Continuing Medical Education system in Europe and the role of UEMS-EACCME

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

2. 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

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

4. 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

5. 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

6. 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

7. 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…

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

9. 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

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

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

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

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

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

15. Are doctors required to perform CME-CPD in your country ? 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

16. Is it mandatory ? • 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)

17. 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…

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

19. 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

20. How is it made mandatory? • Armenia • Croatia • Czech Republic • France • Germany • Greece • Poland • Romania • Slovakia • Austria • Hungary • Latvia • Lithuania • Netherlands • Slovenia • Ireland • Italy • Switzerland

21. European CME Credits(ECMEC‘s) CreditsUEMS suggestion Fullcredits 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 therules of the National Accreditation Authority For instance : can have a maximum weighting factors can be introduced nationally

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

23. 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

24. Accreditation Requests

25. 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 תודה רבה Grazie mille Takk ευχαριστώ Kiitos Faleminderit Köszönöm Dėkoju მადლობა Ginkuje