Welcome by Mr Erian
Present:
- Mr Anthony Erian
- Dr. Angelo Rebelo
- Dr. Eduardo Krulig
- Dr. Giorgio Fischer
- Dr. Zoran Zgaljardic
- Prof. Nikolay Serdev
- Dr. Mario Rousso
- Dr. Georges Stergiou
- Dr Ash Dutta
Apologies:
- Prof. Toma Mugea (Romania)
- D'Souja (London)
- Prof. Zeppi
- Landat (Poorly with bad back)
- Lafarge (France)
- Ansari (France)
Changes in the Cosmetic world are happening too quickly
We are in a unique position, the members are active but the Society has been sleeping for 3 years.
We have 400 members in total and 700 in our books. We would like them to join our cause.
Our Society is for surgeons only. Dermatology and other non-surgical specialities do not fit our cause.
We have training programs which were well attended. New blood needed. We need to work together as a team and establish a "Code of Conduct" for our members.
Aim:
- Future of Society looks bright
- Improve access for all Aesthetic Surgeons in Europe
- Concentrate on Europe initially
- Clean up our society
- Organise structured training
- Formal training not just weekend courses
- Adhere to established standards
- Royal Colleges are listening to us
- Cosmetic doctors and surgeons are desperately setting up smaller societies
- We need serious people who are prepared to put their energy into the Society
- Young members need to be active.
- Workshops.
- We need Fellows to go through the structured Fellowship program
- Concentrate on the scientific aspect - Publish papers and improve credibility
- We need to provide support for new members
- Cosmetic Surgery to be done by trained surgeons
- Training organised in individual countries
- Individuals appointed in each country to have fellows
- Improve communication - Newsletter and regular updates
- Invite people of similar minds to join us
- We have a dedicated office in UK
- We have successful people but we need to harness their potential
Top of pageMain issues: Education, Training, Knowledge, Experience
Training or speciality of the members present:
- Georges Stergiou (Swiss) - Max/Fax
- Russo (UK) - Plastics
- Giorgio Fischer (Italy) - Plastics
- Anthony Erian (UK) - Plastics
- Eduardo Krulig (Spain) - Plastics
- Ash Dutta (UK) - Cosmetic Surgeon
- Zoran Zgaljardic (Croatia) - Max/Fax
- Nikolay Serdev (Bulgaria) - Aesthetic Surgery
- Angelo Rebelo - (Portugal) - Plastics
The ESAS Board and members were informed of this meeting. Hence we can call it a Board meeting.
Who do we accept as Cosmetic Surgeon?
Giorgio - Everything has a start. Reasonable way to approach this would be through experience. We can look at the number of cases performed. It should not be dependant on the doctor's speciality but on the training.
Anthony - Cosmetic Surgeons should have a medical degree, 2 years of surgical training. Training in cosmetic surgery 1-2 years. Attend courses, minimum of 100 cases. In the future, cut off criteria will apply. We will need to consider some "grandfather clause".
In the UK 5% of Plastic Surgery training is in Cosmetic Surgery. It has recently been increased to 9%.
Future training, established programs and invite Doctors to start Fellowship Programs.
Board Exams in Europe - not credible or recognised yet.
Training Programs to be sent by Mr Erina to Board members.
Workshops to cover the whole body throughout the year: Face, Eyes, Breast, Skin, Rhino, Lipo (whole body to be addressed in a systematic way)
The aim of the Society is not profit making but we need adequate funds to survive. Invite "super-stars" (respected doctors in the field) to make the workshops credible.
Recognise other programs/workshops from established bodies.
Course 2-3 days over the weekend. Doctors can get their own patients.
Theory - lectures and hands on.
Recognition of Cosmetic Surgery is the aim to protect us in the future.
We know most of the Cosmetic Surgeons around the world.
Australia - ACCS application noted to the Australian Medical Council to be recognised as a speciality. Mr Erian knows the background of the application.
Eduardo - Nikolay's effort is recognised for practice and teaching in this field. We would like to support you but can't support your fight against plastic surgeons. He retracted his vote against Nikolay.
Giorgio - No fights against other institutions because we need their support.
Mr Erian:
- Training Program - European Courses
- Newsletter - Members
- In the next 2 weeks - Workshops for the next 18 months and programs to be announced.
- Members to let Mr Erian know what training they can provide.
- Accreditation Program and certification
- Choose board in Europe
- Set criteria for exam
- Encourage research - access other journals
CEN
Continuous training and establish standards Europe wide - Define Cosmetic Surgery.
Define programs (may vary in different countries)
Angelo - Portugal University will have approved Aesthetic Medicine and Aesthetic Surgery course next year.
Upgrade website regarding Angelo's progress.
Invite new Doctors to join ESAS.
By laws - To send copies to CEN and European Commission (CEPLIS)
Giorgio - Legal problem with course - if doctors are trained and side effects result - patient can sue trainers.
Trainee to have own insurance for Fellowship.
Insurance for trainers during 4 workshops/year and set 18 months programs.
C.V's from members.
2 meetings per year.
Support other programs and reciprocal reorganisation of course workshops from other reputable Societies/Associations.
Eduardo - Change all mention of "Cosmetic" to "Aesthetic" in the future according to the CEN document.
Georges - Workshop organiser.
Identify members and delegate responsibilities.
Monthly - write up by members. Anything new or interesting to share experience.
Circulate what each member is doing.
May need to appoint a full-time secretary for the Society in the future. For the time being Mr Erian's secretary can cope.
Society has limited financial resources now.
CEPLIS representative for ESAS
Landat and Dutta - proposed by Mr Erian, seconded by Zoran.
Ash - Mr Erian to remain President of ESAS to maintain continuity and his experience will be necessary to steer the Society through the difficult times.
Proposed by Angelo; Seconded by Eduardo
Angelo Vice President (President elect)
Treasurer to be appointed when paperwork sorted.
Secretary - Eduardo Krulig
Ash Dutta nominated as the ESAS representative to the CEN.
Giorgio to stand in till Mario appointed as Treasurer.
Georges, Ash and Zoran voted in as the rest of the ESAS Board.
We need to organise PR for Society. Active members to be encouraged to work for the Society.
Replicate IBCS exams ESAS
Ash Dutta to contact Dr. Lisborg of WAOCS and organise a collaboration.
Dr Theodoros Koutroubas - European Council/CEPLIS representative.
Aim - Aesthetic Surgery to be established as a speciality.
2005:36 - Law for mutual reorganisation of qualifications. (Voted by MEP's and govt. - representatives) Once proposed and accepted it takes approximately 4 years to become a Law.
It has to go through Public consultation - then becomes Law.
May go through multiple Public hearings before being established as Law.
It doesn't apply to Diploma/qualifications.
University faculty are recognised.
Directive takes about 2 years to become law.
Once a Law is passed countries are obliged to accept it and change existing directives.
It is obvious that present directives are not working well in all countries.
CEPLIS is revisiting the directives.
It has been recognised that the present situation is not acceptable.
Prof Serdev and Landat has made presentations to the CEPLIS in the past.
At the CEN -Yurger? Responsible for revision
If speciality is not recognised in a particular country but has been recognised in 9 of the European countries, it has the obligation to recognise reciprocally.
The member states who participated did not support the motion of Aesthetic Surgery to be recognised.
The platform was very rigid. In order for a particular profession to be recognised - University curriculum needs to be organised.
28th Curriculum/Regime
For specialists that are not recognised for Aesthetic Surgery, e.g. ENT or Skin can follow the curriculum and be recognised.
In European countries Doctors who follow the curriculum can have "Professional Card" - "European Professional Card".
Not a new concept. It helps to build trust and recognised individuals as specialist in that particular field throughout Europe.
How to do "card" - Propose individual country organisations with a set of Laws and Code of ethics.
Card - European Curriculum (28th regime)
Cards should be used as a proof of his identity in his own country professionally
Further, it will provide automatic recognition in other EU countries.
We need to define criteria and regulations for societies in each country.
All or some member states should set out a common set of competencies. Set criteria for allocation of card - common recognition. The card could facilitate the recognition process and give credibility.
To set national organisations, we do need Government support or the support of Plastic surgical Association or Society.
Once a profession is recognised in a EU country we fall under Rule 4.5, i.e. other EU countries are obliged to provide reciprocal recognition.
Next CEPLIS meeting 23/05/11 - Ash to provide Theo with update report.
Way forward
- Members from EU countries to start their own societies under the ESAS banner.
- Curriculum - same in all countries (approach small countries, you need 6) - e.g. Croatia, Serbia, Latvia etc.
Lobby with M.P. and government. (Invite MEP's to ESAS meetings)
Card will come into effect in 2-3 years.
Society should evolve as the rules change.
Overview:
Each country should have a National Society and be a member of ESAS which will then act as a Federation.
Ash to make contact with Pete Lisborg and Anthony.
For European countries - promote Aesthetic Surgery issues as a matter of urgency, public health and reduce Cosmetic Tourism.
Notes taken by Dr Dutta at the meeting.