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EUROPEAN DIPLOMA IN INTENSIVE CARE MEDICINE

C. Guérin

Réanimation médicale

Lyon, France.

Member of EDIC subcommittee of the ESICM.

Slides from the courtesy of Marco Maggiorini, MD

Medical ICU

Zürich, Switerland

Head of DPD at the ESICM

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2 Educational Structure and Organization within the ESICM

Council National

Presidents committee

National Training Organizations

PACT CoBa-

Faculty CTC EDIC

NC-CT CoBaForum NC-EDIC

Subcommittee (Elected)

Appointed at the national level

Committee (Elected)

ESICM

Pro

fessio

nal

Deve

lop

me

nt P

rogram

Education & Training Committee Chair: Head of Division of Professional Development (DPD)

COBATRICE Competency Based Training programme in Intensive Care Medicine for Europe

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Aims of EDIC

• To promote quality standards in education and training for intensive care medicine in Europe and elsewhere.

• To be complementary to specialist postgraduate medical training

• The taking of the two components of the exam should normally correspond with stages of experience/training in intensive care medicine

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EDIC part 1 – Written exam

Criteria for entry

1. Fully registered Medical Doctor (i.e. internship

completed).

2. Entry into a national training programme in a primary

speciality: Anaesthesiology, General/Internal Medicine,

and other, General Surgery and other, Accident &

Emergency Medicine, Paediatrics, or Intensive Care

Medicine if a primary speciality.

3. Entry into a national training programme in intensive

care medicine or satisfactory completion of 12 months

training/experience in ICM.

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EDIC part 2 - Clinical

1. Possession of EDIC Part 1

2. Satisfactory completion of national

intensive care medicine training programme

or 24 months of training/experience in ICM

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Specialists

• Specialists (Consultants/Attendings) may take the EDIC if they have a regular, substantive day-time and emergency call commitment to intensive/critical care medicine.

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Candidate considerations

• The Part 1 exam is conducted in English.

• The Part 2 should be conducted in English or in the language of the candidate or in another European language chosen by the candidate, subject to the availability of approved examiners. At least one of the faculty of examiners at the exam must be board certified (or equivalent) in the primary speciality of the candidate.

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8 Ressources recommended for EDIC preparation

• Local or national critical care medicine education and training opportunities especially those associated with training programmes.

• Up-to-date clinical textbooks on intensive/critical care.

• PACT (Patient-centred Acute Care Training) the ESICM distance-learning multi-media programme for intensive care.

• Current research and review literature in journals such as Intensive Care Medicine, Critical Care Medicine and other major journals.

• The annual congresses of the ESICM, particularly the Educational track.

• The ESICM homepage (http://www.esicm.org) carries information from time to time on ESICM approved or sponsored educational meetings and courses.

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Part 1. The multiple choice questionnaire (MCQ) examination

• Conducted during the annual European Congress on Intensive Care Medicine and also during specific sessions in selected cities.

• It consists of 100 stems.

• Questions from the entire spectrum of intensive care medicine.

• Maximum 3.0 hours allowed for the examination

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1.

Sym

pto

ms

ass

ess

ment

Dia

gnost

ic p

rocedure

2.

Clinic

al cours

e,

monit

ori

ng

3.

Thera

py,

managem

ent,

pharm

acolo

gy

4.

Path

ophysi

olo

gy,

Eti

olo

gy

5.

Pro

gnost

ic, so

cia

l

asp

ects

1. Symptoms assessment

Diagnostic procedure 2. Clinical course, monitoring

3. Therapy, management,

pharmacology 4. Pathophysiology, Etiology

5. Prognostic, social aspects

Weig

ht

%

Weig

ht

num

ber

of

quest

ions

Two types of questions

• type A questions: 5 options, only one answer correct (n=50)

• type K questions: each of the four (or five) options may be either true or false (n=50)

• Evaluation of answers – Type A

• correct = 1 point

• wrong or blank = 0 point

– Type K • 4 correct anwers out of 4 questions = 1 point

• 3 correct answers out of 4 questions = 0.5 point

• < 3 correct answers out of 4 questions = 0 point

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Item difficulty =number of points achieved by the candidates on one item

Divided by maximum number of points that could be achieved

Item selectivity =correlation between the number of points achieved in this item

and the total number of points in the examination excluding this item

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Construction and evaluation of MCQ

Reinhard Westkaemper, MD

IML Institute for Medical learning

Bern University

Evaluation of the part 1

Pass mark = Mean – 0.6 SD

ESICM Berlin 2007

Mean = 606.66 points

Pass mark > 56 points

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Organisation of Part 2 clinical/oral examination

• Location – In European countries, a group of suitable, major hospital general

Intensive Care Units will be identified in conjunction with relevant Council members and the ESICM Examinations subcommittee.

• EDIC panel of examiners – In European countries, a panel of ESICM approved examiners is agreed

with the advice of the relevant ESICM Council member(s) and the panel will be held by the Society Secretariat. The examiners should, in so far as is possible, be members of the ESICM.

• Extern examiner – Where possible and suitable, an extern examiner may be invited from

another European country with the prior agreement of the ESICM Examinations subcommittee. Externs provide reports to the ESICM (and local examiners) on the conduct of the examination, with a view to the facilitation of Europe-wide harmonisation of standards.

• Exam frequency – The Part 2 exam will usually be held several times annually in various

locations.

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Conduct of the (Part 2) examination

• The exam will consist of clinical and oral (viva voce) components.

• It is anticipated that each candidate will have around two hours for the clinical and oral parts, including patient examination and discussion with the examiners.

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The candidate must be observed by the examiners in the clinical environment examining more than one patient.

• The clinical component: 60-90 minutes.

– One Major case. This should preferably be a

patient with a range of clinical problems (

ARDS): 30 minutes

– Two to three Minor cases focusing on a

clinical sign or other issue: 10-15 min/case

• The oral component: 30-40 minutes.

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Marking process • The candidate will be assessed by the

examiners for both the clinical and the

oral components of the exam, and graded

for each component

Oral-clinical examination Mark Sheet

Oral-clinical examination Mark Sheet

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Awarding and Conferring of Diploma (EDIC)

• The diploma is awarded to those who have properly and successfully completed Part 2 (EDIC), provided specialist status in the candidates base specialty has been achieved.

• A conferring ceremony for successful candidates may be held at the annual Congress of the Society.

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EDIC part 1 Sites 2010-11

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26 EDIC: Exam results 2010-11 Pass mark 57.3%

Relative Standard: Mean – (0.6 * SD) = 55 Points or 57.3% correct answers

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27 EDIC: Exam results 2010-11

* Au, Cz, Gr, Po, Sp, Be, Hu, It, Ne

ƒ Albania, Belize, Iraq, Lybia, El Salvador

ƒ

*

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EDIC: Exam results 2010-11

Medical experience Years in Intensive Care

Forthcoming written exam sessions in 2012

Forthcoming oral exam sessions in 2012