1. Continuing Medical Education system in Europe and the role of UEMS-EACCME Dr. Bernard Maillet Secretary General UEMS – EACCME - ECAMSQ

2. Secretary-General UEMS Secretary-General UEMS Pathologist in a Private Lab near by Brussels Pathologist in a Private Lab near by Brussels Member of EUCOMED’s Compliance Panel Member of EUCOMED’s Compliance Panel Vice-President of Mdeon Vice-President of Mdeon Member of the Rome Group Member of the Rome Group Disclosure

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

4. 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 Continuing Professional Development (CPD)

5. In most countries the internal structure of CME has been in evaluation In most countries the internal structure of CME has been in evaluation Mandatory systems (legal, financial or professional) developed in several countries Mandatory systems (legal, financial or professional) developed in several countries CME in Europe

6. Have different credit systems Have different credit systems Have different approaches on the procedure Have different approaches on the procedure UEMS tries to harmonize the process UEMS tries to harmonize the process Is the main player Is the main player We have to look at who is giving the license to practise We have to look at who is giving the license to practise National Accreditation Authorities

7. Common : Individual EventsIndividual Events ConferencesConferences Scientific MeetingsScientific Meetings But also : Enduring Materials – CD RomEnduring Materials – CD Rom Internet CoursesInternet Courses ArticlesArticles Reviewing of litteratureReviewing of litterature Case reviewsCase reviews Other…Other… Countries have different media they are granting credits on

8. Currently:Currently: Individual EventsIndividual Events ConferencesConferences Scientific MeetingsScientific Meetings Internet CoursesInternet Courses Future:Future: Enduring Materials – CD RomEnduring Materials – CD Rom CME Providers ( ? )CME Providers ( ? ) What activities are granted accreditation by UEMS-EACCME now?

9. 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 Quality Requirements CME

10. Organiser Request> 12 weeks UEMS - EACCME N.A.A.Sections EvaluationEvaluation UEMS - EACCME Certificate of Recognition Organiser

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

12. Organiser Request> 12 weeks UEMS - EACCME N.A.A.Sections EvaluationEvaluation UEMS - EACCME Certificate of Recognition Organiser ApplicationthroughN.A.A.

13. Organiser Request> 12 weeks UEMS - EACCME N.A.A.Sections EvaluationEvaluation UEMS - EACCME Certificate of Recognition Organiser ApplicationthroughE.S.A.B.

14. Participating countries Armenia Armenia Austria Austria Azerbaijan Azerbaijan Belgium Belgium Bulgaria Bulgaria Croatia Croatia Cyprus Cyprus Czech Republic Czech Republic Denmark Denmark Estonia Estonia Finland Finland France France Poland Poland Portugal Portugal Romania Romania Slovakia Slovakia Slovenia Slovenia Spain Spain Sweden Sweden Switzerland Switzerland Turkey Turkey United Kingdom United Kingdom Georgia Georgia Germany Germany Greece Greece Hungary Hungary Ireland Ireland Italy Italy Latvia Latvia Lithuania Lithuania Luxembourg Luxembourg Malta Malta Netherlands Netherlands Norway Norway

15. Are doctors required to perform CME-CPD in your country ? ■ Armenia ■ Austria ■ Belgium ■ Croatia ■ Cyprus ■ Czech Republic ■ Estonia ■ France ■ Georgia ■ Germany ■ Greece ■ Hungary ■ Ireland ■ Italy ■ Latvia ■ Lithuania ■ Luxembourg ■ Malta ■ Netherlands ■ Norway  Poland  Romania  Slovakia  Slovenia  Switzerland  Turkey  UK  Azerbaijan  Bulgaria  Denmark  Finland  Portugal  Spain  Sweden

16. Is it mandatory ?  Armenia  Croatia  Czech Republic  France  Germany  Greece  Hungary  Ireland  Italy  Latvia  Lithuania  Luxembourg  Netherlands  Poland  Romania  Slovakia  Slovenia  Switzerland  Belgium  Bulgaria  Cyprus  Denmark  Estonia  Finland  Georgia  Malta  Norway  Portugal  Spain  Sweden  Turkey  UK  Austria (partly)

17. Only theoretical measures Only theoretical measures “Last call” “Last call” Real effect on the license to practise or on the payment of the practitioner Real effect on the license to practise or on the payment of the practitioner “Mandatory” is not always what we think it means… What means “Mandatory” ?

18. Voluntary versus Mandatory CME Motivation Motivation Incentives Incentives Control mechanisms Control mechanisms The carrot is more effective than the stick…

19. UEMS policy: CME is an ethical obligation and should not be mandatory UEMS policy: 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 Shift to mandatory CME in Europe

20. How is it made mandatory?  Armenia  Croatia  Czech Republic  France  Germany  Greece  Poland  Romania  Slovakia  Austria  Hungary  Latvia  Lithuania  Netherlands  Slovenia  Ireland  Italy  Switzerland

21. European CME Credits (ECMEC‘s) CreditsUEMS suggestion Full credits ECMEC’s 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

22. UPDATING OF AGREEMENTS Spain Financial aspects (fee) Credits translation table 1 ECMEC = 0,12 Spanish Credits

23. Conversion Table SpainSpain 1 ECMEC = 0,12 Spanish Credits BelgiumBelgium 1 ECMEC = 1 CP RomaniaRomania 1 ECMEC = 1 Romanian Credit SwedenSweden 1 ECMEC = 1 Swedish Credit GermanyGermany 6 ECMEC = 8 German Credits

24. Accreditation Requests

25. Thank you Merci Muito obrigado Vielen Dank Grazie mille Muchas gracias Tack Dank U Kiitos ευχαριστώ сбасиво Dakujem Dziękuję Köszönöm Go raibh maith agaibh Ginkuje Grazzi Multumesc Takk Благодаря Dėkoju Gracies Faleminderit Hvala Teşekkürler Tänas תודה רבה Paldies شكرا جزيلا მადლობა Շնորհակալություն