conceptional conditions tasks of the berlin ma challenges 1 duties and challenges for the berlin...

Conceptional conditions

Tasks of the Berlin MA

Challenges

1

Duties and Challenges for the Berlin Medical Association

Continuous Medical Education

Continuous Professional Developement



Challenges

2

CME – Medical Code

The professional medical code (as adopted at the German Medical Assembly) describes the following requirements:

The practising physician is obliged to extend his medical knowledge and to inform himself about the currently valid provisions affecting his practice of medicine.




Challenges

3

CME - Regulations

• The General Medical Association is committed to the duty of the medical profession to undergo continuing medical education.

• Specialists are under the obligation to participate continuously in certified CME programmes of the Medical Association at local or at national level, in order to be able to exercise their profession according to the state of the art.

• A physician must provide the competent medical association with suitable evidence that he has used the mentioned CME opportunities.

• In order to give medical specialists the possibility to document publicly their participation in structured CME, the Medical Associations have implemented the CME certificate.




Challenges

4

CME - Regulations

Model regulation of CME:contains recommendations on the characteristics and conditions needed for effective integration of formal CME.

• All specialists have to gather 250 CME credit-points over a period of 5 years – this amount results in the CME-certificate.– One CME point is equivalent to a

CME unit, which corresponds to 45 minutes.

• The CME certificate is valid for a period of 5 years, after this period its validity expires automatically.

• The law applicable to all procedures referred to in this guideline is the “Allgemeine Verfahrensordnung” i.e. the (State) law regulating administrative procedures.




Challenges

5

CME mandatory for M.Ds. in Germany

2001 2002 2003 2004 2005

1.1.2006

Voluntary CME – Certificate via Medical Associations

150 Credits / 3 years

Mandatory CME – Certificate

Statutory Health Insurance Physicians


2007 2008

Mandatory CME – Certificate

Physicians in Hospitals


2009 2010 2011


1.7.2004

2006



Challenges

6

Germany: § 95d Social Security Code V (effective 2004-01-01)- (1) -

CME mandatory for M.Ds. within the National Association ofStatutory Health Insurance Physicians (>2004-07-01)

• Consequences, if CME–proof is uncompleted or lacking:

–1st quarter of the year after 5 y.: 10% cut off from fees–5th quarter of the year after 5 y.: 25% cut off from fees

Cut off from fees stops at the end of the year in which the completed CME-proof is shown up officially.

• Consequence, if CME–proof is uncompleted or lacking >2 years after the 5-y-period:

withdrawal of accreditation / contract




Challenges

7

Germany: § 137 Social Security Code V (effective 2006-01-01)- (2) -

CME mandatory for M.Ds. in Hospitals (>2006-01-01)

• No Consequences, if CME–proof is uncompleted or lacking:

But: participation in structured CME is

published in Hospital-Quality Reports / Internet !




Challenges

8

CME - Credits (250 P / 5 Y )Vote of the 107th Annual Meeting of the German Panel of M.D.s 2004 - 05

1 point = 1 CME-Unit/ corresponds to 45 min. or “equivalent”

1 point per CME-unitPMT - coursesH

1 point per CME-hour

Hospitation, specified trainingG

Author, Lecturer, SpeakerF

50 points in 5 years - Without any verification -

Individual reading of journals and other written information

E

1 point per CME-unit

Addit. 1 : 70% o.k./10 quest.

Interactive CME/CPD: medical journals, CD-ROM, Internet

D

1 point per CME-hour

Workshops, Seminars, Balint-Groups, Case-Conferences, Seminars in small working-groups

C

8 points per dayPlenary session with discussionACategory

6 points per dayCongressBConceptional conditions



Challenges

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Relative Frequency of Certified CME-Programmes in Berlin

A42%

B2%

C56%

H0%

D0%

Category B:congresses

Category C:CME-programmes in small groups/

intensive participation of each participant


Category A:

Category A:Plenary session with discussion

42%

Other categories (D – H)

Category B:2%

Category C:56%



Challenges

10

CME - Regulations

• Promoters have the possibility to apply for the certification of one or several events by specifying in their application the medical field(s) and the kind of CME for which certification is sought.

• Applications for certification have to be addressed directly to the Berlin Medical Association.

• The decision on certification and on the amount of credit-points awarded is made by the Berlin Medical Association.

• The medical association is authorised to levy a fee for the expenses relating to certification. The board of the Medical Association determines the amount of this fee.




Challenges

11

Increase of Certified CME-Programmes 2001-2006

CME-events / year


1.436

2.7223.185

5.836

7.700

8.662

10.341

11.229

13.194

0

2.000

4.000

6.000

8.000

10.000

12.000

14.000

1 2 3 4 5 6 7 8 9

Anzahl zertifizierter Fortbildungsangebote



Challenges

12

Process of CME-certification by the Berlin Medical Association

Application only online

via the Website www.aekb.de

1. Certification

2. Publication in the calender of events of the BMA

Recognition of application-data

Advisory boardIf necessary: further data or:

Refusal (5% of all applications)

Tasks of the Berlin MA Check:

• CME-Criteria o.K ?• Is there a schedule (attachment)?• Is there a sponsoring/ commercial provider?/ Degree of sponsoring?



Challenges

13

The application-form consists of several parts with different keywords.

The form requires precise information on the meeting which is submitted for CME-certification:• Date, venue, length• Schedule• Medical head and speakers• Degree of sponsoring

Please note:Every promoter has to ensure the independence and freedom from economic interests of the event he has submitted for certification.



Challenges

14

= Online-Calendar of Events

Search for CME-meetings corresponds to individual interests, selection with regard to:- Chonological order- Specialisation- Full-text-search

CME-meetings



Challenges

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Each link from this list of CME-events provides by mouse-click detailed information on the chosen CME-event



Challenges

16

CME – ID - # - card

Challenges

For each physician:personal CME - ID-#15-digits



Challenges

17

Dr. Henning Schaefer



Challenges

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CME-meeting List:every doctor documented his participation

Challenges



Challenges

19

Assigning CME-Credits to the CME-Account

CME-Account

Challenges

Berlin Medical Association

application

certification

CertificationProvider

ElectronicInformation

Vehicle:

central server

event data

Data of participants

Identity-card with individual CME-number



Challenges

20

CME-Account Online: Individual List of participation in structured CME



Challenges

21

Frau Dr. med. Monika Mustermann



Challenges

22

Many thanks for your attention!

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