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ANNUAL REPORT 2014

IMPROVING THE PATIENT’S LIFE THROUGH

MEDICAL EDUCATION

Over the past four decades, EXCEMED has made a name for itself in the healthcare community, offering high quality continuing medical education to thousands of healthcare professionals around the globe.Our core mission is to help physicians achieve the best possible outcomes for their patients. Our name, EXCEMED, symbolizes a drive for excellence and reflects a passion for delivering the absolute best in CME. Better outcomes for patients start here.

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ANNUAL REPORT 2014EXCEMED

Contents

1. Introduction: Worldwide enrichment of healthcare 03 professionals in 2014

2. Excemed educational fields 2014 05

Neurology 06

Oncology 09

Endocrinology and metabolism 11

Cardiometabolic 13

Reproductive medicine 16

Ultrasound 19

3. Learning effectiveness in 2014 20

4. In their own words: Healthcare professionals give feedback 22 on learning experiences with EXCEMED

5. Governance 26

6. Financials 28

3ANNUAL REPORT 2014EXCEMED

IntroductionWorldwide enrichment of healthcare professionals in 2014

1.

Preceptorship course in head and neck cancer, 16-18 July 2014, Milan, Italy

4 ANNUAL REPORT 2014 EXCEMED

Worldwide enrichment of healthcare

professionals in 2014

In the competitive CME arena, providers must rise to the challenge of offering the most updated scientific content in the most engaging formats. EXCEMED continuously looks inward and outward for ways to optimize its relationships with healthcare professionals. EXCEMED took bold steps forward in its 2014 digital portfolio, developing three new websites in chronic disease management for general practitioners, internists and specialists working in thyroid dysfunction, hypertension and diabetes. These dynamic websites - which boast a growing array of slide presentations, scientific highlights from events, expert perspectives, video lectures and courses - are being used by healthcare practitioners around the globe. Several online courses were launched by EXCEMED in novel areas of multiple sclerosis and in metastatic colorectal cancer. Online case studies were developed in cardiometabolic medicine to guide professionals in monitoring blood pressure and in managing patients with heart failure.

Exciting online surprises await our followers in 2015 – developments which will fine-tune the ease with which healthcare professionals partake in our CME offerings. Moving forward, EXCEMED will continue to harness the creativity and expertise of its top-level faculty to deliver the absolute best in CME for the betterment of healthcare practitioners and their patients. As you click through the digital pages of this annual report, we hope you will join us in feeling proud of our worldwide reach and achievements.

Dear Colleagues and Stakeholders,In 2014, EXCEMED made great strides in its commitment to being a global leader in high-impact continuing medical education.Participants continue to reward our efforts with excellent reviews at our live events, positioning their overall learning satisfaction at an average of 95% across all medical specialties. Most importantly, medical professionals tell us that our live events are, on average, 98% beneficial to patients.

3846 participants at live events 505 faculty members shared their expertise at live events 51,582 users visited excemed.org from 90

countries on 8 continents

OTHER NUMBERS TELL A POWERFUL STORY OF REACH AND SUCCESS IN 2014

95%Satisfaction rate

97%Unbiased content

94%Met objectives

98%Benefit to patients

AVERAGE PARTICIPANT SATISFACTION ACROSS LIVE EVENTS AND THERAPEUTIC AREAS, 2014


2.

EXCEMED Educational fields 2014

Participants at the 2014 Annual conference in reproductive medicine – Implantation: Opening the black box, 23-24 May 2014, Budapest, Hungary


Neurology

2014 Annual conference: Multiple sclerosis: improving patient outcomes through scientific and clinical advances9-10 May 2014, Dubai, United Arab Emirates

Workshop on: New frontiers in multiple sclerosis management30 May 2014Istanbul, Turkey

Joint Congress of European Neurology Satellite Symposium: Dysimmune neuropathies - from pathogenesis to treatment1 June 2014Istanbul, Turkey

MS Preceptorship: Updating knowledge in multiple sclerosis17-19 June 2014Barcelona, Spain

16th MS Nurse International Workshop (pre-ECTRIMS)9 September 2014Boston, USA

MS Academia: Multiple sclerosis advanced course (pre-ECTRIMS)9 September 2014Boston, USA

The challenge of the new MS centers: high qualification and optimal resources management22-23 September 2014Frankfurt, Germany

Preceptorship course on rehabilitation in multiple sclerosis25 - 26 September 2014Valens, Switzerland

Preceptorship on MRI in multiple sclerosis30-31 October 2014Milan, Italy

Novel treatment and clinical trials in MS14 November 2014Rome, Italy

2014 Pre-LACTRIMS conference onProgressive MS26 November 2014Lima, Peru

11 events, 10 countries885 participants at live events141 expert faculty at live events

2014 IN NUMBERS


97%Unbiased content

93%Met objectives


AVERAGE SATISFACTION RATES

LIVE EVENTS: WHAT ATTENDEES THOUGHT


Live event highlightOver 260 neurologists gathered to discuss role of genetics and environment in MSEXCEMED drew leading international experts in multiple sclerosis to explore the roles of genetics and environment in MS pathology at the conference, Multiple sclerosis: Improving patient outcomes through scientific and clinical advances. The diagnosis and treatment of MS have dramatically improved over recent decades due to scientific advancements, yet MS persists as one of the most disabling neurological disorders, having a significant impact on young adults – the age group most affected by the disease. This live event has evolved into a key date for neurologists from all over the world who specialize in MS.

Over 260 neurologists involved in the management of MS participated

in the 2014 CME-accredited annual Conference in MS. Organized

by EXCEMED, the conference took place on 9-10 May, in Dubai, UAE.

Presentations, workshops and roundtable sessions focused on important aspects of MS relating to epidemiology, genetics and patient-centered clinical management:• Latest advances in MS pathogenesis• Genetic susceptibility and environmental factors

in MS pathogenesis• Optimum treatment selection, based on MS

disease phase• Identifying the main predictors of disease

outcome• Assessing treatment and changing therapies in

non-responding patients

“We are proud to gather, year after year, an outstanding international panel of experts in neurology and MS research

in order to contribute to the debate from the perspective of clinical practices. The goal is to identify the most appropriate

treatments for this disease,”

Prof Giancarlo Comi, President of the EXCEMED Scientific Committee and Professor in Neurology at University

Vita-Salute San Raffaele, Milan, Italy.

The neurology edition of Extracts points readers to the clinical takeaway messages from the Annual Conference in MS and

summarizes EXCEMED’s smaller, intensive courses.


Prof G. Comi and Prof A. Siva discuss a topic during the 2014 Annual conference: Multiple sclerosis - improving patient outcomes through

scientific advances, 9-10 May 2014, Dubai, United Arab Emirates

“This meeting presented the latest epidemiological and genetic knowledge about MS and linked it to pathology and the practical management of therapy for people with MS...”

Prof David Bates, Department of Neurology, Royal Victoria Infirmary, Newcastle upon Tyne, UK, and scientific organizer of the event.


EXCEMED online

Multiple sclerosis therapy: mechanisms of actionProf David Bates, University of Newcastle upon Tyne, UK

Therapeutic options for MS have seen tremendous expansion in recent years, offering physicians and patients an array of options and the challenging responsibility of choosing the optimal therapy for each patient. Extensive clinical evaluation of patient, clinical phenotype and disease progression are fundamental for selecting the best therapeutic option. This online course offers the chance to fully understand the modes of action of current MS drugs and emerging DMTs. Accredited by the European Accreditation Council for Continuing Medical Education (EACCME) for 1 European CME credit (ECMEC).

Inflammation, synaptic transmission and neurodegeneration in multiple sclerosisProf Diego Centonze, University of Tor Vergata, Rome, Italy

Although MS has been regarded as a disorder of CnS white-matter, early alterations of the neuronal compartment are partially independent of demyelination. Soluble inflammatory cytokines and glutamate have been proposed as major determinants of neurodegeneration. The relationship between these two major determinants has been largely elusive. Data suggest that CnS-confined inflammation in MS is associated with the release of soluble molecules which can alter excitatory synaptic transmission and stimulate secondary neurodegenerative gray matter pathology. This online course explores all these novel aspects of MS. Accredited by the European Accreditation Council for Continuing Medical Education (EACCME) for 1 European CME credit (ECMEC).

Two new online courses in the EXCEMED neurology portfolio offer unique opportunities to learn key aspects of MS.

Prof David Bates addresses a plenary session at the 2014 Annual Conference, Multiple Sclerosis: Improving patient outcomes through

scientific and clinical advances and is also the author of a new EXCEMED online course in multiple sclerosis.


Oncology

Preceptorship course in metastatic colorectal cancer18-20 June 2014London and Liverpool, United Kingdom

Satellite Symposium and EXCEMED Oncology Award presentation: Opportunities for molecular targeted treatments in metastatic colorectal cancer25 June 2014Barcelona, Spain

Preceptorship course in head and neck cancer30 June - 4 July 2014Kashiwa, Japan

Preceptorship course in head and neck cancer16-18 July 2014Milan, Italy

Preceptorship course in metastatic colorectal cancer3-5 September 2014London and Liverpool, United Kingdom

2014 Preceptorships in oncology8 -11 September 2014Paris, France

Head and neck preceptorship: focus on comprehensive management15-17 October 2014Nice, France

Evidence based medicine in metastatic colorectal cancer workshop17-18 October 2014Dubai, United Arab Emirates

Synchronous liver metastases from colorectal cancer - Consensus conference24-25 October, 2014Florence, Italy

Synchronous liver metastases from colorectal cancer consensus conference24-25 November 2014Florence, Italy


2014 IN NUMBERS


95%Unbiased content

94%Met objectives





International workshop in head and neck cancer management1 November 2014Budapest, Hungary

Preceptorship course in metastatic colorectal cancer12-14 November 2014London and Liverpool, United Kingdom

Preceptorship course in head and neck cancer 3-5 December 2014Milan, Italy

Preceptorship course in metastatic colorectal cancer3-5 December 2014London and Liverpool, United Kingdom

Live event highlightItalian expert honored for excellence in medical oncology education One of Europe’s leading medical oncologists was honored by EXCEMED for exemplifying educational excellence in his field. Doctor Fortunato Ciardiello, Professor of Medical Oncology at the Seconda Universita degli Studi di Napoli, Naples, Italy, received the 2013 SSIF Award for medical education in oncology during EXCEMED’s satellite symposium at the European Society for Medical Oncology (ESMO) 16th World Congress on Gastrointestinal Oncology. “Teaching is a very relevant part of my activity – for me, this award recognizes my scientific background but also my teaching,” says Prof. Ciardiello, who leads the Division of Medical

Oncology and the Laboratory of Experimental Therapeutics at his university. Prof. Ciardiello says three essential elements of medical oncology education are to know your audience and their needs, ensure top-level experts present updated material in an accessible way to bring essential messages to the forefront, and offer a consistent programme where one topic builds on the other to form a learning pathway. Employing suggestions from young oncologists when crafting educational programmes could help fill knowledge gaps in medical oncology, Prof. Ciardiello explains. “Our mission in the profession of medical oncology is to become more homogenous,” he says. “There are countries where specialties are more organized. It is important that we bring this standard up to a European level.” The award, which showcases the value of medical education in our society, goes to an outstanding professional from a different medical field each time it is delivered.


Many treatments options, and different timings and sequences of treatment, are used in the management of synchronous liver metastases in CRC. There is a need to produce guidelines to assist oncologists to manage this disease optimally. Discussions on the optimum treatment of these metastases were a major focus of the EXCEMED consensus meeting. Following the success of the Consensus conference on “Criteria for resectability of liver metastasis in colorectal cancer” held in 2011 in Rome, this second Consensus conference took place in Florence, Italy on October 24-25, 2014. The 2011 event yielded a paper published in The Oncologist (September 2012, shown at right) and the 2014 edition led to a paper published in Cancer Treatment Reviews (June 2015) entitled «Managing synchronous liver metastases from colorectal cancer: A multidisciplinary international consensus.»

REACHING A CONSENSUS IN FLORENCE, ITALY

Oncology Extracts features expert interviews with Prof René Adam and Prof Takoto Tahara as well as analysis of analysis of

preceptorships in head and neck cancer and mCRC.


Endocrinology and metabolism

International School of Thyroid Ultrasonography14-15 February 2014Pisa, Italy

Advances in diagnosis and treatment of growth disorders10 May 2014Istanbul, Turkey

International School of Thyroid Ultrasonography16-17 May 2014Pisa, Italy

Latin American conference on growth disorders: “Recent advances and continued challenges in managing short stature”23-24 May 2014Santiago de Chile, Chile

2014 Annual Multidisciplinary European Phenylketonuria Symposium: PKU a lifetime of challenges6-7 June 2014Zagreb, Croatia

International School of Thyroid Ultrasonography 17-18 October 2014Pisa, Italy

Live event highlightResearchers edge closer to European approach for managing PKU Researchers took another step toward standardised European guidelines for managing the metabolic genetic disorder phenylketonuria (PKU) at a conference dedicated to the illness. EXCEMED convened dietitians, paediatricians and other healthcare professionals for the 2014 Annual Multidisciplinary European Phenylketonuria Symposium – PKU: A lifetime of challenges in Zagreb, Croatia from 6 to 7 June 2014. “We are very close to making European recommendations for the management of PKU. This was a big feature at the meeting – all the guidelines were presented, some of them based on evidence, some on opinion,” says Prof Anita MacDonald, Consultant Dietitian at Birmingham Children’s Hospital, Birmingham, UK and co-scientific


2014 IN NUMBERS


97%Unbiased content

96%Met objectives





coordinator of the annual conference. In the past, much PKU research was uncontrolled or not randomized and it occurred non-collaboratively in small centers, explains Prof MacDonald. “We are left with dilemmas such as people within the same country dealing with PKU differently,” she says. PKU is a rare disorder affecting one in ten thousand people; lack of funding and a history of limited, inconclusive research have meant slow advancements in effective management techniques. “For the past 60 years, diet has been the mainstay of treatment for PKU. Although successful, it is challenging, so we are desperate to find effective and cost effective alternative treatments for our families,” says Prof MacDonald. The meeting evaluated management of PKU, interpreted its pathophysiological insights, and compared ways to counteract neurocognitive repercussions for patients. Approaches for managing maternal, transition age and adulthood PKU were also considered.

A clinical case discussion during the Latin American conference on growth disorders, 23-24 May 2014, Santiago de Chile, Chile


Endocrinology and metabolism Extracts looked at outcomes from the conference, Advances in growth disorder treatment and zeroed

in on growth disorder issues in Latin America.


Cardiometabolic

2014 Asia-Pacific cardiovascular symposium “Managing cardiovascular risk factors to prevent the fatal end of cardiovascular continuum”1-2 March 2014Guangzhou, China

2014 Asia-Pacific endocrine conference: optimal management of diabetes and thyroid diseases, 7-8 June 2014Manila, Philippines

Diabetes and thyroid disorders in clinical practice today: progresses and challenges21 June 2014Rome, Italy

CME tour in Africa on Clinical Chronic Diseases Management - Diabetes and Hypertension2-5 September 2014Uganda & Kenya

Practical course on the management of cardiology from cell to patient: The experience of the Centre for Prevention and Care of Cardiovascular Diseases of the University of Ferrara11-13 September 2014Ferrara, Italy

CME tour in Africa on Clinical Chronic Diseases Management - Diabetes and Hypertension22-27 September 2014Mozambique, Nambia & Angola

Advances and challenges in the management of diabetes and thyroid disorders10-11 October 2014Sao Paulo, Brazil

2014 CME Tour on Clinical Diabetes Management1-7 November 2014Tanzania & Ghana

1st International Meeting of Diabetes and Bone7-8 November, 2014Rome, Italy


2014 IN NUMBERS


94%Unbiased content

96%Met objectives





3rd European - Middle East forum on cardiovascular risks28 November 2014Prague, Czech Republic

Live event highlightContinuing Medical Education tour helped enhance diabetes practice among health professionals in Sub-Saharan Africa EXCEMED launched its second CME Tour of Africa in 2014 to enhance local awareness and capability in diabetes and chronic disease management – conditions which are a growing problem in African alongside changes in diet and lifestyle. “Africa, like many areas of the world, is about to experience a tidal wave in the prevalence of diabetes, to be followed by a wave of cardiovascular-related complications. This will be an enormous burden on the healthcare systems of these countries,” says Dr. Jonathan Levy, medical lead for the CME Tour and researcher at the Oxford Centre of Diabetes, Churchill Hospital, Oxford, UK. The CME Tour engaged over 1,000 general practitioners, medical students and pharmacists in Angola, Ghana, Kenya, Mozambique, Namibia, Tanzania and Uganda. The workshops, in collaboration with African universities, showcased evidence-based data and demonstrated diabetes management approaches.

Healthcare providers who were unable to attend the live events are invited to go to www.managediabetesonline.org, an EXCEMED managed website, to access educational outcomes from each leg of the CME Tour.

EXCEMED Educational fields 2014 HIGHLIGHTS ON

EXCEMED ACTIVITIES IN CARDIOMETABOLIC MEDICINE

FALL

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FOLLOW US HTTP://TWITTER.COM/EXCEMED_CARDIO www.excemed.org

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CONFERENCE OUTCOMESAsia-Pacific CV Symposium: managing CV risk to prevent CV-related fatalities

CME TOUR OF AFRICAEnhancing local awareness and capability in diabetes and chronic disease management

YOUR EXCEMEDImproving cardiometabolic management through medical education

Cardiovascular risk factors – transforming knowledge into practice

Over 130 healthcare professionals who manage hypertension in China, India, the Philippines, Thailand and Vietnam attended this symposium. Presentations focused on managing CV risk factors to prevent the fatal end of the cardiovascular continuum. Activities were designed to ensure that scientific knowledge could best transform into good clinical practice. This is a key aim of every EXCEMED CME activity.

CVD remains challengingCVD remains the most common cause of mortality and morbidity across Asia-Pacific, and indeed globally, despite increased knowledge and ongoing research. Treatment of major CVD, including ACS or stroke, presents costly challenges for healthcare systems, without considering the most effective approach for CVD: i.e. prevention. Essential hypertension remains a problem that is often complicated by metabolic disease. Clinicians should regularly review care for every hypertensive patient to ensure they receive appropriate pharmacological treatment. Regimens should follow current evidence-based guidelines, focusing on normalisation of BP values.

Continuing medical education (CME) is our sole focus and our passion. We pour our energy and expertise into delivering the best for healthcare professionals, with patients as the ultimate beneficiaries. EXCEMED offers many CME activities in cardiometabolic disease management. Educational programmes are developed to suit the needs of healthcare professionals from all over the world who wish to remain up to date with all aspects of cardiometabolic research and patient care.

CME EXCELLENCE

09 181316

CONFERENCE OUTCOMESAsia-Pacific Endocrine Conference: optimal management of T2DM and TD

UPCOMING IN EXCEMED CARDIOMETABOLIC MEDICINEEXCEMED CME events on the horizon

CONFERENCE OUTCOMEST2DM and TD in clinical practice: progress and challenges

MEETING REPORT ESH/ISH Annual Meeting

CONFERENCE OUTCOMES 1-2 MARCH, GUANGZHOU, CHINA

IMPROVING THE PATIENT’S LIFE THROUGH

MEDICAL EDUCATION

The event focused on the clinical management

of hypertension, using an evidence-based and

guideline-driven approach.

Cardiometabolic Extracts delves into essential issues raised at the Asia-Pacific CV Symposium: managing CV risk to prevent

CV-related fatalities, as well as a full report on the ESH/ISH 2014 meetings.

Prof Jonathan Levy speaking at the University of Nairobi, Nairobi, Kenya

“The young doctors we’re reaching are the healthcare providers of the future – the leaders, the ones urging governments to take action to prevent and treat diabetes,”

Prof Jonathan Levy, medical lead for the CME Tour and researcher at the Oxford Centre of Diabetes, Churchill Hospital, Oxford, UK.


EXCEMED online

Evidence-based standards in thyroid practiceManage Thyroid Online is a definitive resource to help healthcare professionals recognize the implications of diagnosing and treating different thyroid disorders. General practitioners, specialist endocrinologists and internists will be able to select from practical and in-depth approaches to thyroid disease in formats such as expert editorials, slide presentations, video lectures, key conference summaries and CME-accredited e-learning courses.The site delivers up-to-date content on a variety of conditions including:• hypothyroidism, • hyperthyroidism, • goiter and nodular diseases, • cardiovascular implications of thyroid dysfunction and • special topics such as differentiated thyroid cancers, • pregnancy – and age-related thyroid issues

The experts• Prof Nemencio Nicodemus, University of the Philippines-College

of Medicine, Philippines• Prof Dr. George J. Kahaly, Gutenberg University Medical Center,

Germany• Prof Ali Saeed Alzahrani, AlFaisal University, Saudi Arabia• Dr. Gabriela Brenta, Buenos Aires University, Argentina

Enriching expertise in diabetes managementDelivering up-to-date learning, developed by an editorial board of international experts • Offering the latest in diabetes management and its complications and co morbidities, including pathophysiology, diagnosis, pharmacological therapies, follow-up procedures, and prevention strategies• Enriching the healthcare practitioner’s expertise in managing

neuropathy, nephropathy, micro- and macro-vascular diseases • General practitioners, diabetologists, specialist endocrinologists

and internists can select from practical and in-depth approaches

Supporting daily clinical practice in Thyroid, Diabetes and Hypertension

to formats such as expert editorials, slide presentations, video lectures, scientific highlights from conferences, and resources from CME Tours tailored to professionals in low and middle-income countries

• Suitable for practitioners working at all levels of experience, around the globe

The experts • Prof Chaicharn Deerochanawong, Rangsit Medical School,

Ministry of Public Health Bangkok, Thailand• Dr. Abdulrazzaq Ali Al Madani, , Dubai Hospital-DHA, Dubai• Dr. Ruy Lyra, University of Pernambuco, Pernambuco, Brazil

Updating knowledge in hypertension• Delivering up-to-date learning, developed by an editorial board of

international experts • Content in hypertension and cardiovascular diseases

management, including pathophysiology, diagnosis, pharmacological and interventional therapies, follow-up procedures and prevention strategies

• General practitioners, cardiologists and internists can select from practical and in-depth approaches to formats such as expert editorials, slide presentations, video lectures, scientific highlights from conferences, and e-learning courses

• Heightening expertise in managing cardiovascular ischemic diseases, cardiac arrhythmias, and conditions of declining heart function

• Suitable for practitioners working at all levels of experience, around the globe

The experts• Prof Omar Salah Awwad, Ain Shams University, Egypt• Prof Harry Struijker-Boudier, Maastricht University, Netherlands• Prof Brian Tomlinson, The Chinese University of Hong Kong,

China

Your reference point supporting daily clinical practice in diabetes

DiabetesManage

Online

MANAGEDIABETESONLINE.ORG

Your reference point supporting daily clinical practice in hypertension and cardiovascular disease

MANAGEHYPERTENSIONONLINE.ORG


International School of Ultrasound in Obstetrics and Gynaecology “Paolo Mascagni” Workshop on : Early evaluation of fetal echocardiography18-19 April 2014Siena, Italy

2014 Annual conference in reproductive medicine - Implantation: Opening the black box23-24 May 2014Budapest, Hungary

Advanced workshop in embryology6-7 June 2014Dubai, United Arab Emirates

Workshop on Assisted Reproductive Technology (ART)11 June 2014Monte Carlo, Monaco

Different frontiers in ART13-14 June 2014Moscow, Russian Federation

7th Advanced course in embryology28 June 2014Munich, Germany

IVF Preceptorship Hamburg4-5 July 2014Hamburg, Germany

IVF Preceptorship London5- 6 September 2014London, United Kingdom

Challenging issues in reproductive medicine8 August 2014Moscow, Russian Federation

8th IVF Preceptorship: current practice in 21st century25-26 September 2014Madrid and Valencia, Spain

International School of Ultrasound in Obstetrics and Gynecology «Paolo Mascagni» Workshop on : US Monitoring of fetal growth26-27 September 2014Siena, Italy


2014 IN NUMBERS


98%Unbiased content

92%Met objectives




Reproductive Medicine


IVI 1:1 shadow course: an opportunity to work alongside experts in IVF27-29 October 2014Valencia, Spain

IVF Preceptorship Naples6-7 November 2014Naples, Italy

Preceptorship on: Clinical and managerial aspects for a successful ART centre6-7 November 2014Naples, Italy

Advanced workshop in embryology28-29 November 2014St Petersburg, Russian Federation

Conference on fertility preservation4 December 2014Paris, France

Almost 400 clinicians, biologists and researchers working in fertility medicine and ART attended the 2014 CME-accredited annual meeting in reproductive medicine, 23-24 May, in Budapest, Hungary.This international conference is held annually and has become a key event for professionals working in ART, from all over the world. Presentations focused on the following important subjects relating to human embryo implantation:• Key biological aspects of human embryo

implantation• State-of-the-art techniques to maximise

implantation• Evidence-based recommendations to achieve

the best outcomes from ART

A LOOK BACK AT THE ANNUAL CONFERENCE


The Reproductive medicine Extracts goes in depth with all aspects of the 2014 Annual Conference held in

Budapest, Hungary.

Different frontiers in ART, 13-14 June 2014, Moscow, Russian Federation


Live event highlightExperts gathered to demystify human implantation in fertility treatments Human embryo implantation has been called the “black box” of assisted reproductive technology (ART) because, until recently, there has been less emphasis on its biological underpinnings. EXCEMED’s annual conference in reproductive medicine - Implantation: Opening the black box - convened top experts in reproductive medicine to explore approaches and technologies useful for successful human implantation. “This event was truly interesting because it addressed a major hurdle that stands between us and success for our fertility patients – that is, addressing human implantation,” says Dr. Nicholas Macklon of the Department of Obstetrics and Gynecology, University of Southampton, Southampton, UK and co-scientific organiser of the conference. “Up until now we’ve been successful in creating embryos through IVF techniques, but our challenge is getting these embryos to implant,” explains Dr. Macklon.

“Implantation of the embryo into the endometrium has been a kind of mystery in the past,” says Dr. Peter Zsolt Nagy of Reproductive Biology Associates, Atlanta, Georgia, USA, Chair of ALPHA, Scientists in Reproductive Medicine and a co-scientific organiser of the conference. “We were happy when it worked and the patient became pregnant, but when it didn’t work, many times we were unable to identify what the reasons were,” he says. “At this meeting we had the most outstanding researchers and scientists giving their views and presentations of their research to explain this black box which is not really a black box anymore,” says Dr. Nagy. The CME-accredited conference targeted clinicians and biologists working in ART who wished to update their knowledge of advanced techniques and innovations. Attendees learned biological aspects of human embryo implantation, enhanced their understanding of advanced techniques, and applied evidence-based recommendations to achieve the best outcomes from ART.


Dr. J. Aplin delivers a lecture at the 2014 Annual conference in reproductive medicine - Implantation: Opening the black box,

23-24 May 2014, Budapest, Hungary


Participants take a hands-on approach at the International School of Ultrasound in Pain Management, 27-28 June 2014, Innsbruck,

Austria

Ultrasound

International School of Ultrasound in Pain Management27-28 June 2014Innsbruck, Austria

International School of Musculoskeletal Ultrasound - July 201415-19 July 2014Genova, Italy

International School of Musculoskeletal Ultrasound15-19 July 2014Genova, Italy

International School of Musculoskeletal Ultrasound23-27 September 2014Genova, Italy

International School of musculoskeletal ultrasound - December 20149-13 December 2014Genoa, Italy


2014 IN NUMBERS


99%Unbiased content

94%Met objectives





3.

Learning effectiveness in 2014

Stage setting for the 2014 Annual conference in reproductive medicine – Implantation: Opening the black box, 23-24 May 2014, Budapest, Hungary


EXCEMED assesses the learning effectiveness of its programmes through a series of surveys at each live event as part of its commitment to ensuring an optimal learning experience for healthcare providers.

Learning effectiveness in 2014

Participants are asked to complete questionnaires related to the learning objectives of the course before, during and after a live event. Comparing the number of correctly answered questions at each stage allows EXCEMED to track the evolution of healthcare providers’ knowledge, competence and change in practice.

CHARTING SUCCESS IN 2014: AVERAGE PERCENTAGE OF CHANGE IN KNOWLEDGE, COMPETENCE AND PRACTICE AFTER LIVE EVENTS

Cardiometabolic

0 10 20 30 40 50 60 70 80 90 100

Endocrinology

Neurology

Oncology

Reproductive Medecine

Ultrasound*

International School of Thyroid Ultrasonography, 16-17 May 2014, Pisa, Italy

Change in knowledge

Change in competence

Change in practice

*For this specialty area, only changes in knowledge and practice were tracked.


4.

In their own words: Healthcare professionals give feedback on learning experiences with EXCEMED


Endocrinology“Thanks to what I heard at the conference, I feel more comfortable while treating patients.”

“The information from the meeting re-assured me that I am following the most up-to-date GH therapy.”

Advances in diagnosis and treatment of growth disorders, 10 May 2014, Istanbul, Turkey

“I would recommend the EXCEMED programme every time, not only for the updated topics treated but also because of the high academic level of the speakers and their pedagogical approach.”

Latin American conference on growth disorders: «Recent advances and continued challenges in managing short stature», 23-24 May 2014, Santiago de Chile, Chile

“I feel that I have learnt a lot, I was inspired with ideas for future research in the field and had the opportunity to meet colleagues from other countries and discuss potential collaborations.”

2014 Annual Multidisciplinary European Phenylketonuria Symposium: PKU a lifetime of challenges, 6-7 June 2014, Zagreb, Croatia

“I really appreciate the event because it’s a very good forum for discussion in some controversial aspects of our practice.”

Advances and challenges in the management of diabetes and thyroid disorders, 10-11 October 2014, Sao Paulo, Brazil

Neurology“Great content and very good variety of speakers and having both workshops and grand hall was a great way of keeping us stimulated.”

“It covers all the required points to improve patient outcome and compliance, provides practical conclusions and it’s the fastest way to update yourself.”

2014 EXCEMED Annual conference «Multiple sclerosis: improving patient outcomes through scientific and clinical advances», 9-10 May 2014, Dubai, United Arab Emirates

“Very interesting course, good in terms of application to clinical practice.”

Workshop on: New frontiers in multiple sclerosis management, 30 May 2014, Istanbul, Turkey

In their own words: Healthcare professionals

give feedback on learning experiences

with EXCEMED


Oncology“This interactive course changed the way I interact with colleagues as a multidisciplinary team.”

Preceptorship course in head and neck cancer, 16-18 July 2014, Milan, Italy

“This scientific programme will change my practice of colorectal cancer management.”

Preceptorship course in metastatic colorectal cancer, 18-20 June 2014, London and Liverpool, United Kingdom

Reproductive medicine“Since the programme combines well the state of the art of clinical and basic research knowledge it helps in clinical decision making.”

“The knowledge gained through this event will result in a change in my daily practice in certain areas and, hopefully, sharing this with my colleagues will result in changing their practice as well.”

2014 Annual conference in reproductive medicine - Implantation: Opening the black box, 23-24 May 2014, Budapest, Hungary

“This programme allowed me to better individualise treatment according to the patient profile.”

Workshop on Assisted Reproductive Technology (ART), 11 June 2014, Monte Carlo, Monaco

“New ideas and technology were introduced and the open discussions allow all attendees to have deeper understanding and views on the topics.”

“The programme enabled me to review current evidence for performing the various techniques in everyday practice. This will ultimately aim at best practice which will be beneficial to my patients.”

7th Advanced course in embryology, 28 June 2014, Munich, Germany



with EXCEMED


Ultrasound“Finally a course which will provide me with practical tools to apply in my practice”, participant feedback

“After the course I have changed my approach towards fetal echocardiography”, participant feedback

International School of Ultrasound in Obstetrics and Gynecology “Paolo Mascagni” Workshop on : US Monitoring of fetal growth , 26-27 September 2014, Siena, Italy

“I pay more attention on ultrasonography patterns of thyroid nodules which could be predictive for malignancy in my medical practice after this course.”

“Now I have a wider knowledge of what I should look for in order to confirm / exclude thyroid malignancy.”

International School of Thyroid Ultrasonography, 14-15 February 2014, Pisa, Italy

Cardiometabolic“Excellent combination of theory and practical clinical implementation of information”, participant feedback “Great lectures with new approaches to solve many dilemmas in our practice.”

Diabetes and thyroid disorders in clinical practice today: progresses and challenges , 21 June 2014, Rome, Italy

“The most updated event on bone and diabetes.”

1st International Meeting of Diabetes and Bone, 7-8 November, 2014 Rome, Italy

“I’ve learned a lot, to enable me to become an advocate.”

“Interesting teaching methodology that combines theory and practice.”

CME Tour in Africa on Clinical Chronic Diseases Management - Diabetes and Hypertension2-5 September 2014, Uganda & Kenya

“The learning provided on clinical practice brings the student learning from books and in the classroom into practice.”

2014 CME tour on Clinical Diabetes Management 1-7 November 2014, Tanzania & Ghana



with EXCEMED


5.

Governance

Olivier DunantPresidentPartner, Borel and Barbey, Geneva, Switzerland

Jean-Daniel BakiExecutive Board Member and Chief Financial OfficerJDB Consulting SA, Geneva, Switzerland

Jean-Marie Hainautlegal AssociateLombard Odier & Cie, Geneva, Switzerland

Giancarlo ComiPresidentProfessor of Neurology, University Vita-Salute San Raffaele and Chairman of the Department of Neurology and Neurorehabilitation, Scientific Institute, San Raffaele, Milan, Italy

Robert FischerMemberFounder and Medical Director, IVF-unit at the Hamburg Fertility Center, Hamburg, Germany

Christoph ZielinskiMemberDirector, Clinical Division of Oncology and Chairman of the Department of Medicineat Medical University Vienna, Austria

Board of Directors Scientific Committee

EXCEMED’s high scientific and educational standards are ensured through its board of directors and through its prestigious international scientific committee.


6.

Grantors

All EXCEMED programmes are organized solely to promote the exchange and dissemination of scientific and medical information. No forms of promotional activities are permitted. There may be presentations discussing investigational uses of various products. These views are the responsibility of the named speakers, and do not represent an endorsement or recommendation on the part of EXCEMED.

Our 2014 programmes were made possible thanks to educational grants received from: Arseus Medical, Besins Healthcare, Bristol-Myers Squibb, Celgene, Centre d’Esclerosi Multiple de Catalunya (Vall d’Hebron University Hospital), Centre Hépato-Biliaire (Hôpital Paul Brousse), Croissance Conseil, Cryo-Save, Datanalysis, Dos33, Esaote, Ferring, Fondazione Humanitas, Fundación IVI, GE Healthcare, GlaxoSmithKline Pharmaceuticals, IPSEN, Italfarmaco, Johnson & Johnson Medical, K.I.T.E., Karl Storz, Lumenis, Merck Serono, PregLem, Richard Wolf Endoscopie, Sanofi-Aventis, Stallergenes, Stopler, Teva Pharma, Toshiba Medical Systems, Université Catholique de Louvain (UCL), University of Catania.


8.

Financials


ACTUAL DECEMBER 31, 2014 ACTUAL DECEMBER 31, 2013 EUR EUR

EDUCATIONAL ACTIVITY EXPENDITURES 6’864’469 7’877’153

FIXED COSTS 290’423 238’632

TOTAL 7’154’892 8’115’785

Educational Activity Expenditures over Fixed Costs

ACTUAL 31.12.2014 COMPARED TO ACTUAL 31.12.2013

ACTUAL AS PER END OF 2013ACTUAL AS PER END OF 2014

4%Fixed Costs

3%Fixed Costs

96%Educational

Activity Expenditures

97%Educational

Activity Expenditures

© EXCEMED - EXCELLENCE IN MEDICAL EDUCATION, 2014, ALL RIGHTS RESERVED.

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