1. WFME WORLD FEDERATION FOR MEDICAL EDUCATION

2. MEDINE Task Force III on Quality Assurance Standards Developing European Standards in Medical Education based on the WFME Global Standards by Hans Karle MEDINE ANNUAL CONFERENCE PRAGUE, CZECH REPUBLIC, MAY 2006

3. RESPONSIBLE ORGANISATIONS zWorld Federation for Medical Education (WFME). zAssociation of Medical Schools in Europe (AMSE). WFME May 2006

4. MEMBERS OF MEDINE TASK FORCE III Dr. Hans Karle (WFME chair), Denmark Professor, Dr. Herman J.M. van Rossum (AMSE chair), Netherlands Professor Leif Christensen, Denmark Professor Maria Rosa Fenoll-Brunet, Spain Professor Roger Green, UK Dr. Hannu Halila (UEMS chair), Finland Professor Jadwiga Mirecka, Poland Professor Iskender Sayek, Turkey Professor Dieter Scheffner, Germany Dr. Christophe Segouin, France Stud. med. Christina Jensen-Dahm WFME May 2006

5. TASK FORCE III SECRETARIAT World Federation for Medical Education (WFME) University of Copenhagen Faculty of Health Sciences The Panum Institute Blegdamsvej 3B DK-2200 Copenhagen N Denmark wfme@wfme.org WFME May 2006

6. OBJECTIVE I zWork to enhance overall standards of medical education in Europe through sharing of ideas, dissemination of best practice, and quality assurance, in conjunction with other European agencies such as ENQA and the regional ERA and making use of the work already carried out by the WFME. WFME May 2006

7. OBJECTIVE II zAnalyse how to adapt the WFME standards to the European context of medical education and to the Bologna process in order to establish minimum requirements for accreditation at medical schools in Europe. WFME May 2006

8. OBJECTIVE III zProduce a set of quality assurance standards for medical education in Europe, building on and adapting existing work such as the WFME Global Standards, as framework for institutional self-evaluation and for accreditation of undergraduate medical education programmes. WFME May 2006

9. PHASES OF MEDICAL EDUCATION zBasic Medical Education (undergraduate) zPostgraduate Medical Education zContinuing Medical Education (CME) (Continuing Professional Development (CPD) of Medical Doctors) WFME May 2006

10. TIMELINES zYear 1: Collection of information about existing accreditation methodologies, assessment systems and standards in European medical education. zYear 2: Analysis of previous data and comparison with international standards in medical education defined by WFME and IIME. zYear 3:Proposals for quality assurance standards for basic medical education, postgraduate medical training and continuing medical education (CME) for institutional self-evaluation and accreditation of undergraduate medical education programmes. WFME May 2006

11. WFME TRILOGY OF GLOBAL STANDARDS A foundation for accreditation

12. WFME GLOBAL STANDARDS: TWO LEVELS OF ATTAINMENT z Basic Standards or Minimum Requirements (“musts”) Accreditation foundation to be met from the outset zStandards for Quality Development (“shoulds”) Reform purposes in accordance with international consensus about best practice WFME May 2006

13. WFME GLOBAL STANDARDS: ORIENTATION AND COVERAGE Institutional/Educational Programme Level zInstitutional structure and organisation zCurriculum/content/process zLearning environment zOutcome zManagement WFME May 2006

14. Basic Medical EducationPostgraduate Medical Education Continuing Professional Development (CPD) 1. Mission and Objectives1. Mission and Outcomes 2. Educational Programme2. Training Process2. Learning Methods 3. Assessment of Students3. Assessment of Trainees3. Planning and Documentation 4. Students4. Trainees4. The Individual Doctor 5. Academic Staff/Faculty5. Staffing5. CPD-Providers 6. Educational Resources6. Training Settings and Educational Resources 6. Educational Context and Resources 7. Programme Evaluation7. Evaluation of Training Process 7. Evaluation of Methods and Competencies 8. Governance and Administration 8. Governance and Administration 8. Organisation 9. Continuous Renewal WFME Trilogy of Standards: Areas

15. Basic Medical EducationPostgraduate Medical Education and CPD Medical knowledge – biomedical, clinical, behavioural and social sciences and ethics Patient care – health problems and health promotion Attitudes and clinical skills – history taking, physical examinations, procedures, emergency practices Medical knowledge – biomedical, clinical, behavioural sciences and ethics Communication skills, ICTInterpersonal and communication skills, ICT Treatment, prevention and health promotion Appraisal of new scientific knowledge Clinical reasoning and problem solvingSupervisor, trainer and teacher Ability to undertake life-long learningScholar Professional developmentKnowledge of public health and health policy Understanding of health care Professionalism WFME Trilogy of Standards: Competencies

16. Basic Medical Education (Student + graduates) Postgraduate Medical Education (Trainees) CPD (Medical doctors) Definition and statement of methods Definition and statement of methods Documentation of needs Criteria for passing exams Monitoring of relevant CPD-activities Documentation of reliability and validity Documentation of reliability and validity Use of self-assessment Balance between formative and summative assessments Emphasis on formative, in-training methods Use of portfolio and site visits by peers Number of and balance between written and oral exams Use of portfolio and log-book-system Criteria for maintenance of licensure (documentation for practice exper. and CPD) Use of integrated assessmentsSpecial exams: OSCE etc. Special exams: OSCE etcUse of external examiners Development of new methods WFME Trilogy of Standards: Assessments

17. USE OF STANDARDS zFramework for institutional (voluntary) self- evaluation zExternal evaluation and counselling from peer review committees, including site visits zCombination of these procedures zRecognition and accreditation of institutions/programmes WFME May 2006

18. CONCLUSIONS FROM FIRST TASK FORCE MEETING, AMSTERDAM, JANUARY 2006 zEurope to be defined as the geographical area covered by the European Council zWorking conditions for the Task Force accepted zSurvey about quality assurance instruments for medical education institutions and programmes and each of the European countries zProposal for European standards WFME May 2006

19. SURVEY OF QUALITY ASSURANCE AND ACCREDITATION OF MEDICAL EDUCATION IN THE EUROPEAN REGION Questionnaire divided in: A. Information on Quality Assurance and Accreditation of Basic (Undergraduate) Medical Education. B. Information on Quality Assurance and Accreditation of Postgraduate Medical Education. C1. Information on Quality Assurance and Accreditation of Continuing Medical Education (CME). C2. Information on Quality Assurance and Accreditation of Continuing Professional Development of Medical Doctors (CPD). WFME May 2006

20. DEVELOPING EUROPEAN STANDARDS - WFME STANDARDS AS A TEMPLATE Conclusions from first Task Force meeting zWFME global standards considered relevant and adequate zEuropean standards could be more detailed zEuropean standards should not be very prescriptive zProbably no need for sub-regional variation zRelationship to results from Task Force I on competencies WFME May 2006

21. DEVELOPING EUROPEAN STANDARDS - WFME STANDARDS AS A TEMPLATE Conclusions from first Task Force meeting zMethods to be used in development: yChange of division line between basic standards and standards for quality development yModification of annotations yIn some cases additions/deletions ySpecial remarks regarding the European region WFME May 2006

22. WFME Global Standards in Basic Medical Education 1 MISSION AND OBJECTIVES 1.1 STATEMENTS OF MISSION AND OBJECTIVES Basic standard: The medical school must define its mission and objectives and make them known to its constituency. The mission statements and objectives must describe the educational process resulting in a medical doctor competent at a basic level, with an appropriate foundation for further training in any branch of medicine and in keeping with the roles of doctors in the health care system. Quality development: The mission and objectives should encompass social responsibility, research attainment, community involvement, and address readiness for postgraduate medical training. WFME May 2006

23. WFME Global Standards in Basic Medical Education 1 MISSION AND OBJECTIVES 1.1 STATEMENTS OF MISSION AND OBJECTIVES Annotations: Statements of mission and objectives would include general and specific issues relevant to institutional, national and regional policy. Any branch of medicine refers to all types of medical practice and medical research. Postgraduate medical training would include preregistration training, vocational training, specialist training and continuing medical education/professional development. WFME May 2006

24. THE EUROPEAN VERSION OF WFME GLOBAL STANDARDS FOR BME z No present change of the global standards z Issuing an addendum: the European version to be followed by the global standards plus the addendum zContent of the addendum: y An introduction with a list of the quality development standards to be regarded as basic standards in the European Region y Supplement to the annotations: “Specifications for the European Region” WFME May 2006

25. WFME WORLD FEDERATION FOR MEDICAL EDUCATION Web-site: http://www.wfme.org