Ecfmg programme a quality tool for incoming non eu medical doctors to eu
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ECFMG programme: a quality tool for incoming non-EU medical Doctors to EU?. Theo M.G. van Berkestijn, MD Chairman Committee Foreign Degree Holders Health Care, The Hague. Co-authors

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ECFMG programme: a quality tool for incoming non-EU medical Doctors to EU?

Theo M.G. van Berkestijn, MD

Chairman Committee Foreign Degree Holders Health Care, The Hague

Co-authors

T.Splinter (Rotterdam), O. ten Cate (Utrecht), R.Bezema (Groningen), J.Dijkstra (Maastricht) and C.Postma (Nijmegen)

AMSE conference June 5-7 2008


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The problem Doctors to EU?

  • EU-border = borders of member states

  • Member states have different procedures for admittance of doctors from outside the EU

  • How do we prevent the admittance of insufficiently qualified doctors?

Committee Foreign Degree Holders Health Care


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EEA = 31 countries Doctors to EU?

  • EU

  • EFTA-members, Liechtenstein, Norway, Iceland

  • Switzerland

Committee Foreign Degree Holders Health Care


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Sectoral directives Doctors to EU?

- Recognition of specific professional

qualifications

- Co-ordination of education and training of these professions

- Mutual recognition of qualifications

Committee Foreign Degree Holders Health Care


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EU- sectoral directives for five Doctors to EU?

health care professions:

  • Doctor

  • Dentist

  • Nurse

  • Midwife

  • Pharmacist

Committee Foreign Degree Holders Health Care


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Minimum requirements on content Doctors to EU?

and duration of medical education:

6 years and 5500 hours pre-clinical

and clinical course

Committee Foreign Degree Holders Health Care


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Formal assessment of IMGs in Doctors to EU?:

UK – IRL – DK – S – FIN – N – ICE –

CH- NL – F – ES

-> Only 11 of 31 countries

Committee Foreign Degree Holders Health Care


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Assessment of IMGs in the Doctors to EU?

Netherlands:

  • Premedical

  • Basic medical knowledge

  • Clinical knowledge

  • Clinical skills

Committee Foreign Degree Holders Health Care


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Premedical test Doctors to EU?

Developed by the University of

Groningen

  • Dutch language, (medical)

  • English reading

  • ICT-basics

  • Dutch health care system

Committee Foreign Degree Holders Health Care


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Assessment of Basic Medical Doctors to EU?

Knowlegde

Co-ordinated by the University of Maastricht

  • A sample of 320 basis science items from the Interfaculty data base of Progress Tests

  • 160 “true-false” items; 160 multiple choice

Committee Foreign Degree Holders Health Care


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Assessment of Clinical Knowledge Doctors to EU?

Co-ordinated by the University of Maastricht

  • 100 patient cases

  • “key feature approach”

Committee Foreign Degree Holders Health Care


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Assessment of Clinical Skills in OSCE Doctors to EU?

format

Developed and executed by the University of Nijmegen

Comparable to procedures at USMLE Clinical Skills

Examination

  • A one-day clinical skills examination in 10 stations with simulated patients

  • 10 cases : 20 minutes with the patient, 10 minutes for report

Committee Foreign Degree Holders Health Care


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Assessment of Clinical Skills in OSCE Doctors to EU?

format (2)

  • Special attention for the quality of:

    - history taking

    - physical examination

    - professional behaviour

    - communication

    - report

    - problem list

    - differential diagnosis

    -management policy

Committee Foreign Degree Holders Health Care


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Example of an individual result Doctors to EU?

Committee Foreign Degree Holders Health Care


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Results for the candidate lead to Doctors to EU?

limited number of alternative decisions:

  • No additional training necessary

    Licence after a 12 week clinical rotational with observation of professional behaviour

  • Additional training of:

    - 0.5 year

    - 1 year

    - 2 years

    - 3 years

    - full 6 years medical course

Committee Foreign Degree Holders Health Care


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Committee Foreign Degree Holders Health Care


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Next necessary step procedures for recognition?)

* Consensus in the EEA to assess

foreign graduates conform the same

standard as for domestic students

* Draw the attention from the

authorities in Brussels and the EU-

Member states

Committee Foreign Degree Holders Health Care


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Targets procedures for recognition?)

  • An EU-directive

  • Agreements between medical faculties in Europe and the competent authorities of the member states

Committee Foreign Degree Holders Health Care


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Invitation procedures for recognition?)

If you agree with us on the importance of Common European Standards for the Assessment of non EEA medical graduates....

then please leave your name and (e-mail)

address with us.

We will get in touch on future collaboration.

Committee Foreign Degree Holders Health Care


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