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CME/CPD, EACCME in UEMS

CME/CPD, EACCME in UEMS. Dr . Bernard Maillet Secretary General UEMS - EACCME. U. E. M. S. Union Européenne des Médecins Spécialistes European Union of Medical Specialists Umbrella organization of National Associations of Medical Specialists located in Brussels. Phases of Medical Life

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CME/CPD, EACCME in UEMS

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  1. CME/CPD, EACCME in UEMS Dr. Bernard Maillet Secretary General UEMS - EACCME

  2. U. E. M. S. • Union Européenne des Médecins Spécialistes • European Union of Medical Specialists Umbrella organization of National Associations of Medical Specialists located in Brussels

  3. Phases of Medical Life • Undergraduate 5 years average • Exam/Assessment Diploma • University • Specialist Training 5 years average • Exam/Assessment Certificate • University and Profession • Professional Life Lifelong • Formal Requirement to show CME/CPD activity ? • Profession

  4. Basic principles of the EU • Free movement of - services - funds - products - manpower • Free transfer of people and services applies to health care • No discrimination regarding free movement on the basis e.g. language

  5. Keywords in Europe Mobility • Free movement of students • Bologna process • Free movement of doctors • Directive on Recognition of Qualifications • Free movement of patients

  6. Health and the EU • Subsidiarity: The organisation and delivery of health care is the responsibility of each member state • Co-ordination of health matters is difficult at European level • The concept of “public health” is not well defined

  7. 1957 EEC Treaty of Rome Foundation of the UEMS in 1958 by the professional organisations of medical specialists of Belgium France Germany Italy Luxembourg the Netherlands

  8. UEMS - Structure National Medical Associations Sections and Boards EACCME

  9. National Medical Associations 27 EU Full Members 3 EEA Full Members 5 Associate Members

  10. E A C C M E Purpose UEMS policy • Contribute to quality and harmonization of CME in Europe • To make life easier for our colleagues by easing access to international CME • Developing quality guidelines • Maintaining national authority

  11. E A C C M E Purpose UEMS policy • Same procedure for each Specialty • Same procedure for each Country • Harmonisation of the fees • Avoid multiplication of the process • Have one entry

  12. Continuing Medical Education (CME) Maintenance of Academic Knowledge and Skills

  13. Continuing Professional Development (CPD) • Means of Updating, Developing and Enhancing how Doctors apply the Knowledge, Skills and Attitudes required in their working lives. • The Competence development includes CME + Personal, Managerial, IT, Communication and Social skills.

  14. Quality of CME • No scientific proof of efficacy of attending congresses, courses, symposia by individual professionals. • Abundant evidence of rapid improvement of medical practice through utilisation of new developments.

  15. Quality Requirements CME • Written statement learning objectives • Submitting full data provider • Disclosure potential conflict interest • Attendance, mechanism for feed-back • Report, assessment by Provider Non-biased education, either commercial or otherwise

  16. Financing of CME CME is paid by patients • insurance premiums • hospital and other bills • fees of doctors and other professionals • taxes • prices pharmaceutical products • outside funding is the exception

  17. Mandatory CME AustriaCroatiaFranceGermany (in hospitals & practices)Great BritainHungaryIcelandItalyThe Netherlands (for specialists)PolandSloveniaSwitzerland (for specialists)

  18. CME/CPD recommended for doctors but voluntary Belgium IrelandCyprus IsraelCzech Republic LuxembourgDenmark NorwayEstonia PortugalFinland SpainGreece Sweden

  19. Shift to mandatory CME in Europe • Policy UEMS : CME is an ethical obligation and should not be mandatory • Voluntary CME is effective on macro-level • But, on individual level participation has to be encouraged Mandatory CME is not effective in the weeding out of bad apples

  20. What Activities are granted? • Currently: • Individual Events • Conferences • Scientific Meetings • Future: • CME Providers • Enduring Materials – CD Rom • Internet Courses

  21. Draft Flowchart Accreditation in Europe National AccreditationAuthorities National International Event European Accreditation Bodies

  22. Draft Flowchart Accreditation in Europe Event National National AccreditationAuthorities Evaluate the value of the meeting Grant the credits according to the National rules

  23. Draft Flowchart Accreditation in Europe Event International European Accreditation Bodies Evaluate the value of the meeting Propose a number of credits National Accreditation Authorities Accept the scientific evaluation by the UEMS Sections and Boards Apply the number of credits relating to the national rules

  24. Accreditation Two major partners in the process : • European Accreditation Boards • National Accreditation Authorities

  25. Scientific approval Done by Accreditation Boards of the involved specialty : • UEMS Sections and/or Boards • European Accreditation Boards

  26. National Accreditation Authority • Ministry of Health – Health Authority • Ministry of Social Affairs • Professional Bodies • Medical Associations • Universities • Not existing

  27. Organiser Request > 3 months UEMS - EACCME N.A.A. Sections Evaluation < 3 weeks Evaluation UEMS - EACCME Certificate of Recognition Organiser

  28. Summary • Harmonisation • Simplification • Same criteria • Two major partners : • National Accreditation Authority • European Accreditation Boards

  29. Draft Flowchart Accreditation in Europe Credits UEMS suggestion Fullcredits (E CME C) No weighted factors 1 ECMEC per hour of activity 3 ECMEC for a half day / 6 ECMEC for a full day activity Translation of these E CME C’s to National credits can follow therules of the National Accreditation Authority For instance : can have a maximum weighting factors can be introduced nationally

  30. Agreements • National Accreditation Authorities : Spain, Cyprus, Greece, RCSI, Malta, RCPI, Turkey, Slovakia, Norway, Hungary, Luxemburg, Belgium, Romania, Slovenia • UEMS Sections and Boards Anaesthesiology, Child and Adolescent Psychiatry, Dermatology, Endocrinology, Gastro-Enterology, Gynaecology, Intensive Care Medicine,.... • Near Future : Germany, Italy, France,…

  31. Agreement with the American Medical Association on Mutual Recognition of Credits Till June 30th 2006 : • Pilot project for 2 years each time From July 1st 2006 : • Real agreement for 4 years

  32. Future • Webbased request form • Systematic evaluation of meetings by the participants • Long Distance Learning • More agreements with the Sections • More agreements with the National Accreditation Authorities • Contacts with other parts of the world • Contacts with UEMO

  33. Accreditation Requests

  34. European Union

  35. Greater Europe

  36. “If you think education is expensive, you should consider ignorance.” Socrates (469 – 399 BC)

  37. U.E.M.S. • Union Européenne des Médecins Spécialistes • European Union of Medical Specialists www.uems.net

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