1. CME/CPD, EACCME in UEMS Dr. Bernard Maillet Secretary General UEMS - EACCME

2. U. E. M. S. Union Européenne des Médecins Spécialistes Union Européenne des Médecins Spécialistes European Union of Medical Specialists European Union of Medical Specialists Umbrella organization of National Associations of Medical Specialists located in Brussels

3. Phases of Medical Life Undergraduate 5 years averageUndergraduate 5 years average Exam/AssessmentDiplomaExam/AssessmentDiploma UniversityUniversity Specialist Training 5 years averageSpecialist Training 5 years average Exam/AssessmentCertificateExam/AssessmentCertificate University and ProfessionUniversity and Profession Professional Life LifelongProfessional Life Lifelong Formal Requirement to show CME/CPD activity?Formal Requirement to show CME/CPD activity? ProfessionProfession

4. Basic principles of the EU Free movement of - services - funds - products - manpower Free movement of - services - funds - products - manpower Free transfer of people and services applies to health care No discrimination regarding free movement on the basis e.g. language No discrimination regarding free movement on the basis e.g. language

5. Keywords in Europe Free movement of students Free movement of students –Bologna process Free movement of doctors –Directive on Recognition of Qualifications Free movement of patients Free movement of patients Mobility

6. Subsidiarity: The organisation and delivery of health care is the responsibility of each member state Subsidiarity: The organisation and delivery of health care is the responsibility of each member state Co-ordination of health matters is difficult at European level Co-ordination of health matters is difficult at European level The concept of “public health” is not well defined The concept of “public health” is not well defined Health and the EU

7. 1957 EEC Treaty of Rome Treaty of Rome Foundation of the UEMS in 1958 by the professional organisations of medical specialists of BelgiumFranceGermanyItalyLuxembourg the Netherlands

8. UEMS - Structure National Medical Associations Sections and Boards EACCME

9. National Medical Associations 27EU Full Members 3EEA Full Members 5Associate Members

10. E A C C M E Purpose UEMS policy Contribute to quality and harmonization of CME in Europe Contribute to quality and harmonization of CME in Europe To make life easier for our colleagues by easing access to international CME To make life easier for our colleagues by easing access to international CME Developing quality guidelines Developing quality guidelines Maintaining national authority Maintaining national authority

11. E A C C M E Purpose UEMS policy Same procedure for each Specialty Same procedure for each Specialty Same procedure for each Country Same procedure for each Country Harmonisation of the fees Harmonisation of the fees Avoid multiplication of the process Avoid multiplication of the process Have one entry Have one entry

12. Continuing Medical Education (CME) Maintenance of Academic Knowledge and Skills

13. Continuing Professional Development (CPD) Means of Updating, Developing and Enhancing how Doctors apply the Knowledge, Skills and Attitudes required in their working lives.Means of Updating, Developing and Enhancing how Doctors apply the Knowledge, Skills and Attitudes required in their working lives. The Competence development includes CME + Personal, Managerial, IT, Communication and Social skills.The Competence development includes CME + Personal, Managerial, IT, Communication and Social skills.

14. Quality of CME No scientific proof of efficacy of attending congresses, courses, symposia by individual professionals. No scientific proof of efficacy of attending congresses, courses, symposia by individual professionals. Abundant evidence of rapid improvement of medical practice through utilisation of new developments. Abundant evidence of rapid improvement of medical practice through utilisation of new developments.

15. Quality Requirements CME Written statement learning objectives Written statement learning objectives Submitting full data provider Submitting full data provider Disclosure potential conflict interest Disclosure potential conflict interest Attendance, mechanism for feed-back Attendance, mechanism for feed-back Report, assessment by Provider Report, assessment by Provider Non-biased education, either commercial or otherwise

16. Financing of CME CME is paid by patients – insurance premiums – hospital and other bills – fees of doctors and other professionals – taxes – prices pharmaceutical products – outside funding is the exception

17. Mandatory CME Austria Croatia France Germany (in hospitals & practices) Great Britain Hungary Iceland Italy The Netherlands (for specialists) Poland Slovenia Switzerland (for specialists)

18. CME/CPD recommended for doctors but voluntary BelgiumIreland CyprusIsrael Czech RepublicLuxembourg DenmarkNorway EstoniaPortugal FinlandSpain GreeceSweden

19. Shift to mandatory CME in Europe Policy UEMS : CME is an ethical obligation and should not be mandatory Policy UEMS : CME is an ethical obligation and should not be mandatory Voluntary CME is effective on macro- level Voluntary CME is effective on macro- level But, on individual level participation has to be encouraged But, on individual level participation has to be encouraged Mandatory CME is not effective in the weeding out of bad apples

20. 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

21. Event Draft Flowchart Accreditation in Europe European Accreditation Bodies National Accreditation Authorities National International

22. Event Draft Flowchart Accreditation in Europe National Accreditation Authorities National Evaluate the value of the meeting Grant the credits according to the National rules

23. Event Draft Flowchart Accreditation in Europe International European Accreditation Bodies Evaluate the value of the meeting Propose a number of credits National Accreditation Authorities Accept the scientific evaluation by the UEMS Sections and Boards Apply the number of credits relating to the national rules

24. Accreditation Two major partners in the process : European Accreditation Boards European Accreditation Boards National Accreditation Authorities National Accreditation Authorities

25. Scientific approval Done by Accreditation Boards of the involved specialty : UEMS Sections and/or Boards UEMS Sections and/or Boards European Accreditation Boards European Accreditation Boards

26. National Accreditation Authority Ministry of Health – Health Authority Ministry of Health – Health Authority Ministry of Social Affairs Ministry of Social Affairs Professional Bodies Professional Bodies Medical Associations Medical Associations Universities Universities Not existing Not existing

27. Organiser Request> 3 months UEMS - EACCME N.A.A.Sections Evaluation< 3 weeks Evaluation UEMS - EACCME Certificate of Recognition Organiser

28. Summary Harmonisation Harmonisation Simplification Simplification Same criteria Same criteria Two major partners : Two major partners : – National Accreditation Authority – European Accreditation Boards

29. Credits Draft Flowchart Accreditation in Europe UEMS suggestion Full credits (E CME C) No weighted factors 1 ECMEC per hour of activity 3 ECMEC for a half day / 6 ECMEC for a full day activity Translation of these E CME C’s to National credits can follow the rules of the National Accreditation Authority For instance : can have a maximum weighting factors can be introduced nationally

30. Agreements National Accreditation Authorities : National Accreditation Authorities : Spain, Cyprus, Greece, RCSI, Malta, RCPI, Turkey, Slovakia, Norway, Hungary, Luxemburg, Belgium, Romania, Slovenia UEMS Sections and Boards UEMS Sections and Boards, Dermatology,, Gastro-Enterology, Gynaecology, I Anaesthesiology, Child and Adolescent Psychiatry, Dermatology, Endocrinology, Gastro-Enterology, Gynaecology, Intensive Care Medicine,.... Near Future : Near Future : Germany, Italy, France,…

31. Agreement with the American Medical Association on Mutual Recognition of Credits Till June 30th 2006 : Pilot project for 2 years each time From July 1st 2006 : Real agreement for 4 years

32. Future Webbased request form Webbased request form Systematic evaluation of meetings by the participants Systematic evaluation of meetings by the participants Long Distance Learning Long Distance Learning More agreements with the Sections More agreements with the Sections More agreements with the National Accreditation Authorities More agreements with the National Accreditation Authorities Contacts with other parts of the world Contacts with other parts of the world Contacts with UEMO Contacts with UEMO

33. Accreditation Requests

34. European Union

35. Greater Europe

36. “ If you think education is expensive, you should consider ignorance. ” Socrates (469 – 399 BC) “ If you think education is expensive, you should consider ignorance. ” Socrates (469 – 399 BC)

37. U.E.M.S. Union Européenne des Médecins Spécialistes Union Européenne des Médecins Spécialistes European Union of Medical Specialists European Union of Medical Specialistswww.uems.net