Read About the first EXPAEDITION!
2-5 December 2024
yEAP Exchange Program at UCLouvain Cliniques Universitaires Saint-Luc
Brussels
The yEAP exchange program provided an exceptional opportunity to observe paediatric healthcare practices in Belgium and foster cross-border collaboration. During the four-day observership in the Paediatric Cardiology Department, the participants gained profound insights into the Belgian healthcare system, clinical decision-making, and interprofessional collaboration.
The Belgian team was incredibly kind and welcoming. Without exception, they took time to explain procedures, organizational structures, patient cases, and their perspectives on healthcare.
This fostered a teaching environment where knowledge was freely shared, enriching the experience for junior doctors.
Paediatric cardiology is a small, tightly knit international community. The participants had already met some of the doctors at previous conferences, making this exchange a unique opportunity to strengthen professional relationships.
This specialization requires constant innovation, as new diseases (e.g., genetic cardiomyopathies) and advancements in surgical and interventional techniques emerge rapidly.
Day 1: Observed the weekly Decision Médico-Chirurgicale (DMC) meeting, equivalent to the French Staff Médico-Chirurgical. Patient cases for the week were discussed, offering insight into their reasoning and decision-making process, and highlighting differences in approach compared to France.
Days 2 & 4: Observed catheterization procedures for congenital heart diseases. Despite technical challenges (e.g., a ruptured balloon), the team demonstrated impressive adaptability, involving surgeons and intensivists to manage complications seamlessly.
Day 3: Participated in bedside ward rounds involving the entire cardiology team. The multidisciplinary approach ensured all specialists were well-informed, and families received clear communication and updates.
The Belgian system, with its smaller population, allows for closer surveillance and deferred surgical interventions without overburdening waiting lists.
Postoperative stays were notably longer (7–10 days vs. 5 days in France), reflecting differences in monitoring and postoperative care standards.
The healthcare model, involving mutual insurance systems and justification for medical exams, highlighted a contrast to the French system.
This experience reinforced the foundation for future collaboration, whether for shared projects or international research initiatives. The similarities in organization between the Belgian and French systems make integration of common projects feasible.
This exchange not only enhanced our clinical understanding but also strengthened our appreciation for international collaboration in highly specialized fields. Communication was effortless due to the francophone environment, though non-French-speaking participants faced some challenges. The Belgian team's bilingual adaptability (French and Flemish) was commendable and reflective of their inclusive approach. We look forward to reuniting with these colleagues at future conferences and anticipate potential joint projects in paediatric cardiology.
Léa, Shelale and Zsófia
About the authors:
List of Authors
Léa is a yEAP member from France
Shelale is a yEAP member from Azerbaijan
Zsófia is a yEAP Member from Hungary
New ways to test high-risk medical devices.
Manufacturers of medical devices need to test their products before being allowed to market them. Specifically, they require clinical data showing their medical device is safe and efficient. In this context, the EU-funded CORE-MD project will translate expert scientific and clinical evidence on study designs for evaluating high-risk medical devices into advice for EU regulators. The project will propose how new trial designs can contribute and suggest ways to aggregate real-world data from medical device registries.
It will also conduct multidisciplinary workshops to propose a hierarchy of levels of evidence from clinical investigations, as well as educational and training objectives for all stakeholders, to build expertise in regulatory science in Europe. CORE–MD will translate expert scientific and clinical evidence on study designs for evaluating high-risk medical devices into advice for EU regulators, to achieve an appropriate balance between innovation, safety, and effectiveness. A unique collaboration between medical associations, regulatory agencies, notified bodies, academic institutions, patients’ groups, and health technology assessment agencies, will systematically review methodologies for the clinical investigation of high-risk medical devices, recommend how new trial designs can contribute, and advise on methods for aggregating real-world data from medical device registries with experience from clinical practice The consortium is led by the European Society of Cardiology and the European Federation of National Associations of Orthopaedics and Traumatology, and involves all 33 specialist medical associations that are members of the Biomedical Alliance in Europe.