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

2. 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
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3. 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
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4. 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
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5. 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
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6. 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.
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7. 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.
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8. 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.
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9. 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.
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10. 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
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11. UEMS 2018
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12. 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
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13. 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
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14. 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
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15. UEMS ETRs 45 ETR documents adopted by the UEMS Council are available
Template has been adopted
ETR Review Committee established
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16. Specialties and special competencies Voluntary European standard
UEMS ETRs status
Specialties and special competencies
Voluntary
European standard
General
Applicable
Require local add-ins
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17. UEMS ETRs good practice
European consultation
Cooperation with relevant ESS
Interdisciplinary consultation
Trainees involvement
Patients involvement
Vulnerable populations
Competence based
Evaluation mechanisms
Scheduled review
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18. 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.
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19. UEMS CHARTER ON VISITATION OF TRAINING CENTERS
Annexes:
Questionnaire for Chief of Training
Questionnaire for Trainees
Checklist for visitors
Model Visitation Report
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20. European Examinations
Based on ETRs
In 1984 the first European Examination was established - European Diploma of Anaesthesiology.
Glasgow Declaration ( ) - creation of CESME
34 examinations are available now.
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21. ETRs - ways forward Methodology Modern educational methods
Simulation technologies
Adapting to staff shortages
Adapting to healthcare systems’ needs
Avoiding superspecialisation
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22. 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
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23. CPD/CME in Europe
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24. 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
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25. www.uems.eu info@uems.eu
Thank you 60