future improvements in european cme/cpd: a personal view lino gonçalves
TRANSCRIPT
Future Improvements in European CME/CPD:
a Personal View
Lino Gonçalves
Topics for Discussion
Accreditation of CME events/products
Certification of individuals
Topics for Discussion
Accreditation of CME events/products
Certification of individuals
Accreditation of CME Products/Events
Why do we need an organised CMEsystem in Europe ?
CME in Europe
„HARMONISATION“
Different CME-Systems -between countries-within countries-between specialities
UEMS - European Training Charter EUROPEAN UNION OF MEDICAL
SPECIALISTSU.E.M.S. October 1994
4.6. Article 6
Continuing medical education (CME) is a moral and an ethical obligation for the individual medical specialist, but it should be a voluntary responsibility.
ESPT
FR
UK
IR
IT
GR
CR
ATCH
DEBL
DK
NL
RO
FI
CZ
HG
SL
European Accreditation Systems: (2007)
SE
TR
SL
NO
Mandatory
Incentives
Voluntary
Current Situation of European CME
Continuing medical education (CME) systems are already
in place in many european countries
Some countries approach the implementation of a CME
system
National accreditation authorities are established by the
medical profession or as governmental bodies
Europe is slowly striving towards obligatory CME systems
(free movement of MDs and patients within the EU,
pressure from nat. authorities,
health insurance companies etc.)
European CME: Why do we need it?
• European CME is needed for the accreditation of any CME-Event/Product in Medicine at the European level
Need for HarmonisationNeed for Harmonisation
• European CME must be independent from Providers, Societies (National, ESC, Universities,.....), Industry (Pharma. Ind., med.-tech. Ind.)
Need for an Independent AccreditorNeed for an Independent Accreditor
European CME: Why do we need it?Public awareness
European CME: Why do we need it?Profession Awareness
…”standard training of health professionals combined with integrated methods and procedures that are embedded in a culture of continuous learning and improvement.”
European CME: Why do we need it?Politician Awareness
European CME : How Should the Accreditation Work ?
NAAs
EACCME
Section
Section
Section
Section
Board
Board
Board
Board
Develop a Review or Governance Board (proposed by the
Task Force).
Regulate CME at the European level.
Establish a general template for European CME
accreditation.
Supervise the accreditation performed by Sections &
Boards (quality control, independence).
Support those Sections & Boards that need assistance.
Communicate on a regular basis with the NAAs.
Report on a regular basis to the UEMS Executive.
European CME: How Should the EACCME Work ?
Scientific/Educational events.
Distance learning products (CD-ROMs,
internet-based CME programmes, case-based
learning).
CME articles.
Textbooks.
Virtual reality CME.
European CME: What Should be Accredited ?
Deal with international accreditation only.
Use of international languages (other than
English) should be allowed.
Satellite symposia from industry must not be
accredited.
Monitors should be sent to some meetings.
Report forms should be collected and analysed.
European CME: How should it work ?
Increase the number of applications.
Accreditation of „new“ forms of CME.
More involvement of the NAAs.
Further develop EACCME as a global
accreditation organisation.
Continue to respond to the needs of the
profession.
European CME: Future Perspectives
Topics for Discussion
Accreditation of CME events/products
Certification of individuals
European Education Quality Policy
• Universities • Scientific Societies• Teaching Hospitals• Others
EACCME(Sections &
Boards)+
NAAs
Education
Accreditation Individual Certification
ECCIS*(Sections &
Boards)+
NAAs
* European Certification Council of Individual Specialists
European Individual Certification : How Should it Work ?
NAAs
ECCIS
Section
Section
Section
Section
Board
Board
Board
Board
Current Situation of European Certification
Certification systems are already in place in many
european countries.
Some countries approach the implementation of a
certification system
Some specialties/subpecialties are already running
european exams (without coordination and without a common
framework).
Europe is slowly striving towards obligatory certification and
maybe even re-certification
(free movement of MDs and patients within the EU,
pressure from nat. authorities,
health insurance companies etc.)
Develop a Review or Governance Board similar to what
was proposed to EACCME.
Regulate the certification at the European level.
Establish a general template for the European Certification
for all specialties/subspecialties.
Supervise the certification performed by Sections & Boards
(quality control).
Support those Sections & Boards that need assistance.
Communicate on a regular basis with the NAAs.
Report on a regular basis to the UEMS Executive.
European Certification: How Should the ECCIS Work ?
European Educational Programmes of
Specialists/Subspecialist in training (ends with a
Certification).
European Certification: What Should be Certified ?
Knowledge Assessment
Practical Skills Assessment
Assessment of Professionalism
MCQs on EACCME/S&B accreditedTextbook chaptersGuidelinesArticlesCME Products
E-logbookE-portfolio
360° Appraisal
Upon satisfactory completion Diploma issued by ECCIS/S&B
Form
ative process
@ @ @
European Certification How Should it Work?Applicant applies on-line, provides
requested documentation (i.e. licences, diplomas) and proceeds with the 3
assessments
EBAC / EBSC: One Example of Individual Certification
www.ebsc-accreditation.org
European Educational Programmes of Specialists/
subpecialists in training (ends with a Certification).
Certification of training centers/trainers (visits).
Certification of pre-existing specialists/subspecialists
(European exam? Grandparent rule?).
Re-certification of individual specialists/subspecialist
with EACCME/Sections&Boards credits every 5 years.
European Certification: What Should be Certified in the Future?
It is better for the profession not to do anything
and keep things like they are today…
European Accreditation and Certification: What Should we do in the
Future?
Nothing ishappening !!!
Accreditation
CertificationCertification
Certification Certification
CertificationCertification
Certification
Certification
AccreditationAccreditation
Accreditation
Accreditation
Accreditation Accreditation
It is better for the profession not to do anything
and keep things like they are today…
But then…
We have to be aware of the possibility that others
will regulate everything for us…
European Accreditation and Certification: What Should we do in the Future?
European Accreditation/Certification: We need to work together !
S & BUEMS
EACCMEECCIS
ScientificSocieties
EU NAAs
Otherwise…(the Past)
S & BUEMS
EACCMEECCIS
ScientificSocieties
EU NAAs
European Accreditation/Certification: We need to work together !
(Today & Future)