03 maillet.ppt
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Dr. Bernard MailletDr. Bernard MailletSecretary GeneralSecretary GeneralUEMS - EACCMEUEMS - EACCME
The role of the UEMS-EACCME in the mutual recognition of credits
throughout Europe
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U. E. M. S.U. E. M. S.
Union Européenne des Médecins Union Européenne des Médecins SpécialistesSpécialistes
European Union of Medical European Union of Medical SpecialistsSpecialists
Umbrella organization National Associations Umbrella organization National Associations of Medical Specialists located in Brusselsof Medical Specialists located in Brussels
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1957 EEC
Treaty of Rome
Foundation of the UEMS in Foundation of the UEMS in 19581958by the professional organiby the professional organissationsationsof medical specialists of medical specialists ofof
BelgiumBelgiumFranceFranceGermanyGermanyItalyItalyLuxembourgLuxembourgthe Netherlands
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StructureStructure
National Medical AssociationsNational Medical Associations
Sections and BoardsSections and Boards
EACCMEEACCME
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National Medical National Medical AssociationsAssociations
Are represented in the Management CouncilAre represented in the Management Council
Determine the Policy of the UEMSDetermine the Policy of the UEMS
Can adopt or endorse documents presented Can adopt or endorse documents presented by other organs of the UEMS to be distributed by other organs of the UEMS to be distributed on to the National Medical Associationson to the National Medical Associations
For Italy : FNOMCeOFor Italy : FNOMCeO
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AccreditationAccreditation
TTwwo mao majjor partners in the process :or partners in the process :
NatiNatioonal Accrenal Accreddiittaattion Authoritiesion Authorities
EACCMEEACCME
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Phases of Medical LifePhases of Medical Life
• UndergraduateUndergraduate• 5 years average5 years average
• Exam/AssessmentExam/Assessment
• Specialist TrainingSpecialist Training• 5 years average5 years average
• Exam/AssessmentExam/Assessment
• Professional LifeProfessional Life• LifelongLifelong
• Formal Requirement to show Formal Requirement to show CME/CPD activityCME/CPD activity
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Continuing Medical Education Continuing Medical Education (CME)(CME)
Maintenance of Academic Knowledge Maintenance of Academic Knowledge and Skillsand Skills
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Continuing Professional Continuing Professional DevelopmentDevelopment (CPD) (CPD)
• Means of Updating, Developing and Means of Updating, Developing and Enhancing how Doctors apply the Enhancing how Doctors apply the Knowledge, Skills and Attitudes Knowledge, Skills and Attitudes required in their working lives.required in their working lives.
• The Competence development The Competence development includes CME + Personal, Managerial, includes CME + Personal, Managerial, IT, Communication and Social skills.IT, Communication and Social skills.
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NNaatitioonal Accreditatnal Accreditatiion on AuthorityAuthority
Ministry of Health – Health AuthorityMinistry of Health – Health AuthorityMinistry of Social AffairsMinistry of Social AffairsPProfessional Bodiesrofessional BodiesMMedical Aedical AsssociationssociationsUniversitiesUniversitiesNNot ot eexistingxisting
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E A C C M EE A C C M E
Purpose UEMS policyPurpose UEMS policyContribute to quality and Contribute to quality and
harmonization of CME in Europeharmonization of CME in EuropeTo make life easier for our colleagues To make life easier for our colleagues
by easing access to international CMEby easing access to international CMEDeveloping quality guidelinesDeveloping quality guidelinesMaintaining National AuthorityMaintaining National Authority
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ProcedureProcedure
Application formApplication formQuality Assurance of the activityQuality Assurance of the activityNational approvalNational approvalNormally for single events and Normally for single events and
accreditation is granted only on a case accreditation is granted only on a case by case basisby case basis
Confirmation of European AccreditationConfirmation of European Accreditation
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ProcedureProcedure
Proof of AttendanceProof of AttendanceQuality requirementsQuality requirementsAdministrative expenses of EACCMEAdministrative expenses of EACCMERegistration by the EACCMERegistration by the EACCME
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Quality of CMEQuality of CME
No scientific proof of efficacy of No scientific proof of efficacy of attending congresses, courses, attending congresses, courses, symposia by individual professionals.symposia by individual professionals.
Abundant evidence of rapid Abundant evidence of rapid improvement of medical practice improvement of medical practice through utilisation of new developments.through utilisation of new developments.
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Quality aspects CMEQuality aspects CME
Need orientationNeed orientation::– Definition learning objectivesDefinition learning objectives– Description target audienceDescription target audience– Assessment relevance CME objectsAssessment relevance CME objects– No accreditation promotional activitiesNo accreditation promotional activities– No accreditation useless activitiesNo accreditation useless activities
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Quality Requirements CMEQuality Requirements CME
Written statement learning objectivesWritten statement learning objectivesSubmitting full data providerSubmitting full data providerDisclosure potential conflict interestDisclosure potential conflict interestAttendance, mechanism for feed-backAttendance, mechanism for feed-backReport, assessment by ProviderReport, assessment by Provider
Non-biased education, either Non-biased education, either commercial or otherwisecommercial or otherwise
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Requirements for European Requirements for European accreditationaccreditation
Quality assessment by independent Quality assessment by independent professional organization, such as European professional organization, such as European Boards, national and European Societies Boards, national and European Societies (guidelines D 9908)(guidelines D 9908)
Assessment and approval by the national Assessment and approval by the national CME regulating body of the country where the CME regulating body of the country where the activity takes placeactivity takes place
Guarantee of recognition of EACCME creditsGuarantee of recognition of EACCME credits
See UEMS Documents D 0134 and D 0140See UEMS Documents D 0134 and D 0140
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Mandatory CMEMandatory CME
Legal :Legal : Austria, France, Italy, Austria, France, Italy, Netherlands, SwitzerlandNetherlands, Switzerland
Financial :Financial : Belgium, NorwayBelgium, NorwayProfessional :Professional : Germany, Ireland, Spain, Germany, Ireland, Spain,
United KingdomUnited KingdomVoluntary :Voluntary : Denmark, Finland, Greece, Denmark, Finland, Greece,
Iceland, Luxembourg, Iceland, Luxembourg, Portugal, SwedenPortugal, Sweden
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Financing of CMEFinancing of CME
CME is paid by patientsCME is paid by patients – insurance premiumsinsurance premiums– hospital and other billshospital and other bills– fees of doctors and other professionalsfees of doctors and other professionals– taxestaxes– prices pharmaceutical productsprices pharmaceutical products– outside funding is the exceptionoutside funding is the exception
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What Activities are recognised?What Activities are recognised?
• Currently:Currently:• Individual EventsIndividual Events
• ConferencesConferences• Scientific MeetingsScientific Meetings
• Future:Future:• CME ProvidersCME Providers
• Enduring Materials – CD RomEnduring Materials – CD Rom• Internet CoursesInternet Courses
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Event
Draft FlowchartDraft FlowchartAccreditation in EuropeAccreditation in Europe
EuropeanAccreditation Bodies
National AccreditationAuthorities
National
International
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EventEvent
Draft FlowchartDraft FlowchartAccreditation in EuropeAccreditation in Europe
National AccreditationNational AccreditationAuthoritiesAuthorities
NationalNational
Evaluate the value of the meetingEvaluate the value of the meeting
Grant the credits according to the National rulesGrant the credits according to the National rules
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EventEvent
Draft FlowchartDraft FlowchartAccreditation in EuropeAccreditation in Europe
InternationalInternational
European Accreditation BodiesEuropean Accreditation Bodies
Evaluate the value of the meetingEvaluate the value of the meetingPropose a number of creditsPropose a number of credits
National Accreditation AuthoritiesNational Accreditation Authorities
Accept the scientific evaluation by the UEMS Sections and BoardsAccept the scientific evaluation by the UEMS Sections and BoardsApply the number of credits relating to the national rulesApply the number of credits relating to the national rules
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Scientific approvalScientific approval
Done by Accreditation Boards of theDone by Accreditation Boards of the
involved specialty :involved specialty :
UEMS Sections and/or Boards UEMS Sections and/or Boards
European Specialty Accreditation European Specialty Accreditation BoardsBoards
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EEuuropean Speropean Speccialty ialty AccreditatAccreditatiion on BBoardsoards
• Cardiology :Cardiology : EBACEBAC• PneumolPneumoloogy :gy : EEBABAPP• InfectioInfectiouus Diseases :s Diseases : EBAIDEBAID• Oncology Oncology :: AACOECOE• NNuclear Medicine uclear Medicine :: EBNMEBNM• Allergology :Allergology : EAACIEAACI• Urology :Urology : EBUEBU• Dermatology :Dermatology : EBDVEBDV
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EEuuropean Speropean Speccialty ialty AccreditatAccreditatiion on BBoardsoards
• Delegates from UEMS Section and/or Board
• Delegates from Scientific Society of that Speciality
• Working Group• Represent the Field in the Speciality
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CreditsCredits
Draft FlowchartDraft FlowchartAccreditation in EuropeAccreditation in Europe
UEMS suggestionUEMS suggestion
Half Half dday :ay : 3 E(uropean) CME C(redit) ’s3 E(uropean) CME C(redit) ’s
FuFulll day : 6 E(uropean) CME C(redit) ’sl day : 6 E(uropean) CME C(redit) ’s
No adNo addditional credits for itional credits for ssatellite seminarsatellite seminars
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CreditsCredits
Draft FlowchartDraft FlowchartAccreditation in EuropeAccreditation in Europe
UEMS suggestionUEMS suggestion
FullFull credits (E CME C)credits (E CME C)
No weNo weiighted factorsghted factors
TTrraansnsllation of these ECMEC’s ation of these ECMEC’s tto Natio Natioonal credits can nal credits can ffololllow tow thhee rules rules oof tf thhe National Accreditation Authorite National Accreditation Authorityy
For instance :For instance : cacann have a maxim have a maximuummwweeighting factors can be intrighting factors can be introoduced nationallyduced nationally
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SummarySummary
HarmonisationHarmonisationSimplificationSimplificationSame criteriaSame criteria Two major partners :Two major partners :
– National Accreditation AuthorityNational Accreditation Authority– European Accreditation BoardsEuropean Accreditation Boards
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International International aagreements on greements on AccreditationAccreditation
Mutual agreement between the AMA and the Mutual agreement between the AMA and the UEMS-EACCME.UEMS-EACCME.
Mutual agreement between the AMA and the Mutual agreement between the AMA and the Canadian and Mexican Accreditation Canadian and Mexican Accreditation Authorities.Authorities.
Contacts started with the Far East, Middle Contacts started with the Far East, Middle East, Asia, Oceania and AfricaEast, Asia, Oceania and Africa
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European UnionEuropean Union
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Greater EuropeGreater Europe
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U.E.M.S.U.E.M.S.Union Européenne des Médecins Union Européenne des Médecins
SpécialistesSpécialistesEuropean Union of Medical SpecialistsEuropean Union of Medical Specialists
www.uems.netwww.uems.net