Rob Jansen Prague Patient Safety April 11 th 2013 Patient Safety Education and training to European...

Post on 23-Dec-2015

215 views 1 download

Tags:

Transcript of Rob Jansen Prague Patient Safety April 11 th 2013 Patient Safety Education and training to European...

Rob Jansen Prague Patient Safety April 11th 2013

Patient Safety

Education and training to European Specialist in Laboratory Medicine

1

Rob Jansen Prague Patient Safety April 11th 2013

Why Patient safety

• 70% of medical decision based on laboratory medicine

• Risk of wrong result or wrongly interpreted result leads to wrong treatment, possibly causing dead

• Therefore: right specialist

2

Rob Jansen Prague Patient Safety April 11th 2013

Patient Safety

Harmonisation

3

Rob Jansen Prague Patient Safety April 11th 2013

What should be harmonised?

• Laboratory investigation and analysis

• Laboratory data transfer (e-lab communication)

• Laboratory data interpretation

Therefore

• Specialist Laboratory Medicine4

Rob Jansen Prague Patient Safety April 11th 2013

Patient expectationLaboratory investigation

• Quality

- Right result

- Right time

- Rightly taken sample

- Right calibration or harmonisation

5

Rob Jansen Prague Patient Safety April 11th 2013

Patient expectationLaboratory data transfer

• Quality

- Right result

- Right time

- Right units

- Right calibration or harmonisation

6

Rob Jansen Prague Patient Safety April 11th 2013

Patient expectationLaboratory data interpretation

• Quality

- Right interpretation

- Right consult

- Right time (24/7)

7

Rob Jansen Prague Patient Safety April 11th 2013

Patient expectation

Harmonisation

Same result, same interpretation, same consult everywhere

8

Rob Jansen Prague Patient Safety April 11th 2013

Patient expectation

safety

Harmonised European specialist in

laboratory medicine

9

Rob Jansen Prague Patient Safety April 11th 2013

The Development

of Common Training

Harmonisation10

Rob Jansen Prague Patient Safety April 11th 2013

Why Common Training?

• Cardiologist ≠ Cardiologist

• Urologist ≠ Urologist

• Clinical biochemist ≠ Clinical Biologist ≠ Clinical chemist ≠ Biological Chemist

11

Rob Jansen Prague Patient Safety April 11th 2013 1

2

Harmonization is needed

Rob Jansen Prague Patient Safety April 11th 2013 1

3

Harmonization is needed

Rob Jansen Prague Patient Safety April 11th 2013 1

4

Harmony in music

Rob Jansen Prague Patient Safety April 11th 2013

Harmonization

The right road, the right fruit, the good music for

Specialists in Laboratory Medicine

Directive Recognition Professional Qualifications1

5

Rob Jansen Prague Patient Safety April 11th 2013

Why Harmonisation?Why Common

Training?

ForPatient safety!

16

Rob Jansen Prague Patient Safety April 11th 2013

The EC4 European Register of

Specialists in Laboratory Medicine

17

Rob Jansen Prague Patient Safety April 11th 2013

European Register of Specialists in Laboratory Medicine

• Directive on Recognition of Professional Qualifications 2005/35/EC (DG Market): common training

• Quality standard for our profession

18

Rob Jansen Prague Patient Safety April 11th 2013

European Register of Specialists in Laboratory Medicine

• Kept by Foundation EC4

• Foundation Board

• Board of Governors

- National representatives of EFLM related national societies

• Registration Commission

- National representatives of NLMRC

19

Rob Jansen Prague Patient Safety April 11th 2013

European Register of Specialists in Laboratory

Medicine

• European Syllabus (to be revised)

• Code of Conduct• Guide to the Register• Equivalence of Standards of

National Register(s)

20

Rob Jansen Prague Patient Safety April 11th 2013

Applicants to the European Register of Specialists in

Laboratory Medicine

• Member of national Register of EU member state

• National Register granted Equivalence of Standards

• Fulfill criteria of Guide to the Register

21

Rob Jansen Prague Patient Safety April 11th 2013

Applicants to the European Register of Specialists in

Laboratory Medicine

• Medical education

• Pharmaceutical (biologiste) education

• Scientific education

• Harmonised specialist training?

22

Rob Jansen Prague Patient Safety April 11th 2013

European Register of Specialists in

Laboratory Medicine• Registration• Re-registration (CPD, re-

registration in national register)

• Automatic registration• Equivalence of Standards

revised23

Rob Jansen Prague Patient Safety April 11th 2013 2

4

Rob Jansen November 9th 2011

Level of training

0

2

4

6

8

10

12

14

AT

mB

Em

BE

pB

Es

BG

mC

Ys

CZ

mC

Zs

DK

mD

Ks

EE

mF

Im FIs

FR

mF

Rp

DE

mD

Es

EL

mE

Lp

EL

sH

Um

HU

pIE

mIE

sIT

mIT

pIT

sL

Vm

LV

sL

Tm

LU

mL

Up

LU

sM

Tm

NL

mN

Ls

PL

mP

Ls

PT

mP

Tp

RO

mS

Km

SK

pS

Ks

SL

mS

Lp

SL

sE

Sm

ES

pE

Ss

SE

mU

Km

UK

s

Ye

ars Training non-regulated

Training regulated

Academic education

Rob Jansen Prague Patient Safety April 11th 2013 2

5

Level of training requirements

• a total duration of education plus training of ten years

• a minimum duration of academic education including a masters degree in medicine, pharmacy or science, of four years plus one year academic development

• flexibility in the additional academic development year consisting of academic education, a PhD, year of scientific research resulting in published peer reviewed article

• a minimum duration of training of four years plus one year additional experience

• registration in the appropriate national register if it exists

• flexibility in the additional experience year consisting of extra academic education, a PhD, work experience, extra training years, courses, traineeships

Rob Jansen Prague Patient Safety April 11th 2013 2

6

Rob Jansen November 9th 2011

Training content

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

AT

mB

Em

BE

pB

Es

BG

mC

Ys

CZ

mC

Zs

DK

mD

Ks

EE

mF

Im FIs

FR

mF

Rp

DE

mD

Es

ELm ELp

ELs

HU

mH

Up

IEm

IEs

ITm ITp

ITs

LVm

LVs

LTm

LUm

LUp

LUs

MT

mN

Lm NLs

PLm PLs

PT

mP

Tp

RO

mS

Km

SK

pS

Ks

SLm SLp

SLs

ES

mE

Sp

ES

sS

Em

UK

mU

Ks

genetics and IVF

microbiology

haematology

general chemistry

Rob Jansen Prague Patient Safety April 11th 2013

European Register of Specialists in

Laboratory Medicine• European Standard for professional

qualifications

• Co-operation with UEMS

• Basis for Common Training system of EC

Directive on Recognition of Professional

Qualifications?

• Name of Profession same in all countries

• Harmonised requirements

27

Rob Jansen Prague Patient Safety April 11th 2013

Harmonisation in Europe

28