UEMS General Information Dr Bernard Maillet Secretary General

UEMS General Information Dr. Bernard Maillet Secretary General

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

Objectives of the UEMS The study and promotion of the highest level of training of the medical specialists, medical practice and health care within the European Union. The study and promotion of free movement of specialist doctors within the European Union.

Objectives of the UEMS Harmonisation and improvement of quality of medical specialist training and practice in Europe Objectives of Sections of UEMS Professional defence of their specialty Harmonization of the profession at the European level

UEMS, early years Establishment Specialist Sections Focus on European legislation Working towards mutual recognition of diplomas coupled with basic quality requirements Exchange diplomas effected 1975

Now National professional level : lack of unity European level : too many professional medical organisations European Union (San. Co) : limited to Public health, priorities : * Health surveillance * Health threats, rapid response * Health determinants

Structure National Medical Associations Sections and Boards EACCME

Structure Management Council National Medical Associations Executive Committee President Tresurer Liaison Officer Secretary General 4 Vice - Presidents

Structure Sections and Boards Based on the different Specialities Fundamental organ that influences policy on Training Mutual Recognition CME / CPD in collaboration with EACCME

Sections Are a fundamental and specific structure Is the backbone of the UEMS Proposes minimal training schemes for specialisation Facilitates the harmonisation of training About 2000 specialists active in the work in Europe

Structure Membership of a Section Two specialist doctors of the EU or EFTA countries Appointed by their National Professional Monospecialist Organisation nominations approved by the National Medical Association representing the country at the UEMS Council appointment for four years, can be renewed twice

Structure Voting Rights in a Section Full member countries where the speciality is officially recognised Subject to payment of the subscription to the Section the others and the Associated Member Countries or the Observers acting in an advisory capacity

Board Working Group of a Section Equal representation of : Section Scientific Society of that Speciality

Structure EACCME Harmonize CME (– CPD) in Europe Act as a clearing house to help Medical Specialists to exchange their credits Has an agreement on mutual recognition of credits with the AMA

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

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.

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

Mandatory CME Legal : Austria, France, Italy, Netherlands, Switzerland Financial : Belgium, Norway Professional : Germany, Ireland, Spain, United Kingdom Voluntary : Denmark, Finland, Greece, Iceland, Luxembourg, Portugal, Sweden

Shift to mandatory CME in Europe l Policy UEMS : CME is an ethical obligation and should not be mandatory l Voluntary CME is effective on macrolevel l But, on individual level participation has to be encouraged Mandatory CME is not effective in the weeding out of bad apples

Effects Mandatory CME l Recognition CME credits by a National Regulating body, preferably a professional body l Quality of CME activities is being assessed by a scientific body End of freedom of CME providers to determine the content of their programs themselves

What Activities are Granted? • Currently: • Individual Events • Conferences • Scientific Meetings • Future: • CME Providers • Enduring Materials – CD Rom • Internet Courses

Draft Flowchart Accreditation in Europe National Accreditation Authorities National Event International European Accreditation Bodies

Draft Flowchart Accreditation in Europe Event National Accreditation Authorities Evaluate the value of the meeting Grant the credits according to the National rules

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

Accreditation Two major partners in the process : l European Specialist Accreditation Boards l National Accreditation Authorities

Scientific approval Done by Accreditation Boards of the involved specialty : l UEMS Sections and/or Boards l European Specialty Accreditation Boards

European Specialist Accreditation Boards l Collaboration between the UEMS Sections and the European Scientific Societies in the Field of the Specialisation l Section or Board of the UEMS

National Accreditation Authority l l l Ministry of Health – Health Authority Ministry of Social Affairs Professional Bodies Medical Associations Universities Not existing

Summary l Harmonisation l Simplification l Same criteria l Two major partners : – National Accreditation Authority – European Accreditation Boards

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 C’s to National credits can follow the rules of the National Accreditation Authority For instance : can have a maximum weighting factors can be introduced nationally

Organisor Request 3 months UEMS - EACCME N. A. A. E. S. A. B. Evaluation 3 weeks Evaluation UEMS - EACCME Letter of Acceptance Organisor

Objectives l Agreements with National Accreditation Authorities l Agreement with Section and / or ESAB’s l Harmonised uniform request form l Harmonisation on fees

Fees l Sliding scale based on the number of participants l No relation between number of credits and the fee l Single invoice

Future Tasks Unity of purpose and policy Coordination organisations of separate national medical Coordination of European organisations Enlargement of investment by national medical organisations in European medical matters, in imagination, in people, expertise and financial means

Comparison European National politics European l Parliament l Commissioner l Commission l DG National Parliament Minister Administration Ministry l Council of Ministers

U. E. M. S. l Union Européenne des Médecins Spécialistes l European Union of Medical Specialists www. uems. net