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CME/CPD, EACCME in UEMS
Dr. Bernard Maillet Secretary General UEMS -
EACCME
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U. E. M. S.

• Union Européenne des Médecins Spécialistes
• European Union of Medical Specialists
• Umbrella organization of National Associations
  of Medical Specialists located in Brussels

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• Phases of Medical Life
• Undergraduate 5 years average
• Exam/Assessment Diploma
• University
• Specialist Training 5 years average
• Exam/Assessment Certificate
• University and Profession
• Professional Life Lifelong
• Formal Requirement to show CME/CPD activity ?
• Profession

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Basic principles of the EU

• Free movement of - services - funds -
  products - manpower
• Free transfer of people and services applies to
  health care
• No discrimination regarding free movement on the
  basis e.g. language

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Keywords in Europe
Mobility

• Free movement of students
• Bologna process
• Free movement of doctors
• Directive on Recognition of Qualifications
• Free movement of patients

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Health and the EU

• Subsidiarity The organisation and delivery of
  health care is the responsibility of each member
  state
• Co-ordination of health matters is difficult at
  European level
• The concept of public health is not well
  defined

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1957 EEC Treaty of Rome
Foundation of the UEMS in 1958 by the
professional organisations of medical specialists
of Belgium France Germany Italy Luxembourg the
Netherlands
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UEMS - Structure
National Medical Associations Sections and
Boards EACCME
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National Medical Associations
27 EU Full Members 3 EEA Full
Members 5 Associate Members
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E A C C M E

• Purpose UEMS policy
• Contribute to quality and harmonization of CME in
  Europe
• To make life easier for our colleagues by easing
  access to international CME
• Developing quality guidelines
• Maintaining national authority

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E A C C M E

• Purpose UEMS policy
• Same procedure for each Specialty
• Same procedure for each Country
• Harmonisation of the fees
• Avoid multiplication of the process
• Have one entry

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

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Quality of CME

• No scientific proof of efficacy of attending
  congresses, courses, symposia by individual
  professionals.
• Abundant evidence of rapid improvement of medical
  practice through utilisation of new developments.

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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

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Financing of CME

• CME is paid by patients
• insurance premiums
• hospital and other bills
• fees of doctors and other professionals
• taxes
• prices pharmaceutical products
• outside funding is the exception

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Mandatory CME
AustriaCroatiaFranceGermany (in hospitals
practices)Great BritainHungaryIcelandItalyThe
Netherlands (for specialists)PolandSloveniaSwi
tzerland (for specialists)
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CME/CPD recommended for doctors but voluntary
Belgium IrelandCyprus IsraelCzech
Republic LuxembourgDenmark NorwayEstonia Po
rtugalFinland SpainGreece Sweden
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Shift to mandatory CME in Europe

• Policy UEMS 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

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What Activities are granted?

• Currently
• Individual Events
• Conferences
• Scientific Meetings
• Future
• CME Providers
• Enduring Materials CD Rom
• Internet Courses

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Draft Flowchart Accreditation in Europe
National AccreditationAuthorities
National International
Event
European Accreditation Bodies
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Draft Flowchart Accreditation in Europe
Event
National
National AccreditationAuthorities
Evaluate the value of the meeting Grant the
credits according to the National rules
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Draft Flowchart Accreditation in Europe
Event
International
European Accreditation Bodies Evaluate the
value of the meeting Propose a number of
credits National Accreditation
Authorities Accept the scientific evaluation by
the UEMS Sections and Boards Apply the number of
credits relating to the national rules
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Accreditation

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

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Scientific approval

• Done by Accreditation Boards of the
• involved specialty
• UEMS Sections and/or Boards
• European Accreditation Boards

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National Accreditation Authority

• Ministry of Health Health Authority
• Ministry of Social Affairs
• Professional Bodies
• Medical Associations
• Universities
• Not existing

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Organiser Request gt 3 months UEMS -
EACCME N.A.A. Sections Evaluation lt 3
weeks Evaluation UEMS - EACCME Certificate
of Recognition Organiser
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Summary

• Harmonisation
• Simplification
• Same criteria
• Two major partners
• National Accreditation Authority
• European Accreditation Boards

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Draft Flowchart Accreditation in Europe
Credits
UEMS suggestion
Full credits (E CME C) 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 Cs to National credits can
follow the rules of the National Accreditation
Authority For instance can have a
maximum weighting factors can be introduced
nationally
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Agreements

• National Accreditation Authorities
• Spain, Cyprus, Greece, RCSI, Malta, RCPI,
  Turkey, Slovakia, Norway, Hungary, Luxemburg,
  Belgium,
• Romania, Slovenia
• UEMS Sections and Boards
• Anaesthesiology, Child and Adolescent
  Psychiatry, Dermatology, Endocrinology,
  Gastro-Enterology, Gynaecology, Intensive Care
  Medicine,....
• Near Future
• Germany, Italy, France,

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Agreement with the American Medical Association
on Mutual Recognition of Credits

• Till June 30th 2006
• Pilot project for 2 years each time
• From July 1st 2006
• Real agreement for 4 years

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Future

• Webbased request form
• Systematic evaluation of meetings by the
  participants
• Long Distance Learning
• More agreements with the Sections
• More agreements with the National Accreditation
  Authorities
• Contacts with other parts of the world
• Contacts with UEMO

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Accreditation Requests
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European Union
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Greater Europe
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If you think education is expensive, you should
consider ignorance. Socrates (469 399 BC)
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U.E.M.S.

• Union Européenne des Médecins Spécialistes
• European Union of Medical Specialists
• www.uems.net