1. RECENT DEVELOPMENTS IN CME ACCREDITATION IN SPAIN RECENT DEVELOPMENTS IN CME ACCREDITATION IN SPAIN Helios Pardell. MD, PhD Executive Secretary. Catalan Council of CME (CCCME) Director. Spanish Accreditation Council for CME (SACCME)

2. CATALAN COUNCIL OF CME Created: 1989 Operational: 1997 FIRST INITIATIVE OF CME ACCREDITATION FIRST INITIATIVE OF CME ACCREDITATION

3. SPANISH COMMISSION OF CONTINUING EDUCATION OF HEALTH PROFESSIONS SPANISH COMMISION Created: 1998 Operational: 1999 SPANISH COMMISION Created: 1998 Operational: 1999 MADRID

4. REGIONAL COMMISSIONS (February 2005) REGIONAL COMMISSIONS (February 2005) MADRID

5. OPERATIONAL REGIONAL COMMISSIONS (February 2005) OPERATIONAL REGIONAL COMMISSIONS (February 2005) MADRID + ++ + + + + + +

6. AGREEMENTS ABOUT CONTINUING EDUCATION OF HEALTH PROFESSIONS (February 8th, 2002) Signed by:  The Spanish Ministry of Health  The Spanish Ministry of Education Content Entrusting the Spanish Medical Association and other Spanish Health Professional Associations with the capacity of implementing a specific CE accreditation systems, under the supervision of the Ministry of Health and the Ministry of Education Signed by:  The Spanish Ministry of Health  The Spanish Ministry of Education Content Entrusting the Spanish Medical Association and other Spanish Health Professional Associations with the capacity of implementing a specific CE accreditation systems, under the supervision of the Ministry of Health and the Ministry of Education The Spanish Medical As The Spanish Nursing As The Spanish Pharmaceutical As The Spanish Dentists As The Spanish Veterinaries As and

7. THE SPANISH ACCREDITATION COUNCIL FOR CME (SACCME) Creation: January 29th, 2003 Partners. The Spanish Medical Association. The Spanish Federation of Medical Societies. The Spanish Assembly of Deans of Medical Schools. The Spanish Council of Medical Specialties Creation: January 29th, 2003 Partners. The Spanish Medical Association. The Spanish Federation of Medical Societies. The Spanish Assembly of Deans of Medical Schools. The Spanish Council of Medical Specialties

8. CURRENT SITUATION OF CME ACCREDITATION IN SPAIN IN SPAIN MINISTRY OF HEALTH & MINISTRY OF EDUCATION SACCME SPANISH MEDICAL ASSOCIATION CME ACTIVITIES ACCREDITATION NATIONAL LEVEL SPANISH COMMISSION CE ACTIVITIES ACCREDITATION NATIONAL LEVEL INTERTERRITORIAL COUNCIL CE ACTIVITIES ACCREDITATION REGIONAL LEVEL REGIONAL COMMISSIONS OF CE SACCNE SPANISH NURSING ASSOCIATION CNE ACTIVITIES ACCREDITATION NATIONAL LEVEL

9. THE COMMON PROCESS OF CME EVENTS ACCREDITATION/CERTIFICATION* IN THE SPANISH COMMISSION AND THE SACCME ACCREDITATION SYSTEMS APPLICATION FORM (CME Provider) APPLICATION FORM (CME Provider) APPLICANT (CME Provider) APPLICANT (CME Provider) SECRETARIAT EVALUATION COMMITTEE EVALUATION COMMITTEE * CME credits

10. COMPONENTS OF THE CME EVENTS ACCREDITATION Quantitative Factor (QT F) Qualitative Factor (QL F) Quantitative Factor (QT F) Qualitative Factor (QL F)

11. QUANTITATIVE FACTOR (QT F) “Learning Hours” Weighted LH/10 = QT F “Learning Hours” Weighted LH/10 = QT F Weighting Factor: < 20 h x 1.1 21-40 h x 1.0 41-80 h x 0.9 > > 80 h x 0.7 Weighting Factor: < 20 h x 1.1 21-40 h x 1.0 41-80 h x 0.9 > > 80 h x 0.7

12. QUALITATIVE FACTOR (QL F) ”Learning Profile” Objectives Programme and Logistics Needs Assessment Methodology Evaluation Assessment: Lickert scale ”Learning Profile” Objectives Programme and Logistics Needs Assessment Methodology Evaluation Assessment: Lickert scale

13. OUTCOME ”CME Credits” QL F x QT F = Nº CREDITS ”CME Credits” QL F x QT F = Nº CREDITS

14. SYSTEMS OF CME CREDITS ASSIGNMENT LEARNING HOURS = CREDIT HOURS Provider AccreditingBody Provider AccreditingBody Provider AccreditingBody LEARNING HOURS x QL F = CREDITS Domain Specialists Evaluators +-+- -+-+ Simplicity Accuracy

15. POTENTIALITIES OF THE SPANISH SYSTEM OF CME ACCREDITATION  Decentralization  Differentiation (professional sectors)  Decentralization  Differentiation (professional sectors)

16. MAIN CHALLENGES OF THE CME ACCREDITATION IN SPAIN (I)  Proper use of CME Credits Recertification-Relicensure Professional Career Other  Proper use of CME Credits Recertification-Relicensure Professional Career Other

17. MAIN CHALLENGES OF THE CME ACCREDITATION IN SPAIN (II)  Introduction of CME Providing Institutions’ Accreditation Only the Catalan Council of CME has introduced CME Providing Institutions’ Accreditation.  Introduction of CME Providing Institutions’ Accreditation Only the Catalan Council of CME has introduced CME Providing Institutions’ Accreditation.

18. MAIN CHALLENGES OF THE CME ACCREDITATION IN SPAIN (III)  Fostering the introduction of Recertification- Relicensure by Professional Associations (Self- regulation), in collaboration with the Health Autorities  Fostering the introduction of Recertification- Relicensure by Professional Associations (Self- regulation), in collaboration with the Health Autorities

19. MAIN CHALLENGES OF THE CME ACCREDITATION IN SPAIN (IV)  Regulation of Commercial Sponsorship

20. MAIN CHALLENGES OF THE CME ACCREDITATION IN SPAIN (V)  Mutual Recognition of CME Credits EACCME (UEMS accreditation system). Europe AMA (PRA). USA  Collaboration ACCME (Providing Institutions Accreditation, Commercial sponsorhip). USA  Mutual Recognition of CME Credits EACCME (UEMS accreditation system). Europe AMA (PRA). USA  Collaboration ACCME (Providing Institutions Accreditation, Commercial sponsorhip). USA