2 TASK FORCE III STATUS REPORT by Hans Karle MEDINE EXECUTIVE MEETING COPENHAGEN, OCTOBER 2006TASK FORCE III STATUS REPORT by Hans Karle
3 MEDINE EXECUTIVE MEETING COPENHAGEN, OCTOBER 2006 MEDINE EXECUTIVE MEETING COPENHAGEN, OCTOBER 2006Task Force III Progress June-October 2006:Questionnaire on accreditation/recognition issues in the European RegionDraft of possible European version of standardsWorkshop at the AMEE Annual Conference, Genoa, SeptemberSecond Task Force Meeting, Paris, OctoberWFME October 2006
4 AMEE ANNUAL CONFERENCE, GENOA, SEPTEMBER 2006 Workshop “Is there a need for European Regional Standards in Medical Education?” Organised by The World Federation for Medical Education (WFME) on behalf of the Thematic Network MEDINE Time: Saturday, 16 September 2006, 14:30-16:00 Meeting room: Tramontana, module 9, level 2 Chair: Dr. Hans Karle, President WFME
5 AMEE ANNUAL CONFERENCE, GENOA, SEPTEMBER 2006 ProgrammePanellists presentations:1. Professor Leif Christensen, Denmark“Preliminary Reflections of the EU Thematic Network MEDINE Task Force on Quality Standards”2. Professor Jadwiga Mirecka, Poland“European Specifications of the WFME Global Standards for Quality Improvement of Medical Education”3. Professor Herman J.M. van Rossum, The Netherlands“Why can we not have a European accreditation system?”4. Dr. Christophe Segouin, France“Alternative Approaches to Quality Assurance of Medical Education – The French Model”5. Dr. Hans Karle, Denmark”European Standards – Relevance of an intermediary between global and national standards?”General discussion
6 FUNDAMENTAL QUESTIONS FUNDAMENTAL QUESTIONSDelimitation of the European RegionDiversity of medical education and health care in the RegionThe concept of standards in medical education (BME; PME; CPD)The use of standards for quality improvement/accreditation/recognitionRelation to the Bologna ProcessRelation to the EU Medical Directive (Directive 2005/36/EC)WFME October 2006
7 DELIMITATION OF THE EUROPEAN REGION DELIMITATION OF THE EUROPEAN REGIONEuropean Union (EU) 25 countriesEuropean Economic Area (EEA)(EU + EFTA) countriesBologna Process Area 45 countriesCouncil of Europe countriesWHO European Region 52 countriesAll Europe countriesWFME October 2006
8 NUMBER OF MEDICAL SCHOOLS IN EUROPE NUMBER OF MEDICAL SCHOOLS IN EUROPEEuropean Union (EU) 297European Economic Area (EEA)(EU + EFTA)Bologna Process Area 476Council of EuropeWHO European Region 511All EuropeWFME October 2006
9 MAIN DIVERSITIES OF BASIC MEDICAL EDUCATION IN EUROPE MAIN DIVERSITIES OF BASIC MEDICAL EDUCATION IN EUROPEPublic or private schoolsDuration of curriculum: 4 ½ -7 years+/- specialisation (ex.: science-track; paediatric track)Curricular modelsClinical trainingResearch attainmentPre-registration training: 0-24 months before licensureWFME October 2006
10 CONCEPT OF STANDARDS Set of rules to be followed strictly CONCEPT OF STANDARDSSet of rules to be followed strictlyFlexible guidelinesWFME October 2006
11 WFME TRILOGY OF GLOBAL STANDARDS A foundation foraccreditation
12 WFME GLOBAL STANDARDS: TWO LEVELS OF ATTAINMENT WFME GLOBAL STANDARDS: TWO LEVELS OF ATTAINMENTBasic Standards or Minimum Requirements (“musts”)Accreditation foundation to be met from the outsetStandards for Quality Development(“shoulds”)Reform purposes in accordance with international consensus about best practiceWFME October 2006
13 WFME GLOBAL STANDARDS: ORIENTATION AND COVERAGE WFME GLOBAL STANDARDS: ORIENTATION AND COVERAGEInstitutional/Educational Programme LevelInstitutional structure and organisationCurriculum/content/processLearning environmentOutcomeManagementWFME October 2006
14 EDUCATIONAL PROGRAMME 2.1 CURRICULUM MODELS AND INSTRUCTIONAL METHODS Basic standard: The medical school must define the curriculum models and instructional methods employed. Quality development: The curriculum and instructional methods should ensure the students have responsibility for their learning process and should prepare them for lifelong, self-directed learning. Annotations: · Curriculum models would include discipline, system, problem and community based models etc. · Instructional methods encompass teaching and learning methods · The curriculum and instructional methods should be based on sound learning principles and should foster the ability to participate in the scientific development of medicine as professionals and future colleagues.
15 European Standards should include: „medical school must be defined and accredited as university, part of it, or institution of equivalent levelArea 1.1„structure of the curriculum must comply with the EU Directive 2005/36/EC”Area 2.1
16 Educational goals of the Bologna Declaration - system essentially based on the two cycles, bachelor and master- establishment of a system of credits such as ECTS- promotion of mobility- cooperation in quality assurance
17 European Standards should include Model of the curriculum must be clearly defined in relation to the 2 cycle systemArea 1.1Organisation of the curriculum should be based on estimated students workload as expressed in ECTS credit points.Area 2.6
18 European Standards should include School must implement and use ECTS both for structuring the curriculum and for educational exchange. Schedule of courses and requirements should be flexible enough to allow students exchangeArea 2.6Credit accumulation system should be implementedAnnotations 6.6.
19 European Standards should include The school must define its own policy regarding internal quality assurance and improvementThe school should seek possibility to confirm quality of its education by external evaluation and accreditationArea 9
20 European Standards should include „competencies should be described taking into account the European Framework of Qualifications and the Dublin Descriptors.”Area 1.1
21 RATIONALE FOR EUROPEAN STANDARDS? RATIONALE FOR EUROPEAN STANDARDS?Is the spectrum of diversity different from other regions?Would Sub-regional standards be of any value?Is a common European accreditation system feasible?Europe in the context of globalisationWFME October 2006
22 PRELIMINARY (PROVOCATIVE?) CONCLUSIONS PRELIMINARY (PROVOCATIVE?) CONCLUSIONSWFME Global Standards could be used directly as a basis for formulation of National StandardsAn intermediary between global and national standards is probably not neededSome additional recommendations might be of value as a basis for formulation of National StandardsDivision line between basic and quality development standards could be changedAdaptation (Europeanisation) of annotations in the standards document to the European contextWFME October 2006
23 WFME WORLD FEDERATION FOR MEDICAL EDUCATION Web-site:
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