Future Improvements in European CME/CPD: a Personal View Lino Gonçalves

Topics for Discussion Accreditation of CME events/products Certification of individuals

Topics for Discussion Accreditation of CME events/products Certification of individuals

Accreditation of CME Products/Events Why do we need an organised CME system in Europe ?

CME in Europe HARMONISATION Different CME-Systems -between countries -within countries -between specialities

UEMS - European Training Charter EUROPEAN UNION OF MEDICAL SPECIALISTS U.E.M.S. October Article 6 Continuing medical education (CME) is a moral and an ethical obligation for the individual medical specialist, but it should be a voluntary responsibility.

ESPT FR UK IR IT GR CR AT CH DE BL DK NL RO FI CZ HG SL European Accreditation Systems: (2007) SE TR SL NO Mandatory Incentives Voluntary

Current Situation of European CME Continuing medical education (CME) systems are already in place in many european countries Some countries approach the implementation of a CME system National accreditation authorities are established by the medical profession or as governmental bodies Europe is slowly striving towards obligatory CME systems (free movement of MDs and patients within the EU, pressure from nat. authorities, health insurance companies etc.)

European CME: Why do we need it? European CME is needed for the accreditation of any CME-Event/Product in Medicine at the European level Need for Harmonisation European CME must be independent from Providers, Societies (National, ESC, Universities,.....), Industry (Pharma. Ind., med.-tech. Ind.) Need for an Independent Accreditor

European CME: Why do we need it? Public awareness

European CME: Why do we need it? Profession Awareness

…standard training of health professionals combined with integrated methods and procedures that are embedded in a culture of continuous learning and improvement. European CME: Why do we need it? Politician Awareness

European CME : How Should the Accreditation Work ? NAAs EACCME Section Board

Develop a Review or Governance Board (proposed by the Task Force). Regulate CME at the European level. Establish a general template for European CME accreditation. Supervise the accreditation performed by Sections & Boards (quality control, independence). Support those Sections & Boards that need assistance. Communicate on a regular basis with the NAAs. Report on a regular basis to the UEMS Executive. European CME: How Should the EACCME Work ?

Scientific/Educational events. Distance learning products (CD-ROMs, internet-based CME programmes, case-based learning). CME articles. Textbooks. Virtual reality CME. European CME: What Should be Accredited ?

Deal with international accreditation only. Use of international languages (other than English) should be allowed. Satellite symposia from industry must not be accredited. Monitors should be sent to some meetings. Report forms should be collected and analysed. European CME: How should it work ?

Increase the number of applications. Accreditation of new forms of CME. More involvement of the NAAs. Further develop EACCME as a global accreditation organisation. Continue to respond to the needs of the profession. European CME: Future Perspectives

Topics for Discussion Accreditation of CME events/products Certification of individuals

European Education Quality Policy Universities Scientific Societies Teaching Hospitals Others EACCME (Sections & Boards) + NAAs Education Accreditation Individual Certification ECCIS* (Sections & Boards) + NAAs * European Certification Council of Individual Specialists

European Individual Certification : How Should it Work ? NAAs ECCIS Section Board

Current Situation of European Certification Certification systems are already in place in many european countries. Some countries approach the implementation of a certification system Some specialties/subpecialties are already running european exams (without coordination and without a common framework). Europe is slowly striving towards obligatory certification and maybe even re-certification (free movement of MDs and patients within the EU, pressure from nat. authorities, health insurance companies etc.)

Develop a Review or Governance Board similar to what was proposed to EACCME. Regulate the certification at the European level. Establish a general template for the European Certification for all specialties/subspecialties. Supervise the certification performed by Sections & Boards (quality control). Support those Sections & Boards that need assistance. Communicate on a regular basis with the NAAs. Report on a regular basis to the UEMS Executive. European Certification: How Should the ECCIS Work ?

European Educational Programmes of Specialists/Subspecialist in training (ends with a Certification). European Certification: What Should be Certified ?

Knowledge Assessment Practical Skills Assessment Assessment of Professionalism MCQs on EACCME/S&B accredited Textbook chapters Guidelines Articles CME Products E-logbook E-portfolio 360° Appraisal Upon satisfactory completion Diploma issued by ECCIS/S&B Formative process European Certification How Should it Work? Applicant applies on-line, provides requested documentation (i.e. licences, diplomas) and proceeds with the 3 assessments

EBAC / EBSC: One Example of Individual Certification

European Educational Programmes of Specialists/ subpecialists in training (ends with a Certification). Certification of training centers/trainers (visits). Certification of pre-existing specialists/subspecialists (European exam? Grandparent rule?). Re-certification of individual specialists/subspecialist with EACCME/Sections&Boards credits every 5 years. European Certification: What Should be Certified in the Future?

It is better for the profession not to do anything and keep things like they are today… European Accreditation and Certification: What Should we do in the Future?

Nothing is happening !!! Accreditation Certification Accreditation

It is better for the profession not to do anything and keep things like they are today… But then… We have to be aware of the possibility that others will regulate everything for us… European Accreditation and Certification: What Should we do in the Future?

European Accreditation/Certification: We need to work together ! S & B UEMS EACCME ECCIS Scientific Societies EU NAAs

Otherwise…(the Past)

S & B UEMS EACCME ECCIS Scientific Societies EU NAAs European Accreditation/Certification: We need to work together ! (Today & Future)