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EFORT Annual Report 2014

Striving to Map Education

Annual Report 2014

Annual Report 2014 3

MESSAGE FROM THE PRESIDENTS AND SECRETARY GENERAL 4

GOVERNING BOARD & ORGANISATION Members of the Executive Board & Executive Committee 5 Committees 6 New committee structure 6 - 7 Representation at National and International meetings 8 MEMBERSHIP NETWORK 9 EDUCATIONThe European Education Platform (EEP) 10 - 11 Post graduate & CME accredited education EFORT Annual Congress 2014 in London: A look back 12 - 14 Training Courses 15 - 16 Fellowship Programmes 16 - 17 EBOT Exam 17

Learning resources The Textbook 18 The EFORT Journal: From EOTR to EOR 19 EFORTnet 20

EUROPEAN ACTIVITIESDefinition of the “roadmap” 21 Metal-on-Metal: final opinion of the SCENIHR 21 European Reference Networks 21 ProFouND (Prevention of Falls Network for Dissemination) 22 Reinforcement of the Codes of Ethical Business Practice 23 COMMUNICATIONWebsite 24 Orthopaedics Today Europe 24 Social media 25 FINANCIAL STATEMENT/FINANCESAuditor‘s report 27 - 28 Income and balance statements 29 Cash flow and changes in capital statements 30

CONTACT

EFORT Head OfficeZA La Pièce 21180 Rolle, Switzerland

Phone +41 (0)21 343 4400Fax +41 (0)21 343 4411

[email protected]

Table of content

4 Annual Report 2014

Message from the Presidents & Secretary General

Mr. Stephen R. Cannon Ass. Prof. Dr. Per Kjaersgaard-Andersen

2014 – Striving to Map Education

New challenges need to be faced: the increasingly austere environment impacts on the healthcare systems and the way in which care is provided. The epidemiology of orthopaedics is also changing, with the ageing of the population and a reduction in the numbers of young people to take care of them.

EFORT provides a European platform for fresh debate within the many fields that affect our daily practice, as well as offering an opportunity to share ideas about providing better healthcare to patients tomorrow. The European Education Platform (EEP), whose objective is the harmonisation of education in Europe in the field of musculoskeletal health is a catalyst.

Our relationship with industry continues to be close and effective, but here, too, there is increasing austerity: the interruption of direct sponsoring of physicians to congresses sparks the debate related to the mapping of education, inventive ways of teaching, sharing knowledge and expertise as well as granting access to education for future generations.

During the last few months, in our respective capacities as EFORT Presidents, we were privileged to attend several national meetings and discuss various aspects of our specialty with the presidents of some of the national associations. Despite disparities in education across Europe and the differences in our healthcare systems and daily practices, all our members share similar hurdles. Before ending this Presidential address let’s mention the highlights of the year 2014 which are with no doubt the 15TH EFORT Annual Congress in London, the launch of the EFORT Textbook and the eLibrary coming to fruition.

The annual congress offered a superb integrated programme with features of the BOA’s cyclical revalidation programme, sessions organised by European speciality societies and other well-established streams such as the Advanced course on THA & TKA and the comprehensive review course. The whole event was complemented by an excellent exhibition floor, the largest ever for an EFORT Annual Congress.

The EFORT Textbook is a must-have for all orthopaedic surgeons and traumatologists. The book “European Surgical Orthopaedics and Traumatology” encompasses absolutely all aspects of our speciality.

The eLibrary which is accessible from the EFORT’s community platform EFORTnet has been released in a more discreet way but certainly does not miss out on its pertinence. More than 12,000 documents are available at your fingertips!

With all these recent developments EFORT successfully completed major works and continues to define new activities in search of mapping out the appropriate responsibi-lities within the field of Orthopaedics and Traumatology Education.

Mr. Stephen R. Cannon

EFORT President 2014/2015

Ass. Prof. Dr. Per Kjaersgaard-Andersen

Secretary General

Dr. Manuel Cassiano Neves

Dr. Manuel Cassiano Neves

EFORT President 2013/2014


Governing Board & Organisation

2014 MEMBERS OF THE EXECUTIVE BOARD

Mr. Stephen R. Cannon President United KingdomProf. Dr. Enric Cáceres Palou First Vice President SpainDr. Manuel Cassiano Neves Immediate Past President PortugalProf. Dr. Jan Verhaar Second Vice President NetherlandsProf. Dr. Maurilio Marcacci Treasurer ItalyAss. Prof. Kjaersgaard-Andersen Secretary General DenmarkProf. Dr. Klaus-Peter Günther Member at Large GermanyProf. Dr. George Macheras Member at Large GreeceProf. Dr. Leszek Romanowski Member at Large Poland

2014 MEMBERS OF THE EXECUTIVE COMMITTEE

Co-opted Members:Prof. Dr. Thierry Bégué FranceMr. Michael Benson United KingdomProf. Dr. George Bentley United KingdomProf. Dr. Nikolaus Böhler AustriaProf. Dr. Karsten Dreinhöfer GermanyProf. Dr. Pavel Dungl Czech RepublicDr. Paulo Felicissimo PortugalProf. Dr. Enrique Gómez-Barrena SpainDr. Gazi Huri TurkeyProf. Dr. Philippe Neyret FranceProf. Dr. Wolfhart Puhl GermanyDr. Philip Sell United KingdomProf. Dr. Ulrich Stöckle GermanyProf. Dr. Karl-Göran Thorngren SwedenProf. Dr. Elke Viehweger GermanyProf. Dr. Luigi Zagra Italy

The Committee also decided to implement minor changes to the statutes, such as the expansion of the Executive Board with a tenth position for a Young Member-at-Large. The candidate will be nominated in 2015. The Young Member-at-Large shall be elected for two years non-renewable and must be under 45 years of age.



COMMITTEES

During the General Assembly at the London Congress, the EFORT Executive Committee presented a new structure for the committees. Descriptions of the committees, sub-committees and groups have been prepared and are presented below, together with the names of each committee and its chairman:

n Education Committee (Klaus-Peter Günther)• Orthopaedics (Luigi Zagra);• Traumatology (Ulrich Stöckle);• Basic Science (Enrique Gómez Barrena);

n Finance Committee (Maurilio Marcacci) n Fellowship Committee (Philippe Neyret) n Congress Committee (Manuel Cassiano-Neves / Stephen R. Cannon) • Scientific programme group (Enric Cáceres Palou);• Congress management group (Manuel Cassiano-Neves / Stephen R. Cannon);

n Ethics Committee (Michael Benson) n Publication Committee (George Bentley) n Speciality Societies within Orthopaedics Committee (Philip Sell) n Health Service Research Committee (Karsten Dreinhöfer) n Portal Content Steering Committee (Elke Viehweger) n EAR Committee1 (Nikolaus Böhler)

Other groups are leading specific project such as: n EFORT Fora (Thierry Bégué) n EBOT Exam2 (Jorge Mineiro) n European Education Platform (EEP) n Traumatology3 (Ulrich Stöckle) n Basic Research3 (Enrique Gómez Barrena)

NEW COMMITTEE STRUCTURE

To adapt to an ever-changing environment, EFORT decided to revisit the structure of its committees as part of a strategy to operate on a project-based approach. This restructuring will lead to improvements in setting priorities and better traceability and reporting. Finances will reflect the sustainability of each group and each project. Because of growing concerns regarding the cost of effective orthopaedics in an increasingly austere global climate, together with patient safety, the organisation must advocate for the harmonisation of education and work closely with government agencies. In this context, as well as finalising the re-structuring of the committees, we came close to delivering a European Curriculum and have started aligning the framework of the course programme in line with the structure of the Education committee.

1 Through its transformation, the European Arthroplasty Register EAR was renamed as the EAR-N, standing for European Arthroplasty Register Network, before acquiring its final name: Network of Orthopaedic Registers in Europe, or NORE 2 The EBOT Exam is organised by EFORT on behalf of UEMS3 Taskforces that are now also mirrored within the Education committee



Below is an outline of the aims and objectives of some of the bigger committees, all with the overarching mission of EFORT to work on behalf of the European orthopaedic and traumatology community to restore and secure mobility, musculoskeletal health and quality of life.

n Education CommitteeAs explained previously, the aim is to promote continuous improvements in patient healthcare: by providing healthcare professionals in Orthopaedics and Traumatology with easily accessible, high-quality, evidence-based educational activities; supporting the development of a European Curriculum of Orthopaedics and Traumatology in partnership with our membership base; and contributing to relevant European institutional activities to harmonise and improve the quality of specialist medical care in Europe. The focus this year was on seeking consensus with national and speciality societies within orthopae-dics, primarily for the assessment section in the curriculum, in order to prepare the European Curricu-lum for endorsement by the appropriate accreditation institutions.

n Finance Committee The EFORT Finance Committee is an advisory board to the EFORT Executive Committee, and is chaired by a Board member. The role of the committee is to revise the Federation’s finances, and to provide opinions on expenditure, income and budgeting. At each General Assembly, the spokes-person of the Finance Committee presents an annual report to the Executive Board and the Assembly.

n Congress Committee The EFORT Annual Congress is a flagship event of EFORT and a generator of income. The mission of the Congress committee is to ensure that key areas, such as management of the scientific programme and sponsorship activities, contribute to attaining numbers and financial targets for attendees (registrati-on), for sold exhibition space, and other educational and marketing items. Responsibilities within the Congress committee have therefore been divided into two active groups - the Scientific Programme Group and the Congress Management Group.

n Ethics Committee The European Federation of National Associations of Orthopaedics and Traumatology (EFORT) aims to provide guidance for orthopaedic surgeons across Europe in managing patients with fairness, honesty and integrity, and with a clear understanding of the ethical and moral principles that should underpin this care. This includes the surgeons’ relationships with both patients and industry, their responsibility for teaching and training, research and publications, fees and advertising, as well as the use of social media and application of medical ethics. To this end, the Committee has published its overview of Orthopaedic Ethics in 2014; this will form the basis of further activities and will be reviewed regularly.

n Speciality Societies within Orthopaedics CommitteeThe mission of this group is to share the quality and values of European speciality societies with EFORT, with the aim of using the strengths of the specialty societies to promote best ethical practice and atti-tudes in patient care, research and education with the members and stakeholders of EFORT.



REPRESENTATION AT INTERNATIONAL AND NATIONAL MEETINGS

n EFORT ForaEFORT’s outreach has been substantially complemented by the series of EFORT Fora organised throughout the year. These European Fora sessions feature specific topics that are unrelated to each other, but are dedicated to the topics highlighted in each national congress. Last year, EFORT organised nine European Fora under the supervision of the Fora Chairman, Thierry Bégué. In the shaded box on the left, you can see the names of the sessions that were held on a variety of significant topics in 2014. The national societies select a topic of their choice and propose a two-hour to four-hour session to be held during the yearly congress. Half of the speakers come from the organising national society, and the other are appointed by EFORT from other European countries.

n AAOS (American Academy of Orthopaedic surgeons)New Orleans, United States, 11-15 March 2014A visit to the US meeting also took place in 2014. In addition to many educational and networking opportuni-ties, the AAOS and EFORT take opportunity to update each other on current developments in the orthopaedic and traumatology arena. This year’s discussions focused on AAOS as the Guest Nation at the EFORT Annual Congress in London. Honouring the overarching theme of patient safety, AAOS organised a session entitled What’s New In US Orthopaedics?, chaired by Frederick M. Azar.

n DKOU (Deutscher Kongress für Orthopädie und Unfallchirurgie), International programmeBerlin, Germany, 28-31 October 2014 Stephen R. Cannon was invited to attend the DKOU this year. For the first time, they arranged international symposia over three days with participants from Sweden, France, Switzerland and the United Kingdom. The topics were varied, dealing with arthroplasty revision, arthroplasty registers, and ligamentous injuries of the knee among others - a wonderful addition to the programme.

n JOA (Japanese Orthopaedic Association), 87TH Annual MeetingKobe, Japan, 22-25 May 2014This year’s meeting in Kobe was attended by more than 8000 people including 40 or more invited speakers. Representatives from orthopaedic societies around the world were invited, and the JOA and AAOS held a combined symposium organised by Freddie Fu, MD, Pittsburgh, USA and Professor Masahiro Kurosaka, Kobe, Japan. The topic was ACL reconstruction, with a very interesting comparison of the methods and techniques currently in vogue in both countries. The undisputed highlight of the meeting was a magnificent presentation, given in English by Professor Yamanaka, a Nobel Prize winner in 2012. His work on induced pluripotential stem cells (iPSC) in clinical practice offers great hope for the future. During the meeting, the JOA was re-invited to be the Guest Nation at the 2015 EFORT Annual Congress in Prague.

“In Japan the words hospitality and friendship have true meaning and I am grateful to our hosts, Professors Kurosaka and Iwamoto,

for taking such good care of their guests.”

— Professor Pierre Hoffmeyer

From left to right: Professor Yamanaka, 2012 Nobel Prize

recipient receiving recognition from Professor Kurosaka,

JOA Congress President.

2014 EFORT Fora sessions• Kaunas, Lithuania | 25 April 2014: Complex tibia plateau fractures: Is there an

ideal method of treatment?• Wrocław, Poland | 18 September 2014: Arthroplasty registers• Belgrade, Serbia | 3 October 2014: Challenges in the treatment of young patients‘

hip diseases• Athens, Greece | 3 October 2014: Young Arthritic Knee• Minsk, Belarus | 9 -10 October 2014: Complications of proximal femoral fracture

fixation• Madrid, Spain | 10 October 2014: Controversies in Paediatric Trauma• Algarve, Portugal | 24 October 2014: Foot and Ankle Arthroscopic Forum• Paris, France | 13 November 2014: The social and economic value of orthopaedic

surgery• Rome, Italy | 22 November 2014: Severe lower extremity fractures: Limb salvage

or amputation?


Membership Network

EUROPEAN SPECIALITY SOCIETIES AND OTHER COLLABORATING ORGANISATIONSAO FoundationARTOF Association for the Rational Treatment of Fractures

EBJIS European Bone and Joint Infection Society

EFAS European Foot and Ankle Society

EFOST European Federation of National Associations of- Orthopaedic Sports Traumatology

EHS European Hip Society

EORS European Orthopaedic Research Society

EPOS European Paediatric Orthopaedic Society

ERASS European Rheumatism and Arthritis Surgical Society

ESB European Society for Biomaterials

ESPA European Society Pelvis Acetabulum

ESSKA European Society of Sports Traumatology, Knee Surgery and Arthroscopy

ESTES European Society for Trauma and Emergency Surgery

EuroSpine EuroSpine – the Spine Society of Europe

EWAS European Wrist Arthroscopy Society

EWMA European Wound Management Association

FESSH Federation of European Societies for Surgery of the Hand

FORTE Federation of Orthopaedic Trainees in Europe

ISLASS International Society of Laser and Percutaneous Procedures in Spinal Surgery

ISTF International Surgical Thrombosis Forum

SICOT Society of Orthopaedics and Traumatology

ASSOCIATE SCIENTIFIC MEMBERS Armenia AOTRA Association of Orthopaedists, Traumato logists and Rehabilitologists of Armenia

Asia Pacific APOA Asia Pacific Orthopaedic Association

Australia AOA Australian Orthopaedic Association

Azerbaijan AAOT Azerbaijan Association of Orthopaedics and Traumatology

Cameroon CSOST Cameroonian Society of Orthopaedics and Trauma Surgery

Egypt EOA Egyptian Orthopaedic Association

Israel IOA Israeli Orthopaedic Association

Jordan JOA Jordanian Orthopaedic Association

Lebanon LOA Lebanese Orthopaedic Association

Northern Europe NOF Nordic Orthopaedic Federation

Saudi Arabia SOA Saudi Orthopaedic Association

Iran POTA Persian Orthopaedic Trauma Association

NATIONAL MEMBER SOCIETIESAlbania AAOST Albanian Association of Orthopaedic Surgery and Traumatology

Austria ÖGO Austrian Society of Orthopaedics and Orthopaedical Surgery

Belarus BRSMTOS Belarus Republic Scientific Medical Society of Trauma and Orthopedic Surgeons

Belgium BVOT Belgian Association of Orthopaedics and Traumatology

Belgium SORBCOT Belgian Royal Society of Orthopaedic Surgery and Traumatology

Bosnia and Herzegovina OTSABH Orthopaedic and Traumatology Surgeons Association of Bosnia and Herzegovina

Bulgaria BOTA Bulgarian Orthopaedics and Traumatology Association

Croatia COTA/HUOT Croatian Orthopaedic and Traumatology Association

Croatia CrOS Croatian Orthopaedic Society of the Croatian Medical Association

Cyprus CAOST Cyprus Association of Orthopaedic Surgery and Traumatology

Czech Republic CSOT Czech Society for Orthopaedics and Traumatology

Denmark DOS Danish Orthopaedic Society

Estonia ETOS Estonian Orthopaedic Society

Finland SOY-FOA Finnish Orthopaedic Association

Former Yugoslav Republic of Macedonia MAOT Macedonian Association of Orthopaedics and Traumatology

France SOFCOT French Society of Orthopaedic Surgery and Traumatology

Germany BVOU Professional Association of Orthopaedics and Trauma Surgery

Germany DGOOC German Association of Orthopaedics and Orthopaedic Surgery

Germany DGU German Trauma Society

Greece HAOST Hellenic Association of Orthopaedic Surgery and Traumatology

Hungary MOT/HOA Hungarian Orthopaedic Association

Iceland IBF Icelandic Orthopaedic Society

Ireland IOA Irish Orthopaedic Association

Italy SIOT Italian Society of Orthopaedics and Traumatology

Kosovo KSOTS Kosovo Society of Orthopaedics and Trauma Surgeons

Latvia LTOA Latvian Association of Traumatology and Orthopaedics

Lithuania LSOT/LOTD Lithuanian Society of Orthopaedics and Traumatology

Luxembourg SLOT Luxembourgian Society of Orthopaedics and Traumatology

Malta AOTSM Association of Orthopaedic and Trauma Surgeons of Malta

Montenegro AMOT Association of Orthopaedics and Traumatologists of Montenegro

Netherlands NOV Dutch Orthopaedic Association

Norway NOF Norwegian Orthopaedic Association

Poland PTOiTR Polish Orthopaedic and Traumatologic Society

Portugal SPOT Portuguese Society of Orthopaedics and Traumatology

Romania SOROT Romanian Society of Orthopaedics and Traumatology

Russian Federation AOTRF Association of Orthopaedists and Traumatologists of the Russian Federation

Serbia SOTA Serbian Orthopaedic Trauma Association

Slovakia SOTS Slovak Orthopaedic and Traumatologic Society

Slovenia SOA/ZOSZD Slovenian Orthopaedic Society

Spain SECOT Spanish Orthopaedic and Traumatology Society

Sweden SOF Swedish Orthopaedic Association

Switzerland Swiss Society of Orthopaedics and Traumatology (swiss orthopaedics)

Turkey TSOT/TOTBID Turkish Society of Orthopaedics and Traumatology

Ukraine UAOST Ukrainian Association of Orthopaedic Surgeons and Traumatologists

United Kingdom BOA British Orthopaedic Association


Education

THE EUROPEAN EDUCATION PLATFORM (EEP)

We are all aware that due to the relaxation of border controls, the movement of labour across Europe has become more widespread. However, concerns have been raised about the standard of knowledge and professional com-petence of surgeons who qualify in one country and move to practise in another. EFORT is aware that even in the larger countries there can be considerable variation in training systems and assessments. The scope of the specialty is also variable, whereby some countries separate orthopaedics and traumatology, and differing levels of training are provided in non-operative and operative management.

For these reasons, we believe it would be of benefit to all the National Associations if we developed a document that sets out what we consider to be the minimal requirements for training in orthopaedics and trauma across Europe (see General considerations - levels of training diagram, page 11). On this premise, one of the roles of EFORT might be to build up a European Orthopaedic and Traumatology platform that recognises the primacy of the National Associations and regulatory authorities. The goal would be to develop a European Curriculum for Orthopaedics and Traumatology that is acceptable to all European nations, that includes a unified process of assessment, with verification that acceptable standards of competence have been achieved (see Assessment throughout European Orthopaedic Residency flowchart, page 11). The intention of the curriculum would be to enable nations to produce orthopaedic and trauma surgeons who can proficiently screen the full range of referrals common in orthopaedic and trauma services, and deal with the majority safely. They should be capable of recognising complex cases and urgent cases, and of arranging appropriate and timely onward referral. It is possi-ble to use a modular approach to write a syllabus that encompasses the available training but allows each nation to identify the components that are integral to their own programme. This will enable differences in training to be identified for surgeons who move from one country to another.

In December 2012, EFORT launched The European Education Platform (EEP) and invited the National Associations to contribute to the process. The idea was to start with a small group in order to establish a framework, and later to involve all the Associations, to ensure wide representation across the European Union. At the same time, the UEMS (European Union of Medical Specialists), EBOT (European Board of Orthopaedics and Traumatology), the Speciality Societies and a representative of FORTE (Federation of Orthopaedic Trainees in Europe) were invited to participate in the process.

During 2014, a great deal of work led the group to develop this curriculum, which consists of three components: (i) professional behaviour, (ii) knowledge skills and (iii) clinical skills.

It is important to point out that the intention of this document is not to impose a European Curriculum, but to act as a guide for all Associations that want to implement a European Curriculum at a national level.

Both UEMS and EFORT are aware that there is still much variation in orthopaedics and trauma education in Europe; it is hoped that this document will help to harmonise the different processes of education in Europe. Thereafter, it is up to each National Association to adopt or adjust it to their own requirements.


Education

Specialisation (Fellowship)

GeneralEducation

Modularisation

Generalisation

Depending on specialty

Level ofcompetence

Requiredduration

4

3

2

1

5 years (min)

Basic clinical education (Internship)

n General considerations - levels of training

n Assessment throughout European Orthopaedic Residency

Annual appraisalfor orthopaedic trainees (ALL)-either alone or as part of the countries‘ annual appraisal

Annual EBOT Interim Exam - European

Part I - EBOT Written Exam - European

Fellow of the European Board of Orthopaedics & TraumatologyFEBOT - (country)

Part II - EBOT Clinical Exam - National

Part III - EBOT Oral Exam - European / National

European Orthopaedic SpecialistDiploma

European Orthopaedic Qualification

English

English

Local languages

Different languages

Core Curriculum of

Orthopaedics & Traumatology


Education

POST GRADUATE & CME ACCREDITED EDUCATION

EFORT Annual Congress 2014 in London: A look back

The 15TH EFORT Congress was held in London on 4-6 June 2014, organised jointly with the British Orthopaedic Association (BOA). In all, 7,400 participants were registered for three intense days, offering more than 240 sessions in 18 rooms. Over 4,400 abstracts were submitted, of which 2,465 were accepted and presented, either orally (as podium presentations), or as posters.

The Congress defined patient safety as its overarching theme, holding a series of specific sessions on the topic during the meeting. The programme included two full-day educational features, now standard components of our annual meetings: the Comprehensive Review Course, which is considered a basic step in orthopaedic training; and the successful Advanced Course in Total Hip and Total Knee Arthroplasty, which is organised in collaboration with the European Hip Society (EHS) and the European Knee Association (EKA). Other full-day sessions were held for audiences with an interest in tribology and nurse expertise. Twenty Instructional Lectures provided state-of-the-art information on popular topics, presented by recognised faculty members from all over Europe, and 19 separate sessions for different European Specialty and Collaborating Societies. There were special programmes that focused on direct exchanges between experts and participants; these complemented the scientific content (in which audience input was a major asset), together with more than 75 Free Paper and Clinical Case sessions.

The EFORT Honorary Lectures, named for Erwin Morscher and Michael Freeman, were given by Professor Pietro Ruggieri (Progress of musculoskeletal oncology in the last decades and future perspectives) and Stuart Weinstein (The evidence base for pediatric orthopaedics). The BOA gave the King James IV Lecture, which was presented by Professor Hamish Simpson of Edinburgh.

Unique to this meeting was the incorporation of the scientific programme of the BOA and its plenary lectures, which were open to all participants. What’s New in US Orthopaedics? was the session held by the Guest Nation this year, presented by our colleagues from the AAOS. This further enriched the scientific programme.


Education

n Abstract evolution over the 3 past Annual Congresses:

3929

4017

447353.9% 53.1%

44.9%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

3600

3700

3800

3900

4000

4100

4200

4300

4400

4500

4600

Berlin Istanbul London

2012 2013 2014

n Abstract submission topics for London:Or

thopa

edics

Traum

a

Gene

ral To

pics

Nurse

s

n Top 10 abstract submission countries compared over the 3 past Annual Congresses:

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

UK Spain Italy Portugal Japan Germany Korea USA Greece France

Berlin

Istanbul

London

n Abstract submitted

n Rejection rateLondon2014

Istanbul2013

Berlin2012

0%

60%

50%

40%

30%

20%

10%

3600

3700

3800

3900

4000

4100

4400

4600

4500

4300

4200

n General topics

n Orthopaedics

n Trauma

n Nurses

12.80%

29.60%

57.10% 0.50%

n Berlin

n Istanbul

n London

UK Spain Italy FranceGreeceUSAKoreaGermanyJapanPortugal

35%

30%

25%

20%

15%

10%

5%

0%


Education

n In which country do Congress attendees work? *

n Overall satisfaction index *

Oceania

2%

Europe

69%

Africa

4%

South America

3%

North America

3%

Asia

17%

China: 2%

Saudi Arabia: 2%

Portugal

Germany

Netherlands

Italy

Denmark

Switzerland

Spain

United Kingdom

Series1

United Kingdom

Spain

Switzerland

Denmark

Italy

Netherlands

Germany

Portugal

Ratios for Europe:

Mean values for single questions

(across all evaluated sessions) Index

n 85 - 100: Excellent result

n 70 - 84: Good result

n 60 - 69: Result to be monitored

n 0 - 59: Result to be improved

80

79

75

80

80

Overall satisfaction

Quality

Format

Multiplication

Relevance

Satisfaction

“Highly relevant for my professional education”

“Useful knowledge for my daily practice”

“I will talk about the session’s content with colleagues”

“Scientific quality of the content”

“Speaker(s)”

“Moderator(s)”

“The session format was appropriate”

“The level of interaction with the audience was appropriate”

1 2 3 4 5

3%

3%

3%

4%

5%

6%

5%

26%

* Source: On-site survey results 2014


Education

Training Courses

n EHS-EFORT BAT Instructional Course — Hip Pathology in Young AdultsMadrid, Spain 5 -7 March 2014 | Basic courseBern, Switzerland 27-29 August 2014 | Advanced course“Our understanding of the pathophysiology of the hip joint has improved in recent years, providing more possibilities for conducting joint-preserving hip surgery. There is now a special course programme intended to provide state-of-the-art knowledge on the diagnosis of hip problems and on their treatment by conservative surgical means.”

This first BAT programme (Basic, Advanced and Traumatology) staged by EHS-EFORT gave orthopaedic sur-geons an opportunity to delve more deeply into hip problems in younger patients and into their treatment by conservative surgical means. The course was intended to cover the basics, and was an opportunity to engage more intensively with trauma and surgery of the hip joint.

The programme was continued in August 2014 with an advanced course in Bern, Switzerland, that built upon the first. The focus was on joint-preserving hip surgery. Professor Klaus Siebenrock explained: “The objective is targeted additional training for advanced hip specialists, senior physicians, for example, or experienced assi-stants who want to specialise in joint-preserving hip surgery”.

Five theoretical sessions and four workshops were provided, as well as a live operation including interactive case discussions.

n EFORT ExMEx Forum — Periarticular FracturesCopenhagen, Denmark 25-26 April 2014 ExMEx Fora represent the most advanced level within the range of courses offered by EFORT, and their empha-sis is appropriate for specialists and senior consultants. Referring to the target group, Doctor Morten Larsen noted that: “experienced surgeons who are not dealing with periarticular fractures on a daily basis will benefit from this meeting. So too will senior residents who want to improve their skills in this field.”

The choice of optimum treatment of periarticular fractures continues to be a challenge, even for very expe-rienced orthopaedic and trauma surgeons. Fortunately, this condition is not very common; with the down-side that there is limited experience in day-to-day practice. This course provided an excellent opportunity for delegates to review experiences, evidence and recent advances in the diagnosis and therapy of periarticular fractures.

n EFORT Instructional Course — Hallux valgus and ankle arthrosis: Valuable exchange on complication managementsLausanne, Switzerland 28-29 November 2014 The programme of the IC places particular emphasis on interactive case discussions and workshops. Five live surgeries were performed by highly skilled experts, and there were three workshops in which participants were familiarised with various techniques that were demonstrated.


Education

The comprehensive content of the Lausanne IC covered a broad range of topics, from joint-preserving surgery and complications in total ankle replacement to new developments in the field of ankle fusion. The full agenda attracted many specialists. “We had the pleasure of welcoming 124 participants from 26 countries, making this course one of the best attended EFORT Instructional Courses ever” noted Doctor Crevoisier.

n 3rd EPOS-EFORT BAT Instructional Course — Paediatrics: Basic IVienna, Austria 24-26 September 2014 Strong of its previous experience this 3RD trilogy of courses was chaired by Professor Hakan Ömeroglu from the Department of Orthopaedic Surgery at Eskisehir Osmangazi University, Turkey.

This instructional course focused on the biology of children’s bones that are still growing, specifically with respect to the most common orthopaedic deformities and disorders in this age group. The highlights included foot disorders, hip disorders, leg-length discrepancy and torsional deformities, and participants were able to practise using saw-bone or club-foot models, to analyse hip ultrasound images, and discuss real-life cases.

Between 2011 and 2013, 43 colleagues from 20 different countries completed the Trilogies and graduated fully.

Fellowship programmes

These programmes aim to enhance orthopaedic training experiences for continuous medical education, and to encourage the formation of new personal bonds that will improve mutual understanding, collaboration and unity of all National Associations of orthopaedics and traumatology in Europe. The fellowship programmes offer three different formats:

n Mark Paterson Travelling Fellowship (supported by BJJ and EFORT) n The Visiting Fellowship (organised by the EFORT FOUNDATION) n The Travelling Fellowship

The Mark Paterson Travelling Fellowship is a venture initiated and funded by the British Editorial Society of Bone and Joint Surgery (BESBJS) and supported by EFORT and the BOA.

The Travelling Fellowship took place from 26 May to 6 June in 2014. Three young orthopaedic surgeons from mainland Europe travelled at the expense of the BESBJS to three orthopaedic centres in the United Kingdom (in London, Nottingham and Edinburgh) to study orthopaedic practice and participate in case conferences and aca-demic presentations. The programme was organised by EFORT and culminated in their attendance at the EFORT Annual Congress in London as EFORT guests. This was an unprecedented opportunity for the dynamic young surgeons to broaden their experience, present their own work and ideas, and make new professional contacts in Europe. They were Doctor Alberto di Martino from Italy, Doctor Egemen Altan from Turkey, and Doctor Michal Skowronek from Poland.

The Visiting Fellowship is made possible through unrestricted educational grants, and we would like to acknow-ledge the support of Medacta as major contributor. The programme allows candidates to visit recognised training centres for periods of 2-8 weeks or 3-12 months.


Education

In 2014, 13 successful Fellows were sent to leading centres such as the Istituto Ortopedico Rizzoli in Italy (Doctor Sandro Giannini), Clinique Paris V in France (Doctor Frederic Laude), South West London Elective Orthopaedic Centre at Epsom Hospital in the United Kingdom (Doctor Richard Field) and Ottawa Hospital in Canada (Doctor Paul Beaulé).

In spring 2014, the Swedish Orthopaedic Association welcomed the EFORT Travelling Fellowship to Sweden, with visits organised in Stockholm and Gothenburg. Fellows from the following countries participated in the pro-gramme: Lithuania, Macedonia, Malta, Netherlands, Norway, Poland, Portugal, Serbia, Slovakia, Slovenia, Spain, Switzerland, Turkey and United Kingdom.

In autumn 2014, the fellowship was hosted by the Italian Society of Orthopaedics and Traumatology in Italy. The nominated fellows visited hospitals in Turin and Florence. Fellows from the following countries participated in the programme: Austria, Belgium, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland and Kosovo.

EBOT Exam

The European Board of Orthopaedics and Traumatology (EBOT) has been running an annual exam, in English, for the past 14 years on behalf of the Orthopaedic Section of the UEMS (European Union of Medical Specialists). For the past 5 years, EFORT has been directly involved in this by taking on responsibility for administration of the examination.

The EBOT Exam is divided in to two sections, each with separate preparatory courses. Section 1 is a written test consisting of a 100 multiple-choice questions; it is run in different examining centres throughout Europe at the same time for all candidates on the same day. Passing Section 1 is a prerequisite for admission to Section 2. Section 2 is an oral test for which candidates gather on the first weekend of October in a European capital city.

In 2011, the EBOT interim exam was established as a major tool for preparing prepare residents for their final exam at the end of training. Divided into five topic areas, it provides information for trainees and heads of training on the standards of knowledge required during residency. This information has allowed improvements in teaching and training in the areas where the trainee (or department as a whole) has performed inadequately. The infor-mation has been well appreciated by all parties and has helped improve them prepare for the final assessment.

In 2014, a total of 108 candidates sat the written part of the EBOT exam, of whom 82 passed on to Section 2. The overall pass rate was 72%. A further 145 candidates took the interim exam on 3 April 2014 in more than 30 registered hospitals throughout Europe.

“I saw state-of-the-art organisation and facilities of modern trauma center hoping I will introduce some of them in my country”

— Slavisa Zagorac, MD, MSc, Serbia, visiting Karolinska Institute in Sweden


Education

LEARNING RESOURCES

The EFORT Textbook: A successful launch in London

Participants at the 15TH EFORT Annual Congress in London were introduced to the new EFORT Textbook entitled European Surgical Orthopaedics and Traumatology. The impressive seven-volume reference book was edited by Professor George Bentley (London), demonstrating his extensive experience of the subject matter, as well as his long-term commitment to the project. The book covers a broad range of musculoskeletal conditions and injuries and their comprehensive management as described by European and associated experts.

There are 257 chapters, all with a common format covering the existing literature, the relevant basic science, clinical assess-ment and the diagnostic process, indications for surgery, preoperative planning, surgical tech-niques, postoperative management, rehabilitation, complications and outcomes of individual conditions, giving readers a clear understanding of the total care of orthopaedic and trauma patients. The text is complemented by a numerous illustrations covering the essentials of the clinical scenarios.

The book is a highly valuable reference source for trainees who are preparing for examinations and assessments, and for those taking EBOT exam, for which the book provides a syllabus. However “… the target group goes far beyond trainees, providing education and guidance to all others involved in the practice of our specialty and related fields such as rheumatology, sports medicine, pain medicine and oncology, as well as ancillary professio-nals such as physical therapists and nurse practitioners, permitting them to expand their knowledge and surgical horizons.” Professor George Bentley

The EFORT Textbook is available in both print and electronic formats.

“Best comprehensive textbook available on current Operative Orthopaedics 2014. No hesitation in recommending it to all audiences including hand surgeons, extre-mity surgery, trauma, spine surgeons, and basic science. A must have resource for all residents and specialists combined.”

— Joseph Grenier MD PhD


Education

The EFORT Journal: From EOTR to EOR

The Journal of European Orthopaedics and Traumatology (EOTR) was set-up as a platform for publishing basic and clinical research in orthopaedics and related disciplines. It involved accepting peer-reviewed articles covering a broad spectrum of musculoskeletal pathology, ranging from societal issues to clinical practice and basic research. The contract with the current publisher of this journal, Springer, expires at the end of December 2015, therefore the Members of the Executive Board agreed in September, during the Executive Board meeting in Bologna, to launch a tender inviting several publishing companies to bid for a new journal.

This new journal concentrates on publishing didactic review articles, with the aim of providing specialists in trai-ning and busy practising orthopaedic surgeons the best and most up-to-date knowledge in the field. The format will be very different, involving open access. The intention is for the new EFORT Open Reviews (EOR) to be self-funded and in its initial issues the contributing authors will have all their publishing fees waived.

After carefully reviewing the publishing proposals, EFORT had decided to partner with the British Editorial Society of Bone & Joint Surgery and to name the journal EFORT Open Reviews. All articles will be available on open access, with no subscription required, and there will be online CME questions and certification.

A newly appointed Editor-in-Chief, Professor Pierre Hoffmeyer, will be supported by a small group of Associate Editors and an International Editorial Board. EFORT Open Reviews will be submitted to PubMed Central within the first few months of publication, aiming to secure inclusion in their database. Later, it will be submitted for indexing to the Web of Science with a view to obtaining an Impact Factor.


Education

EFORTnet: Evolving from a Community Platform to a unique Orthopaedic and Traumatology Resource Centre of Excellence

Since its launch in 2013 at the EFORT Congress in Istanbul, EFORTnet become the cornerstone of EFORT’s know-ledge sharing. It has achieved this in two ways. First, by providing an innovative and exclusive searching tool – the EFORTnet ClusterSearch – that is based on targeted sources of data and only yields results on orthopaedic and traumatology topics. Second, its eLibrary, launched at the 2014 Congress in London and seen as the major achievement of the year, gives access to over 12,000 documents within just a few mouse clicks, powered by an incredibly strong and versatile search engine.

The search results reflect screening through various channels, including leading scientific associations within orthopaedics and traumatology, established publications, and well-known video portals. The content is natu-rally populated by EFORT’s educational programmes, and before each Congress it is updated with the accepted abstracts. It also shows the formats of the different sessions and the proportion of content generated by session-based (as opposed to abstract-based) programmes.

By becoming a member of EFORTnet, each user of our unique community can build his or her own network of excellence and share knowledge. EFORTnet will continue to evolve, therefore, and become the one-stop, web-based centre of excellence in orthopaedics and traumatology in Europe.

Be part of this project and joint EFORTnet!

EFORTnet at a glance (as of 31 December 2014): n 10,114 users (+73% annual progression) n 65.59% of users from Europe n 116 countries represented n 12,087 documents available in the eLibrary n Over 157,000 visits in 2014

Asia

EuropeNorth Am

ericaSouth Am

ericaOceania

AfricaUnknow

n

EFORTnet eLibrary by Scientific Topic (in %)

17.6%

21.4%

0 500 1000 1500 2000 2500 3000

Basic Science

Biomechanics

Comprehesive Review Course (CRC)

Education

Elbow & Forearm

ExMEx Fora

Foot & Ankle

Hand & Wrist

Health Economy

Implants & Biomaterials

Instructional Courses

Knee & Lower Leg

Methodology

Musculoskeletal Infections

Musculoskeletal Tumors

Nursing

Paediatrics

Patient Care

Pelvis, Hip & Femur

Polytrauma

Quality Management

Spine

Shoulder & Upper Arm

Systemic Disorders

Varia/Miscellaneous

Knee & Lower Leg

Methodology

Basic Science

Biomechanics

Comprehesive Review Course

Education

Elbow & Forearm

ExMEx Fora

Foot & Ankle

Hand & Wrist

Health Economy

Implants & Biomaterials

Instructional Courses

Musculoskeletal Infections

Musculoskeletal Tumors

Nursing

Paediatrics

Patient Care

Polytrauma

Quality Management

Spine

Shoulder & Upper Arm

Systemic Disorders

Varia/Miscellaneous

Pelvis, Hip & Femur

4.4%

0.8%

0.5%

0.8%

1.6%

0.7%

4.7%

3.6%

0.6%

2.1%

3%

3.6%

2.1%

2.5%

0.2%

6.6%

0.3%

1.3%

1.2%

5.6%

6.7%

2%

6.4% Geographical repartition of EFORTnet users (in %)

n Europe

n Asia

n North America

n South America

n Africa

n Oceania

n Unknown

22.8%

8.1%

1.8%0.8%

0.6%

65.60%


European activities

DEFINITION OF THE “ROADMAP”

As alluded to earlier in this report, there are growing concerns about the cost of effective orthopaedics in an incre-asingly austere environment, and ongoing concerns about patient safety. As an organisation, we must continue to work closely with government agencies in Brussels to make sure the voice of orthopaedics from across Europe is heard.

The EU Task Force is intended to be the pillar of all EU activities led by the organisation. It was formalised at the General Assembly in London in 2014. The Task Force advises on the development of EFORT positions on relevant EU topics, and supports the implementation of projects, and is responsible for raising the profile of the orthopa-edic and traumatology community within EU institutions and for promoting collaboration with EU stakeholders.

The “roadmap” of the Task Force focuses on: EU research (Horizon 2020); healthcare-acquired infections and patient safety (including the safety of medical devices); active and healthy ageing; and harmonisation of educa-tion. The Task Force also aims to promote the involvement of member societies on an ad hoc basis to support the sharing of knowledge and best practice.

METAL-ON-METAL: FINAL OPINION OF THE SCIENTIFIC COMMITTEE ON EMERGING AND NEWLY IDENTIFIED HEALTH RISKS (SCENIHR)

Some initiatives came to fruition in 2014, and the final opinion of the SCENIHR was issued in September. In summary, it suggests that metal-on-metal (MoM) hip arthroplasty should be considered on a case-by-case basis, and recommends systematic follow-up of all patients and all implants. In particular, metal ion determination is recommended on a routine basis for large-head MoM total hip arthroplasty, and for hip resurfacing arthroplasty patients, at least in the first postoperative years.

EUROPEAN REFERENCE NETWORK

In Brussels on 23 June 2014 a major conference took place on the creation of European Reference Networks (ERNs). It brought together highly specialised healthcare providers, experts, national authorities, decision–makers and independent bodies with experience in the assessment and evaluation of healthcare providers. The aim was to facilitate discussions on the organisation of highly specialised networks across Europe to treat patients presenting with complex uncommon conditions that require a multidisciplinary approach and collaboration between Euro-pean centres. EFORT was one of the participants.

As part of the EU Directive on Patients‘ Rights in Cross-Border Healthcare, which came into force in all EU member states last year, the EU is seeking to support those member states that cooperate in the development of ERNs between healthcare providers, patient organisations and centres of expertise. The main purpose of these ERNs is to improve patient access to, and the quality and safety of, highly specialised healthcare services. The ERNs will also be focal points for medical training, research, information dissemination and evaluation, and will provide structure to professionals, healthcare managers and patients working together in a multidisciplinary environment.


European activities

PROFOUND (PREVENTION OF FALLS NETWORK FOR DISSEMINATION)

Falls prevention is everyone’s business

EFORT was represented by Karl-Göran Thorngren, Chairman of the Foundation, as part of the ProFouND project which is an EC-funded thematic network. The initiative is dedicated to the dissemination and implementation of best practice in falls prevention across Europe, and it aims to influence policy and increase awareness of falls and innovative prevention programmes amongst health and social care authorities, the commercial sector, non-governmental organisations and the general public.

To emphasise the reality of the exponential growth of the ageing population, a joint declaration will be signed and issued on behalf of the European Stakeholders Alliance for Active Ageing through Falls Prevention (in short, the “ESA-on-Falls” Alliance) of which EFORT is a member. The declaration states1:

”It is expected that life expectancy will continue to rise over the next few decades. Currently, across the EU-region, 13% of the population is aged 65 or older, but it is predicted that by 2030 24% of the population will be 65 or older. For health care systems, the impact of this growth in the older population brings challenges, such as a growth in the number of people living with multiple chronic conditions, facing loss of independence, loss of autonomy and potential negative outcomes regarding healthy life expectancy. As the share of the population who are younger is also significantly decreasing at the same time, our economic, social and cultural resources and competencies will need to rely increasingly on the contribution from the older generations. This can only be realised if the health status of older people allows them to remain independent and engaged in society for as long as possible. The main aim of the European Innovation Partnership for Active and Healthy Ageing (EIP-AHA) is to increase healthy life expectancy by two years by 2020.2

Amongst the many threats to health and well-being of older people, falls are a significant cause and contributor to morbidity, disability and premature death. Indeed, falls are a major indicator of increasing frailty and loss of independence and mobility. One-third of people over the age of 65 who live in the community fall each year and this proportion increases to 50% of those aged 80 years and older. Those residing in care or nursing settings have an even greater risk of falls and fractures. Approximately 30% of falls require medical treatment, often resulting in emergency department visits and subsequent hospitalisations. Annually there is an average of 38,530 fall-related deaths amongst people aged 60 years and older within the EU/EFTA region.3 The number of fall-related emer-gency visits for the same age-group is estimated at 6.5 million per annum.4 The number of hospital admissions has increased over the past two decades significantly, in some countries by a factor 2 or more, which reflects the consequences of a society that is growing older and living longer with multiple health problems.”

1 Excerpt of the Joint Declaration issued on behalf of the European Stakeholders Alliance for Active Ageing through Falls Prevention2 http://ec.europa.eu/research/innovation-union/index_en.cfm?section=active-healthy-ageing3 Source: Figures reported by EU and EFTA member states to the WHO Office for the European Region and published in the WHO Mortality Database (annual average for the year 2010-2012).4 Source: European Injury Database estimates for the EU and EFTA region, based on data reported by 20 countries in 2010-2012.

The Alliance includes the following member organisa-tions, who are signatories of the Joint Declaration on Active Ageing through Preventing Falls:

• European Association for Directors and Providers of Long-Term Care Services for the Elderly (EDE)

• European Association for Injury Prevention and Safety Promotion (EuroSafe)

• European Association Working for Carers (EuroCarers)• European Federation of National Associations of

Orthopaedics and Traumatology (EFORT)• European Forum for Primary Care (EFPC)• EUropean Network for Action on Ageing and

Physical Activity (EUNAAPA)• European Partnership for Improving health, Equity

and Wellbeing (EuroHealthNet)• European Platform of European Elderly (AGE)• European Public Health Association (EUPHA)• European Region of the World Confederation for

Physical Therapy (ER-WCPT)• European Society for Quality in Health care (ESQH)• European Union Geriatric Medicine Society (EUGMS)• Geriatric medicine section of the European Union

of Medical Specialists (UEMS)• HEPA Europe - European network for the

promotion of health-enhancing physical activity• International Association of Mutual Benefit

Societies (AIM)• Standing Committee of European Doctors (CPME)


European activities

REINFORCEMENT OF THE CODES OF ETHICAL BUSINESS PRACTICE

In a press release dated 15 October 2014, the Executive Committee of the European Diagnostics Manufacturers Association (EDMA) and the Board of the European Medical Technology Industry Association (Eucomed) - both members of MedTech Europe - in a continuous effort to reinforce their respective Codes of Ethical Business Prac-tice, announced their recommendation to members to phase out by 1 January 2018 direct industry sponsorship of healthcare professionals (HCPs) to third-party organised conferences.

To clarify, this means that a delegate can no longer be supported by industry to attend an annual congress, which is referred to as direct sponsorship.5

Following this announcement, EFORT was invited to join the Advisory Group on the Future of Medical Education, together with other leading scientific healthcare associations.6 Since then, several meetings have taken place; EFORT’s view is to understand this statement and evaluate whether it will contribute towards a regulation that guarantees patient safety, ensures patient access and supports innovation in Europe. Furthermore, EFORT now participates actively in debates on postgraduate and CME-accredited education (which it believes belong firmly to the mission of the scientific associations) in contrast to the training on medical devices that is organised by industry.

The first topics to be debated by the Advisory Group include the mapping of medical education, the definition of meetings, and alternative ways of providing medical education, with the objective of evaluating how new regula-tions in the field of ethical business practice can best protect the interests of the parties involved, at the same time as proposing a consensus-oriented approach for assuring patient safety.

5 Direct sponsorship of HCPs to attend as delegate medical education conferences refers to the direct payment by companies of some or all of the following: travel, lodging, conference registration fees. 6 Most of the associations included in the advisory group are members of the AC Forum (Associations & Conference Forum); www.acforum.net


Communication

WEBSITE

The EFORT website: A reference in orthopaedics and traumatology

In the middle of 2013, the redesigned website was launched with enhanced user-friendliness. A new content management system was added, to allow rapid updates of content in a uniform way. In 2014, development con-tinued, and it was decided to integrate the Congress section entirely and facilitate an easier navigation. Today it is the most visited page of the website.

EFORT Websphere at a glance (as of 31 December 2014): n 224,424 users (+19.43% annual progression) n 692,338 visits in 2014 (+9.1% annual progression) n 61% of visits from Europe

ORTHOPAEDICS TODAY EUROPE

Orthopaedics Today Europe, the official newspaper of EFORT, delivers news on the latest advances in the practice of orthopaedic medicine throughout Europe. It also provides practical, useful and timely coverage of scientific congresses and new surgical techniques.

Editorial features include: n Pioneer Associations n EFORT News n Commentary n Physician Perspectives n In the Journals n Meeting Highlights

Since its launch in January 1998, Orthopaedics Today Europe has been highly accepted, widely read and well recei-ved as the reader’s choice for news. It brings physicians practical information that they can put to use right away, including research and clinical news from scientific meetings, and on surgical techniques and instrumentation, as well as updates on medical devices and pharmaceuticals. Further, through partnership with EFORT, it reaches more than 48,900 musculoskeletal health professionals in 60 countries.

Published also in an interactive digital format, Orthopaedics Today Europe can be read by physicians whenever and wherever they want - online, offline, or when mobile. Each issue is also available on Healio.com, the online home of the journal, where issues are posted relating to highly trafficked daily news, video and journal content, all with the subspecialists in mind.

The Editorial Board boasts more than 50 leading orthopaedic surgeons representing the major European regions. Under the leadership of Chief Medical Editor, Per Kjaersgaard-Andersen, the Editorial Board contributes to each issue by authoring articles, reviewing content and providing perspective. The input from these thought-leaders is critical to the scientific accuracy, relevance and balance that Orthopaedics Today Europe brings to its readers.

Visit growth 2012-2014

0 100000 200000 300000 400000 500000 600000 700000

1

2

32014

2013

2012

100 000 200 000 300 000 400 000 500 000 600 000 700 000


Communication

SOCIAL MEDIA

Building on the success of our social media strategy in 2013, EFORT continued to expand and increase its online presence and visibility using selected social media channels. The summary below clearly shows progress in all of the chosen channels, namely LinkedIn, Twitter, Facebook and YouTube, with a minimum increase of 51.9% and a maximum of 325% year-on-year.

These statistics prove that the strategy of displaying information on such media has fuelled additional interest and online activity, and has brought us closer to our goal of a virtuous social-media cycle. The success of EFORT’s growth in social media over the last year, within such a specialist market, is probably down to a combination of factors, such as:

n Regular and consistent posts n The wide variety of sources n Novel types and well-targeted content n Posts that serve a dual purpose:

• For health care professionals (both individuals and groups) with dissemination of scientific content;• For the wider promotion of EFORT, its activities and knowledge-sharing materials;

n Personal recommendations and word-of-mouth n Professional and relevant communications

Our online presence, and our reputation, keeps attracting new followers and we hope to capitalise on this in the future. The constantly growing number of followers is a chain reaction, because it attracts even more followers. They are the practitioners of tomorrow - EFORT’s key audience.

The next step is to maintain the current level of numbers, and to review constantly both the content and the approach. The overall aim is to ensure it delivers against our objectives and maximises social media for delivery of education within the orthopaedic and trauma community.

EFORT social media accounts at a glance (as of 31 December 2014): n Twitter (account created in 2013): www.efort.org/twitter612 followers | 647 tweets +325% of annual progression

n YouTube (account created in 2011): www.efort.org/youtube 48 videos available | 150 members 39 951 videos views | 82 126 minutes watched +51.9% of annual progression

n Facebook (account created in 2011): www.efort.org/facebook 1 271 members | 381 060 post views in 2014 1044 visits per day | +102% of annual progression

n LinkedIn (account created in 2011): www.efort.org/linkedin1 035 followers | +153% of annual progression


Financial statements

AUDITOR‘S REPORT

PricewaterhouseCoopers SA, avenue Giuseppe-Motta 50, case postale, CH-1211 Genève 2, SwitzerlandTéléphone: +41 58 792 91 00, Téléfax: +41 58 792 91 10, www.pwc.ch

PricewaterhouseCoopers SA is a member of the global PricewaterhouseCoopers network of firms, each of which is a separate and independent legal entity.

Report of the statutory auditorto the General Assembly ofEFORTRolle

Report of the statutory auditor on the financial statements

As statutory auditor, we have audited the accompanying financial statements of EFORT, whichcomprise the balance sheet, income statement, cash flow statement, statement of changes in reservesfunds and notes, for the year ended 31 December 2014. As permitted by Swiss GAAP FER 21 theinformation in the performance report is not required to be subject to audit.

Executive Board’s responsibility

The Executive Board is responsible for the preparation of the financial statements in accordance withthe Swiss GAAP FER 21, the requirements of Swiss law and the association’s articles of incorporation.This responsibility includes designing, implementing and maintaining an internal control systemrelevant to the preparation of financial statements that are free from material misstatement, whetherdue to fraud or error. The Executive Board is further responsible for selecting and applyingappropriate accounting policies and making accounting estimates that are reasonable in thecircumstances.

Auditor’s responsibility

Our responsibility is to express an opinion on these financial statements based on our audit. Weconducted our audit in accordance with Swiss law and Swiss Auditing Standards. Those standardsrequire that we plan and perform the audit to obtain reasonable assurance whether the financialstatements are free from material misstatement.

An audit involves performing procedures to obtain audit evidence about the amounts and disclosuresin the financial statements. The procedures selected depend on the auditor’s judgment, including theassessment of the risks of material misstatement of the financial statements, whether due to fraud orerror. In making those risk assessments, the auditor considers the internal control system relevant tothe entity’s preparation of the financial statements in order to design audit procedures that areappropriate in the circumstances, but not for the purpose of expressing an opinion on the effectivenessof the entity’s internal control system. An audit also includes evaluating the appropriateness of theaccounting policies used and the reasonableness of accounting estimates made, as well as evaluatingthe overall presentation of the financial statements. We believe that the audit evidence we haveobtained is sufficient and appropriate to provide a basis for our audit opinion.

Opinion

In our opinion, the financial statements for the year ended 31 December 2014 give a true and fair viewof the financial position, the results of operations and the cash flows in accordance with Swiss GAAPFER 21, comply with Swiss law and the association’s articles of incorporation.



AUDITOR‘S REPORT

2

Report on other legal requirements

We confirm that we meet the legal requirements on licensing according to the Auditor Oversight Act(AOA) and independence (article 69b paragraph 3 CC in connection with article 728 CO) and thatthere are no circumstances incompatible with our independence.

In accordance with article 69b paragraph 3 CC in connection with article 728a paragraph 1 item 3 COand Swiss Auditing Standard 890, we confirm that an internal control system exists which has beendesigned for the preparation of financial statements according to the instructions of the AssociationBoard.

We recommend that the financial statements submitted to you be approved.

PricewaterhouseCoopers SA

Marc Secretan Marcello Stimato

Audit expertAuditor in charge

Audit expert

Geneva, 4 May 2015

Enclosure:

- Financial statements (balance sheet, income statement, cash flow statement, statement of changesin reserves funds and notes)



INCOME STATEMENT

2014 2013

1 January to 31 December CHF CHF

Membership fees (net) 164'123 158'810

Education 93'675 82'658

Annual Congress 3‘068‘581 3‘000‘155

Post Graduate Training Programme 220‘072 229‘088

Publications 42‘117 38'475

Miscellaneous 41'799 43'872

Net revenues 3'630'367 3'553'058

Personnel 1'322'325 1'223'479

Administration 427'016 292'184

Executive Committee 256'630 203'077

Marketing & communications 350'146 419‘225

Publications 127'974 166'611

Annual Congress 821'046 899‘414

Post Graduate Training Programme 192'202 208'855

External affairs 106'802 164'651

Education 226'012 226'526

Total operating expenses 3'830'153 3'804'023

Operating (loss)/income (199'786) (250'965)

Interest income 90 233

Interest expense (17‘412) (12‘177)

Foreign exchange (loss) gain 4'323 46'021

Financial (loss) gain (12‘999) 34'078

(Loss) before exceptional items (212'785) (216'887)

Exceptional expenses - (630'568)

Exceptional income - 9‘500

Net (loss)/income (212‘785) (837'955)

BALANCE STATEMENT

2014 2013

As of 31 December CHF CHF

Cash and cash equivalents 466'304 566'299

Accounts receivable 22'834 230'791

Other receivables 288'865 297'593

Prepaid expenses 68'495 49'960

Total current assets 846'498 1'144'643

Tenant's guarantee/deposits 29'109 29'082

Inventory, books - 17'500

Leasehold improvements 433‘821 420'447

Equipment 37‘011 87'538

Intangible assets 86‘604 149‘000

Total non-current assets 586‘545 703'567

Total assets 1‘433‘043 1'848'210

Bank loan 60‘200 52‘959

Finance lease liabilities 33‘107 -

Accounts payable 146‘115 452‘206

Other payables 91‘859 132‘031

Accruals 124‘289 46'839

Provision 41‘883 27‘077

Total current liabilities 497'453 1'041'701

Bank loan 270'388 330'588

Finance lease liabilities 71'478 -

Total non-current liabilities 341'866 330'588

General funds 806‘509 1‘644‘464

Loss for the year (212‘785) (837‘955)

Total reserve funds 593‘724 806‘509

Total liabilities and reserve funds 1'433'043 1'848'210

Per Kjaersgaard-Andersen,

Secretary General

Stephen Cannon,

President 2014/2015

4 May 2015



4 May 2015

CASH FLOW STATEMENT

2014 2013

As of 31 December CHF CHF

Net loss Year (212‘785) (837‘955)

Depreciation 232'607 192'879

Impairment of inventory, books 14‘559 -

Interest charge 17‘412 12‘177

Increase of provision 14‘770 -

Cash flow before change in networking Capital

66‘563

(632'899)

Debitors 207'957 579'882

Deposits (27) 26'031

Other receivables and prepaid expenses 5‘193 (43'950)

Accounts payable (306‘091) 62'420

Other payables (40‘172) (185‘644)

Accruals 77‘450 (182‘978)

Interests paid (17‘412) (12‘177)

Cash flow from operating activities (6‘541) (389‘314)

Purchase of equipment (19‘170) (133‘501)

Purchase of leasehold improvements (150‘533) (175'267)

Disposal of leasehold improvements 23‘857 -

Cash flow from investment activities (145‘846) (308‘767)

Repayment of bank loan and finance lease liabilities

(81'967)

-

Proceeds from bank loan and finance lease liabilities

133‘593

341‘674

Cash flow from financing activities 51'626 341'674

Currency translation 766 -

Cash flow from financing activities 766 -

Change in cash and cash equivalents (99'995) (356'408)

note 3.5

Per Kjaersgaard-Andersen,

Secretary General

Stephen Cannon,

President 2014/2015

CASH FLOW STATEMENT

Proof of cash

Balance at 01 January 566‘299 922‘707

Balance at 31 December 466‘304 566‘299

Change in cash and cash equivalents (99‘995) (356‘408)

CHANGES IN RESERVE FUNDS STATEMENT

General Funds

Restricted Funds

Total 31.12.14

2014 CHF

Reserve Funds at 31.12.2013

806‘509

806'509

Net loss for the year (212‘785) - (212‘785)

Total Reserve Funds 593‘724 - 593‘724

2013 CHF

General Funds at 31.12.2012

1‘644‘464

-

1‘644‘464

Net loss for the year (837‘955) - (837‘955)

Total Reserve Funds 806‘509 - 806‘509

The comprehensive version of the financial statements 2014 is available at www.efort.org



NOTES


EFORT Publication The EFORT TextbookEFORTPublications.

EFORT Textbook

info More updates available on: www.efort.org/education/publications

European Surgical Orthopaedics and Traumatology

This important reference textbook covers the surgical management of all major orthopaedic and traumatological conditions.

The book will act as the major source of education and guidance in surgical practice for surgeons and trainees, especially those preparing for higher surgical examinations and the Board of Orthopaedics and Traumatology examinations within and beyond Europe.

The emphasis throughout is on the application of current knowledge and research to technical problems, how to avoid operative problems, and how to salvage complications if they occur. The didactic text is complemented by abundant illustrations that highlight the essentials of each clinical scenario.

The authors are all recognized international authorities active at congresses and workshops as well as in universities and hospitals across the world.

Editor: G. Bentley, Edition 2014

The EFORT Textbook

Guides the reader through the total management of the patient,

including surgical techniques

Written by recognized international authorities

Didactic style appropriate for those preparing for examinations

Abundant illustrations highlighting the essentials of each clinical scenario

Ed. 2014, Approx. 4950 p. 3400 illus., 1700 illus. in color. 7 volumes, not available separately.

Print (Book)549,00 € | £494.50 | $749.00

*587,43 € (D) | 603,90 € (A) | CHF 731.00

eReference549,00 € | £494.50 | $749.00

*653,31 € (D) | 658,80 € (A) | CHF 768.00

Print + eReference686,00 € | £617.50 | $929.00

*734,02 € (D) | 754,60 € (A) | CHF 913.50

Order online at www.springer.com

For outside the Americas call +49 (0)6221 345 4301 | email: [email protected]

For the Americas call (toll free) 1-800-SPRINGER | email: [email protected]

The first € price and the £ and $ price are net prices, subject to local VAT. Prices indicated with * include VAT for books; the €(D) includes 7% for Germany, the €(A) includes 10% for Austria. Prices indicated with ** in-clude VAT for electronic products; 19% for Germany, 20% for Austria. All prices exclusive of carriage charges. Prices and other details are subject to change without notice. All errors and omissions excepted.

New!

SPRINGER REFERENCE

info More updates available on: www.efort.org/education/publications

EFORT Head Office ZA La Pièce 2 1180 Rolle, Switzerland

Phone +41 (0)21 343 4400 Fax +41 (0)21 343 4411

[email protected] www.efort.org

17TH EFORT Congress [Maintaining Activity

Through Life]

Geneva, Switzerland 01-03 June 2016Abstract submission 15 September-30 October 2015 at 15:59 CET

Preliminary programme mid-January 2016

Advanced programme 01 March 2016

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#EFORT2016

annual report 2014 - efort — welcome · 2018-06-25 · sponsorship activities, contribute to...

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