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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 high standards for regional anaesthesia in Europe.

 

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

 

The concept of ESRA- and CME / CDP-approved courses and workshops takes 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, are stressed in each of the courses and workshops candidates attend.

 

Regional techniques are integral components of anaesthesia and are frequently administered to 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.

 

The EDRA examination takes place yearly at the ESRA Annual meeting each September. Regional anaesthesia colleagues from outside Europe are able to participate in EDRA Part I (the written test) on the occasions that it takes place overseas, for example, in India and Singapore, or during world congresses, such as South Africa 2014. The venues and dates for the EDRA Part I examinations outside Europe will be posted on the ESRA website with at least 3 months’ notice.

 

The EDRA examination consists of Parts I and II, which are taken over a duration of at least two years.

Please note that the following prerequisites 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 examination must meet the following prerequisites:

 

  1. The applicant has been in an official anaesthesiology training programme 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 a 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.

Any applicant who passed EDRA Part I no more than 3 years before applying for EDRA Part II must also meet the following prerequisites:

 

  1. Written confirmation by the Head of the Department / Programme director that the applicant has performed:

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).

 

  1. 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. 1 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. 2 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.

 

 

  1. Valid ESRA membership at registration

 

  1. 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.

 

  1. Once accepted, the applicant must pay for the examination in order to finalise the application.

 

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
Fax: +41 22 510 56 14
Email: edra@esraeurope.org

Executive Board

        José Aguirre, CH Chair

        Narinder Rawal, SE Vice-Chair Part I

        Morné Wolmarans, UK Vice-Chair Part II

 

Board Members

        Eriphyli Argyra, GR

        Svetlana Galitzine, UK

        Lukas Kirchmair, AT

        Clara Lobo, PT

        Eleni Moka, GR

        Jessica Wegener, NL

       

Ex-Officio Board member

        José de Andrés, ES ESRA President

 

Co-opted members

        Chandra Kumar, SG

        André Van Zundert, AU

        Herman Sehmbi, CAN

EDRA part I in Singapore - Application Form
Access to the EDRA Application is reserved for ESRA Members.
EDRA part I in Indore - Application Form
Access to the EDRA Application is reserved for ESRA Members.
EDRA part I in Lugano - Application Form
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EDRA Part I - Recommended Material (coming soon)
EDRA part I in Singapore - Payment
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EDRA part I in Indore - Payment
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EDRA part I in Lugano - Payment
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EDRA part I in Singapore - Result & Certificate
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EDRA part I in Indore - Result & Certificate
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EDRA part I in Lugano - Result & Certificate
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EDRA part II in Lugano - Application Form
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EDRA part II in Lugano - Payment
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EDRA part II in Lugano - Result & Certificate
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EDRA Part II - Result & Diploma Certificate