Continuing Medical Education system in Europe and the

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

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

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

Continuing Professional Development (CPD) • 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

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

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

Countries have different media they are granting credits on Common : • Individual Events • Conferences • Scientific Meetings But also : • Enduring Materials – CD Rom • Internet Courses • Articles • Reviewing of litterature • Case reviews • Other…

What activities are granted accreditation by UEMS-EACCME now? • Currently: • Individual Events • Conferences • Scientific Meetings • Internet Courses • Future: • Enduring Materials – CD Rom • CME Providers ( ? )

Quality Requirements CME • • • Written statement learning objectives Submitting full data provider Disclosure potential conflict interest Attendance, mechanism for feed-back Report, assessment by Provider Non-biased education, either commercial or otherwise

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

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

Application through N. A. A. Organiser Request > 12 weeks UEMS - EACCME N. A. A. Sections Evaluation UEMS - EACCME Certificate of Recognition Organiser

Organiser Request > 12 weeks Application through E. S. A. B. UEMS - EACCME N. A. A. Sections Evaluation UEMS - EACCME Certificate of Recognition Organiser

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

Are doctors required to perform CME-CPD in your country ? 21% 79% yes no ■ ■ ■ ■ ■ 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

Is it mandatory ? 3% 44% yes 53% no partly § § § § § 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)

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

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

Shift to mandatory CME in Europe • UEMS policy: CME is an ethical obligation and should not be mandatory • Voluntary CME is effective on macro-level • But, on individual level participation has to be encouraged Mandatory CME is not effective in the weeding out of bad apples

How is it made mandatory? 33% 56% 11% by law professionnal requirement recertification / relicensing § § § § § Armenia Croatia Czech Republic France Germany Greece Poland Romania Slovakia § § § Austria Hungary Latvia Lithuania Netherlands Slovenia § § § Ireland Italy Switzerland

European CME Credits (ECMEC‘s) Credits UEMS 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

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

Conversion Table • Spain 1 ECMEC = 0, 12 Spanish Credits • Belgium 1 ECMEC = 1 CP • Romania 1 ECMEC = 1 Romanian Credit • Sweden 1 ECMEC = 1 Swedish Credit • Germany 6 ECMEC = 8 German Credits

Accreditation Requests

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