Echosclerotherapy Training

Access to e-learning is via the “Student area” -> “Theoretical training” menu, which is only visible to registered members.

This CDPP (Competency Degree in Phlebology Procedure) in Foam Echosclerotherapy (ESM) is a teaching module officially accredited by the UEMS (European Union of Specialist Doctors). It is organized by the NRTCP (National Reference Training Centre of Phlebology) Saint Martin Private Hospital/SFP, which is itself accredited by the UEMS. It is the national reference training centre for France in phlebology. The practical internships will be carried out in medical centres accredited by the UEMS. These centres include the NRTCP medical centre, Saint Martin de Caen Private Hospital, and the associated ERTCP (European Rotating Centre of Phlebology) (see attached list of these ERTCPs).

Teaching is provided by the NRTCP and the ERTCP for 10 months, at the end of which an (optional) exam is organised by the UEMS and the European Board of Phlebology (EBP). This training does not require a continuous presence in the internship, but a number of procedures are required. For the year 2019-2020, the number of registrations for this ESM PLRDC is set at a total of 25 participants. Teaching will begin on September 14, 2019 at the SFP congress in Toulouse. Access to the bibliographic database and e-learning etc. will only be available from this date, on a dedicated UEMS website, via the SFP website. However, some practical training courses may start before then, for some of them as early as spring 2019. When your application is validated, you will be invited to contact the managers of the centres that interest you in order to build your internship schedule.

CONDITIONS AND PREREQUISITES FOR CANDIDATES
To benefit from this CDPP course, the candidate must be officially registered and have completed the following
registration fees with the French Society of Phlebology (1080 € for this module). This registration
includes SFP membership and the journal Phlébologie Annales Vasculaires, and coded access to a
bibliographic database. Registration for all SFP conferences is at the student rate for
the year.
The candidate must take out professional civil insurance covering the practice of sclerotherapy, if he/she
is not already covered for this risk.
This CDPP is a module for further training and not for initial teaching; diplomas and prerequisites are required
required of candidates, particularly on venous Doppler ultrasound and sclerotherapy (see conditions
registration)

Theoretical teaching includes various supports: – Bibliographical references (coded access to a database) and books; – Access to videos and courses by power-point presentations in pdf format on a dedicated platform on the SFP website; – Courses by e-learning, on a dedicated platform, on the SFP website (access with password; planned control); – Participation in conferences accredited by the NRTCP; – Face-to-face courses and workshops during SFP conferences. Validation of the theoretical part: 1. the candidate must have viewed all the e-learning courses: validation by systematic electronic control. 2. participation in actions on congresses and other means of training is by point credits (see list of accredited congresses and the corresponding points; accredited workshops will be marked as they go along). The minimum number of points to obtain validation is 50 points. Elements taken into account for the acquisition of points for the 2019-2020 academic year: o Validated attendance at the SFP National Congress from 5 to 7 December 2019: 25 points (for the 3 days) o Attendance at the SFP Phlebopratic Congress on 7 and 8 June 2020 : 15 points o Assistance to “Toulouse is endovenous” on September 14, 2019: 10 points (nb takes place every 2 years) o In addition, although the official start of the teaching is in September 2019, the Phlebo-Practical Congress of Marseille 7 and 8 June 2019 will also be accredited with 15 points, valid for the year 2019-2020. o Vascular Annal Phlebology Subscription: 5 points o Attendance at other validated/arrowed conferences: 10 points each o Critical summaries of articles or book chapters proposed by the instructor 5 points each.

Practical training is provided through practical training courses in centres throughout France and a few European countries (see list in the appendix). The candidate must contact the Head of the desired centres directly. After each internship, the Head of the Centre sends the SFP secretariat a certificate of internship specifying the number of procedures in which the candidate has attended and/or actively participated and a pedagogical commentary. In this pedagogical report, the teacher may suggest reducing or increasing the number of procedures required for the evaluated candidate. Validation of the practical part: Basis for validation of the practical part: the candidate must have attended at least 50 varicose vein foam echosclerotherapy procedures and must have actively participated in the performance of at least 30 of these procedures. However, a modulation is possible, in more or less, depending on the feedback from the internship managers. In addition, upon written and reasoned request to the SFP secretariat, the candidate may request an extension of the period necessary for him/her to validate his/her procedures (extension for a maximum of one year, at no additional cost). These requests will be considered on a case-by-case basis. Nb attention: Active participation means participating or contributing to decisions and actions related to the superficial venous balance, ESM and the management and prevention of side effects or complications (pretherapeutic balance, information to the patient, development of the strategy and ultrasound detection, choice of injection sites, choice of concentrations and volumes, manufacture of the foam, the different stages of the ESM procedure itself, control and management of the follow-up… But, the ESM itself is not necessarily performed by the candidate, it is the instructor who decides this. It is advisable for the candidate to validate his internships at several centres rather than at one.

The UEMS examination for the next training course will be held at the end of June/beginning of July 2020 in Brussels, Paris or another European city. The date and place, decided each year by the European Board of Phlebology (EBP), will be specified later. The official languages of the UEMS are French and English, but the examination may be conducted in English. Registration for the exam is independent of registration in the module and the fee (UEMS) is €400. The candidate can only register for the examination if the theoretical and practical parts of the teaching have been validated. Registration for this exam is optional but no diploma will be awarded on the sole validation of theoretical credits and practical internships. The examination consists of: – a written part in the form of a MCQ: 50 questions (English/French), the duration of which is 1 hour; each correct answer corresponds to 1 point, the total is divided by 5 to obtain the score out of 10. – an oral part on clinical cases, with 2 to 3 European examiners from the EBP, who may be English-speaking or French-speaking; its duration is 30 minutes. A score of 1 to 10 is given by the examiners. The average of the 2 scores gives the final score: it must be at least 6.5 out of 10. In the event of a successful examination, a European certificate, UEMS, of competence in phlebological procedure (CDPP) “foam echosclerotherapy” is issued. It is not equivalent to a specialty diploma and does not exempt the doctor from the legal obligations of his country for the practice of phlebology. In the event of failure to pass the examination, the candidate may retake the following year, paying the fee again. He also keeps the knowledge of his validation of theoretical credits and its practical part but if he wishes, he can re-register for the module (he will have to pay the fees for this new year).

14 April 2019