do we teach the same thing in europe? basic course on the ... · •spanish chapter of phlebology...
TRANSCRIPT
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Do we teach the same thing in Europe?
Basic course on the technique of ultrasound-guided sclerotherapy
– In Spain
Lourdes REINA
Head of Vascular Department, Hospital Cruz Roja, Spain
Spanish National Reference Centre for Board Accreditation in Phlebology
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Disclosure
Speaker name:
DR. LOURDES REINA
I have the following potential conflicts of interest to report:
Consulting
Employment in industry
Shareholder in a healthcare company
Owner of a healthcare company
Other(s)
X I do not have any potential conflict of interest
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Do we teach the same thing in Europe? Ultrasound-guided sclerotherapy in Spain
• In Spain the only way to become a medical specialist is through the Medical Internal Residence Program (MIR).
• Medical Internal Residence Program is regulated by Spanish Health Ministry.
Lourdes Reina
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• The only medical speciality with official curriculum in Phlebology is:
a medical-surgical speciality dedicated to:
prevention, diagnosis and medical-surgical treatment of venous disease
That includes sclerotherapy
Angiology, endovascular and vascular surgery
Lourdes Reina
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But:
• Angiology, endovascular and vascular surgery’s residence is
focused on arterial disease.
Training in sclerotherapy is very scarce or non-existent
Lourdes Reina
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• Other ways of training in sclerotherapy:
Postgrade Teaching:University Masters
Continuing Medical Education:Work-shops, courses, congress
Angiology, endovascular and vascular specialist
Other specialists
Lourdes Reina
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But:
• Spanish law enables any kind of doctor to perform all types of surgical or medical practice.
However:
• Law does not permit misleading advertising:
“one cannot state as possesing a tittle without having attained it”
• In case of malpraxis, the judge’s punishment will be directlyproportional to the lack of training.
Lourdes Reina
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Vascular surgery specialistby Medical Residence Program
is mandatory
Public health systemPrivate health system:
Some insurance companies and some private hospitals
Sclerotherapy skills may be absent
Need of phlebological assistance
Lourdes Reina
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Private health system: Private personal practice, some insurance companies
and some private hospitals
Vascular surgery specialistis not mandatory
General doctors or other specialities that learned with:University Masters
CME teaching
Need of phlebological assistence
Sclerotherapy skills may be absent
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How have we improved sclerotherapy learning process?
In 2010, Vascular Department in Hospital Cruz Roja, Madrid
The first in developing a specific Sclerotherapy Unit in the Spanish Public Health System
Training of Medical Internal Residents of Vascular surgery
speciality
CME of Vascular and other specialists
Lourdes Reina
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How have we improved sclerotherapy learning process?
• Spanish Chapter of Phlebology and Lymphology of Spanish Society of Vascular Surgery (CEFYL)
• European Venous Forum
• Spanish Society of Aesthetic Medicine
For vascular surgeon and other specialists
Scientific Societies have been working to improved Sclerotherapy CME:
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International course of sclerotherapy
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International course of Sclerotherapy
• International Experts from other European Schools:• Italian (L. Tessari, A. Cavezzi, G Mosti),
• French (C Hamel-Desnos, JJ Guex, JL Gerard, M Perrin)
• English (M Whiteley)
• USA (L Kabnick)
• National Experts:• L Reina, J Pérez Monreal, E Roche, F Fernández, JI
Fernández Solares, A. Nowak, A Flórez, J Leal Monedero, S Zubicoa, AL Cabrera
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• Lectures and videos by experts.
• Live cases treatments by experts.
International course of Sclerotherapy
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• Theorical-Live Cases Course
Lourdes Reina
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Topics and main messages according to the European Guideline 2013
Lourdes Reina
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How have we improved sclerotherapy learning process?
Scientific Societies are working to improve Sclerotherapy CME:
• European Venous Forum: How Plus Sclerotherapy
For Vascular surgeons and other specialists
Lourdes Reina
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European Venous Forum: How Plus sclerotherapy
Lourdes Reina
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• Theorical-Live Cases Courses
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• University Master in Phlebology and Lymphology of University of Alcalá.
Director Dr. Javier Leal Monedero
How have we improved sclerotherapy learning process?
Lourdes Reina
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How have we improved sclerotherapy learning process?
• European Board of Phlebology
Working with the UEMS Joint Committee in Phlebology
Sclerotherapy training programme
according to European Standards of Postgraduate Medical Training
Lourdes Reina
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• Hospital Cruz Roja accredited by UEMS as National Training Centre in Phlebology for Spain
• For foam sclerotherapy, endothermal, MOCA and open surgery
How have we improved sclerotherapy learning process?
Lourdes Reina
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• Hospital Cruz Roja accredited as National Training Centre in Phlebology for Spain
• Accredited for foam sclerotherapy, endothermal, MOCA and open surgery
How could we improve sclerotherapy learning process? FUTURE
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• Improve the Medical Residence Programme in phlebology/sclerotherapy
of the speciality of “Angiology, endovascular and vascular surgery”.
How could we improve sclerotherapy learningprocess? FUTURE
• Giving the importance sclerotherapy/phlebology deserves.
• Developing phlebology/sclerotherapy in Vascular surgery services.
• Stays of Residents in Reference Units.
Lourdes Reina
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Thank you very much!