UNION EUROPÉENNE DES MÉDECINS SPÉCIALISTES voice of European medical specialists

1. UNION EUROPÉENNE DES MÉDECINS SPÉCIALISTESvoice of European medical specialists 60 www.uems.eu info@uems.eu

2. UNION EUROPÉENNE DES MÉDECINS SPÉCIALISTES UNION OF EUROPEAN MEDICAL SPECIALISTS • Full Members • National Medical Associations of the 28 EU Member States & of the 3 European Economic Area Countries • Other members • 4Associate Members: Armenia, Israel, Serbia &Turkey • 5 Observers:Georgia, Iraq, Lebanon, Morrocco, Tunisia UEMS 2018

3. high level of specialist professionalcompetence and medical care in Europe Postgraduate Training (PGT) Harmonisation of the specialist training and CME through interdisciplinary European collaboration Continuing Medical Education (CME) Quality Assurance in Specialist medical practice UEMS 2018

4. CPD, PGT, CME, … • CPD - alleducationalactivitiesthatoccurafterobtaining the license to practicemedicine • PGT - training to obtain a title of specialist • CME - educationalactivitiesaimed at improvingquality of practice: LEE, e-learning, subspecialty/specialcompetencetraining Medical Studies CME PGT UEMS 2018

5. UEMS proposals PGT • Voluntaryharmonisation • European Training Requirements for PGT • Common Training Frameworks • European Examinations • European Professional Card UEMS 2018

6. UEMS-CESMA GUIDELINE FOR THE QUALITY CONTROL • Three important problems: • Not all countries have established mechanisms for assessing the qualifications of medical professionals upon completion of their training prior to accrediting them as specialists. • Some countries evaluate the progress of a trainee while in training but do not have an overall exit assessment prior to their accreditation as specialists. • The existing national assessment processes are reflecting the national training framework and they do not guarantee in any way that a specialist has the necessary qualifications to practise atpan-European level. UEMS 2018

7. Subsidiarityvsharmonisation • Subsidiarityis the guidingprinciple in organisation of healthcare services. • Professional and patients' mobility, and differences in healthcaresystemscall for harmonisation. 2008 - 2017 UEMS 2018

8. UEMS Charter • on TRAINING of MEDICAL SPECIALISTS in the EUROPEAN COMMUNITY (1993) • The Charter describes the requirements for adequate training, which prepares specialists for practice of their specialty at an appropriate level in any Member State of the EC. UEMS 2018

9. UEMS Charter on Training • This aim is achieved by the following means: • recommendations for setting and maintaining standards of training, • recommendations for training quality, • recommendations for setting standards and recognition of training institutions, • monitoring of the contents and quality and the evaluation of training in the EC member states, • facilitation of exchange of trainees between the EC member states • facilitation of free movement of specialists in the EC. UEMS 2018

10. UEMS Charter on Training • Chapter 1 - National Authority • Chapter 2 - General aspects • Chapter 3 - Requirements for traininginstitutions • Chapter 4 - Requirements for trainers • Chapter 5 - Requirements for trainees • Chapter 6 - Requirements for a specialty UEMS 2018

11. UEMS 2018

12. Training Requirements for the Specialty of ... • I. Trainees • 1. Content and outcome • theoreticalknowledge, • practical and clinicalskills, • competences • 2. Organisation of training • schedule • curriculum • assessment and evaluation • governance UEMS 2018

13. Training Requirements for the Specialty of ... • II. Trainers • 1. Process for recognition as trainer • requested qualification and experience, • corecompetences for trainers • 2. Quality management for trainers UEMS 2018

14. Training Requirements for the Specialty of ... • III. Training institutions • 1. Process for recognition as training center • staff and clinicalactivities, • equipment, R&D, accommodation • 2. Quality Management within Training institutions UEMS 2018

15. UEMS ETRs • 45 ETR documentsadopted by the UEMS Councilareavailable • Templatehasbeenadopted • ETR Review Committeeestablished UEMS 2018

16. UEMS ETRs status • Specialties and specialcompetencies • Voluntary • European standard • General • Applicable • Requirelocaladd-ins UEMS 2018

17. UEMS ETRsgoodpractice • European consultation • Cooperation with relevant ESS • Interdisciplinaryconsultation • Traineesinvolvement • Patientsinvolvement • Vulnerablepopulations • Competencebased • Evaluation mechanisms • Scheduledreview UEMS 2018

18. UEMS CHARTER ON VISITATION OFTRAINING CENTERS • This charter presents the general outlinesof a national program for visitation of training centers. • Voluntary program • The level of training is compared with criteria that are adopted bythe national professionalauthority charged with the assurance of quality of training in the particular EU member state. UEMS 2018

19. UEMS CHARTER ON VISITATION OFTRAINING CENTERS • Annexes: • Questionnaire for Chief of Training • Questionnaire for Trainees • Checklist for visitors • Model Visitation Report UEMS 2018

20. European Examinations • Based on ETRs • In 1984 the first European Examination was established - European Diploma of Anaesthesiology. • Glasgow Declaration (07.02.2017) - creation of CESME • 34 examinationsareavailablenow. UEMS 2018

21. ETRs - waysforward • Methodology • Modern educationalmethods • Simulationtechnologies • Adapting to staffshortages • Adapting to healthcaresystems’ needs • Avoidingsuperspecialisation UEMS 2018

22. ETRs - waysforward • Organisation • Continuous proces • Portfolio • ETRs Review Committee • Support among the UEMS bodies • ETRs for eachAnnex V specialty • Accreditation of trainers • European specialisation UEMS 2018

23. CPD/CME in Europe UEMS 2018

24. European CPD/CME • Ethicalobligation • Somedegree of formalisationisnecessary • No single bestway to organise and regulate CPD/CME • Medical professionhas to takecare of and responsibility for CPD • Healthcare systemshave to support CPD/CME UEMS 2018

25. Thankyou 60 www.uems.eu info@uems.eu