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Continuous Medical Education Continuous Professional Developement. Duties and Challenges for the Berlin Medical Association. CME – Medical Code. The professional medical code (as adopted at the German Medical Assembly) describes the following requirements:
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Continuous Medical Education Continuous Professional Developement Duties and Challenges for the Berlin Medical Association
CME – Medical Code The professional medical code (as adopted at the German Medical Assembly) describes the following requirements: The practising physician is obliged to extend his medical knowledge and to inform himself about the currently valid provisions affecting his practice of medicine. Conceptional conditions
CME - Regulations • The General Medical Association is committed to the duty of the medical profession to undergo continuing medical education. • Specialists are under the obligation to participate continuously in certified CME programmes of the Medical Association at local or at national level, in order to be able to exercise their profession according to the state of the art. • A physician must provide the competent medical association with suitable evidence that he has used the mentioned CME opportunities. • In order to give medical specialists the possibility to document publicly their participation in structured CME, the Medical Associations have implemented the CME certificate. Conceptional conditions
CME - Regulations Model regulation of CME:containsrecommendations on the characteristics and conditions needed for effective integration of formal CME. • All specialists have to gather 250 CME credit-pointsover aperiod of 5 years – this amountresults in the CME-certificate. • One CME point is equivalent to a CME unit, which corresponds to45 minutes. • The CME certificateis valid for a period of 5 years,after this period its validity expires automatically. • The law applicable to all procedures referred to in this guideline is the “Allgemeine Verfahrensordnung” i.e. the (State) law regulating administrative procedures. Conceptional conditions
CME mandatory for M.Ds. in Germany Mandatory CME – Certificate Statutory Health Insurance Physicians 250 Credits / 5 years Conceptional conditions Mandatory CME – Certificate Physicians in Hospitals 250 Credits / 5 years Voluntary CME – Certificate via Medical Associations 150 Credits / 3 years 1.7.2004 1.1.2006 2001 2002 2003 2004 2006 2009 2010 2011 2005 2007 2008
Germany: § 95d Social Security Code V (effective 2004-01-01)- (1) -CME mandatory for M.Ds. within the National Association ofStatutory Health Insurance Physicians (>2004-07-01) • Consequences, if CME–proof is uncompleted or lacking: • 1st quarter of the year after 5 y.: 10% cut off from fees • 5th quarter of the year after 5 y.: 25% cut off from fees Cut off from fees stops at the end of the year in which the completed CME-proof is shown up officially. • Consequence, if CME–proof is uncompleted or lacking >2 years after the 5-y-period: withdrawal of accreditation / contract Conceptional conditions
Germany: § 137 Social Security Code V (effective 2006-01-01)- (2) -CME mandatory for M.Ds. in Hospitals (>2006-01-01) • No Consequences, if CME–proof is uncompleted or lacking: But: participation in structured CME is published inHospital-Quality Reports / Internet ! Conceptional conditions
CME - Credits (250 P / 5 Y )Vote of the 107th Annual Meeting of the German Panel of M.D.s 2004 - 05 Category A Plenary session with discussion 8 points per day B Congress 6points per day C Workshops, Seminars, Balint-Groups, Case-Conferences, Seminars in small working-groups 1point per CME-hour D Interactive CME/CPD: medical journals, CD-ROM, Internet 1point per CME-unit Addit. 1 : 70% o.k./10 quest. E Individual reading of journals and other written information 50points in 5 years - Without any verification - F Author, Lecturer, Speaker G Hospitation, specified training 1 point per CME-hour H PMT - courses 1 point per CME-unit Conceptional conditions 1 point = 1 CME-Unit/ corresponds to 45 min. or “equivalent”
Relative Frequency of Certified CME-Programmes in Berlin Other categories (D – H) Category A: Plenary session with discussion Conceptional conditions Category A: 42% Category C:56% Category C: CME-programmes in small groups/ intensive participation of each participant Category B:congresses Category B:2%
CME - Regulations • Promoters have the possibility to apply for the certification of one or several events by specifying in their application the medical field(s) and the kind of CME for which certification is sought. • Applications for certification have to be addressed directly to the Berlin Medical Association. • The decision on certification and on the amount of credit-points awarded is made by the Berlin Medical Association. • The medical association is authorised to levy a fee for the expenses relating to certification. The board of the Medical Association determines the amount of this fee. Conceptional conditions
Increase of Certified CME-Programmes2001-2006 CME-events / year Conceptional conditions
Process of CME-certification by the Berlin Medical Association Application only online via the Website www.aekb.de • Certification • Publication in the calender of events of the BMA Tasks of the Berlin MA • Check: • CME-Criteria o.K ? • Is there a schedule (attachment)? • Is there a sponsoring/ commercial provider?/ Degree of sponsoring? Recognition of application-data If necessary: further data Advisory board or: Refusal (5% of all applications)
The application-form consists of several parts with different keywords. • The form requires precise information on the meeting which is submitted for CME-certification: • Date, venue, length • Schedule • Medical head and speakers • Degree of sponsoring • Please note: • Every promoter has to ensure the independence and freedom from economic interests of the event he has submitted for certification.
Search for CME-meetings corresponds to individual interests, selection with regard to: • Chonological order • Specialisation • Full-text-search = Online-Calendar of Events CME-meetings
Each link from this list of CME-events provides by mouse-click detailed information on the chosen CME-event
CME – ID - # - card For each physician: personal CME - ID-# 15-digits Challenges
CME-meeting List: every doctor documented his participation Challenges
Assigning CME-Credits to the CME-Account Berlin Medical Association application certification CME-Account Provider Certification event data Identity-card with individual CME-number Electronic Information Vehicle: central server Data of participants Challenges
CME-Account Online: Individual List of participation in structured CME