European Curriculum Development Project in

Neurotology

NORWAY

OCTOBER 2008

Thomas Somers

Background Training in O&NO is central to the EAONO mission Goals

To maintain high professional levels in Neuro-otology Harmonize teaching and knowledge To gain (also medico-legal) recognition of this subspeciality

of ORL&HNS This can only be achieved through excellence in a

structured training programme Need for a “fit for purpose” curriculum Aim is to develop a 2-year’s master level curriculum

appropriate to the needs of advanced trainees in neuro-otology

Neuro- Otology

Rare and complicated disorders in otology and skullbase surgery

No current official recognition as a discipline Present centers are run by self-made men No official university programmes Many cases are not treated or inadequately

treated Risk of medico-legal implications

European Curriculum Development Project in Neurotology

Prof. J. Magnan co-ordinated a submission to the EU through its Socrates programme (2006)

Administration was done through the University of Marseille (Legal representative: Prof Berland)

The bid was approved and funded in 2006

Consortium of 20 partner centers Prof Ramos (Palma de Gran Canarias) Prof Ramsden (Manchester) Prof.Hüttenbrink (Köln) Prof O’Donoghue (Nottingham) Prof.Cenjor (Madrid) Prof Tran-ba-huy (Paris) Prof Offeciers (Antwerp) Prof Lenarz (Hannover) Prof Filipo (Roma) Prof Ozgirgin (Ankara) Prof Bebear (Bordeaux) Prof Wszyfter (Poznan) Prof Dubreuil (Lyon) Prof Gersdorff (Brussels) Prof Pauw (Rotterdam) Prof Sanna (Chieti) Prof Laszig (Freiburg) Prof Zenner (Tübingen Prof Uziel (Montpellier)

Master Degree in Neuro-otology

The curriculum development must be trans-national

So far no centre is able to cover all aspects Large variety of knowledge and practice in

different countries Using the strengths of the various

participating centers Needs = 1 neuro-otologist for every 2 mio inh

Practicalities

2007 – 2008 Bring together 20 EU partner centers Create a common 2 y curriculum Incorporate student and staff mobility

2009 Develop e-based (eg video-conferencing) and web-based

educational materials to support clinical training Create assessment standards for students, teachers and

university centers Expand the network of university center partners

Selection

After completion of training in ORL-HNS followed by a training in advanced otology training Advanced otological knowledge and skills Human and ethical skills, communicator, scholar

(in terms of teaching and research), team-worker, manager of resources

Exact criteria have to be defined

Curriculum

A vast multicentric work has been done to define the scope of modern Neuro-otology and the relevant knowledge base, as well as clinical and technical skills needed for competent practice

Curriculum for a 2 y Master type diploma in accordance to the Bologna rules 120 credits divided into 2 y and 4 semesters

Credits

1 credit = 30 student work hours Lecture hours: 1 H class time = + 5 H prep

so e.g. 5 H lectures + 25 H prep = 30 H = 1 credit Lab hours: 1 H lab = + 2 H prep

So e.g. 10 h lab = 20 F prep = 30 H = 1 credit Surgical theatre: no prep

So e.g. 30 H theatre = 30 student hours = 1 credit

Some examples of the curriculum: Practicum and analysis in electro-physiologic testing deafness,

vertigo, facial paralysis Knowledge in oto-and neuro imaging Training in skull base surgery Parallel teaching at the university centres Cross border teaching for special zones of expertise (e.g. NF2) eLearning website Logbook Scientific study to be presented at an international forum

Assessment

Standards assessing competence will need to be defined (need to be reliable, high validity, low cost and practicable)

Structured examination (clinical or written)? Work-based evaluation?

Stage in life of project Outputs:By the end of this stage we

will have achieved /produced

Activitiesleading to this output

Activity to be

this dateand

completeddateStart

started by

by thisComplet

e

Partners / Persons i-nvolved

Time input(person / days orperson /months)

1 Beginning Development -task division within working groupsand due dates for subtasks-confirmation of FM and CM dates forduration of project-establish working & communicationprotocol between participants-administrative secretary hired

1st-1st Coordinators' Meeting (CM)-2nd CM-1st-1st Full Meeting (FM)

Early October2006

Late October2006

-Coordinators-All project participants- Administrative Secretary

-Coordinators – 2 workingdays + 2 day spreparation-All project participants – 1working day plus 1day preparation

2 Mid-Development -Informational website online and 1B1evaluation by FMmid development phase projectevaluation-1st draft of Curriculum presented atFMexternal input by North Americanexpert-eLearning working group formed

-webmaster hired and website putonline-working groups complete work oncurriculum-coordinators complete 1St draft-3m CM2nd FM2 FM

Oct 2006 Oct 2007 _-Coordinators-All project participants-Administrative Secretary-Webmaster

-Coordinators – 3 fullworking days + 24 dayspreparation (per person)-All project participants – 1working day + 12 dayspreparation

3 Post Development – BeginningDissemination/Implementation

-final version of curriculum approvedat FM-new working groups & new taskdivision with due dates-evaluation of informational website –recommendations for changes-1st review of eLearning website

-Working Groups and Coordinators workto finalize curriculum-all information posted to informationalWebsite by webmaster andadministrative secretary-webmaster & eLearning working groupuse the draft version of curriculum todevelop draft of eLearning site5th CM-6th CM-3rd FM

Oct 2007 June 2008

-Coordinators-All project participants-Administrative Secretary-Webmaster

-Coordinators – 3 fullworking days + 24 dayspreparation (per person)-All project participants – 1working day + 12 dayspreparation

4 Mid-Dissemination/Implementation -review and evaluation of draftassessment standards and systems-draft publications presented forapproval2nd review of eLearning website –grecommendations for final changes-new partners approved-review of accreditationprogressprocess-final version of informational websitepresented

-working group on assessment finishesdraft-all project partner present finalizedcurriculum to their university forapproval-webmaster completes work oninformational website-search for new partners conducted-working group on publications finishesand presents final draft to coordinators-7th CM

June 2008 April 2009

-Coordinators-All project participants-Administrative Secretary-Webmaster

-Coordinators – 1 fullworking days + 12 dayspreparation (per person)-All project participants 6days preparation

5 End Dissemination/Implementation -final project evaluation-plan for post-funding continuation ofproject decided

-7th CM-8th CM4th, FM-publications sent-articles published in journals and onacademic websites-evaluation and assessment standardsapproved-eLearning site completed

April 2009 June 2009

CoordinatorsAll project participants-Administrative SecretaryWebmaster

-Coordinators – 3 fullworking days + 24 dayspreparation (per person)-All project participants – 1working day + 12 dayspreparation

UEMS

Recommendations? Working group together with EAONO?

Thank you