CME/CPD, EACCME CME/CPD, EACCME in UEMSin UEMS DrDr. Bernard Maillet. Bernard MailletSecretary GeneralSecretary GeneralUEMS - EACCMEUEMS - EACCME

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

Union Européenne des Union Européenne des Médecins SpécialistesMédecins Spécialistes

European Union of Medical European Union of Medical SpecialistsSpecialists

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

Phases of Medical LifePhases of Medical Life

• Undergraduate Undergraduate 5 years average5 years average• Exam/AssessmentExam/Assessment

DiplomaDiploma• UniversityUniversity

• Specialist Training Specialist Training 5 years average5 years average• Exam/AssessmentExam/Assessment

CertificateCertificate• University and ProfessionUniversity and Profession

• Professional Life Professional Life LifelongLifelong• Formal Requirement to show CME/CPD Formal Requirement to show CME/CPD

activityactivity

??• ProfessionProfession

Basic principles of the EUBasic principles of the EU

Free movement of Free movement of - services- services- funds- funds- products- products- manpower- manpower

Free transfer of people and services applies to health care

No discrimination regarding free No discrimination regarding free movement on the basis e.g. languagemovement on the basis e.g. language

Keywords in EuropeKeywords in Europe

Free movement of studentsFree movement of students– Bologna processBologna process

Free movement of doctors– Directive on Recognition of QualificationsDirective on Recognition of Qualifications

Free movement of patientsFree movement of patients

MobilityMobility

Subsidiarity: The organisation and delivery Subsidiarity: The organisation and delivery of health care is the responsibility of each of health care is the responsibility of each member statemember state

Co-ordination of health matters is difficult Co-ordination of health matters is difficult at European levelat European level

The concept of “public health” is not well The concept of “public health” is not well defineddefined

Health and the EUHealth and the EU

1957 EEC1957 EEC

Treaty of RomeTreaty 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

UEMS - StructureUEMS - Structure

National Medical AssociationsNational Medical Associations

Sections and BoardsSections and Boards

EACCMEEACCME

National Medical National Medical AssociationsAssociations

2277 EU Full MembersEU Full Members

33 EEA Full MembersEEA Full Members

55 Associate MembersAssociate Members

E A C C M EE A C C M E

Purpose UEMS policyPurpose UEMS policy

Contribute to quality and Contribute to quality and harmonization of CME in Europeharmonization of CME in Europe

To make life easier for our colleagues To make life easier for our colleagues by easing access to international CMEby easing access to international CME

Developing quality guidelinesDeveloping quality guidelinesMaintaining national authorityMaintaining national authority

E A C C M EE A C C M E

Purpose UEMS policyPurpose UEMS policy

Same procedure for each SpecialtySame procedure for each SpecialtySame procedure for each CountrySame procedure for each CountryHarmonisation of the feesHarmonisation of the feesAvoid multiplication of the processAvoid multiplication of the processHave one entryHave one entry

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.

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 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

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

Mandatory CMEMandatory CME

AustriaAustriaCroatiaCroatiaFranceFranceGermany (in hospitals & practices)Germany (in hospitals & practices)Great BritainGreat BritainHungaryHungaryIcelandIcelandItalyItalyThe Netherlands (for specialists)The Netherlands (for specialists)PolandPolandSloveniaSloveniaSwitzerland (for specialists)Switzerland (for specialists)

CME/CPD recommended for CME/CPD recommended for doctors but voluntarydoctors but voluntary

BelgiumBelgium IrelandIrelandCyprusCyprus IsraelIsraelCzech RepublicCzech Republic LuxembourgLuxembourgDenmarkDenmark NorwayNorwayEstoniaEstonia PortugalPortugalFinlandFinland SpainSpainGreeceGreece SwedenSweden

Shift to mandatory CME in Shift to mandatory CME in EuropeEurope

Policy UEMS : CME is an ethical Policy UEMS : CME is an ethical obligation and should not be mandatoryobligation and should not be mandatory

Voluntary CME is effective on macro-Voluntary CME is effective on macro-levellevel

But, on individual level participation has But, on individual level participation has to be encouragedto be encouraged

Mandatory CME is not effective in the Mandatory CME is not effective in the weeding out of bad applesweeding out of bad apples

What Activities are granted?What Activities are granted?

• 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

AccreditationAccreditation

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

EuEurropopeean an AAccreditaticcreditatioon Boardsn BoardsNatiNatioonal Accrenal Accreddiittaattion Authoritiesion Authorities

Scientific approvalScientific approval

Done by Accreditation Boards of theDone by Accreditation Boards of the

involved specialty :involved specialty :

UEMS Sections and/or BoardsUEMS Sections and/or Boards

European Accreditation BoardsEuropean Accreditation Boards

NNaatitioonal Accreditatnal Accreditatiion on AuthorityAuthority

Ministry of Health – Health AuthorityMinistry of Health – Health Authority Ministry of Social AffairsMinistry of Social Affairs PProfessional Bodiesrofessional Bodies MMedical Aedical Asssociationssociations UniversitiesUniversities NNot ot eexistingxisting

OrganiserOrganiser

RequestRequest > > 3 months3 months

UEMS - EACCMEUEMS - EACCME

N.A.A.N.A.A. SectionsSections

EvaluationEvaluation < < 3 weeks3 weeks EvaluationEvaluation

UEMS - EACCMEUEMS - EACCME

Certificate of RecognitionCertificate of Recognition

OrganiserOrganiser

SummarySummary

HarmonisationHarmonisation

SimplificationSimplification

Same criteriaSame criteria

Two major partners :Two major partners :– National Accreditation AuthorityNational Accreditation Authority– European Accreditation BoardsEuropean Accreditation Boards

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

1 ECMEC per hour of activity1 ECMEC per hour of activity

3 ECMEC for a half day / 6 ECMEC for a full day activity3 ECMEC for a half day / 6 ECMEC for a full day activity

TTrraansnsllation of these E CME C’s ation of these E CME C’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

AgreeAgreemmentsents National Accreditation Authorities :National Accreditation Authorities :

SpSpaaiin,n, Cy Cypprus, Greece, RCSrus, Greece, RCSI, Malta, RCPI, Turkey, I, Malta, RCPI, Turkey, SloSlovvakia, akia, Norway, Hungary, Luxemburg, Norway, Hungary, Luxemburg, BelgiBelgiuum,m,Romania, Romania, SloveniaSlovenia

UEMS Sections and BoardsUEMS Sections and Boards

Anaesthesiology, Child and Adolescent Psychiatry, , Dermatology, Dermatology, Endocrinology, , Gastro-Gastro-Enterology, Enterology, Gynaecology, IGynaecology, Intensive Care Medicine,....

Near Future :Near Future :Germany, Italy, France,…Germany, Italy, France,…

AAggreemreemeent with the American nt with the American Medical Association on Mutual Medical Association on Mutual

Recognition of CreditsRecognition of Credits

Till June 30th 2006 :Till June 30th 2006 :

Pilot project for 2 years each time

From July 1st 2006 :From July 1st 2006 :

Real agreement for 4 years

FutureFuture Webbased request formWebbased request form Systematic evaluation of meetings by Systematic evaluation of meetings by

the participantsthe participants Long Distance LearningLong Distance Learning More agreements with the SectionsMore agreements with the Sections More agreements with the National More agreements with the National

Accreditation AuthoritiesAccreditation Authorities Contacts with other parts of the world Contacts with other parts of the world Contacts with UEMOContacts with UEMO

Accreditation RequestsAccreditation Requests

0

200

400

600

800

1000

1200

2002 2003 2004 2005 2006 2007

NumberProjection

European UnionEuropean Union

Greater EuropeGreater Europe

““If you think education is If you think education is expensive, you should expensive, you should consider ignorance.”consider ignorance.”

Socrates (469 – 399 BC)Socrates (469 – 399 BC)

““If you think education is If you think education is expensive, you should expensive, you should consider ignorance.”consider ignorance.”

Socrates (469 – 399 BC)Socrates (469 – 399 BC)

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