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European Diploma in Regional Anaesthesia & Acute Pain Management (EDRA)
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Program Overview
Pre-requisites Part I
Pre-requisites Part II
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EDRA Board

The European Diploma in Regional Anaesthesia & Acute Pain Management was created in 2005 with the goal of establishing standards in regional anaesthesia in Europe.

The Diploma was intended to widen the activity spectrum of those specialists in anaesthesia, who are already in clinical practice and are interested in acquiring additional knowledge in the entire field of regional anaesthesia and acute pain management.

The concept of ESRA and CME/CDP approved courses and workshops, take into account the knowledge level of reasonably experienced clinicians. The salient points of different techniques, the overall strategies for their use, as well as their advantages and risks, have been stressed during the courses and workshops visited by all candidates.

Regional techniques are integral components of anaesthesia and are frequently administered to the high-risk patients, ranging from newborns to the frail elderly. Therefore, the objective of the examination, is to treat defined subjects in an encompassing way, with sound knowledge of anatomy, physiology and pharmacology related to regional anaesthesia, as well as skills in block performance, in a holistic context. A proper approach to acute pain management, is mandatory in the clinical practice of anaesthesia and its knowledge is part of the content of the EDRA examination.

Please note that the following pre-requisites are required in order to take the EDRA Part I (written examination). The EDRA Board must validate all applications. The number of place is limited; we encourage candidates to apply as soon as possible.

Medically qualified physicians wishing to take the EDRA Part I need to meet the following pre-requisites:

  1. The applicant has been in an official anesthesiology training program for a minimum of 2 years before applying for the examination
  2. The applicant must have attended a minimum of 1 ESRA* workshop or CME/CDP** approved workshop
  3. The applicant is an ESRA member who holds valid membership at the time of registration.
  4. The applicant must have good command of English
  5. For exams held in Europe: Once accepted, the applicant must both purchase registration to the ESRA annual congress and pay for the examination in order to finalise his / her application (Congress registration is not mandatory for re-takers.).
     For exams held outside Europe: Once accepted, the applicant must both purchase registration to the corresponding congress and pay for the examination in order to finalise his / her application. The congress registration policy, also for re-takers, depends on the policies of the congress in question.

* The following are considered ESRA workshops: ESRA Congress WS, ESRA Cadaver WS in Innsbruck, Paris, Madrid or Eastern Europe WS; ESRA Winter Week; ESRA Trainees WS.

** Workshops must have CME / CPD accreditation approved by the official national anaesthetic colleges / faculty or educational body, where appropriate. The number of CME / CPD points must be visible on the certificate.

To access full pre-requisites, Click here!

 

The applicant who has passed EDRA Part I no longer than 3 years before applying for EDRA Part II needs to meet the following pre-requisites:

1. Written confirmation by the Head of the Department / Program director of performance of:

i. 150 neuraxial blocks, including spinal, epidural, and combined spinal / epidural.
ii. 150 peripheral nerve blocks, including
- 75 upper limb nerve blocks including: interscalene, supraclavicular, infraclavicular, axillary and distal nerve blocks at elbow and wrist level.
- 75 lower limb nerve blocks including: sciatic, femoral, popliteal and nerve blocks at the
ankle level.
iii. Various nerve blocks, including paravertebral, intercostal, abdominal wall blocks, PECS, penile, caudal, and IVRA (Bier’s block).

2. Certificate of attendance of at least 3 courses / workshops, at least 1 of which is an ESRA* workshop. (The workshop needed for Part I is included in this number; 3 workshops are required in total.)

i. One Cadaver Workshop
ESRA Congress Cadaver WS; ESRA Cadaver WS in Innsbruck, Paris, Madrid or Eastern Europe WS or another CME / CPD**-approved Cadaver WS.
Combined Cadaver and Ultrasound WS / Course will be recognised as Cadaver WS. Pain cadaver WS will be recognised as Cadaver WS only if they also include common regional anaesthesia techniques (peripheral and / or central blocks).

ii. Two Hands-on Workshops
ESRA Hands-on workshops at the Congress and the Winter Week or another CME / CPD**- approved WS.
Pain Hands-on WS will be recognised as Hands-on WS only if they also include common regional anaesthesia techniques (peripheral and / or central blocks).

* The following are considered ESRA workshops: ESRA Congress WS; ESRA Cadaver WS in Innsbruck, Paris, Madrid or Eastern Europe WS; ESRA Winter Week; ESRA Trainees WS.

**Workshops must have CME / CPD accreditation approved by the official national anaesthetic colleges / faculty or educational body, where appropriate. Number of CME / CPD points must be visible on the certificate.

For candidates who have passed EDRA Part I outside Europe
Due to logistical reasons, in some countries it is impossible to conduct Cadaver WS. This means ESRA will only be able to host cadaver workshops in selected countries, to ensure our high standards are maintained. Part II applicants who have passed EDRA Part I outside Europe will be allowed to count the cadaver WS and / or the ESRA workshop taken during the ESRA Annual Meeting as one of their required workshops. EDRA Part II examinations will take place for all candidates prior to the congress, but in order for these candidates to receive the EDRA diploma, workshop registration and attendance is required and the certificate must be sent to the EDRA Secretary for verification.
 

3. Valid ESRA membership at registration

4. Good command of English
No test or diploma is required, but if the candidate cannot express himself / herself or cannot understand the examiner, exam failure is likely. In their own interest, candidates with a poor command of English should improve their skills prior to registering for EDRA Part II.

5. Once accepted and if not done for EDRA part I, the applicant will have to purchase a registration to the ESRA annual congress in order to finalize his/her application and pay for the examination (only 1 congress registration is necessary).

For candidates who have passed EDRA Part I outside Europe
Once accepted, the applicant must both pay the registration fee for the ESRA Annual Congress and pay the examination fee in order to finalise the application.

For further information, please contact the EDRA Office
Tel: +41 22 510 56 12+41 22 510 56 12
Fax: +41 22 510 56 14
Email: edra@esraeurope.org

Executive Board:

  • José Aguirre, Chair
  • Narinde Rawal, Vice-Chair Part I
  • Morné Wolmarans, Vice-Chair Part II

Board Members:

  • Eriphyli Argyra
  • Svetlana Galitzine
  • Lukas Kirchmair
  • Clara Lobo
  • Eleni Moka
  • Jessica Wegener

Ex-Officio Board member:

  • José de Andrés, ESRA President

Co-opted members:

  • Chandra Kumar
  • André Van Zundert
EDRA Part I - Recommended Material
EDRA Part II - Result & Diploma Certificate