UEMSUEMS

GeneralGeneralInformationInformation

DrDr. Bernard Maillet. Bernard MailletSecretary GeneralSecretary General

1957 EEC

Treaty 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

The study and promotion of the highest level of The study and promotion of the highest level of training of the medical specialists, medical practice training of the medical specialists, medical practice and health care within the European Union.and health care within the European Union.

The study and promotion of free movement of The study and promotion of free movement of specialist doctors within the European Union.specialist doctors within the European Union.

Objectives of the UEMSObjectives of the UEMS

Objectives of the UEMSObjectives of the UEMS

Harmonisation and Harmonisation and iimprovement of mprovement of qquality of uality of

mmedical edical sspecialist pecialist ttraining and raining and ppractice in Europeractice in Europe

Objectives of SectObjectives of Sections of UEMSions of UEMS

PProfessional defence of their specialtyrofessional defence of their specialtyHHarmonization of the profession at the European armonization of the profession at the European levellevel

Establishment Specialist SectionsEstablishment Specialist Sections

Focus on European legislationFocus on European legislation

Working towards mutual recognition of diplomas Working towards mutual recognition of diplomas coupled with basic quality requirementscoupled with basic quality requirements

Exchange diplomas effected 1975Exchange diplomas effected 1975

UEMS, early yearsUEMS, early years

NowNow

National professional level : lack of unityNational professional level : lack of unity

European level : too many professional medical European level : too many professional medical organisationsorganisations

European Union (SanCo) : limited to Public European Union (SanCo) : limited to Public health, priorities :health, priorities : * Health surveillance* Health surveillance * Health threats, rapid response* Health threats, rapid response * Health determinants* Health determinants

StructureStructure

National Medical AssociationsNational Medical Associations

Sections and BoardsSections and Boards

EACCMEEACCME

StructureStructure

Management CouncilManagement Council

National Medical AssociationsNational Medical Associations

Executive CommitteeExecutive Committee

PresidentPresidentTresurerTresurerLiaison OfficerLiaison OfficerSecretary GeneralSecretary General4 Vice - Presidents4 Vice - Presidents

StructureStructure

Sections and BoardsSections and Boards

Based on the different SpecialitiesBased on the different Specialities

Fundamental organ that influences policy onFundamental organ that influences policy onTrainingTrainingMutual RecognitionMutual RecognitionCME / CPD in collaboration with EACCMECME / CPD in collaboration with EACCME

SectionsSections

Are a fundamental and specific structureAre a fundamental and specific structure

Is the backbone of the UEMSIs the backbone of the UEMS

Proposes minimal training schemes for Proposes minimal training schemes for specialisationspecialisation

Facilitates the harmonisation of trainingFacilitates the harmonisation of training

About 2000 specialists active in the work in About 2000 specialists active in the work in EuropeEurope

StructureStructure

Membership of a SectionMembership of a Section

Two specialist doctors of the EU or EFTA countriesTwo specialist doctors of the EU or EFTA countries

Appointed by their National Professional Appointed by their National Professional Monospecialist OrganisationMonospecialist Organisation

nominations approved by the National Medical nominations approved by the National Medical Association representing the country at the Association representing the country at the

UEMS CouncilUEMS Council

appointment for four years, can be renewed appointment for four years, can be renewed twicetwice

StructureStructure

Voting Rights in a SectionVoting Rights in a Section

Full member countries where the speciality is officially Full member countries where the speciality is officially recognisedrecognised

Subject to payment of the subscription to the SectionSubject to payment of the subscription to the Section

the others and the Associated Member the others and the Associated Member Countries Countries or the Observers acting in an or the Observers acting in an advisory capacityadvisory capacity

BoardBoard

Working Group of a SectionWorking Group of a Section

Equal representation of :Equal representation of :

SectionSection

Scientific Society of that SpecialityScientific Society of that Speciality

StructureStructure

EACCME

Harmonize CME (– CPD) in EuropeAct as a clearing house to help Medical house to help Medical Specialists to exchangeSpecialists to exchange their creditsHas an agreement on mutual recognition of credits with the AMA

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.

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

Mandatory CMEMandatory CME

Legal :Legal : Austria, France, Italy, Netherlands, Austria, France, Italy, Netherlands, SwitzerlandSwitzerland

Financial :Financial : Belgium, NorwayBelgium, Norway

Professional :Professional : Germany, Ireland, Spain, United Germany, Ireland, Spain, United KingdomKingdom

Voluntary :Voluntary : Denmark, Finland, Greece, Iceland, Denmark, Finland, Greece, Iceland, Luxembourg, Portugal, SwedenLuxembourg, Portugal, Sweden

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

Effects Mandatory CMEEffects Mandatory CME

Recognition CME credits by a National Recognition CME credits by a National Regulating body, preferably a Regulating body, preferably a professional bodyprofessional body

Quality of CME activities is being Quality of CME activities is being assessed by a scientific body assessed by a scientific body

End of freedom of CME providers End of freedom of CME providers to determine the content of their to determine the content of their programs themselvesprograms themselves

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 Specialistan Specialist A Accreditaticcreditatioon n BoardsBoards

NatiNatioonal 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 Specialty Accreditation European Specialty Accreditation BoardsBoards

EuEurropopeean Specialistan Specialist AAccreditaticcreditatioon Boardsn Boards

Collaboration betwCollaboration betweeen the UEMS en the UEMS SSectiectioons ns and the Eurand the Euroopean Scientific Societies in the pean Scientific Societies in the Field of the SpecialisationField of the Specialisation

SSectectiion or Board of the UEMSon or Board of the UEMS

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

SummarySummary

HarmonisationHarmonisationSimplificationSimplificationSame 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

OrganisorOrganisor

RequestRequest 3 months3 months

UEMS - EACCMEUEMS - EACCME

N.A.A.N.A.A. E.S.A.B.E.S.A.B.

EvaluationEvaluation 3 weeks3 weeks EvaluationEvaluation

UEMS - EACCMEUEMS - EACCME

Letter of AcceptanceLetter of Acceptance

OrganisorOrganisor

ObjectivesObjectives

Agreements with National Agreements with National Accreditation AuthoritiesAccreditation Authorities

Agreement with Section and / or Agreement with Section and / or ESAB’sESAB’s

Harmonised uniform request formHarmonised uniform request form

Harmonisation on feesHarmonisation on fees

FeesFees

Sliding scale Sliding scale based on the number based on the number of participantsof participants

No relation between number of No relation between number of credits and the feecredits and the fee

Single invoiceSingle invoice

Unity of purpose and policyUnity of purpose and policy

Coordination of separate national medical Coordination of separate national medical organisationsorganisations

Coordination of European organisationsCoordination of European organisations

Enlargement of investment by national medical Enlargement of investment by national medical organisations in European medical matters, in organisations in European medical matters, in imagination, in people, expertise and financial meansimagination, in people, expertise and financial means

Future TasksFuture Tasks

Comparison European - Comparison European - National politicsNational politics

EuropeanEuropean NationalNational

ParliamentParliament ParliamentParliamentCommissionerCommissioner MinisterMinisterCommissionCommission AdministrationAdministrationDGDG MinistryMinistry

Council of MinistersCouncil of Ministers

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

Union Européenne des Médecins Union Européenne des Médecins SpécialistesSpécialistes

European Union of Medical SpecialistsEuropean Union of Medical Specialists

www.uems.netwww.uems.net