47th EFOSA General Assembly Meeting

June 12th 2016
Stockholmsmassen room K13, Stockholm, Sweden

Attendance Limited to National Delegates and Invited Guests


President Julian O'Neil   JO
Vice-President Bart Vande Vannet BVV
Secretary Kristín Heimisdóttir  KH
EOS co-opted member Ewa Czochrowska AEC
Council member  Eva SramkovaES
Web master Alain Vigie du CaylaAVdC

Silvia Silli Austria Stjepan Spalj Croatia
Georgia Sofroniou Cyprus  Stathis Efstathiou Cyprus
Reet Karelson Estonia  Katri Herman Estonia
Johanna Sihvonen Finland Raija Kiuru-Skyttä Finland
Yves Trin France  Alexandros Kokkas Greece
Andreas Karamouzos Greece       Daniela Lupini Italy
Pasquale D´Amico Italy Geir Kristiansen  Norway
Melissa Disse Netherlands Beata Walawska Poland
Francesco Vale Portugal Américo Ferraz Portugal
Irena Klímová Slovakia  Gabriela Alexandrova Slovakia 
Heidrun Kjellberg Sweden Claudius Wiedmer Switzerland 
Othmar Kronenberg Switzerland Serdar Usumez Turkey
Ilhan Ramoglu Turkey Alison Murray UK
Jonathan  Sandler UK

AM session

1. Opening and welcome from our hosts

Julian O´Neill, president of EFOSA opened the meeting at 9:05.

2. Apologies for absence and introduction of delegates and guests

Malta and Luxembourg sent apologies for absence. The representatives from Ireland and Denmark were unable to attend due to an SAS strike.

Introduction: The delegates introduced themselves and their countries. In Austria some private orthodontic courses still take place. Most of the postgraduate students are from Dubai and Saudi Arabia, but also some from Germany. The tuition for the course is considered too expensive for the locals. In the UK, some private courses have been organised – at Warwick University and BPP, London. Some short term-orthodontic courses are organised by the orthodontic companies. However, some countries do not accept that others than certified orthodontists practice orthodontics, like in Slovakia. The dental schools are slowly opening up for post-graduate students like in Italy. However, only 5 new post-graduate students were accepted in Sweden last year, despite the fact that they have 8 programs. And some countries have overflow of specialists. In Switzerland there are 200 Swiss orthodontists, but 500 have come from abroad, mostly from Germany, Greece and Romania.

3. Changes and amendments to the Agenda

Eva Sramkova has served her time as a council member and so a replacement must be elected. The auditors have also served their time. Therefore, election of one council member, auditors and representatives for the nomination committee must take place at the GAM.

4. Reports from the Council

  • Report from the President
    We have agreed to change the EFOSA logo. Some designs have been forwarded and it is suggested that the GAM delegates vote on one particular logo, suggested by the council.

    Council members constantly get emails regarding accreditation of private orthodontic courses. There seems to be more knowledge about NEBEOP and accreditation of courses.

    Letters of support has been sent to Austria and Spain and there seems to be a positive movement towards recognition in both countries. The government in Austria refunds not only removable appliances but, recently, also fixed appliances. This has put pressure on the insurance companies to insist on only orthodontic specialists performing orthodontics. Therefore, the government is slowly awakening to the need for certification of specialists. The Austrian orthodontic society has engaged a lawyer specializing in European rights and bilateral contracts. This process should hopefully be completed in 2017 with the accreditation of orthodontics as a specialty in Austria. In Spain, things are progressing but more slowly.

    ESAS: will be discussed later on the meeting.

  • Report from the Secretary:
    The minutes from GAM in Venice have been sent out. It has been difficult to reach all representatives from each country, but most e-mail addresses should now be correct.

  • Report from the Treasurer:
    Despite some unusual costs in Venice last year, there was a surplus of approx. EU 4000. Almost every active country has paid its fees. (Attached report from the treasurer)

5. Auditors’ report and discharge of the Council regarding the responsibilities concerning the accounts of the past financial year (2015-2016)

Accepted and discharged.

Some discussion about the new logo took place, where it was suggested to spend up to 1000 Euros for the design of the logo. The logo should be used for all EFOSA letters and on the EFOSA web-site. Also, business cards for council members should have the EFOSA logo, and all representing societies should be allowed to use the logo on their website. However, individuals should not be allowed to use this in their practices or on their business cards. The new logo was voted upon and accepted unanimously.

10.30 – 11.00 Coffee

6. EPSOS visit

Presentation by EPSOS Council.
Students present cases and give updates from the Universities. The purpose is to promote common standards and encourage international interaction and communication. A get-together party is organized after their meeting. Sponsor: Dentsply-Sirona has been supportive for many years. www.epsos.org.

Rosaria Bucci, Aleksandra Myrda

7. ESAS potential development, costs and working party

Originally ESAS was designed to be a comparative tool to allow orthodontists to compare their cases to others in the same country. The future needs of ESAS users must be analyzed and defined. The biggest group using ESAS are specialists in the Netherlands, using it as a part of their accreditation to maintain their specialist title. In Sweden, ESAS is mostly used by post-graduate students. This analysis will be carried out by setting up a working group by Maarten Raadsheer (NL) and Jan Huggare (SE) with a member of the EFOSA-council (BVV). EFOSA is ready to fund the software changes up to EU 10.000 and yearly maintenance cost of EU 500. This was put to a vote and unanimously agreed.

8. Radiation Guidelines

Bart (BVV) is working with Reinhilde Jacobs to produce a publication on radiation guidelines. This information should eventually be accessible on the EFOSA website, similar to the AAO-website.

Visit by DeWayne McCamish, AAO President and Nahid Maleki, AAO President-elect. Dr. Poole addressed the problem in the USA of investors, hiring young orthodontists to work in their companies. Young orthodontists hesitate to establish their own business, partly because of high education fees and resulting debts; and partly because of more individuals working part-time. The trend is that female orthodontists tend to work for corporate organizations and males establish their own practice.

PM session

9. Website

The website involves continuous work to remain updated. It is important for every country to update their information as well as keeping the council (AVdC ) updated on changes.

10. Private orthodontic courses in the EU - update

Some further “masters” courses have been established in Europe. A London-based course has been founded with the clinical practice situated in a chiropractic office. A recently advertised course, located in Andorra, is a web-based program with clinical training in Dubai, Barcelona and India. In France, courses have appeared in order to provide sufficient ECTS units to be accredited for a specialty degree. Members of the EFOSA council constantly receive questions, by email, regarding accreditation of such courses. The orthodontic industry is not improving matters, by allowing general practitioners to train other GPs to use their products for orthodontic purposes. A survey in Germany has revealed that lay people do consider dentists with limited training as specialists. However, there is increasing awareness of NEBEOP and its accreditation.

11. Developments in Spain and Austria.

These countries have been affiliate members for the past years due to non- recognition of orthodontics as specialty.
Austria: Significant progress has been made. The ministry of Health has met with representatives of the Universities as well as the Austrian Dental Association. A consensus has been made in order for the specialty to be recognized. They include the implementation of NEBEOP guidelines to all university post-graduate orthodontic programs as well as some “grand-fathering” of those orthodontists who already practice orthodontics but have not undergone training that conforms with the new regulations. There is hope that this recognition will take place in March 2017 after a proposal to the Parliament in January 2017.

Spain: It has been decided that the first dental specialty to be recognized in Spain should be orthodontics, which is an important step, since all specialties in dental disciplines wished theirs to be the first. Together with the local government, a national committee has been established to work on the issue. However, since Spain is in an election period, this might alter with a change of government.

12. Charles Bolender EFOSA Award

This award is to recognize Charles Bolender who led the recognition of orthodontics as a specialty in France. EFOSA has agreed to provide 1000 Euros every year to fund a speaker at the teachers’ forum. This has been awarded for the first time, in 2016, to Ben Lommelen. Julian O´Neill addressed the forum and it was decided, since this is a historical event for the first time that the whole GAM attended during his speech.

13. EFOSA and NEBEOP – developments

JO had a meeting with the EOS-council regarding NEBEOP. EOS-council is suggesting that NEBEOP should be more formalized to protect NEBEOP and EOS from possible legal challenges. The plan is to set up a trust in order to support NEBEOP. This will cost appr. 5000-6000 EU and it is suggested that this will be financially supported, jointly, by EFOSA and EOS. It was suggested that up to 4000 Euros could be spent on the project on behalf of EFOSA. The delegates expressed their support and pointed out, that this should be one of the main purposes of EFOSA. This put to the vote and accepted by all votes. The trust would have three board members, one from NEBEOP, one from EOS and one from EFOSA. The GAM will discuss this and vote. It has also been suggested that NEBEOP would have a representative on the EFOSA council as co-opted member. This might require a change in the by-laws.

14. NEBEOP presentation

Anna Maire Kuijpers Jagtman pointed out that the cooperation of EFOSA; EOS and NEBEOP will need further discussion. It is very important that the NEBEOP website will be accurate with all accredited programs available. This is still at a working stage. Also, some discussion regarding sponsors and industrial support has to take place. Some ethical issues should be addressed. Networking of orthodontic teachers in order to improve the teaching is necessary.

Stavros Kiliarides, Anne Marie Kuijpers Jagtman

15. European Orthodontic therapist survey

A survey about the use of orthodontic auxillaries was introduced and carried out by Sophy Barber. The delegates took a minute to fill out the survey.

Sophy Barber

16. Any other Business:

Eva Sramkova has served her time on the council. She has done a great job and the council appreciates her valuable contribution. A new council member should be elected at the GAM, Melissa Disse from the Netherlands was proposed by the nomination committee. Auditors: Ivo Marek and Beata Walawska have served their time and should be replaced. Owen Crotty (Ireland) and Lutgard de Ridder (Belgium) were proposed. They were unanimously elected in their absence. New members are needed for the nomination committee. The proposals were: Eva Sramkova, Alison Murray and Maja Osvenik. Eva and Alison left the room along with Melissa Disse while voting and were unanimously elected.

15. Date and Venue of Next Meeting

Tuesday 6th of June. Get together 5th of June 2017, Montreux, Switzerland

18. Presentation on EOS meeting 2017, Montreux

Christos Katsaros

16. Closure of Meeting 15:40