Future Improvements in European CME/CPD: a Personal View Lino Gonçalves.

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)