Professor C. Baeten
Professor A. Berger
Dr P. Buchmann
Professor J. Christiansen (Chairman)
Mr. J. Deasy
Dr. M. Devesa
Professor T. Hager
Professor S. Laurberg
Professor H. Myrvold
Professor R. J. Nicholls (Secretary)
Professor H. Ortiz
Professor L. Pahlman
1. Apologies: Dr H. Jarvinen, Dr R. Schiessel, Dr M. Pescatori, Mr N. Scott, Dr. F Tonelli.
2. Professor Marc-Claude Marti: – A minute of silence was observed in memory of Professor Marc-Claude Marti who died shortly after the meeting in Maastricht
3. Minutes of the meeting in Maastricht:- These were approved
4. Matters Arising: – These were already covered by the agenda.
5. Election of Chairman: - At the Maastricht meeting Professor John Christiansen had announced his intention to stand down as Chairman of the Division. The Secretary had asked members of the Division for nominations and had received the name of Professor Lars Pahlman proposed Professor Cor Baeten, Seconded Professor John Christiansen. He was unanimously elected as the new President of the Division.
6. Organisation of the Division: - The President and Secretary had proposed the creation of sub committees with the aim of developing the work of the Division. The principle was generally agreed and it was furthermore agreed that any sub committee should be small.
2. Training Unit Accreditation Committee- Mr Joe Deasy, Professor T Hager, Dr M Pescatori. Chairman to be decided.
The committees would answer to the Division through the President. They would report on their activity during meetings of the Division. It is hoped that the EBSQ Examination will be improved that a database of approved units to train in Coloproctology will come into being.
The Division also discussed the possibility of establishing a CME committee. It was felt that this should be deferred after more thought and discussion. The Secretary agreed to discuss this with Professor Parc and report back.
7. Finances: - The Division holds a Euro account. It currently stands at about 5,000 Euros. Attempts to increase income into the Division through approach to industry had so far been unsuccessful. There would be further injection of funds through the examination fee payable by candidates for the EBSQ 2002.
It was agreed that secretarial help should be recognised through payment of an appropriate honorarium.
8. EBSQ (Coloproctology): - Seventeen candidates eligible in part 1 had applied for the part 2 examination to be held immediately after the divisional meeting. There was a full compliment of examiners.
9. Date Of Next Meeting: - It was agreed that the next meeting should be held in Barcelona, immediately before the EACP Meeting, September 18th 2003.
10. Any Other Business: - The Secretary gave notice that he would retire at the end of the divisional meeting in Barcelona. Nominations for Secretary were formally requested. They should be proposed and seconded.
There was further discussion of the composition of the Division. As the representatives are elected for four years renewable for a further four years. It was felt that some turnover of membership was now required and the Secretary would discuss this with the new President.
Professor R. J. Nicholls
The European Board of Coloproctology associated with The European Board of Surgery
There is a trend towards increasing specialisation within surgery which has progressed to different degrees in different parts of the EU and some of the fields of surgery encompassed by the EBS have become recognised in some countries as well-defined or even totally independent surgical specialities.
The trend towards greater specialisation is supported by the EBS whenever consistent with improved standards of clinical practice and training. However, in order to meet the needs of many European hospitals which are not large enough to justify the same highly compartmentalised departments of surgery that have become the norm in most teaching centres, it is essential to ensure that surgeons are able to obtain broadly based training to a high standard across all the various fields. This makes it essential for newly emerging surgical specialities to continue to collaborate closely within a well-defined framework such as that provided by the EBS.
In order to encourage beneficial specialisation, while maintaining the integrity of surgery as a whole, it is the policy of the EBS to establish Surgical Speciality Boards to accommodate the special requirements well-defined areas of surgical practice. Surgical Speciality Boards have autonomous responsibility for setting and monitoring standards of training within their specific field of surgery while the EBS functions as a common “envelope” to co-ordinate the recommendations and actions of the Surgical Speciality Boards. The EBS exercises prime responsibility for common trunk training. It is empowered to issue European Board Certificates of Quality of Training (EBSQ) in the surgical specialities on the recommendation of its Surgical Speciality Boards.
Statutes of the European Board of Coloproctology associated with The European Board of Surgery
The European Board of Coloproctology (EBCP) is created within the European Board of Surgery (EBS) and the Specialist Section of Surgery of the UEMS.
The EBCP is constituted in accordance with the statutes, declarations and rules of the procedure of the UEMS.
The members of the EBCP shall be elected from representatives of the national organisations of coloproctology of the UEMS full member countries on a professional, scientific and academic basis.
The EBCP shall achieve and recommend to the EBS standards for training, accreditation and certification in coloproctology. The EBCP will encourage health authorities, national and international scientific societies of Coloproctology to live up to such standards.
The EBCP shall be governed by the following articles.
2.1 The main objective is to guarantee to the patients the highest standards of care in the filed of Coloproctology in the countries of the UEMS by ensuring that the quality of training is maintained at an adequate level.
2.1.1 The EBCP shall assess and report to the Division of Coloproctology, the EBS and the Section of Surgery the current contents and quality of training in Coloproctology in the different countries of the EU.
2.1.2 The EBCP shall define the contents of training of Coloproctologists and standards for training programmes and shall recommend mechanisms for the maintenance of these standards. It will work towards identification of training programmes and their approval as being suitable for training in Coloproctology.
2.1.3 The EBCP shall define the requirements to which the training institutions and teachers in Coloproctology should conform. Based on the agreement of participating institutions, requirements can be subjected to site-visit inspection.
2.1.4 After appropriate assessment of eligible candidates, the EBCP shall recommend to the EBS conferment of diploma of the European Board of Surgery Qualification in Coloproctology (EBSQ Coloproctology).
2.1.5 The EBCP will assess training programmes in Coloproctology on the request of a trainee within that programme.
2.1.6 The assessment of EBCP of the quality of training of the specialist is optional and shall not be a condition for migration of a holder of CCST in one member country to another.
2.1.7 The EBCP shall facilitate the exchange of Coloproctology trainees between the training centres of the various countries of the EU.
2.1.8 The EBCP shall develop criteria of evaluation of Continuing Education.
2.1.9 Audit and peer review.
3.1 The Executive Bureau of the UEMS shall officially communicate with the EBCP through the Section of Surgery and the Board of Surgery on behalf of the EU bodies.
3.2 The Section of Surgery EBS and the Executive Bureau of the UEMS shall be entrusted with communicating all opinions issuing from the EBCP and the Division of Coloproctology to the Commission of the EU and the Advisory Committee for Medical Training.
3.3 The Division of Coloproctology shall submit through the section of Surgery and EBS to the UEMS for ratification any changes to statutes relating to the membership and functioning of the EBCP.
IV Board Composition and Members
4.1 The EBCP shall consist of two representatives from each member state. One shall be the national representative to the Division of Coloproctology. The Division appoints the second representative after nomination from the relevant national scientific body. There should be one representative national body per member state.
4.2 The EBS will be represented by the President and Secretary on meetings of the EBCP. They may send a deputy .
The Permanent Working Group of Junior Hospital Doctors has the right to nominate a delegate.
4.3 The term of appointment of national representatives will be 4 years. Each will be appointed at intervals separated by 2 years. The Secretary will ask the national society for a nomination 1 year before expiry of the present appointment.
V Management Committee
5.1 The Division shall appoint a Management Committee amongst the EBCP members, composed of Chairman, Vice Chairman, Senior and Junior Secretary and Treasurer.
5.2 The Management Committee shall also communicate through EBS with the General Secretary of the UEMS who shall be informed of the activities of the EBCP as prescribed in the Statutes of the UEMS (minutes of plenary meetings decisions taken, all changes in the membership of the Boards, changes in Management Committee, etc.).
5.3 Duration of terms of office of the Management Committee.
The Chairman, Vice Chairman, Secretaries and Treasurer shall remain in office for 4 years. Candidates must be in active practice to be eligible for election.
5.4 Officers of the Management Committee of EBCP may be identical to those of the EBSQ. Where this is not the case, close collaboration between these bodies is essential.
The funds of the Board shall be acquired by:
Gifts, institutes of heir and legacies
Other legal benefits
Fees for the European Board of Surgery Quality (EBSQ) assessments.
VII Meetings of Board Members
7.1 A session is held at least once a year. Additional meetings may be convened by the Management Committee, in agreement with or at the instigation of the UEMS Division of Coloproctology.
7.2 The agenda will be drawn up by members of the EBCP. Other bodies, including the EBS, the Division of Coloproctology, Section of Surgery, or the UEMS Management Council or its Secretary General may request an item to be included.
7.3 The agenda shall be communicated to the EBCP members at least one month before the meeting.
7.4 The minutes of the meetings, as well as all resolutions will be sent after approval by the EBCP to the Division of Coloproctology, the Section of Surgery, the EBS and UEMS.
7.5 The Management Committee meets at least every year. Meetings are convened by the Chairman and Secretary, and the agenda and the relevant information are sent to members at least one month in advance.
8.1 Each country represented on the EBCP has one vote. The EBS also has a single vote. The delegate of the Permanent Working Group of Junior Hospital Doctors (PWG) has a vote. Representatives of a UEMS associated country have a consultative voice only.
8.2 The voting procedures described in the Articles 14, 15 and 16 of the UEMS Rules of Procedure are to be followed.
9.1 The EBCP can designate committees, charged of the study and presentation of proposals concerning specific objectives of the EBCP, always in accordance to the UEMS statutes and rules of procedure.
9.2 The committee(s) shall related to the Management Committee.
R J Nicholls