- SHORT REPORTS FROM PERMANENT COUNCILS, WG, NETWORK PROJECTS
Primary and Secondary Care
- BW stated that it was concluded in the Winter Meeting that EAP was satisfied with how community level paediatric institutions are being observed. JZ, BW and Simon formulated a new paragraph which was scrutinized in yesterday’ meeting. It was voted and approved.
- BW wishes the GA assembly will approve this as well.
- KI advised that since the voting does not appear on the agenda, it is not constitutional to vote. People have not been able to prepare themselves for this vote.
- Voting: 14 were in favor; 2 sustained
- BW queried if EAP will promote subspecialty in primary care paediatrics. Primary and secondary care councils formed the group which is working on this since spring. No consensus was reached yesterday but will continue during the Winter Meeting in December.
- JZ mentioned that PS Council discussed the statement about passive smoking which was prepared by Jonas Ludvigsson, President Swedish Paediatric Society. The statement will be prepared in the beginning of autumn. We discussed the few problems of the Paediatric Primary Care on the peer level in the different countries.
- JZ stated there is a problem dealing with migrant children. We need to learn more about the method of approach to children with different social and cultural backgrounds. We have the MasterCourse next year in Ljubljana and would like to add this subject to the agenda.
- The curriculum for primary prepared by ECPCP was not passed to all delegates and members to read. First of all it should be approved by PS Councils and then can be brought to the general assembly. It has been endorsed by the GPEC, appears on their website homepage and was also translated to Spanish. It was discussed in the EC that EAP would perhaps pass it to all the delegates to read and consider it
- TS stated that the curriculum should be reviewed by the Primary and Secondary Care Permanent councils They should prepare the document and when accepted in the primary and secondary permanent to be sent out to all national delegates before voting on it. This is the same procedure as for all subspecialties’ documents.
Action Items – Primary and Secondary Care:
- The subject of “Approaching Children with Different Social and Cultural Backgrounds” to be added to the 2017 MasterCourse
- The curriculum for primary and secondary care should be prepared before the next spring meeting and distributed to all the national delegates to read and consider it before voting on it.
- TS advised that in Brussels the TWG discussed the rheumatology curriculum. It was endorsed with some changes which have been sent to RRR, who sent it out to the delegates.
- TS mentioned it was accepted in Brussels but we were going to have a vote today if we accept the new revised document of rheumatology.
- Vote was conducted and approved.
- TS stated that the UEMS Secretary Council is nominated by the national societies. Subspecialties Presidents are elected by the subspecialty sections due to their academic achievements and nominated by the Scientific Committee. For this reason the UEMS voting issue is problematic.
- VP mentioned the nomination comes by the scientific society but has to have the endorsement of the national medical association on top of it.
- TS stated there is a Disciplinary Committee on Rare Diseases at the UEMS. There are no representatives from paediatric fields. We learnt from the Secretary General UEMS that you don’t have to be a national delegate to be part of the Disciplinary Committee on Rare Diseases.
- TS suggests that LS should approach the Disciplinary Committee on Rare Diseases at the UEMS and ask what are the steps needed in order to be a part of the group.
- LS mentioned there is very much a need for interoperability for our healthcare systems, not only inside hospitals but also between hospitals, ambulatory care and rehabilitation centers and hopefully with patients. We have EAP involved in interoperability EU platform and rare disease registration which started in April.
Action Items – Rare Diseases:
- LS to approach the Disciplinary Committee on Rare Diseases at the UEMS and ask what are the steps needed in order to be a part of the group
- ZG reported one of EAPRASnet’s studies was published 2 months ago about Antibiotic Preference for Pneumonia among Paediatricians and GPs and a very positive response was received from the editor.
- A study about Electronic Health Records was conducted. A minor revision should be done and afterwards the study will be published.
- The manuscript on Migrant Survey is being written by Angel Carrasco. The outcome would be reported in Brussels.
- A future collaboration with ESPGHAN has been mentioned. It seems there will be collaboration in projects that both sides have interest in.
- HJD spoke about The European Centre for Disease Control and Prevention that has an ambitious project about Electronic Immunization Records. He updated that EAP is invited to cooperate with them.
- HJD stated there is Communication with WHO regarding refugees vaccination – The Greece Problem.
- HJD mentioned the Measles Examination Problem in the German speaking countries in the Middle of Europe.
- HJD advised the next partner is Vaccines Europe which is the roof organization of all vaccines manufacturers on the topic of vaccines shortages. We had a very constructive first exchange of mails and also were invited to work with them in this orientation group to maybe find solutions for the problem.
- HJD mentioned the Intra EAP Networking with the survey on vaccines residency.
- David Neubauer mentioned that they have been discussing three new papers.
a) The first one was prepared by Francis Crawley about the resolution on Doping in Sports in Children and Young Adults.
b) The second one was prepared by Artur Mazur on Obesity and Media on the different adverse behavior in children. Some amendments needs to be made and will be ready in
c) Third one was prepared by Lisbeth Siderius on Disabled Children in Sports.
European Medicines Agency Workshop
- The EMA workshop on extrapolation of efficacy and safety in medicine development across age group was organized in London two weeks ago. JZ participated and he is reporting.
- The background of the workshop is to avoid unnecessary studies in the target population for ethical reasons, for efficiency, and to allocate resources to areas where studies are the most needed. Additionally, in situations where the feasibility of studies are restricted, extrapolation principles may be applied for rational interpretation of the limited evidence in the target population in the context of data from other sources.
- The output of this workshop will be used for the finalization of the reflection paper on extrapolation across age groups by the Paediatric Committee (PDCO) of European Medicines Agency (EMA).
- The PDCO is responsible for coordinating the Agency’s work on medicines for children. The Committee’s main role is to determine the studies that companies must carry out on children as part of paediatric investigation plans (PIPs).
- JW and JZ will send the highlights of the workshop to the members of the GA and they will be published on the EAP website