Lecture from Bernard Maillet

DrDr. Bernard Maillet. Bernard MailletSecretary GeneralSecretary GeneralUEMS - EACCMEUEMS - EACCME

Update of the activities Update of the activities of UEMS-EACCMEof UEMS-EACCME

UEMS 50 Years CelebrationUEMS 50 Years CelebrationBrussels April 2008Brussels April 2008

• Meetings :Meetings :

– Sections and BoardsSections and Boards• CESMA issue discussedCESMA issue discussed

– CeremonyCeremony• Many prominent speakersMany prominent speakers• History and Future of UEMSHistory and Future of UEMS

– CouncilCouncil• New MembersNew Members• New Section (Medical Microbiology)New Section (Medical Microbiology)• Strategy document approvedStrategy document approved

Council Meeting April 2008Council Meeting April 2008

• Strategy paperStrategy paper

• Future Structure of the UEMSFuture Structure of the UEMS

• Voting rights for Sections and BoardsVoting rights for Sections and Boards

• E-HealthE-Health

• European Examinations - CESMAEuropean Examinations - CESMA– Harmonisation of the processHarmonisation of the process– Common position of UEMS on the issueCommon position of UEMS on the issue– Glasgow Declaration Glasgow Declaration – First step to create a EACPGTFirst step to create a EACPGT

Council Meeting April 2008Council Meeting April 2008• Membership :Membership :

– Full MembersFull Members• Lithuania, Bulgaria, RomaniaLithuania, Bulgaria, Romania

– Observer MembersObserver Members• Georgia, AzerbadjanGeorgia, Azerbadjan

• European issues :European issues :– European Working Time DirectiveEuropean Working Time Directive– Recognition of Qualification DirectiveRecognition of Qualification Directive– Health Service DirectiveHealth Service Directive– e-Healthe-Health

Council Meeting April 2008Council Meeting April 2008

• Section issues :Section issues :

– Creation of a Distinct Section of Creation of a Distinct Section of Medical MicrobiologyMedical Microbiology

– Creation of a Division for Balneology Creation of a Division for Balneology in the PRM Section was rejectedin the PRM Section was rejected

– Updating of Chapter 6 (Updating of Chapter 6 (TrainingTraining))

– Endorsement of Section documentsEndorsement of Section documents

– Specific Section related problemSpecific Section related problem

Council Meeting April 2008Council Meeting April 2008Importance of the update of Chapter VI :Importance of the update of Chapter VI :

– Term of training of all specialties has Term of training of all specialties has to be updated to the 2008 situation to be updated to the 2008 situation (last version dates from 1973)(last version dates from 1973)

– Content of trainingContent of training

– Denomination of the specialtyDenomination of the specialty

– Globalization of this issue (contacts Globalization of this issue (contacts with USA and Canada)with USA and Canada)

– Quality to enhance health care for Quality to enhance health care for patientspatients

UEMS Council MeetingUEMS Council MeetingCopenhagen, October 2008Copenhagen, October 2008

• Election of a new ExecutiveElection of a new Executive

• Serbia : application for membership Serbia : application for membership will have to be reviewedwill have to be reviewed

• Start of the implementation of the Start of the implementation of the UEMS StrategyUEMS Strategy

• Discussion ForumDiscussion Forum– Proposed Directive of Cross Border Proposed Directive of Cross Border

HealthcareHealthcare– UEMS ResolutionUEMS Resolution

ExecutiveExecutive1st January 20091st January 2009

President : President : Dr. Zlatko Fras (Slovenia)Dr. Zlatko Fras (Slovenia)Tresurer : Tresurer : Dr. Giorgio Berchicci (Italy)Dr. Giorgio Berchicci (Italy)Liaison Officer : Liaison Officer : Dr. Gerd Hofmann (Germany)Dr. Gerd Hofmann (Germany)Secretary General : Secretary General : Dr. Bernard Maillet (Belgium)Dr. Bernard Maillet (Belgium)

Vice-President :Vice-President : Dr. Ricard Gutiérrez (Spain)Dr. Ricard Gutiérrez (Spain)Dr. Romuald Krajewski (Poland)Dr. Romuald Krajewski (Poland)Dr. Zoltán Magyari (Hungary) Dr. Zoltán Magyari (Hungary) Dr. Dr. Kari PylkkKari Pylkkänen änen (Finland)(Finland)

Sections and BoardsSections and Boards Brussels, February 2009Brussels, February 2009

• Implementation of the StrategyImplementation of the Strategy

• European Examinations - CESMAEuropean Examinations - CESMA– Harmonisation of the processHarmonisation of the process– Glasgow Declaration Glasgow Declaration – First step to create a EACPGT First step to create a EACPGT presentationpresentation

• Visitation of DepartmentsVisitation of Departments

• Issues concerning some SectionsIssues concerning some Sections

• Report on the EACCMEReport on the EACCME

• European IssuesEuropean Issues

Last Council MeetingLast Council Meeting Brussels, April 2009Brussels, April 2009

• Launching of the ECAMSQLaunching of the ECAMSQ

• Green Paper on Health care WorkforceGreen Paper on Health care Workforce

• Issues concerning some SectionsIssues concerning some Sections• Curriculum for Emergency MedicineCurriculum for Emergency Medicine• Curriculum for Pediatric SurgeryCurriculum for Pediatric Surgery• Creation of a Division of Interventional Creation of a Division of Interventional

Radiology and Head and Neck OncologyRadiology and Head and Neck Oncology

• Report on the EACCMEReport on the EACCME

• European IssuesEuropean Issues

Green Paper on Health Care Green Paper on Health Care WorkforceWorkforce

• All over Europe we are experiencing a All over Europe we are experiencing a shortage of Medical Workforceshortage of Medical Workforce

• Different solutions are provided by Different solutions are provided by different Member Statesdifferent Member States

• Harmonization is of utmost importanceHarmonization is of utmost importance

• Different problemsDifferent problems Working time conditionsWorking time conditions Needs and the ageing of the populationNeeds and the ageing of the population Free movement Free movement (patients, services, doctors)(patients, services, doctors)

Green Paper on Health Care Green Paper on Health Care WorkforceWorkforce

• Legal framework in the EULegal framework in the EU• Free movement - SubsidiarityFree movement - Subsidiarity

• DemographyDemography

• Public Health CapacityPublic Health Capacity

• TrainingTraining

• Mobility of the workforceMobility of the workforce

• Global migration of workforceGlobal migration of workforce

• Data to support decision makingData to support decision making

• Cohesion (harmonization)Cohesion (harmonization)

Requirements to enjoy Requirements to enjoy automatic recognitionautomatic recognition

• To be recognized in the home countryTo be recognized in the home country

• The specialty must be recognized in the The specialty must be recognized in the host countryhost country

• The specialty must be listed in the The specialty must be listed in the addendum of the Directive 2006/100/ECaddendum of the Directive 2006/100/EC

• Both countries (host as well as home) Both countries (host as well as home) must be mentioned in this listmust be mentioned in this list

• Alternate solution : individual decision Alternate solution : individual decision based on portfoliobased on portfolio

Challenges in the next (close) Challenges in the next (close) futurefuture

• Evolution on the Working Time DirectiveEvolution on the Working Time Directive

• Revision of the Directive on Mutual Revision of the Directive on Mutual Recognition of Qualification in 2012Recognition of Qualification in 2012

• Implementation of the Directive on Implementation of the Directive on Patient Care in Cross Border Health Patient Care in Cross Border Health CareCare

• Evolution concerning the Green Paper Evolution concerning the Green Paper on Healthcare Workforceon Healthcare Workforce

a lot of work for all of us...a lot of work for all of us...

Revision of the Directive on Revision of the Directive on Mutual Recognition of Mutual Recognition of

QualificationQualification• Update of the list of specialtiesUpdate of the list of specialties

• Update of the content and length of Update of the content and length of trainingtraining

• Introduction of the concept of Introduction of the concept of “Particular Competences”“Particular Competences”

– OncologyOncology– Intensive CareIntensive Care– Emergency MedicineEmergency Medicine– Hand SurgeryHand Surgery

EACCMEEACCME

• Task Force on CME-CPDTask Force on CME-CPD

• ImprovementsImprovements– Webbased application formWebbased application form– Agreements with Sections and BoardsAgreements with Sections and Boards– Agreements with National AuthoritiesAgreements with National Authorities– Contacts with other parts of the worldContacts with other parts of the world– Contacts with UEMOContacts with UEMO– Contacts with other Health Care Contacts with other Health Care

ProfessionalsProfessionals

National Medical National Medical AssociationsAssociations

Very different organisation depending on the Very different organisation depending on the EU Member StateEU Member State

From Professional Organisation to Trade From Professional Organisation to Trade UnionUnion

General Practioners / Family Medicine General Practioners / Family Medicine included or notincluded or not

National versus regional structureNational versus regional structure

How is the Medical Profession organized How is the Medical Profession organized in Europein Europe

CPMECPME Standing Committee of European DoctorsStanding Committee of European Doctors

UEMSUEMS European Union of Medical SpecialistsEuropean Union of Medical Specialists

UEMOUEMO European Union of GP/Family MedicineEuropean Union of GP/Family Medicine

PWGPWG Junior Doctor’s Organization (trainees)Junior Doctor’s Organization (trainees)

AEMHAEMH Hospital Doctor’s OrganizationHospital Doctor’s Organization

FEMSFEMS Salaried Doctor’s OrganizationSalaried Doctor’s Organization

EANAEANA Self Employed Doctor’s OrganizationSelf Employed Doctor’s Organization

CEOCEO Organization of European Medical OrdersOrganization of European Medical Orders

Webbased application formWebbased application form

www.eaccme.euwww.eaccme.eu

OrganiserOrganiser

RequestRequest > > 3 months3 months

UEMS - EACCMEUEMS - EACCME

N.A.A.N.A.A. SectionsSections

EvaluationEvaluation < < 3 weeks3 weeks EvaluationEvaluation

UEMS - EACCMEUEMS - EACCME

Certificate of RecognitionCertificate of Recognition

OrganiserOrganiser

EEuropeanuropean A Accreditationccreditation C Council for ouncil for

CContinuous ontinuous MMedical edical EEducationducation

Purpose UEMS policyPurpose UEMS policy

Contribute to quality and harmonization Contribute to quality and harmonization of CME in Europeof CME in EuropeTo make life easier for our colleagues by To make life easier for our colleagues by easing access to international CMEeasing access to international CMEDeveloping quality guidelinesDeveloping quality guidelinesMaintaining national authorityMaintaining national authority

Formal AFormal Aggreemreemeents with Sectionts with Sectionns or s or European SpecialEuropean Specialiity Accreditation Boardsty Accreditation Boards


Current :Current :

• AnaesthesiologyAnaesthesiology• Child and Adolescent Psychiatry Child and Adolescent Psychiatry • DermatologyDermatology• Ear, Nose and Throat (ORL)Ear, Nose and Throat (ORL)• EndocrinologyEndocrinology• Gastro-EnterologyGastro-Enterology• Geriatric MedicineGeriatric Medicine

• Internal MedicineInternal Medicine• Medical BiopathologyMedical Biopathology

Current :Current :

• AnaesthesiologyAnaesthesiology• Child and Adolescent Psychiatry Child and Adolescent Psychiatry • DermatologyDermatology• Ear, Nose and Throat (ORL)Ear, Nose and Throat (ORL)• EndocrinologyEndocrinology• Gastro-EnterologyGastro-Enterology• Geriatric MedicineGeriatric Medicine

• Internal MedicineInternal Medicine• Medical BiopathologyMedical Biopathology

Current :Current :

• NephrologyNephrology

• NeurologyNeurology• NeurosurgeryNeurosurgery• Nuclear MedicineNuclear Medicine• Occupational MedicineOccupational Medicine• OphtalmologyOphtalmology• Oral and Maxillofacial Surgery - StomatologyOral and Maxillofacial Surgery - Stomatology• OrthopaedicsOrthopaedics• PaPaeeddiiatric Surgeryatric Surgery

Current :Current :

• NephrologyNephrology

• NeurologyNeurology• NeurosurgeryNeurosurgery• Nuclear MedicineNuclear Medicine• Occupational MedicineOccupational Medicine• OphtalmologyOphtalmology• Oral and Maxillofacial Surgery - StomatologyOral and Maxillofacial Surgery - Stomatology• OrthopaedicsOrthopaedics• PaPaeeddiiatric Surgeryatric Surgery



Current :Current :• PathologyPathology• PhysPhysiical and Rehabiitation Medicinecal and Rehabiitation Medicine• Plastic SurgeryPlastic Surgery• PsychiatryPsychiatry• RadiologyRadiology• RheumatologyRheumatology

• Emergency MedicineEmergency Medicine• Intensive Care MedicineIntensive Care Medicine• Sport MedicineSport Medicine

• Oncology (ACOE)Oncology (ACOE)

Current :Current :• PathologyPathology• PhysPhysiical and Rehabiitation Medicinecal and Rehabiitation Medicine• Plastic SurgeryPlastic Surgery• PsychiatryPsychiatry• RadiologyRadiology• RheumatologyRheumatology

• Emergency MedicineEmergency Medicine• Intensive Care MedicineIntensive Care Medicine• Sport MedicineSport Medicine

• Oncology (ACOE)Oncology (ACOE)



Signed recently :Signed recently :

• Cardiology (EBAC)Cardiology (EBAC) 25-11-200725-11-2007

• Infectious Diseases (EBAID)Infectious Diseases (EBAID) 13-1-200913-1-2009

• Pneumology (EBAP)Pneumology (EBAP) 17-2-200917-2-2009

• Genetics (MJC) Genetics (MJC) 22-11-200822-11-2008

Pending in the future :Pending in the future :

• AllergologyAllergology• SurgerySurgery• UrologyUrology• Vascular SurgeryVascular Surgery

Signed recently :Signed recently :

• Cardiology (EBAC)Cardiology (EBAC) 25-11-200725-11-2007

• Infectious Diseases (EBAID)Infectious Diseases (EBAID) 13-1-200913-1-2009

• Pneumology (EBAP)Pneumology (EBAP) 17-2-200917-2-2009

• Genetics (MJC) Genetics (MJC) 22-11-200822-11-2008

Pending in the future :Pending in the future :

• AllergologyAllergology• SurgerySurgery• UrologyUrology• Vascular SurgeryVascular Surgery



Formal AgreeFormal Agreemments withents withNatiNatioonal Accreditation Anal Accreditation Auutthhoritiesorities

Formal AgreeFormal Agreemments withents withNatiNatioonal Accreditation Anal Accreditation Auutthhoritiesorities

Current :Current :SpSpaaiin,n, Cy Cypprus, Greece, RCSrus, Greece, RCSI, Malta, RCPI, Turkey, I, Malta, RCPI, Turkey, SloSlovvakia, akia, Norway, Luxemburg, Norway, Luxemburg, BelgiBelgiuum, Romania, m, Romania, Slovenia, Sweden, Slovenia, Sweden, Regione Lombardia, Regione Lombardia, FinlandFinland

Soon :Soon :Czech RepublicCzech Republic

Near Future :Near Future :France, Regione Veneto, Regione Frluli…France, Regione Veneto, Regione Frluli…

Future :Future :GermGermaany, ny, UK (RCoP), Poland, Portugal,UK (RCoP), Poland, Portugal, Italy…Italy…

Current :Current :SpSpaaiin,n, Cy Cypprus, Greece, RCSrus, Greece, RCSI, Malta, RCPI, Turkey, I, Malta, RCPI, Turkey, SloSlovvakia, akia, Norway, Luxemburg, Norway, Luxemburg, BelgiBelgiuum, Romania, m, Romania, Slovenia, Sweden, Slovenia, Sweden, Regione Lombardia, Regione Lombardia, FinlandFinland

Soon :Soon :Czech RepublicCzech Republic

Near Future :Near Future :France, Regione Veneto, Regione Frluli…France, Regione Veneto, Regione Frluli…

Future :Future :GermGermaany, ny, UK (RCoP), Poland, Portugal,UK (RCoP), Poland, Portugal, Italy…Italy…

AAggreemreemeent with the American nt with the American Medical Association on Mutual Medical Association on Mutual

Recognition of CreditsRecognition of Credits

Till June 30th 2006 :Till June 30th 2006 :

• Pilot project for 2 years each timePilot project for 2 years each time

From July 1st 2006 :From July 1st 2006 :

• Real agreement for 4 yearsReal agreement for 4 years

AAggreemreemeent with the American nt with the American Medical Association on Mutual Medical Association on Mutual

Recognition of CreditsRecognition of Credits

• Credits granted to events taking Credits granted to events taking place in the United States and place in the United States and approved by an ACCME accredited approved by an ACCME accredited provider are recognized in Europeprovider are recognized in Europe

• Credits granted to events taking Credits granted to events taking place in Europe approved by place in Europe approved by EACCME can be recognized in the US EACCME can be recognized in the US as AMA PRA Category Ias AMA PRA Category I®®creditscredits

CreditsCredits

Draft FlowchartDraft FlowchartAccreditation in EuropeAccreditation in Europe

UEMS suggestionUEMS suggestion

FullFull credits (E CME C)credits (E CME C)

No weNo weiighted factorsghted factors

1 ECMEC per hour of activity1 ECMEC per hour of activity

3 ECMEC for a half day / 6 ECMEC for a full day activity3 ECMEC for a half day / 6 ECMEC for a full day activity

TTrraansnsllation of these E CME C’s ation of these E CME C’s tto Natio Natioonal credits can nal credits can ffololllow tow thhee rules rules oof tf thhe National Accreditation Authorite National Accreditation Authorityy

For instance :For instance : cacann have a maxim have a maximuummwweeighting factors can be intrighting factors can be introoduced nationallyduced nationally

Updating of AgreementsUpdating of AgreementsUpdating of AgreementsUpdating of Agreements

• SpainSpainFinancial aspects (fee)Financial aspects (fee)Credits translation tableCredits translation table

1 ECMEC = 0,12 Spanish 1 ECMEC = 0,12 Spanish CreditsCredits

• SpainSpainFinancial aspects (fee)Financial aspects (fee)Credits translation tableCredits translation table


Conversion TableConversion TableConversion TableConversion Table• SpainSpain


• BelgiumBelgium1 ECMEC = 1 CP1 ECMEC = 1 CP

• RomaniaRomania1 ECMEC = 1 Romanian 1 ECMEC = 1 Romanian

CreditCredit

• SwedenSweden1 ECMEC = 1 Swedish Credit1 ECMEC = 1 Swedish Credit

• GermanyGermany6 ECMEC = 8 German 6 ECMEC = 8 German

CreditsCredits

• SpainSpain1 ECMEC = 0,12 Spanish 1 ECMEC = 0,12 Spanish

CreditsCredits

• BelgiumBelgium1 ECMEC = 1 CP1 ECMEC = 1 CP

• RomaniaRomania1 ECMEC = 1 Romanian 1 ECMEC = 1 Romanian

CreditCredit

• SwedenSweden1 ECMEC = 1 Swedish Credit1 ECMEC = 1 Swedish Credit

• GermanyGermany6 ECMEC = 8 German 6 ECMEC = 8 German

CreditsCredits

FeesFees

• Based on a sliding scaleBased on a sliding scale

• Number of participants (expected)Number of participants (expected)

• Three invoices can be expected :Three invoices can be expected :

– UEMSUEMS

– SectionSection

– National Accreditation AuthorityNational Accreditation Authority

FeesFees

NumberNumber UEMSUEMS SectionSection NAANAA

up till 250 up till 250 100 €100 € 100 €100 € 100 €100 €

251 – 500251 – 500 200 €200 € 200 €200 € 200 €200 €

501 – 1.000 501 – 1.000 300 €300 € 300 €300 € 300 €300 €

1.001 – 2.000 1.001 – 2.000 400 €400 € 400 €400 € 400 €400 €

2.001 – 5.000 2.001 – 5.000 500 €500 € 500 €500 € 500 €500 €

> 5.000 > 5.000 1.000 €1.000 € 1.000 €1.000 € 1.000 €1.000 €

FutureFuture

• Systematic evaluation of meetings by Systematic evaluation of meetings by the participantsthe participants

• Long Distance LearningLong Distance Learning

• More agreements with the SectionsMore agreements with the Sections

• More agreements with the National More agreements with the National Accreditation AuthoritiesAccreditation Authorities

• Contacts with other parts of the world Contacts with other parts of the world

• Contacts with UEMOContacts with UEMO

• Contacts with other Health Care Contacts with other Health Care ProfessionalsProfessionals

e-Learninge-Learning

• The next big project started on April 6th 2009 is The next big project started on April 6th 2009 is the inclusion of e-learning programmesthe inclusion of e-learning programmes

• The quality criteria for e-learning material have The quality criteria for e-learning material have been revisedbeen revised

• Costs of evaluation of e-learning events are Costs of evaluation of e-learning events are different because the workload in different because the workload in assessment is assessment is more demandingmore demanding

600 € for the first module and 600 € per next hour600 € for the first module and 600 € per next hour• We do not envisage authorising provider We do not envisage authorising provider

accreditation for e-learningaccreditation for e-learning

Feed-back form for participantsFeed-back form for participants

• Did I learn somethingDid I learn something• Did the meeting change my practiceDid the meeting change my practice• Was the meeting well organisedWas the meeting well organised• Quality of contentQuality of content• Quality of speakersQuality of speakers• Was the venue appropriateWas the venue appropriate• Did I feel the meeting was biasedDid I feel the meeting was biased

YesYes NeutralNeutral NoNo11 22 33 44 55

Accreditation RequestsAccreditation Requests

0

200

400

600

800

1000

1200

2002 2003 2004 2005 2006 2007 2008

EBACNumber

Sections and BoardsSections and Boards

Are a fundamental and specific structureAre a fundamental and specific structure

Are the backbone of the UEMSAre the backbone of the UEMS

Propose minimal training schemes for Propose minimal training schemes for specialisationspecialisation

Facilitate the harmonisation of trainingFacilitate the harmonisation of training

About 2000 specialists active in the work in About 2000 specialists active in the work in EuropeEurope

Sections and BoardsSections and Boards

3838 SectionsSectionsDivisionsDivisions

77 Multidisciplinary Joint CommitteesMultidisciplinary Joint Committees

What are What are Sections and BoardsSections and Boards

SectionsSections

Two delegates of the Specialty from each EU Two delegates of the Specialty from each EU member statemember stateMandated by their National Medical AssociationMandated by their National Medical Association

BoardsBoards

Working Group of the SectionWorking Group of the SectionDelegates from the Section together with Delegates from the Section together with representatives of the Scientific Societyrepresentatives of the Scientific Society

A. Conditions and procedure of admissionA. Conditions and procedure of admissionThe quality of a medical specialist, The quality of a medical specialist, independently practising is required in order to independently practising is required in order to represent a full or associate Member within the represent a full or associate Member within the Sections.Sections.

UEMS Rules of ProceduresUEMS Rules of ProceduresVI.3. Sections, MembershipVI.3. Sections, Membership

Each Section includes as members two specialist Each Section includes as members two specialist doctors:doctors:- as representatives of each of the member countries of - as representatives of each of the member countries of UEMS;UEMS;- in active practice in the relevant specialty or involved in - in active practice in the relevant specialty or involved in negotiating on behalf of medical specialists;negotiating on behalf of medical specialists;- competent either in French or in English;- competent either in French or in English;- approved by their national professional Organisation, approved by their national professional Organisation, their nominations having been agreed by the national their nominations having been agreed by the national Organisation representing specialist doctors of that Organisation representing specialist doctors of that country within the UEMS Council. country within the UEMS Council. The latter national organisation gives its formal approval The latter national organisation gives its formal approval and advises the Secretary General of the UEMS by and advises the Secretary General of the UEMS by official letter.official letter.

UEMS Rules of ProceduresUEMS Rules of ProceduresVI.3. Sections, MembershipVI.3. Sections, Membership

Tasks of Tasks of Sections and BoardsSections and Boards

• Determine Core Curicullum for trainingDetermine Core Curicullum for training

• Propose a log-bookPropose a log-book

• Helps in the harmonization of training and Helps in the harmonization of training and qualificationqualification

• Helps in the harmonization of health care Helps in the harmonization of health care services with visitationservices with visitation

44

Specialist Sections*2 delegates nominated by the

national monospecialist association

European Boards*

2 delegates per country(Balance profession-academia)

Council*Plenary decisions

2 delegates per country

Board*

Financial matters1 Head of delegation per country

ECAMSQEuropean Council for Accreditation of Medical Specialist Qualification

CESMAWG PGT

National Licensing Authorities and UEMS Sections

EACCME*European Accreditation

Council for CME

Advisory Council

National authorities and UEMS Sections

EACQM (?)European Advisory Councilfor Quality Management

of Specialist Medical Practice

Committees (?)

National authorities and UEMS Sections (???)

SecretariatBrussels

Executive*Daily management

President, Secretary General, Treasurer, Liaison Officer

+ Vice-Presidents (4)

How can we assess PGTHow can we assess PGT

• ExaminationsExaminations

• On training evaluationOn training evaluation

• VisitationsVisitations

• 360 apraisal360 apraisal

European Council for European Council for Accreditation of Medical Accreditation of Medical

Specialist QualificationSpecialist Qualification (ECAMSQ) (ECAMSQ)

““Fusion” of the Working Group PGT Fusion” of the Working Group PGT of the Council and CESMAof the Council and CESMA

• Electronic PlatformElectronic Platform

• CertificationCertification

• CME activitiesCME activities

• Re-certificationRe-certification

Council for European Council for European Specialist Assessment Specialist Assessment (CESMA)(CESMA)

• Initiated by the Section of Pediatric Initiated by the Section of Pediatric Surgery in February 2007Surgery in February 2007

• Started with 11 involved Sections and Started with 11 involved Sections and now 26 are participatingnow 26 are participating

• Proposed the “Glasgow declaration”Proposed the “Glasgow declaration”

• Delegates from the Sections of UEMS Delegates from the Sections of UEMS and one delegate from PWGand one delegate from PWG

• Harmonization of the Assessment Harmonization of the Assessment process in Europeprocess in Europe


• Chairman : Zeev Goldik Chairman : Zeev Goldik (Anesthesiology)(Anesthesiology)

• Board : John Boorman, Robert Board : John Boorman, Robert Carracki, Carracki, (Bernard Maillet, Zlatko Fras)(Bernard Maillet, Zlatko Fras)

• Next meeting : November 21st 2009 Next meeting : November 21st 2009 in Brusselsin Brussels

• Exams have no legal value but can Exams have no legal value but can help in portfoliohelp in portfolio


• Negociations have been started with Negociations have been started with American Board of Medical American Board of Medical Specialities to have a kind of mutual Specialities to have a kind of mutual recognition over the Atlantic Oceanrecognition over the Atlantic Ocean

Requirements to enjoy Requirements to enjoy automatic recognitionautomatic recognition

• To be recognized in the home countryTo be recognized in the home country

• The specialty must be recognized in the The specialty must be recognized in the host countryhost country

• The specialty must be listed in the The specialty must be listed in the addendum of the Directive 2006/100/ECaddendum of the Directive 2006/100/EC

• Both countries (host as well as home) Both countries (host as well as home) must be mentioned in this listmust be mentioned in this list

• Alternate solution : individual decision Alternate solution : individual decision based on portfoliobased on portfolio

Situation for ENTSituation for ENT

• ENT is mentioned in the Annex to the ENT is mentioned in the Annex to the Directive 2006/100 as Oto Rhino Directive 2006/100 as Oto Rhino LaryngologyLaryngology

• ENT is recognized as a basic specialty ENT is recognized as a basic specialty in the 27 Member Statesin the 27 Member States

• The minimal length for training The minimal length for training mentioned is 3 yearsmentioned is 3 years

OTO RHINO LARYNGOLOGYOTO RHINO LARYNGOLOGYMinimum length of training course: 3 yearsMinimum length of training course: 3 years

Belgique/BelgieÅN/Belgien Belgique/BelgieÅN/Belgien Oto-rhino-laryngologie/OtorhinolaryngologieOto-rhino-laryngologie/OtorhinolaryngologieБългария България Ушно-носно-гърлени болестиУшно-носно-гърлени болестиČeskaÅL republika ČeskaÅL republika OtorinolaryngologieOtorinolaryngologieDanmark Danmark Oto-rhino-laryngologi eller .re-naese-Oto-rhino-laryngologi eller .re-naese-

halssygdommehalssygdommeDeutschland Deutschland Hals-Nasen-OhrenheilkundeHals-Nasen-OhrenheilkundeEesti Eesti OtorinolarungoloogiaOtorinolarungoloogiaΕλλάς Ελλάς ΩτoρινoλαρυγγoλoγίαΩτoρινoλαρυγγoλoγία……

Dir 2006/100 ECDir 2006/100 EC

Revision of the Directive on Revision of the Directive on Mutual Recognition of Mutual Recognition of

Qualification Qualification (2012)(2012)

• Update of the list of specialtiesUpdate of the list of specialties

• Update of the content and length of Update of the content and length of trainingtraining

• Introduction of the concept of Introduction of the concept of “Particular Competences”“Particular Competences”

– OncologyOncology– Intensive CareIntensive Care– Emergency MedicineEmergency Medicine– Hand SurgeryHand Surgery

Recognition of QualificationsRecognition of QualificationsNew ConceptNew Concept

Particular Competence :Particular Competence :

Following a basic specialtyFollowing a basic specialtyCan be started from different basic specialtiesCan be started from different basic specialtiesFor particular fields of activitiesFor particular fields of activitiesHave to be introducedHave to be introducedActual Directive only recognizes Basic Actual Directive only recognizes Basic SpecialtiesSpecialtiesExamples : Oncology, Intensive Care, Examples : Oncology, Intensive Care, Emergency Medicine, Sports Medicine, Hand Emergency Medicine, Sports Medicine, Hand Surgery...Surgery...

Glasgow DeclarationGlasgow Declaration1.1. The role of European Board Examinations is The role of European Board Examinations is

complementary to National Examinations complementary to National Examinations where they existwhere they exist

2.2. Countries which do not have their own Countries which do not have their own examination are encouraged to consider using examination are encouraged to consider using the appropriate European Board Examinationthe appropriate European Board Examination

3.3. European Board Examinations are regarded as European Board Examinations are regarded as a quality mark for independent practice at the a quality mark for independent practice at the end of specialist training. Passing a European end of specialist training. Passing a European Board Examination does not give a right to Board Examination does not give a right to practise in any UEMS country. Such rights are practise in any UEMS country. Such rights are granted solely by the relevant National granted solely by the relevant National AuthorityAuthority

Glasgow DeclarationGlasgow Declaration4.4. All European Board Examinations shall All European Board Examinations shall

publish both a Curriculum (as set out in publish both a Curriculum (as set out in Chapter 6 of the UEMS Training Charter) and Chapter 6 of the UEMS Training Charter) and minimum requirements for examinationminimum requirements for examination

5.5. Candidates for the final part of a European Candidates for the final part of a European Board Examination must be medical graduates Board Examination must be medical graduates and should be and should be eithereither

I.I. Certified specialists in any countryCertified specialists in any countryoror II.II. Trainees in the final year of specialist Trainees in the final year of specialist

training, in a UEMS member training, in a UEMS member country, who country, who have fulfilled the have fulfilled the requirements of that requirements of that national national training body where one existstraining body where one exists

Glasgow DeclarationGlasgow Declaration

6.6. Candidates of any nationality shall be eligible to sit Candidates of any nationality shall be eligible to sit the European Board Examinationsthe European Board Examinations

7.7. Candidates who pass a European Board Examination Candidates who pass a European Board Examination and who are certified specialists may call themselves and who are certified specialists may call themselves “F“Feellow of the European Board of ...” and will receive llow of the European Board of ...” and will receive a certificatea certificate

8.8. Trade sponsorship should not be used to subsidise Trade sponsorship should not be used to subsidise the examinationthe examination

9.9. It is proposed to establish an UEMS Council for It is proposed to establish an UEMS Council for European Specialist Medical Assessments (UEMS-European Specialist Medical Assessments (UEMS-CESMA) as a part of the EACPGMT (European CESMA) as a part of the EACPGMT (European Advisory Council for Postgraduate Medical Training), Advisory Council for Postgraduate Medical Training), an advisory body to the UEMS Councilan advisory body to the UEMS Council

What is needed for a good What is needed for a good (specialist) training(specialist) training

HarmonizationHarmonization

• Clear Definition of Specialties Clear Definition of Specialties throughout Europethroughout Europe

• Harmonized training programHarmonized training program

• Log bookLog book

• Decent working conditions for the Decent working conditions for the trainees (income and working times)trainees (income and working times)

European ExaminationsEuropean ExaminationsAllergologyAllergologyAnaesthesiologyAnaesthesiologyCardiologyCardiology

DermatologyDermatology

Ear, Nose and TroathEar, Nose and Troath

Hand SurgeryHand Surgery

Internal MedicineInternal Medicine

NeurologyNeurology

NeurosurgeryNeurosurgery

Nuclear MedicineNuclear Medicine

OphthalmologyOphthalmology

Oral & Maxillofacial SurgeryOral & Maxillofacial Surgery

European ExaminationsEuropean ExaminationsOrthopaedics and TraumatologyOrthopaedics and TraumatologyPaediatric SurgeryPaediatric SurgeryPathologyPathologyPaediatricsPaediatricsPediatric SurgeryPediatric SurgeryPhysical Medicine and RehabilitationPhysical Medicine and RehabilitationPlastic, Reconstructive and Aesthetic SurgeryPlastic, Reconstructive and Aesthetic SurgeryRadiologyRadiologySurgerySurgeryUrologyUrologyVascular SurgeryVascular Surgery

Thank youThank you

MerciMerciMult obrigadoMult obrigado

SchSchön dankön dank

Grazie milleGrazie mille

Muchas graciasMuchas graciasTackTack

Dank UDank U

KiitosKiitosεφχαριστώεφχαριστώ

сбасивосбасиво

DakujemDakujem

DekujiDekuji

KKöszönömöszönöm

Go raibh maith agaibhGo raibh maith agaibh

GinkujeGinkuje

GrazziGrazzi

MultamescMultamescTakkTakk

BlagodariaBlagodaria

DekojuDekoju

HvalaHvala

U.E.M.S.U.E.M.S.

Union Européenne des Médecins Union Européenne des Médecins SpécialistesSpécialistes

European Union of Medical SpecialistsEuropean Union of Medical Specialists

www.uems.netwww.uems.net

Documents

Lecture from Bernard Maillet