1000 by lanyuehua

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									    Accreditation by the UEMS Sections
Their role in the Assessment and Monitoring of Quality
                of Specialist Medical Care




                    Lino Gonçalves
                      UEMS-CS




             Topics for Discussion



      Accreditation of CME events/products

      Certification of individuals

      Accreditation of Training Centers/Trainers




             Topics for Discussion



      Accreditation of CME events/products

      Certification of individuals

      Accreditation of Training Centers/Trainers




                                                         1
               UEMS - European Training Charter
               EUROPEAN UNION OF MEDICAL
                       SPECIALISTS
                   U.E.M.S. October 1994

   4.6. Article 6

   Continuing medical education (CME) is a moral and
   an ethical obligation for the individual medical
   specialist, but it should be a voluntary responsibility.




       European Accreditation Systems:
                   (2008)


                                                                          FI
                                                     NO    SE



Mandatory                                        DK
                              IR
                                   UK
Incentives                                NL
                                         BL     DE              PL
Voluntary                                                 CZ
                                                                SL
                                    FR     CH             AT
                                                                HG
                                                           CR             RO
                                                IT        SL
                        PT   ES

                                                                     GR
                                                                               TR




Current Situation of European CME

        Europe is slowly striving towards obligatory CME systems
              (free movement of MDs and patients within the EU,
             pressure from nat. authorities, health insurance
             companies etc.)

       Some countries approach the implementation of mandatory
     CME systems.




                                                                                    2
  European CME: Why do we need it?
 • European CME is needed for the accreditation of any
   CME-Event/Product in Medicine at the European level

 Need for Harmonisation

 • European CME must be independent from Providers,
   Societies (National, ESC, Universities,.....), Industry
   (Pharma. Ind., med.-tech. Ind.)

 Need for an Independent Accreditor




European CME: Why do we need it?
        Public awareness




  European CME: Why do we need it?
        Profession Awareness




                                                             3
 European CME: Why do we need it?
        Politician Awareness




…”standard training of health professionals combined with integrated methods
and procedures that are embedded in a culture of continuous learning and
improvement.”




    European CME : How Should the
         Accreditation Work ?




                 Section                           Board

       Section                                             Board

                             EACCME
       Section                                             Board

                 Section                           Board



                               NAAs




    European CME: How Should the
          EACCME Work ?
     Develop a Review or Governance Board (proposed by the
  Task Force).

     Regulate CME at the European level.

     Establish a general template for European CME
  accreditation.

     Supervise the accreditation performed by Sections &
  Boards (quality control, independence).

     Support those Sections & Boards that need assistance.

     Communicate on a regular basis with the NAAs.

     Report on a regular basis to the UEMS Executive.




                                                                               4
             EBAC: European Board for the
              Accreditation in Cardiology
  EUROPEAN




                    UEMS                 ♥
                                                                             ESC
               Cardiology Section                                  European Society of Cardiology




                     UEMS/EACCME
             (Union Européen Médicine Spécialistes)
  NATIONAL




                          NAAs                                             NCSs
              National Accreditation Authorities                  National Cardiac Societies




                           Topics for Discussion



             Accreditation of CME events/products

             Certification of individuals

             Accreditation of Training Centers/Trainers




European Individual Certification : How
          Should it Work ?



                          Section                         Board

              Section                                             Board
                                             EACPGST/
                                              CESME
              Section                                             Board

                          Section                         Board



                                                   NAAs




                                                                                                    5
                   European Certification: How Should the
                            EACPGST Work ?
                                Develop a Review or Governance Board similar to what
                              was proposed to EACCME.

                                Regulate the certification at the European level.

                                Establish a general template for the European Certification
                              for all specialties/subspecialties.

                                Supervise the certification performed by Sections & Boards
                              (quality control).

                                Support those Sections & Boards that need assistance.

                                Communicate on a regular basis with the NAAs.

                                Report on a regular basis to the UEMS Executive.




                   EBSC: European Board for the Specialty
                              of Cardiology
                   EUROPEAN




                                           UEMS                ♥
                                                                                                                          ESC
                                      Cardiology Section                                                        European Society of Cardiology




                                             UEMS
                               (Union Européen Médicine Spécialistes)
                   NATIONAL




                                                NAAs                                                                    NCSs
                                    National Accreditation Authorities                                        National Cardiac Societies




     European Certification How Should it Work?
                                                          Applicant applies on-line, provides
                                                        requested documentation (i.e. licences,
                                                          diplomas) and proceeds with the 3
                                                                     assessments




                                 @                                       @                             @
                                                                                                                                   Formative process




                              Knowledge                         Practical Skills                  Assessment of
Sumative process




                              Assessment                         Assessment                       Professionalism




                      MCQs on EACCME/S&B
                      accredited
                      Textbook chapters
                      Guidelines                                     E-logbook
                                                                                                     360°Appraisal
                      Articles                                       E-portfolio
                      CME Products




                                                            Upon satisfactory completion
                                                                Diploma issued by
                                                                 EACPGST/S&B




                                                                                                                                                       6
 EBAC / EBSC: One Example of Individual
             Certification




               Topics for Discussion



    Accreditation of CME events/products

    Certification of individuals

    Accreditation of Training Centers/Trainers




  European Accreditation of Training
Centers/Trainers: How Should it Work ?



               Section              Board

     Section                                Board

                         EACSTT
     Section                                Board

               Section              Board


                         NAAs
                                   Training centers/
                                   Trainers




                                                       7
European Acreditation: How Should the
          EACSTT Work ?
              Develop a Review or Governance Board similar to what
     was proposed to EACCME.

              Regulate the acreditation at the European level.

              Establish a general template for the European Acreditation
     for all specialties/subspecialties.

              Supervise the acreditation performed by Sections & Boards
     (quality control).

              Support those Sections & Boards that need assistance.

              Communicate on a regular basis with the NAAs.

              Report on a regular basis to the UEMS Executive.




    European Accreditation of Training
     Centers/Trainers in Cardiology
  EUROPEAN




                             UEMS                ♥
                                                                                              ESC
                                                           EBATTC* ?
                        Cardiology Section                                          European Society of Cardiology




                               UEMS
                 (Union Européen Médicine Spécialistes)
  NATIONAL




                                  NAAs
                      National Accreditation Authorities



                                                              Training Centers /
                                                                   Trainers



             * European Board for the Accreditation of Training Centers and Trainers in Cardiology




      European Accreditation and
Certification: What Should we do in the
                Future?
              It is better for the profession not to do anything
     and keep things like they are today…




                                                                                                                     8
                                     Certification                  Accreditation
   Certification
                             Accreditation            Certification
 Accreditation
                                                                    Accreditation
                      Certification                 Certification
           Accreditation
                                                                    Certification
Certification
        Accreditation                                         Accreditation

                Nothing is                                   Certification
                happening !!!




       European Education Quality Policy
                             Education                               Visiting
                                                                 Centers/Trainers

                          • Universities             EACSTT
                          • Scientific Societies
                          • Teaching Hospitals     (Sections &
                          • Others                   Boards)
                                                        +
                                                      NAAs

              EACCME                      EACPGST/
             (Sections &                    CESME
               Boards)                    (Sections &
                  +                         Boards)
                NAAs                           +
                                             NAAs
Accreditation                                           Individual
                                                        Certification




       European Accreditation/Certification:
           We need to work together !




            Scientific                    UEMS        EU
            Societies                                            NAAs
                                        EACCME
           Universities     S&B         EACPGST
           Teach Hosp                    EACSTT




                                                                                    9
Otherwise…




             10

								
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