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)