www.uems.eu info@uems.eu UNION EUROPÉENNE DES MÉDECINS SPÉCIALISTES voice of European medical specialists 60 www.uems.eu info@uems.eu

UNION EUROPÉENNE DES MÉDECINS SPÉCIALISTES UNION OF EUROPEAN MEDICAL SPECIALISTS Full Members National Medical Associations of the 28 EU Member States & of the 3 European Economic Area Countries Other members 4 Associate Members: Armenia, Israel, Serbia &Turkey 5 Observers: Georgia, Iraq, Lebanon, Morrocco, Tunisia UEMS 2018 12:56

Postgraduate Training (PGT) Harmonisation of the specialist training and CME through interdisciplinary European collaboration high level of specialist professional competence and medical care in Europe Continuing Medical Education (CME) Quality Assurance in Specialist medical practice UEMS 2018 12:56

CPD, PGT, CME, … CPD - all educational activities that occur after obtaining the license to practice medicine PGT - training to obtain a title of specialist CME - educational activities aimed at improving quality of practice: LEE, e-learning, subspecialty/special competence training Medical Studies CME PGT UEMS 2018 12:56

Voluntary harmonisation European Training Requirements for PGT UEMS proposals PGT Voluntary harmonisation European Training Requirements for PGT Common Training Frameworks European Examinations European Professional Card UEMS 2018 12:56

UEMS-CESMA GUIDELINE FOR THE QUALITY CONTROL Three important problems: Not all countries have established mechanisms for assessing the qualifications of medical professionals upon completion of their training prior to accrediting them as specialists. Some countries evaluate the progress of a trainee while in training but do not have an overall exit assessment prior to their accreditation as specialists. The existing national assessment processes are reflecting the national training framework and they do not guarantee in any way that a specialist has the necessary qualifications to practise at pan-European level. UEMS 2018 12:56

Subsidiarity vs harmonisation Subsidiarity is the guiding principle in organisation of health care services. Professional and patients' mobility, and differences in healthcare systems call for harmonisation. 2008 - 2017 UEMS 2018 12:56

UEMS Charter on TRAINING of MEDICAL SPECIALISTS in the EUROPEAN COMMUNITY (1993) The Charter describes the requirements for adequate training, which prepares specialists for practice of their specialty at an appropriate level in any Member State of the EC. UEMS 2018 12:56

UEMS Charter on Training This aim is achieved by the following means: recommendations for setting and maintaining standards of training, recommendations for training quality, recommendations for setting standards and recognition of training institutions, monitoring of the contents and quality and the evaluation of training in the EC member states, facilitation of exchange of trainees between the EC member states facilitation of free movement of specialists in the EC. UEMS 2018 12:56

UEMS Charter on Training Chapter 1 - National Authority Chapter 2 - General aspects Chapter 3 - Requirements for training institutions Chapter 4 - Requirements for trainers Chapter 5 - Requirements for trainees Chapter 6 - Requirements for a specialty UEMS 2018 12:56

UEMS 2018 12:56

Training Requirements for the Specialty of ... I. Trainees 1. Content and outcome theoretical knowledge, practical and clinical skills, competences 2. Organisation of training schedule curriculum assessment and evaluation governance UEMS 2018 12:56

Training Requirements for the Specialty of ... II. Trainers 1. Process for recognition as trainer requested qualification and experience, core competences for trainers 2. Quality management for trainers UEMS 2018 12:56

Training Requirements for the Specialty of ... III. Training institutions 1. Process for recognition as training center staff and clinical activities, equipment, R&D, accommodation 2. Quality Management within Training institutions UEMS 2018 12:56

UEMS ETRs 45 ETR documents adopted by the UEMS Council are available Template has been adopted ETR Review Committee established UEMS 2018 12:56

Specialties and special competencies Voluntary European standard UEMS ETRs status Specialties and special competencies Voluntary European standard General Applicable Require local add-ins UEMS 2018 12:56

UEMS ETRs good practice European consultation Cooperation with relevant ESS Interdisciplinary consultation Trainees involvement Patients involvement Vulnerable populations Competence based Evaluation mechanisms Scheduled review UEMS 2018 12:56

UEMS CHARTER ON VISITATION OF TRAINING CENTERS This charter presents the general outlines of a national program for visitation of training centers. Voluntary program The level of training is compared with criteria that are adopted by the national professional authority charged with the assurance of quality of training in the particular EU member state. UEMS 2018 12:56

UEMS CHARTER ON VISITATION OF TRAINING CENTERS Annexes: Questionnaire for Chief of Training Questionnaire for Trainees Checklist for visitors Model Visitation Report UEMS 2018 12:56

European Examinations Based on ETRs In 1984 the first European Examination was established - European Diploma of Anaesthesiology. Glasgow Declaration (07.02.2017) - creation of CESME 34 examinations are available now. UEMS 2018 12:56

ETRs - ways forward Methodology Modern educational methods Simulation technologies Adapting to staff shortages Adapting to healthcare systems’ needs Avoiding superspecialisation UEMS 2018 12:56

ETRs - ways forward Organisation Continuous proces Portfolio ETRs Review Committee Support among the UEMS bodies ETRs for each Annex V specialty Accreditation of trainers European specialisation UEMS 2018 12:56

CPD/CME in Europe UEMS 2018 12:56

European CPD/CME Ethical obligation Some degree of formalisation is necessary No single best way to organise and regulate CPD/CME Medical profession has to take care of and responsibility for CPD Healthcare systems have to support CPD/CME UEMS 2018 12:56

www.uems.eu info@uems.eu Thank you 60 www.uems.eu info@uems.eu