Continuing Medical Education system Continuing Medical Education system in Europe and in Europe and the role of the role of

UEMS-EACCMEUEMS-EACCMEDrDr. Bernard Maillet. Bernard MailletSecretary GeneralSecretary General

UEMS – EACCME - ECAMSQUEMS – EACCME - ECAMSQ

• Secretary-General UEMSSecretary-General UEMS

• Pathologist in a Private Lab near by BrusselsPathologist in a Private Lab near by Brussels• Member of EUCOMED’s Compliance PanelMember of EUCOMED’s Compliance Panel

• Vice-President of MdeonVice-President of Mdeon

• Member of the Rome GroupMember of the Rome Group

DisclosureDisclosure

Maintenance of Academic Knowledge Maintenance of Academic Knowledge and Skillsand Skills

Continuing Medical Education (CME)Continuing Medical Education (CME)

• Means of Updating, Developing and Means of Updating, Developing and Enhancing how Doctors apply the Enhancing how Doctors apply the Knowledge, Skills and Attitudes required in Knowledge, Skills and Attitudes required in their working livestheir working lives

• The Competence development includes The Competence development includes CME + Personal, Managerial, IT, CME + Personal, Managerial, IT, Communication and Social skillsCommunication and Social skills

Continuing Professional Continuing Professional Development (CPD)Development (CPD)

• In most countries the internal structure In most countries the internal structure of CME has been in evaluationof CME has been in evaluation

• Mandatory systems (legal, financial or Mandatory systems (legal, financial or professional) developed in several professional) developed in several countries countries

CME in EuropeCME in Europe

• Have different credit systemsHave different credit systems

• Have different approaches on the procedureHave different approaches on the procedure

• UEMS tries to harmonize the processUEMS tries to harmonize the process

• Is the main playerIs the main player

• We have to look at who is giving the license to We have to look at who is giving the license to practisepractise

National Accreditation National Accreditation AuthoritiesAuthorities

Common :Common :•Individual EventsIndividual Events

• ConferencesConferences• Scientific MeetingsScientific Meetings

But also :But also :• Enduring Materials – CD RomEnduring Materials – CD Rom• Internet CoursesInternet Courses• ArticlesArticles• Reviewing of litteratureReviewing of litterature• Case reviewsCase reviews• Other…Other…

Countries have different media they are Countries have different media they are granting credits ongranting credits on

•Currently:Currently:•Individual EventsIndividual Events

•ConferencesConferences•Scientific MeetingsScientific Meetings

•Internet CoursesInternet Courses•Future:Future:

•Enduring Materials – CD RomEnduring Materials – CD Rom

•CME Providers ( ? )CME Providers ( ? )

What What aactivities are granted ctivities are granted accreditation accreditation by by UEMS-UEMS-EACCME now?EACCME now?

• Written statement learning objectivesWritten statement learning objectives• Submitting full data providerSubmitting full data provider• Disclosure potential conflict interestDisclosure potential conflict interest• Attendance, mechanism for feed-backAttendance, mechanism for feed-back• Report, assessment by ProviderReport, assessment by Provider

Non-biased education, either Non-biased education, either commercial or otherwisecommercial or otherwise

Quality Requirements CMEQuality Requirements CME

OrganiserOrganiser

RequestRequest > > 12 weeks12 weeks

UEMS - EACCMEUEMS - EACCME

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EvaluationEvaluation EvaluationEvaluation

UEMS - EACCMEUEMS - EACCME

Certificate of RecognitionCertificate of Recognition

OrganiserOrganiser

AccreditationAccreditation

TTwwo mao majjor partners in the process :or partners in the process :

• EuEurropopeean an AAccreditaticcreditatioon Boardsn Boards• NatiNatioonal Accrenal Accreddiittaattion Authoritiesion Authorities

OrganiserOrganiser

RequestRequest > > 12 weeks12 weeks

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EvaluationEvaluation EvaluationEvaluation

UEMS - EACCMEUEMS - EACCME

Certificate of RecognitionCertificate of Recognition

OrganiserOrganiser

Application Application throughthroughN.A.A.N.A.A.

OrganiserOrganiser

RequestRequest > > 12 weeks12 weeks

UEMS - EACCMEUEMS - EACCME

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EvaluationEvaluation EvaluationEvaluation

UEMS - EACCMEUEMS - EACCME

Certificate of RecognitionCertificate of Recognition

OrganiserOrganiser

Application Application throughthroughE.S.A.B.E.S.A.B.

Participating countriesParticipating countries

• ArmeniaArmenia• AustriaAustria• AzerbaijanAzerbaijan• BelgiumBelgium• BulgariaBulgaria• CroatiaCroatia• CyprusCyprus• Czech RepublicCzech Republic• DenmarkDenmark• EstoniaEstonia• FinlandFinland• FranceFrance

• PolandPoland• PortugalPortugal• RomaniaRomania• SlovakiaSlovakia• SloveniaSlovenia• SpainSpain• SwedenSweden• SwitzerlandSwitzerland• TurkeyTurkey• United KingdomUnited Kingdom

• GeorgiaGeorgia• GermanyGermany• GreeceGreece• HungaryHungary• IrelandIreland• ItalyItaly• LatviaLatvia• LithuaniaLithuania• LuxembourgLuxembourg• MaltaMalta• NetherlandsNetherlands• NorwayNorway

Are doctors required to perform Are doctors required to perform CME-CPD in your country ?CME-CPD in your country ?

■ ArmeniaArmenia

■ AustriaAustria

■ BelgiumBelgium

■ CroatiaCroatia

■ CyprusCyprus

■ Czech RepublicCzech Republic

■ EstoniaEstonia

■ FranceFrance

■ GeorgiaGeorgia

■ GermanyGermany

■ GreeceGreece

■ HungaryHungary

■ IrelandIreland

■ ItalyItaly

■ LatviaLatvia

■ LithuaniaLithuania

■ LuxembourgLuxembourg

■ MaltaMalta

■ NetherlandsNetherlands

■ NorwayNorway

PolandPoland RomaniaRomania SlovakiaSlovakia SloveniaSlovenia SwitzerlandSwitzerland TurkeyTurkey UKUK

AzerbaijanAzerbaijan BulgariaBulgaria DenmarkDenmark FinlandFinland PortugalPortugal SpainSpain SwedenSweden

Is it mandatory ? Is it mandatory ? ArmeniaArmenia CroatiaCroatia Czech RepublicCzech Republic FranceFrance GermanyGermany GreeceGreece HungaryHungary IrelandIreland ItalyItaly LatviaLatvia LithuaniaLithuania LuxembourgLuxembourg NetherlandsNetherlands PolandPoland RomaniaRomania SlovakiaSlovakia SloveniaSlovenia SwitzerlandSwitzerland

BelgiumBelgium BulgariaBulgaria CyprusCyprus DenmarkDenmark EstoniaEstonia FinlandFinland GeorgiaGeorgia MaltaMalta NorwayNorway PortugalPortugal SpainSpain SwedenSweden TurkeyTurkey UKUK

Austria (partly)Austria (partly)

• Only theoretical measuresOnly theoretical measures• ““Last call” Last call” • Real effect on the license to practise or on the Real effect on the license to practise or on the

payment of the practitionerpayment of the practitioner

““Mandatory” is not always what we think it Mandatory” is not always what we think it means…means…

What means “Mandatory” ?What means “Mandatory” ?

Voluntary versus Mandatory CMEVoluntary versus Mandatory CME

• MotivationMotivation• IncentivesIncentives• Control mechanismsControl mechanisms

The carrot is more effective than the The carrot is more effective than the stick…stick…

• UEMS UEMS policypolicy: CME is an ethical obligation and : CME is an ethical obligation and should not be mandatoryshould not be mandatory

• Voluntary CME is effective on macro-levelVoluntary CME is effective on macro-level• But, on individual level participation has to be But, on individual level participation has to be

encouragedencouragedMandatory CME is not effective in the weeding Mandatory CME is not effective in the weeding out of bad applesout of bad apples

Shift to mandatory CME in EuropeShift to mandatory CME in Europe

How is it made mandatory?How is it made mandatory? ArmeniaArmenia CroatiaCroatia Czech RepublicCzech Republic FranceFrance GermanyGermany GreeceGreece PolandPoland RomaniaRomania SlovakiaSlovakia

AustriaAustria HungaryHungary LatviaLatvia LithuaniaLithuania NetherlandsNetherlands SloveniaSlovenia

IrelandIreland ItalyItaly SwitzerlandSwitzerland

European CME CreditsEuropean CME Credits(ECMEC‘s)(ECMEC‘s)

CreditsCredits UEMS suggestionUEMS suggestion

FullFull credits credits ECMEC’sECMEC’sNo weNo weiighted factorsghted factors1 ECMEC per hour of activity1 ECMEC per hour of activity3 ECMEC for a half day / 6 ECMEC for a full day activity3 ECMEC for a half day / 6 ECMEC for a full day activity

TTrraansnsllation of these E CME C’s ation of these E CME C’s tto Natio Natioonal credits can nal credits can ffololllow tow thhee rules rules oof tf thhe National Accreditation Authorite National Accreditation Authorityy

For instance :For instance : cacann have a maxim have a maximuummwweeighting factors can be intrighting factors can be introoduced nationallyduced nationally

UPDATING OF AGREEMENTSUPDATING OF AGREEMENTS

SpainSpainFinancial aspects (fee)Financial aspects (fee)Credits translation tableCredits translation table

1 ECMEC = 0,12 Spanish Credits1 ECMEC = 0,12 Spanish Credits

Conversion TableConversion Table• SpainSpain

1 ECMEC = 0,12 Spanish Credits1 ECMEC = 0,12 Spanish Credits

• BelgiumBelgium1 ECMEC = 1 CP1 ECMEC = 1 CP

• RomaniaRomania1 ECMEC = 1 Romanian Credit1 ECMEC = 1 Romanian Credit

• SwedenSweden1 ECMEC = 1 Swedish Credit1 ECMEC = 1 Swedish Credit

• GermanyGermany6 ECMEC = 8 German Credits6 ECMEC = 8 German Credits

Accreditation Requests Accreditation Requests

Thank youThank you

MerciMerciMuito obrigadoMuito obrigado

Vielen DankVielen Dank

Grazie milleGrazie mille

Muchas graciasMuchas graciasTackTack

Dank UDank U

KiitosKiitosευχαριστώευχαριστώ

сбасивосбасиво

DakujemDakujem

DziękujęDziękuję

KöszönömKöszönöm

Go raibh maith agaibhGo raibh maith agaibh

GinkujeGinkuje

GrazziGrazzi

MultumescMultumescTakkTakk

БлагодаряБлагодаря

DėkojuDėkoju

GraciesGracies

FaleminderitFaleminderit

HvalaHvalaTeşekkürlerTeşekkürlerTänasTänas

תודה רבהתודה רבה

PaldiesPaldies

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