Download - CME/CPD, EACCME in UEMS
CME/CPD, EACCME CME/CPD, EACCME in UEMSin UEMS DrDr. Bernard Maillet. Bernard MailletSecretary GeneralSecretary GeneralUEMS - EACCMEUEMS - EACCME
U. E. M. S.U. E. M. S.
Union Européenne des Union Européenne des Médecins SpécialistesMédecins Spécialistes
European Union of Medical European Union of Medical SpecialistsSpecialists
Umbrella organization of National Umbrella organization of National Associations of Medical Specialists Associations of Medical Specialists located in Brusselslocated in Brussels
Phases of Medical LifePhases of Medical Life
• Undergraduate Undergraduate 5 years average5 years average• Exam/AssessmentExam/Assessment
DiplomaDiploma• UniversityUniversity
• Specialist Training Specialist Training 5 years average5 years average• Exam/AssessmentExam/Assessment
CertificateCertificate• University and ProfessionUniversity and Profession
• Professional Life Professional Life LifelongLifelong• Formal Requirement to show CME/CPD Formal Requirement to show CME/CPD
activityactivity
??• ProfessionProfession
Basic principles of the EUBasic principles of the EU
Free movement of Free movement of - services- services- funds- funds- products- products- manpower- manpower
Free transfer of people and services applies to health care
No discrimination regarding free No discrimination regarding free movement on the basis e.g. languagemovement on the basis e.g. language
Keywords in EuropeKeywords in Europe
Free movement of studentsFree movement of students– Bologna processBologna process
Free movement of doctors– Directive on Recognition of QualificationsDirective on Recognition of Qualifications
Free movement of patientsFree movement of patients
MobilityMobility
Subsidiarity: The organisation and delivery Subsidiarity: The organisation and delivery of health care is the responsibility of each of health care is the responsibility of each member statemember state
Co-ordination of health matters is difficult Co-ordination of health matters is difficult at European levelat European level
The concept of “public health” is not well The concept of “public health” is not well defineddefined
Health and the EUHealth and the EU
1957 EEC1957 EEC
Treaty of RomeTreaty of Rome
Foundation of the UEMS in Foundation of the UEMS in 19581958by the professional organiby the professional organissationsationsof medical specialists of medical specialists ofof
BelgiumBelgiumFranceFranceGermanyGermanyItalyItalyLuxembourgLuxembourgthe Netherlands
UEMS - StructureUEMS - Structure
National Medical AssociationsNational Medical Associations
Sections and BoardsSections and Boards
EACCMEEACCME
National Medical National Medical AssociationsAssociations
2277 EU Full MembersEU Full Members
33 EEA Full MembersEEA Full Members
55 Associate MembersAssociate Members
E A C C M EE A C C M E
Purpose UEMS policyPurpose UEMS policy
Contribute to quality and Contribute to quality and harmonization of CME in Europeharmonization of CME in Europe
To make life easier for our colleagues To make life easier for our colleagues by easing access to international CMEby easing access to international CME
Developing quality guidelinesDeveloping quality guidelinesMaintaining national authorityMaintaining national authority
E A C C M EE A C C M E
Purpose UEMS policyPurpose UEMS policy
Same procedure for each SpecialtySame procedure for each SpecialtySame procedure for each CountrySame procedure for each CountryHarmonisation of the feesHarmonisation of the feesAvoid multiplication of the processAvoid multiplication of the processHave one entryHave one entry
Continuing Medical Education Continuing Medical Education (CME)(CME)
Maintenance of Academic Knowledge Maintenance of Academic Knowledge and Skillsand Skills
Continuing Professional Continuing Professional DevelopmentDevelopment (CPD) (CPD)
• Means of Updating, Developing and Means of Updating, Developing and Enhancing how Doctors apply the Enhancing how Doctors apply the Knowledge, Skills and Attitudes Knowledge, Skills and Attitudes required in their working lives.required in their working lives.
• The Competence development The Competence development includes CME + Personal, Managerial, includes CME + Personal, Managerial, IT, Communication and Social skills.IT, Communication and Social skills.
Quality of CMEQuality of CME
No scientific proof of efficacy of No scientific proof of efficacy of attending congresses, courses, attending congresses, courses, symposia by individual professionals.symposia by individual professionals.
Abundant evidence of rapid Abundant evidence of rapid improvement of medical practice improvement of medical practice through utilisation of new developments.through utilisation of new developments.
Quality Requirements CMEQuality Requirements CME
Written statement learning objectivesWritten statement learning objectivesSubmitting full data providerSubmitting full data providerDisclosure potential conflict interestDisclosure potential conflict interestAttendance, mechanism for feed-backAttendance, mechanism for feed-backReport, assessment by ProviderReport, assessment by Provider
Non-biased education, either Non-biased education, either commercial or otherwisecommercial or otherwise
Financing of CMEFinancing of CME
CME is paid by patientsCME is paid by patients – insurance premiumsinsurance premiums– hospital and other billshospital and other bills– fees of doctors and other professionalsfees of doctors and other professionals– taxestaxes– prices pharmaceutical productsprices pharmaceutical products– outside funding is the exceptionoutside funding is the exception
Mandatory CMEMandatory CME
AustriaAustriaCroatiaCroatiaFranceFranceGermany (in hospitals & practices)Germany (in hospitals & practices)Great BritainGreat BritainHungaryHungaryIcelandIcelandItalyItalyThe Netherlands (for specialists)The Netherlands (for specialists)PolandPolandSloveniaSloveniaSwitzerland (for specialists)Switzerland (for specialists)
CME/CPD recommended for CME/CPD recommended for doctors but voluntarydoctors but voluntary
BelgiumBelgium IrelandIrelandCyprusCyprus IsraelIsraelCzech RepublicCzech Republic LuxembourgLuxembourgDenmarkDenmark NorwayNorwayEstoniaEstonia PortugalPortugalFinlandFinland SpainSpainGreeceGreece SwedenSweden
Shift to mandatory CME in Shift to mandatory CME in EuropeEurope
Policy UEMS : CME is an ethical Policy UEMS : CME is an ethical obligation and should not be mandatoryobligation and should not be mandatory
Voluntary CME is effective on macro-Voluntary CME is effective on macro-levellevel
But, on individual level participation has But, on individual level participation has to be encouragedto be encouraged
Mandatory CME is not effective in the Mandatory CME is not effective in the weeding out of bad applesweeding out of bad apples
What Activities are granted?What Activities are granted?
• Currently:Currently:• Individual EventsIndividual Events
• ConferencesConferences• Scientific MeetingsScientific Meetings
• Future:Future:• CME ProvidersCME Providers
• Enduring Materials – CD RomEnduring Materials – CD Rom• Internet CoursesInternet Courses
Event
Draft FlowchartDraft FlowchartAccreditation in EuropeAccreditation in Europe
EuropeanAccreditation Bodies
National AccreditationAuthorities
National
International
EventEvent
Draft FlowchartDraft FlowchartAccreditation in EuropeAccreditation in Europe
National AccreditationNational AccreditationAuthoritiesAuthorities
NationalNational
Evaluate the value of the meetingEvaluate the value of the meeting
Grant the credits according to the National rulesGrant the credits according to the National rules
EventEvent
Draft FlowchartDraft FlowchartAccreditation in EuropeAccreditation in Europe
InternationalInternational
European Accreditation BodiesEuropean Accreditation Bodies
Evaluate the value of the meetingEvaluate the value of the meetingPropose a number of creditsPropose a number of credits
National Accreditation AuthoritiesNational Accreditation Authorities
Accept the scientific evaluation by the UEMS Sections and BoardsAccept the scientific evaluation by the UEMS Sections and BoardsApply the number of credits relating to the national rulesApply the number of credits relating to the national rules
AccreditationAccreditation
TTwwo mao majjor partners in the process :or partners in the process :
EuEurropopeean an AAccreditaticcreditatioon Boardsn BoardsNatiNatioonal Accrenal Accreddiittaattion Authoritiesion Authorities
Scientific approvalScientific approval
Done by Accreditation Boards of theDone by Accreditation Boards of the
involved specialty :involved specialty :
UEMS Sections and/or BoardsUEMS Sections and/or Boards
European Accreditation BoardsEuropean Accreditation Boards
NNaatitioonal Accreditatnal Accreditatiion on AuthorityAuthority
Ministry of Health – Health AuthorityMinistry of Health – Health Authority Ministry of Social AffairsMinistry of Social Affairs PProfessional Bodiesrofessional Bodies MMedical Aedical Asssociationssociations UniversitiesUniversities NNot ot eexistingxisting
OrganiserOrganiser
RequestRequest > > 3 months3 months
UEMS - EACCMEUEMS - EACCME
N.A.A.N.A.A. SectionsSections
EvaluationEvaluation < < 3 weeks3 weeks EvaluationEvaluation
UEMS - EACCMEUEMS - EACCME
Certificate of RecognitionCertificate of Recognition
OrganiserOrganiser
SummarySummary
HarmonisationHarmonisation
SimplificationSimplification
Same criteriaSame criteria
Two major partners :Two major partners :– National Accreditation AuthorityNational Accreditation Authority– European Accreditation BoardsEuropean Accreditation Boards
CreditsCredits
Draft FlowchartDraft FlowchartAccreditation in EuropeAccreditation in Europe
UEMS suggestionUEMS suggestion
FullFull credits (E CME C)credits (E CME C)
No weNo weiighted factorsghted factors
1 ECMEC per hour of activity1 ECMEC per hour of activity
3 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
AgreeAgreemmentsents National Accreditation Authorities :National Accreditation Authorities :
SpSpaaiin,n, Cy Cypprus, Greece, RCSrus, Greece, RCSI, Malta, RCPI, Turkey, I, Malta, RCPI, Turkey, SloSlovvakia, akia, Norway, Hungary, Luxemburg, Norway, Hungary, Luxemburg, BelgiBelgiuum,m,Romania, Romania, SloveniaSlovenia
UEMS Sections and BoardsUEMS Sections and Boards
Anaesthesiology, Child and Adolescent Psychiatry, , Dermatology, Dermatology, Endocrinology, , Gastro-Gastro-Enterology, Enterology, Gynaecology, IGynaecology, Intensive Care Medicine,....
Near Future :Near Future :Germany, Italy, France,…Germany, Italy, France,…
AAggreemreemeent with the American nt with the American Medical Association on Mutual Medical Association on Mutual
Recognition of CreditsRecognition of Credits
Till June 30th 2006 :Till June 30th 2006 :
Pilot project for 2 years each time
From July 1st 2006 :From July 1st 2006 :
Real agreement for 4 years
FutureFuture Webbased request formWebbased request form Systematic evaluation of meetings by Systematic evaluation of meetings by
the participantsthe participants Long Distance LearningLong Distance Learning More agreements with the SectionsMore agreements with the Sections More agreements with the National More agreements with the National
Accreditation AuthoritiesAccreditation Authorities Contacts with other parts of the world Contacts with other parts of the world Contacts with UEMOContacts with UEMO
Accreditation RequestsAccreditation Requests
0
200
400
600
800
1000
1200
2002 2003 2004 2005 2006 2007
NumberProjection
European UnionEuropean Union
Greater EuropeGreater Europe
““If you think education is If you think education is expensive, you should expensive, you should consider ignorance.”consider ignorance.”
Socrates (469 – 399 BC)Socrates (469 – 399 BC)
““If you think education is If you think education is expensive, you should expensive, you should consider ignorance.”consider ignorance.”
Socrates (469 – 399 BC)Socrates (469 – 399 BC)
U.E.M.S.U.E.M.S.Union Européenne des Médecins Union Européenne des Médecins
SpécialistesSpécialistesEuropean Union of Medical SpecialistsEuropean Union of Medical Specialists
www.uems.netwww.uems.net