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General information

Registration fee

For the entire Masterclass (hotel incuded) there is a course fee of 3,250.00 euros (excluding EUR 25.00 administration fee for Invoice) per student. You can pay these costs by Direct Debit (No administration fee) or Invoice. In both cases you will receive an invoice for your own records. For participants from outside the Netherlands, it is not possible to pay by direct debit. You will receive an invoice. For participants from outside the Netherlands, an adjusted program and price can be organised. Please contact the organisation for more information.

Registration forms

Cancellation Policy

Cancellations must be made in writing to Interactie Opleidingen. Up to 2 months prior to the Masterclass, administration costs of € 45.00 will be charged. If canceled up to 1 month before the start of the Masterclass a cancellation fee of 50% of the subscription price will be charged. After this period, no refund will be made. You will always receive a confirmation of your cancellation. The minimum number of participants is 15. Not later than four weeks before the start date of the masterclass, we will announce if the masterclass will be organized or cancelled.

Annulering

Bij annulering tot 2 maanden voor aanvang van de Masterclass worden administratiekosten berekend van € 45,00. Bij annulering tot 1 maand voor aanvang van de Masterclass wordt een annuleringsvergoeding van 50% van de inschrijfprijs berekend. Na deze termijn zijn de totale inschrijvingskosten verschuldigd. Alleen schriftelijke annuleringen (brief, e-mail) worden geaccepteerd. U ontvangt altijd een bevestiging van uw annulering. Uiterlijk vier weken voor aanvang berichten wij of de masterclass door zal gaan (het minimum aantal deelnemers om de masterclass door te kunnen laten gaan is gesteld op 15).

The key to Emergency Medicine is balancing and integrating the various, often conflicting aspects of assessing and managing the partially differentiated patient, while maintaining an effective, safe flow within the Emergency Department.

Consultant level decision making rests on up-to-date knowledge and skills. These enable Emergency Physicians to take responsibility for each professional action, and to tailor assessment and management to each individual patient they encounter. It is not enough to merely follow local protocols, as these can never cater for every contingency. Especially when the need arises to make adjustments, it is vital that there is deeper knowledge of the underlying evidence upon which these protocols are based. Only this understanding can lead to responsible decision making, and targeted use of tests and treatments. Informed confidence in your own approach, an insight into controversial and evidence-free areas, combined with excellent communication skills, enable the Emergency Physician to collaborate effectively with other specialists.

Knowledge of the latest research, guidelines, and other literature with respect to a particular topic requires ongoing professional education. This is an active process, for which each physician ultimately bears the responsibility himself. Developing an effective, sustainable way to maintain knowledge and skills is an important aspect that will be addressed in this Masterclass.
All participants are experienced doctors, who will have their own, established ways to maintain their professional development. The faculty consists of senior Emergency Physicians with extensive experience as educators, and are keen to assist participants evaluate and augment their own particular learning styles.

The topics in this Masterclass have been carefully selected for the richness of their content, layers of evidence and areas of controversy. Not only will we take a deep dive into the subject matter of these topics, we also hope that critically appraising the available evidence and guidelines will become second nature. We hope that participants will find that they can then apply the skills learned in this process to other topics within the field of Emergency Medicine.

At the end of this Masterclass:

  • You are able to discuss the latest literature and guidelines in depth, with respect to a number of selected topics in cardiovascular and respiratory Emergency Medicine;
  • You are more confident in your own approach to these areas of Emergency Medicine;
  • You are able to actively apply this approach to individual patient presentations;
  • You are able to more easily ensure high-level ongoing maintenance of your knowledge and skills; continuous medical education will become second nature.

Format

The following chapters highlight the proposed study schedule, specific learning goals and the structure of this Masterclass.  

During individual study, guided by weekly outcomes and challenges, you will gain further factual and conceptual knowledge with regards to the cardiovascular and respiratory Emergency Medicine. The Masterclass is intentionally designed NOT to deliver content, but rather to guide you through the wealth of information available, and help you integrate and use the available resources.

During the workshops, course days and assignments you will develop a meta-understanding of the subject matter, and improve your ability to apply these principles to the complex world of Emergency Medicine. You will also develop strategies to maintain current knowledge, and to recognise, accept and work with deficiencies in the medical literature.

All EM Masterclasses aims to guide, stimulate and challenge you, but is intentionally designed NOT to deliver significant quantities of content. There will not be any lectures or reading materials on medical topics. Instead, the majority of the EM Masterclasses will consist of self-directed study. Participants will be responsible for finding and studying their own appropriate sources of content. During the Masterclass evening and Masterclass days, we will further analyse this knowledge and integrate it with participants' existing practice. This approach reflects the latest insights into medical education, and is also the way we are expected to keep ourselves up-to-date as medical specialists - for the remainder of our careers.

Study Guide

In the study guide you will find learning outcomes, and case-based guidance through each subject. To get you started, we have listed some suggested literature at the end of each topic. While the Authors think these articles are important, they are not the only sources available to you, nor should you think that after reading them all, you will necessarily have all the knowledge you need.
We estimate that an average of at least 10 hours per week will be necessary to obtain the desired level of knowledge and achieve the learning outcomes. However, because each participant will have different areas of strength and weakness, by necessity the effort that needs to be put in will vary from topic to topic.

Mentor

Each participant will be paired up with a mentor. Their role will be to guide, motivate, and challenge participants. We have been very fortunate to have gained the commitment of a group of Emergency Physicians with extensive experience as teachers. For this Masterclass, most mentors are based overseas, so communication will be mostly internet-based. Mentor contact should be organised by mutual appointment, approximately once a week. Dynamic contact (e.g. via Skype, Facetime, or telephone) will best suit interaction and lively discussions. Email can be a valuable addition if scheduling proves difficult, but will by its nature be more static.

Mentors will evaluate participants' progress, may help set goals and deadlines, and will trigger stimulating conversation to enhance learning. They are available for any issue, question, or concern that may arise in the process of studying. Mentors will help participants achieve the learning outcomes, so participants' level of knowledge going into the Masterclass days in December is as high as possible. Mentors can also be useful in helping participants fine-tune their approach to studying, so that it is effective and sustainable for the future of their careers as Emergency Physicians.

One thing needs to be emphasised in advance: whatever your expectations and goals with respect to this Masterclass, the more you put into it, the more you will get out of it!

This chapter aims to provide some tips and tricks with regards to studying. You need to develop your own methods but we hope that you will find some of these suggestions helpful.

Be curious

This is by far most important thing during this Masterclass. Do not be satisfied simply knowing the local protocols, but ask yourself which evidence they are based on. Read an important study, and an editorial or analysis of the study, in order to understand the implications. Work out what the current controversies and voids in our knowledge are, and therefore which direction future studies might take. Which developments will be of leading importance in the coming years? What literature will really change your daily practice and hospital protocols? Focus your study on current literature and controversies.

Think about what your ultimate goal is

Consider what you would like to achieve. Which direction would you like to take? We have outlined our desired outcomes in the Preface, but you will need to set your own goals for this Masterclass (as well as for your future learning process) in order to be successful.

Use your mentor!

This is a great opportunity to have in-depth discussions with an experienced Emergency Physician, who faces the same challenges and controversies in their daily practice as you, and is willing and able to debate viewpoints and options with you. Share your thoughts, and discuss interesting cases from work. Don’t be afraid to give your opinion; if you are able to support it with arguments you will soon find yourself in an interesting conversation.

Different options and patient categories

Think outside the box; not every patient is a healthy, 75 kg man. Think about different age groups (e.g. infants, children, and the elderly), different cultural groups, and various 'at risk' groups (e.g. pregnant women, alcoholics, and immunosuppressed patients).
Make an effort to learn details and different options for assessment and management, but always apply this knowledge to the situation at hand. What will YOUR management be, in YOUR hospital? Which option do YOU prefer, and why? If there is a local protocol that prescribes a different course of action, consider whether this is a reasonable alternative, or whether perhaps there is a need to discuss a change of the protocol at your institution.

Think 'Case-Cause-Complications'

For any particular presentation, do not be satisfied with simply establishing what the diagnosis is, and initiating its management. It is an important part of a specialist level approach to Emergency Medicine to always think about the potential causes of a condition, as well as seeking potential complications that may occur. Some call this the 3 Cs of Emergency Medicine: Case-Cause-Complications.

Case
Cause
Complications

There will be a formative form of testing at the end of the EM Masterclass days. The format of this test will resemble an OSCE (objective structured clinical examination). Case-based questions in a face-to-face discussion with the faculty are the principal form of examination. Important issues need to be addressed by the candidate in order to pass the test. These include history taking, physical examination, further testing and management issues. Candidates will be asked to justify their approach, and to discuss points of controversy, as previously done during the EM Masterclass days.

All Masterclasses will be exclusively in English. Most members of our faculty are from Australia and the United Kingdom, and therefore do not speak Dutch. Also, the speciality of Emergency Medicine is rapidly developing worldwide, using English as the primary language in literature and conferences. This Masterclass is an opportunity for Dutch Emergency Physicians to further enhance their skills in discussing medical topics in English.

Some members of the faculty are native Dutch speakers. Should any language issues arise, these faculty members can always serve as intermediaries between Dutch participants and English faculty.

Emergency Physician training in the Netherlands is based on a state-of-the-art, competency-based curriculum. However, at the end of the current three-year training programme, many Emergency Physicians feel that they lack some of the skills and knowledge to be fully prepared for the challenges they face during their work in the Emergency Department. In large part, this is due to time constraints within the training programme, the variable degrees of responsibility Emergency Physicians are given in Dutch hospitals to make management decisions for their patients, and the lack of role models 'on the floor' with specific training and experience in Emergency Medicine.

In an international perspective, Emergency Physicians from the Netherlands at the end of their training are seen to perform on an intermediate level - better than some, but not quite as well as others.1 This is reflected in the collective experience of Dutch Emergency Physicians who have worked abroad, as well as that of overseas Emergency Physicians2 who have chosen to spend time working in the Netherlands. It is not simply due to a suboptimal level of knowledge and skills. Currently, insufficient time can be spent teaching how to balance and integrate the varied, often conflicting aspects of assessing and managing the partially differentiated emergency patient. This is what truly defines the speciality of Emergency Medicine.

This is what truly defines the speciality of Emergency Medicine

Before Dutch Emergency Physicians can function on a higher level, and assume a higher level of responsibility for the patients in their department, there is a need to improve these aspects of training. We hope that the EM Masterclass programme will help fill this void.

EM Masterclass is a modular program, developed by Emergency Medicine experts from the Netherlands and abroad. In the near future, it is envisaged that further Masterclasses will be organised, covering topics that span Critical care and Anaesthetics, Medical Emergencies, Surgical Emergencies, and Trauma. After completing the first five Masterclasses, a final Masterclass aims to integrate all the knowledge and skills learned.


  1. Thijssen WAMH, Giesen PHJ, Wensing M, Emergency Departments in the Netherlands, Emerg Med J 2012;29:6-9
  2. Holmes JL, Emergency medicine in the Netherlands, Emerg Med Australasia 2010;22(1): 75–81.

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