Ten years specialist training in ID medicineHow it changed the landscape

Frans Ewals, ID physician

Educational training ID physician Erasmus MC Rotterdam

Bridge 2010 Bristol

1. 10 years ID Medicine: the outcome

2. 10 years training in ID Medicine: the results

3. The training program: making it future proof

4. 10 years ID Medicine: looking back, looking forward

2000: Why a specialism ID Medicine?

1. 10 years ID Medicine: the outcome

2. 10 years training in ID Medicine: the results

3. The training program: making it future proof

4. 10 years ID Medicine: looking back, looking forward

10 years ID Medicine: the outcome

43 outpatient clinics

- General ID Medicine

- SpecialisedMental healthSleep disordersEtiology related(DS, Angelman, TSC, …)

10 years ID Medicine: the outcome

Quality Improvement 1. Guidelines concerning medical care for people with ID

Screening for visual impairmentScreening for hearing impairmentScreening for breast cancerScreening for cervical cancerEpilepsy Pharmacological sedationGastro-esophageal refluxContraception and parentingPrescribing psychotropic drugsDecision making at the end of lifeDental care (Verenso)Cerebral palsy (CBO)Coeliakie (CBO)Drugs and brain injury (CBO)

10 years ID Medicine: the outcome

Quality Improvement

2. Formalized collaboration with GP’s (NVAVG/LHV)- transition of care- professional domains

3. Effective working alliances with parent associations- medical advisor - supporting better primary and secundairy health care - research: setting the agenda, study design- specialized out patient care for rare diseases

1. 10 years ID Medicine: the outcome

2. 10 years training in ID Medicine: the results

3. The training program: making it future proof

4. 10 years ID Medicine: looking back, looking forward

10 years training in ID Medicine: the results

1. ID physicians

How many trainees completed the program?

Total number 68 (♂: 10; ♀: 58)

Not working as (ID)physician: 3

Trainee psychiatry 1

Active as ID physician 64

Where? Netherlands 61

Belgium 2

USA 1

10 years training in ID Medicine: the results

ID physicians

Involved in

Patient care 63

training program Erasmus

supervisor 13

staff member 2

Research 8

Guideline development 8

10 years training in ID Medicine: the results

Results of Scientific Research Education

Topics all relevant for for the field of ID Medicine

22 research projects finished

- 11 published ( 3 Dutch, 8 English journals)

- 23 scientific presentations (9 Dutch, 14 International)

- multiple presentations at other settings

- all reports are (in Dutch) web available

JPPID dec 2009 Evenhuis/Penning

10 years training in ID MedicineThe output: dissemination of knowledge

Erasmus MC

- participation in course clinical decision making (all students)

- minor The patient with an ID (4 weeks)

- internships in ID Medicine

- short course for all trainees GP

AMC Amsterdam

- participation in Minor Health care in the big city

- trainees GP: The GP and the patient with a ID (voluntary/2 half days)

Free University Amsterdam

- program for specialists in geriatric medicine working with people with ID

(5 weeks, well over-subscribed)

- Trainees specialist in ger.med..: A better craftsman for patients with ID (half day)