postgraduate specialist training

Postgraduate specialist training

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Organization

• Centralized system – Center for Postgraduate Medical Training– Center for Medical Examinations

• Law on medical profession • 79 specialties • Training 5-6 years • Residency • Modular system to be introduced 2011-09-30 ZEVA Kraków 2

Chamber proposals

• Facilitation – more residency posts – better salary – transparent admission procedures

• Modular system • Taking over specialist training• Internship

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UEMS

Romuald Krajewskivice-president

Union Europeenne des Medecins Specialistes

• Established in 1958• Membership: 35 national medical associations• 45+ medical specialties through UEMS Sections &

Boards• ca. 1,4 million medical specialists across Europe

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66

Specialist Sections*2 delegates nominated by the

national monospecialist association

European Boards*

2 delegates per country(Balance profession-academia)

Council*Plenary decisions

2 delegates per country

Board*

Financial matters1 Head of delegation per country

SecretariatBrussels

Executive*Daily management

President, Secretary General, Treasurer, Liaison Officer

+ Vice-Presidents (4)

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Sections and Boards

• 38 Sections– Divisions

• 9 Multidisciplinary Joint Committees

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88

Specialist Sections*2 delegates nominated by the

national monospecialist association

European Boards*

2 delegates per country(Balance profession-academia)

Council*Plenary decisions

2 delegates per country

Board*

Financial matters1 Head of delegation per country

SecretariatBrussels

Executive*Daily management

President, Secretary General, Treasurer, Liaison Officer

+ Vice-Presidents (4)

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Formal Agreements

• 28 UEMS Sections • 18 National Authorities • AMA • CMA

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1111

Specialist Sections*2 delegates nominated by the

national monospecialist association

European Boards*

2 delegates per country(Balance profession-academia)

Council*Plenary decisions

2 delegates per country

Board*

Financial matters1 Head of delegation per country

SecretariatBrussels

Executive*Daily management

President, Secretary General, Treasurer, Liaison Officer

+ Vice-Presidents (4)

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ECAMSQ

• Quality of medical care • Significant differences between curricula

– Recognition based on time spent

• Pressures for shorter training period • Atomization of specialties

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ECAMSQ

• Professional mobility • Harmonization • Revalidation/recertification • Initiative of medical profession

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What is needed for a specialist training?

• Harmonized training program• Log book of training activities • Decent working conditions for the trainees (income

and working times)• Clear Definition of Specialties throughout Europe

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Competent doctorCompetent doctor

Competence based education/training

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.knowledge.knowledge + skill+ skill + attitude + attitude

European Council for Accreditation of Medical Specialist Qualification (ECAMSQ)

• “Fusion” of the Working Group on PGT of the UEMS and CESMA

• Electronic Platform• Certification

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Glasgow Declaration

• European Board Examinations have no legal status

• European Board Examination is complimentary to national examinations

• To be considered as a Label of Excellence

• Clear Curriculum and Reference Book

• Clear Eligibility criteria

• Certificates for successful application • Promotion of the European Examinations

Currently there are European Examinations in 23 specialties.

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ECAMSQ e-platform

• Pilot project for 2+ years• 4 UEMS Sections

– Anesthesiology– Cardiology – Intensive Care Medicine– Radiology

• After the pilot project :– Evaluation of the outcomes– Extension to UEMS S&Bs and MJCs

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Future?

• European curricula • Standardized documentation of training • Standardized assessment tools • 28th system

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