 02/07/2011 121
PART II 19/11/2011 103
PART I 18/06/2012 109
PASSED
69
47
70
101
80
98
RESULTS FROM TOULOUSE
10% FAILED
62% THE PASS RATE
85% HIGHEST SCORE
48% LOWEST
BOTH FROM EGYPT
FORCOMING EXAMS
1. Part I exam on Friday (afternoon) the 26th April in Nice,
FRANCE. This exam will be held during the 2nd Meeting of EAORL-HNS
and CEORL-HNS. For more information you can visit the Meeting
website.
2. Part I exam on Saturday (morning) the 29th June in Vienna,
Austria. This exam will not be held together with any
Congress/meeting, the only event that will take place will be the exam
itself.
REPUTATION
Increasing number of candidates
each year
 Prerequisite for a specialist job in
several parts of the world (Emirates,
Israel etc)
 Interest from several ORL societies
to host the written part of the exam
during their congresses


Another evidence of increased
reputation is that many people were
queuing just to have a photo with
persons dealing with the organization
of the exam
PROBLEMS





The site of the exam must have easy and cheap
access from all over the world
There must be no visa restrictions in the country
hosting the exam, which prevents the
participation from middle east countries
candidates.
Input of new questions from ENT societies and
subspecialists
Dealing with appeals from candidates who have
failed the exam
Examiner’s faculty is of grate importance

Establishment of the bylaws of the
exam with a constitution and a legal
basis. For various practical reasons
we have chosen Vienna as the basis
of our organization and Austrian
legislation as the platform for our
constitution.
CONSTITUTION OF THE “ASSOCIATION FOR THE
IMPLEMENTATION OF THE EUROPEAN BOARD
EXAMINATION ORL-HNS” (EBEORL-HNS)


§ 1: Name and Registered Office


(1) The name of the association shall be “Association for the Implementation of the European Board
Examination ORL-HNS”.


(2) The Association’s registered office is located in 1040 Vienna, Operngasse 20b, Austria
(registered office of “Mondial GmbH & Co KG). It extends its activity over Europe


(3) The Association has no intent to set up subsidiaries.



§ 2: Aims and Objectives



The Association, which will be non-profit making, is devoted to the advancement of medical science
in the field of ORL-HNS (Otorhinolaryngology – Head and Neck Surgery), especially by preparing,
carrying out and evaluating of the “European Board Examination” (EBE) in this field of science. The
EBE is an international exam that shall contribute to unifying and harmonizing standards for
medical specialists in the field of ORL-HNS in Europe, particularly within the EU.
Fees
Part I
500
400
300
200
100
0
y ery gy ar e .. ry ne gy gy ry gy ... ...
r
e r g lo C . ge ici lo lo ge lo ac &
g
ur su sio ive gy & ur e d lmo tho ur Ur o o- F ics
S ro e s o S M a a r S
ill ed
t
h
l
c
c
P
n
t
u
r
i
i
x
a
o t
r
h
a pa
ul
at Ne nes Inte at las lea Op
i
c
M
- tho
s
m P uc
A
r
o
ed
a
r
r
e
P
N
V
O O
D
Part I
rM
as
t ic
ed
ici
ne
Va
S
ur
sc
ge
ula
r S ry
An
es ur ge
th
es ry
iol
og
y
Pe
U
dia
ro
lo
tri
c S gy
ur
In
ge
te
ns
r
ive y
Ca
re
Pl
Nu
cle
a
Fees
Part II
500
400
300
200
100
0
Part II
American Board Exam 3000 dollars
 British exam 3000 euros


FEES
400 EUROS FOR WRITTEN PART I
 400 EUROS FOR ORAL PART II
 Plus 200 for successful candidates

INTERVENTION OF
ORGANIZATIONS IN EBE ORL H&NS
UEMS- ORL Section
 European Federation of OtoRhino-Laryngology Societies
(EU.F.O.S)
 European Academy of Oto-RhinoLaryngology and Head&Neck
Surgery (EA-ORL-HNS)
 CONFEDERATION OF ORL

ORAL EXAM







3 TABLES- 3 rooms
2 examiners in each table
every candidate alone
4 questions in each table
25 min in each table
failure in one table means total failure
4 marks
The third European ORL-Board Examination (oral part II,) 1.9.2010 during the
ELS 2010 Vienna, University of Music and Arts
32
University of Music and Art Vienna, Anton von Webern Platz 1, 1030 Wien
Part II Oral Examination EBE-ORL-HNS 2010 September 1: 7.00 -18.00
Internet
Entrance
Porter
Buffet
Registration
Post-exam
Waiting
Room
1rst floor
Courtyard
Supervisors from the Austrian Medical Academy
Ways of the
Candidates
Toiletts
Buffet for
examiners
Chairmen
room
Preexam
Waiting
Room
Examroom II
Examroom I
33
Time
Activity
6.00
Arrival staff
6.30
Arrival candidates 1
7.00
Cand.1preexam.+ Info question+arrival
examiners
7.30
9.00
Exam 1.round
9.00
9.15
Break, coffee,
9.15
10.45
Exam. 2.round
10.45
11.00
Break, coffee,
11.00
12.30
Exam. 3.round
12.30
13.15
Lunch
12.45 preexam. Cand.4
13.15
14.45
Exam. 4.round
14.00 Arrival Cand.5
14.45
15.00
Break, coffee,
9.00 Postexam room Cand.1
8.15 Arrival Cand.2
8.45 preexam. Cand.2
10.00 Arrival Cand.3
10.30 preexam. Cand.3
12.15 Arrival Cand.4
14.30 preexam. Cand 5
10.45 Postexam room Cand.2
Exit
14.45 Postexam room Cand.4
Exit
15.00
16.30
Exam. 5.round
16.30
17.00
Break, Coffee
17.00
18.30
Call over, Preparation of the letters
18.30
19.00
Farewell-Ceremony, Toast with some
wine, proseccho, jiuce, water,
snacks…….
19.00
Departure for Heurigen Wolff
34
The third European ORL-Board Examination (first oral part II,) 1.9.2010 during
the ELS congress 2010 Vienna, University of Music and Arts
38 Examiners, 4 Supervisors, 6 Guides
35
Distribution of the 38 Examiners and Supervisors
From 13 European Countries for the Oral Exam in Vienna
September 1 2010
Reihe1
12
3
3
2
2
2
2
1
1
1
1
K
Po
la
nd
Sp
ai
Be n
lg
iu
m
Fr
an
ce
G
re
ec
Sw e
ed
en
C
ro
at
ia
Fi
nl
an
Po d
rtu
ga
Sl
l
ov
ak
ia
4
U
G
er
m
an
y
Au
st
ria
4
36
FACULTY OF EXAMINERS 2012
19 countries
16
14
12
10
8
6
4
2
0
Series1
Internet Sites
1. Allergology and Cl. Imm.
www.eaaci.org
2. Anesthesiology:
www.euroanesthesia.org/Education
3. Cardiology
www.escardio.org
4. Dermatology and Venereology
www.uems-dv.com
5. Intensive Care
www.esicm.org
6. Internal Medicine
www.efim.org/
7. Neurology
www.eans.org/site/2599/default.aspx
8. Neurosurgery
www.eans.org/docs/bud.txt
9. Nuclear Medicine
www.uems.eanm.org/committees/fellowship_examination
10. Ophthalmology
www.ebo-online.org
11. Oral and Maxillofacial Surgery
www.ebomfs.eu
12. Orthopaedics and Traumatology
www.ebotexam.20m.com/
13. Pathology
www.europathol.org
14. Pediatric Surgery
www.paediatricsurgeryexam.org
15. Physical and Rehabilitation Medicine www.esprm.org
16. Plastic Surgery
www.ebopras.eu
17. Respiratory Medicine
www.ersnet.org
18. Surgery
www.uemssurg.org.index
19. Urology
www.ebu.com
20. Vascular Surgery
www.uemsvascular.com

www.ebeorl-hns.org
SCEPTISM
Is the EBE ORL exam a back
door for doctors outside
Europe to enter EU?
No, It is a way to secure who
is coming and also to
introduce standards for
outside EU regarding training
in ORL.
ISSUES FOR THE FUTURE
Part I written exam to be run via
computer
 To find ways to attract candidates
from European countries with poor
economies (grants from national
societies, reduced fee for EU trainees
etc)
 To encourage countries to accept
officially the exam as equal to the
national one.

Norway, Annual Meeting ORL section, 2008
Thank you