1. UEMS General Information Dr. Bernard Maillet Secretary General

2. 1957 EEC Treaty of Rome Foundation of the UEMS in 1958 by the professional organisations of medical specialists of BelgiumFranceGermanyItalyLuxembourg the Netherlands

3. The study and promotion of the highest level of training of the medical specialists, medical practice and health care within the European Union. The study and promotion of free movement of specialist doctors within the European Union. Objectives of the UEMS

4. Harmonisation and improvement of quality of medical specialist training and practice in Europe Objectives of Sections of UEMS Professional defence of their specialty Harmonization of the profession at the European level

5. Establishment Specialist Sections Focus on European legislation Working towards mutual recognition of diplomas coupled with basic quality requirements Exchange diplomas effected 1975 UEMS, early years

6. Now National professional level : lack of unity European level : too many professional medical organisations European Union (SanCo) : limited to Public health, priorities : * Health surveillance * Health surveillance * Health threats, rapid response * Health threats, rapid response * Health determinants * Health determinants

7. Structure National Medical Associations Sections and Boards EACCME

8. Structure Management Council National Medical Associations Executive Committee PresidentTresurer Liaison Officer Secretary General 4 Vice - Presidents

9. Structure Sections and Boards Based on the different Specialities Fundamental organ that influences policy on Training Mutual Recognition CME / CPD in collaboration with EACCME

10. Sections Are a fundamental and specific structure Is the backbone of the UEMS Proposes minimal training schemes for specialisation Facilitates the harmonisation of training About 2000 specialists active in the work in Europe

11. Structure Membership of a Section Two specialist doctors of the EU or EFTA countries Appointed by their National Professional Monospecialist Organisation nominations approved by the National Medical Association representing the country at the UEMS Council appointment for four years, can be renewed twice

12. Structure Voting Rights in a Section Full member countries where the speciality is officially recognised Subject to payment of the subscription to the Section the others and the Associated Member Countries or the Observers acting in an advisory capacity

13. Board Working Group of a Section Equal representation of : Section Scientific Society of that Speciality

14. Structure EACCME Harmonize CME (– CPD) in Europe house to help Medical Specialists to exchange Act as a clearing house to help Medical Specialists to exchange their credits Has an agreement on mutual recognition of credits with the AMA

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

16. Continuing Professional Development (CPD) 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.

17. E A C C M E Purpose UEMS policy Contribute to quality and harmonization of CME in Europe Contribute to quality and harmonization of CME in Europe To make life easier for our colleagues by easing access to international CME To make life easier for our colleagues by easing access to international CME Developing quality guidelines Developing quality guidelines Maintaining national authority Maintaining national authority

18. Mandatory CME Legal :Austria, France, Italy, Netherlands, Switzerland Financial :Belgium, Norway Professional :Germany, Ireland, Spain, United Kingdom Voluntary :Denmark, Finland, Greece, Iceland, Luxembourg, Portugal, Sweden

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

20. Effects Mandatory CME Recognition CME credits by a National Regulating body, preferably a professional body Recognition CME credits by a National Regulating body, preferably a professional body Quality of CME activities is being assessed by a scientific body Quality of CME activities is being assessed by a scientific body End of freedom of CME providers to determine the content of their programs themselves

21. What Activities are Granted? Currently:Currently: Individual EventsIndividual Events ConferencesConferences Scientific MeetingsScientific Meetings Future:Future: CME ProvidersCME Providers Enduring Materials – CD RomEnduring Materials – CD Rom Internet CoursesInternet Courses

22. Event Draft Flowchart Accreditation in Europe European Accreditation Bodies National Accreditation Authorities National International

23. Event Draft Flowchart Accreditation in Europe National Accreditation Authorities National Evaluate the value of the meeting Grant the credits according to the National rules

24. Event Draft Flowchart Accreditation in Europe International European Accreditation Bodies Evaluate the value of the meeting Propose a number of credits National Accreditation Authorities Accept the scientific evaluation by the UEMS Sections and Boards Apply the number of credits relating to the national rules

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

26. Scientific approval Done by Accreditation Boards of the involved specialty : UEMS Sections and/or Boards UEMS Sections and/or Boards European Specialty Accreditation Boards European Specialty Accreditation Boards

27. European Specialist Accreditation Boards Collaboration between the UEMS Sections and the European Scientific Societies in the Field of the Specialisation Collaboration between the UEMS Sections and the European Scientific Societies in the Field of the Specialisation Section or Board of the UEMS Section or Board of the UEMS

28. National Accreditation Authority Ministry of Health – Health Authority Ministry of Health – Health Authority Ministry of Social Affairs Ministry of Social Affairs Professional Bodies Professional Bodies Medical Associations Medical Associations Universities Universities Not existing Not existing

29. Summary Harmonisation Harmonisation Simplification Simplification Same criteria Same criteria Two major partners : Two major partners : – National Accreditation Authority – European Accreditation Boards

30. Credits Draft Flowchart Accreditation in Europe UEMS suggestion Full credits (E CME C) 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

31. Organisor Request 3 months UEMS - EACCME N.A.A.E.S.A.B. Evaluation 3 weeks Evaluation UEMS - EACCME Letter of Acceptance Organisor

32. Objectives Agreements with National Accreditation Authorities Agreements with National Accreditation Authorities Agreement with Section and / or ESAB’s Agreement with Section and / or ESAB’s Harmonised uniform request form Harmonised uniform request form Harmonisation on fees Harmonisation on fees

33. Fees Sliding scale based on the number of participants Sliding scale based on the number of participants No relation between number of credits and the fee No relation between number of credits and the fee Single invoice Single invoice

34. Unity of purpose and policy Coordination of separate national medical organisations Coordination of European organisations Enlargement of investment by national medical organisations in European medical matters, in imagination, in people, expertise and financial means Future Tasks

35. Comparison European - National politics EuropeanNational ParliamentParliament ParliamentParliament CommissionerMinister CommissionerMinister CommissionAdministration CommissionAdministration DGMinistry DGMinistry Council of Ministers Council of Ministers

36. U.E.M.S. Union Européenne des Médecins Spécialistes Union Européenne des Médecins Spécialistes European Union of Medical Specialists European Union of Medical Specialistswww.uems.net