Dr. Bernard MailletDr. Bernard MailletSecretary GeneralSecretary GeneralUEMS - EACCMEUEMS - EACCME

The role of the UEMS-EACCME in the mutual recognition of credits

throughout Europe

U. E. M. S.U. E. M. S.

Union Européenne des Médecins Union Européenne des Médecins SpécialistesSpécialistes

European Union of Medical European Union of Medical SpecialistsSpecialists

Umbrella organization National Associations Umbrella organization National Associations of Medical Specialists located in Brusselsof Medical Specialists located in Brussels

1957 EEC

Treaty 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

StructureStructure

National Medical AssociationsNational Medical Associations

Sections and BoardsSections and Boards

EACCMEEACCME

National Medical National Medical AssociationsAssociations

Are represented in the Management CouncilAre represented in the Management Council

Determine the Policy of the UEMSDetermine the Policy of the UEMS

Can adopt or endorse documents presented Can adopt or endorse documents presented by other organs of the UEMS to be distributed by other organs of the UEMS to be distributed on to the National Medical Associationson to the National Medical Associations

For Italy : FNOMCeOFor Italy : FNOMCeO

AccreditationAccreditation

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

NatiNatioonal Accrenal Accreddiittaattion Authoritiesion Authorities

EACCMEEACCME

Phases of Medical LifePhases of Medical Life

• UndergraduateUndergraduate• 5 years average5 years average

• Exam/AssessmentExam/Assessment

• Specialist TrainingSpecialist Training• 5 years average5 years average

• Exam/AssessmentExam/Assessment

• Professional LifeProfessional Life• LifelongLifelong

• Formal Requirement to show Formal Requirement to show CME/CPD activityCME/CPD activity

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.

NNaatitioonal Accreditatnal Accreditatiion on AuthorityAuthority

Ministry of Health – Health AuthorityMinistry of Health – Health AuthorityMinistry of Social AffairsMinistry of Social AffairsPProfessional Bodiesrofessional BodiesMMedical Aedical AsssociationssociationsUniversitiesUniversitiesNNot ot eexistingxisting

E A C C M EE A C C M E

Purpose UEMS policyPurpose UEMS policyContribute to quality and Contribute to quality and

harmonization of CME in Europeharmonization of CME in EuropeTo make life easier for our colleagues To make life easier for our colleagues

by easing access to international CMEby easing access to international CMEDeveloping quality guidelinesDeveloping quality guidelinesMaintaining National AuthorityMaintaining National Authority

ProcedureProcedure

Application formApplication formQuality Assurance of the activityQuality Assurance of the activityNational approvalNational approvalNormally for single events and Normally for single events and

accreditation is granted only on a case accreditation is granted only on a case by case basisby case basis

Confirmation of European AccreditationConfirmation of European Accreditation

ProcedureProcedure

Proof of AttendanceProof of AttendanceQuality requirementsQuality requirementsAdministrative expenses of EACCMEAdministrative expenses of EACCMERegistration by the EACCMERegistration by the EACCME

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 aspects CMEQuality aspects CME

Need orientationNeed orientation::– Definition learning objectivesDefinition learning objectives– Description target audienceDescription target audience– Assessment relevance CME objectsAssessment relevance CME objects– No accreditation promotional activitiesNo accreditation promotional activities– No accreditation useless activitiesNo accreditation useless activities

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

Requirements for European Requirements for European accreditationaccreditation

Quality assessment by independent Quality assessment by independent professional organization, such as European professional organization, such as European Boards, national and European Societies Boards, national and European Societies (guidelines D 9908)(guidelines D 9908)

Assessment and approval by the national Assessment and approval by the national CME regulating body of the country where the CME regulating body of the country where the activity takes placeactivity takes place

Guarantee of recognition of EACCME creditsGuarantee of recognition of EACCME credits

See UEMS Documents D 0134 and D 0140See UEMS Documents D 0134 and D 0140

Mandatory CMEMandatory CME

Legal :Legal : Austria, France, Italy, Austria, France, Italy, Netherlands, SwitzerlandNetherlands, Switzerland

Financial :Financial : Belgium, NorwayBelgium, NorwayProfessional :Professional : Germany, Ireland, Spain, Germany, Ireland, Spain,

United KingdomUnited KingdomVoluntary :Voluntary : Denmark, Finland, Greece, Denmark, Finland, Greece,

Iceland, Luxembourg, Iceland, Luxembourg, Portugal, SwedenPortugal, Sweden

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

What Activities are recognised?What Activities are recognised?

• 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

Scientific approvalScientific approval

Done by Accreditation Boards of theDone by Accreditation Boards of the

involved specialty :involved specialty :

UEMS Sections and/or Boards UEMS Sections and/or Boards

European Specialty Accreditation European Specialty Accreditation BoardsBoards

EEuuropean Speropean Speccialty ialty AccreditatAccreditatiion on BBoardsoards

• Cardiology :Cardiology : EBACEBAC• PneumolPneumoloogy :gy : EEBABAPP• InfectioInfectiouus Diseases :s Diseases : EBAIDEBAID• Oncology Oncology :: AACOECOE• NNuclear Medicine uclear Medicine :: EBNMEBNM• Allergology :Allergology : EAACIEAACI• Urology :Urology : EBUEBU• Dermatology :Dermatology : EBDVEBDV

EEuuropean Speropean Speccialty ialty AccreditatAccreditatiion on BBoardsoards

• Delegates from UEMS Section and/or Board

• Delegates from Scientific Society of that Speciality

• Working Group• Represent the Field in the Speciality

CreditsCredits

Draft FlowchartDraft FlowchartAccreditation in EuropeAccreditation in Europe

UEMS suggestionUEMS suggestion

Half Half dday :ay : 3 E(uropean) CME C(redit) ’s3 E(uropean) CME C(redit) ’s

FuFulll day : 6 E(uropean) CME C(redit) ’sl day : 6 E(uropean) CME C(redit) ’s

No adNo addditional credits for itional credits for ssatellite seminarsatellite seminars

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

TTrraansnsllation of these ECMEC’s ation of these ECMEC’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

SummarySummary

HarmonisationHarmonisationSimplificationSimplificationSame criteriaSame criteria Two major partners :Two major partners :

– National Accreditation AuthorityNational Accreditation Authority– European Accreditation BoardsEuropean Accreditation Boards

International International aagreements on greements on AccreditationAccreditation

Mutual agreement between the AMA and the Mutual agreement between the AMA and the UEMS-EACCME.UEMS-EACCME.

Mutual agreement between the AMA and the Mutual agreement between the AMA and the Canadian and Mexican Accreditation Canadian and Mexican Accreditation Authorities.Authorities.

Contacts started with the Far East, Middle Contacts started with the Far East, Middle East, Asia, Oceania and AfricaEast, Asia, Oceania and Africa

European UnionEuropean Union

Greater EuropeGreater Europe

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