EUROPEAN SOCIETY OF HYPERTENSION. Clinical Hypertension Specialist of the European Society of Hypertension

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1 GUIDELINES FOR CLINICAL HYPERTENSION SPECIALIST OF ESH Background Hypertension is an important risk factor for cardiovascular disease and its high prevalence in the population makes it a major cause of morbidity and mortality all over the world. Therefore diagnosis and treatment of hypertension are steps of fundamental importance for public health. This requires a cooperation between primary care physicians and physicians who have the long-time experience, the multidisciplinary knowledge and the access to medical centers that allow them to effectively deal with complex and difficult cases such as secondary hypertensions, complicated hypertensions, refractory hypertensions, hypertensions accompanied by concomitant diseases and with poorly compliant patients. Yet these hypertension specialists are not formally identified. Nor is there any training programme that specifically focuses on hypertension either as a single specialization or as a dedicated cursus studiorum within established medical specializations. Goals To identify clinical hypertension specialists in European countries To contribute to the formation of these specialists by teaching and training courses on hypertension To improve treatment of hypertension in Europe (currently effective in a low number of patients) and thus obtain a better prevention of cardiovascular disease. Criteria for eligibility as Clinical Hypertension Specialist of ESH 1. Clinical experience in hypertension (not less than 10 years) with particular reference to referral of patients with difficult hypertensions. 2. Training in a medical speciality germain to hypertension (Internal Medicine, Nephrology, Cardiology, Endocrinology, Primary care, etc.) 3. A certain degree of scientific activity (e.g. publications on clinical hypertension, participation in clinical trials, etc.) 4. Continuing interest and updating in hypertension as shown by participation in scientific meetings and membership in hypertension related scientific societies. 5. Recognition by their peers at national levels. Process of certification as Clinical Hypertension Specialist of ESH The certification process involves a cooperation between ESH and National Hypertension Societies. 1. Each applicant has to send his/her application from (available through his/her National Hypertension Society or Internet) to a National Selection Committee nominated by the National hypertension Society. 2. Upon approval by the National Selection Committee the application form is sent to the Steering Committee for Clinical Hypertension Specialist of ESH. This Committee takes the final decision about the nomination in consultation with an Advisory Accreditation Committee formed by representatives of each National Hypertension Society. 3. Each nominee is required to pay a fee of 50 Euro to ESH (to be sent to the ESH Treasurer, Professor Wolfgang Kiowski - Dept. of Internal Medicine - Division of Cardiology - University Hospital - Ramstrasse CH 8091 Zurich - Switzerland). Nominations will be reported in the Journal of Hypertension, Blood Pressure, ISH Hypertension News and Internet. They will be announced at the yearly meetings of ESH. The diploma will be given to nominees at the yearly meetings of ESH.

2 Training and Teaching Activities From 2002 nominations will also be based on credits obtained through participation in scientific meetings and teaching courses endorsed by ESH. Scientific Meetings Yearly meetings of ESH*: 3 credits International meetings endorsed by ESH: 2 credits Meetings of National Hypertension Societies: I credit. (*The 2001 ESH meeting also provides 26 European EME credits) Teaching Courses Summer School of ESH (7 days): 3 credits Teaching Courses organized by National Hypertension Societies (minimal duration two full days with programme (theoretical and practical) endorsed by ESH: 2 credits Internet programme of theoretical and practical self-assessment endorsed by ESH: 2 credits Teaching courses within yearly ESH meetings: maximal I credit It will be desirable for applicants to have at least 10 credits for participation in scientific meetings and 10 credits for participation in teaching courses. Credits will have to be documented and indicated in the sheet included in the application form. Further Information For further information please contact: Professor Giuseppe Mancia Chairman, Steering Committee for Clinical Hypertension Specialist of ESH Clinica Medica Università degli Studi di Milano-Bicocca Ospedale S. Gerardo di Monza Via Donizetti, 106 I Monza (Ml) Italia Tel. : Fax. : giuseppe.mancia@unimib.it Professor Serap Erdine Secretary, Steering Committee for Clinical Hypertension Specialist of ESH Istanbul University Cardiology Institute Göztepe 1. Orta sok. 34 A/9 Istanbul, Turkey Tel. : Fax.: eserdine@superonline.com

3 Clinical Hypertension Specialist of the European Society of Hypertension Application Form

4 Nomination Form Nominator Name:. Title:... Address: Phone :... Fax: I would like to nominate the following physician for designation as Clinical Hypertension Specialist of the European Society of Hypertension. I understand that the nominee will be requested to provide additional information and documentation, which will be reviewed by the ESH to determine eligibility. Nominee s Name: Title (academic or hospital):.. Institution I Affiliation:.... Address: Phone : Fax: The physician whom I have nominated above is considered a clinical hypertension specialist in our country.. Signature Date DUPLICATE THIS FORM AS NEEDED FOR ADDITIONAL NOMINEES Please return completed form to the Chairman of your National Selection Committee, European of Clinical Hypertension Specialist of the European Society of Hypertension.

5 Application for Designation 1. Personal Information Name. (First name) (Middle name/initial) (Last name) Preferred Mailing Address Office.. Phone. Fax .. Home.. Phone. Fax .. Date of Birth (month) (date)... (year). Il. Education and Training Medical School (Name).. (City, country)... (Year of graduation).. (Degree). Specialities 1. (Specialty). (Institution, city, country). 2. (Specialty). (Institution, city, country) 3. (Specialty). (Institution, city, country) Licensee to Practice Medicine 1. (City, Country). 2. (Year of licence).

6 Name (Last, first, middle initial) Fellowships 1. (Specialty). (Institution, city, country). 2. (Specialty). (Institution, city, country) 3. (Specialty). (Institution, city, country) Other Related Degrees (e.g., Ph. D.).. List research/clinical program you were involved with which had special emphasis on hypertension (please provide location and years) III. Prevalent area of activity Internal Medicine CardioIogy Nephrology Endocrinology Family Practice Pediatrics Pediatrics OB-GYN Clinical Pharmacology

7 IV. Appointments Please Iist current staff and academic appointments. Medical Staff/ Hospital Name (Last, first, middle initial) (Title) (Facility, Location). (Dates). (Title) (Facility, Location). (Dates).... (Title) (Facility, Location).. (Dates). Academic (Title) (School).. (Dates).... (Title) (School)... (Dates).... (Title) (School)... (Dates).... V. Memberships in Medical I Scientific Societies (National I International)

8 Name (Last, first, middle initial) VI. Other Professional Activities Editorial board of medical journal List journals:.. Referee for medical journal List journals:.. Other (please specify).. VII. Honors and Special Recognition (please Iist, including position of officer in Medical Scientific Societies relevant to Hypertension).

9 VIII. Practice Activity in Hypertension Name (Last, first, middle initial) Number of years of experience in the clinical management of hypertensive patients What percentage of your practice is devoted to the care of hypertensive patients? What percentage of your practice is devoted to consultation in difficult hypertension? Estimate the number of consultations you perform per month for hypertension or related disorders?..years..%..%..consultations per month Estimate the number of evaluations you perform per month for possible secondary hypertension, including renovascular disease, primary aldosteronism, and pheochromocytoma..%evaluations per month Are you regularly assigned to a hypertension clinic? Yes No Special hypertension - related activities Medical Division Internal Medicine Chief Staff Cardiology Chief Staff Nephrology Chief Staff Endocrinology Chief Staff Other Hypertension Unit/ Center Chief Staff Hypertension Research Grant / Fellowship Extra Hospital practice (please describe)

10 Name (Last, first, middle initial) IX. Please Iist the chief of the relevant department /division at each institution with which you are I were affiliated 1. (Institution). (Name) (Phone). 2. (Institution). (Name) (Phone). 3. (Institution). (Name) (Phone). Inviare a mezzo posta i moduli compilati per intero e corredati dalla documentazione di supporto (CV, lista delle pubblicazioni) a: Segreteria Società Italiana dell'ipertensione Arteriosa Via de' Togni Milano Per informazioni tel