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Modernisation of minimum training requirements & common training principles

This document discusses the modernisation of professional qualifications in healthcare, specifically focusing on the European Union of Medical Specialists (UEMS). It covers topics such as ensuring quality of care, standards and ethics, certification and registration, and the challenges of implementing EU decisions at a national level. The document also suggests the need to shift towards a competence-based approach in medical training and the potential adoption of a European training framework for doctors. Overall, it aims to harmonise medical specialists' qualifications and improve the training and mobility of healthcare professionals in the European Union.

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Modernisation of minimum training requirements & common training principles

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  1. Modernisation of minimum training requirements & common training principles Growth & Mobility – modernising the professional qualifications directive EP IMCO Committee hearing Brussels, 25th April 2012

  2. Medical Regulation UEMS Policy on Ensuring Quality of Care:functions The UEMS created in 1958 35 European countries 50 medical specialities Standards and Ethics Medical Education Ensuring fitness to practise Certification & Registration Ref. UEMS, 2006

  3. HEALTH CARE AND THE EU • Subsidiarity- the organisation & delivery of health care is the responsibility of each Member State • Co-ordination of health issues is challengingat the European level • Subsidiarity and medical specialist training: Difficulties to implement EU decisionsat national level since national rules and regulationsprevail

  4. The Professional qualifications directive Minimum Training Requirements Case-by-case basis Case-by-case basis

  5. Modernising training requirements • Ref. Annex 5.1.3 of Directive 2005/36/EC

  6. Continuum of Medical education Lifelong learning CME-CPD Medical Studies Postgraduate Training 6 years 4-6 years Certification and Licensing

  7. Modernising training requirements • NEED TO SHIFT OUR APPROACH… • Medical training should be DURATION- • but also COMPETENCE-based • Introduce the concept of competences • Specialty training ≥ 5 years • In line with ECTS (or other comparable system) • Revise denomination of medical specialties • Facilitate emergence of new specialties (e.g. “particular competences”) • Ref: 4th Report of Advisory Committee on Medical Training • XV/E/8306/3/96-EN – European Commission, Directorate General XV, • Brussels, 15 January 1997

  8. UEMS European set of competences and requirements* • The 7 core competences • 1. Communication • 2. Problem solving • 3. Applying knowledge and science • 4. Patient examination • 5. Patient management / treatment • 6. Using the social and community contexts of health care • 7. (Self)-Reflection • * Ref: UEMS, 2011

  9. Knowledge Assessment Practical Skills Assessment Assessment of Professionalism Formative process Alt #1 – A European training framework for doctors?(art.49a) Applicant @ @ @ MCQs on EACCME/S&B accredited Textbook chapters Guidelines Articles CME Products E-logbook E-portfolio DOPS (direct observation of practical skills) CPD activities 360° Appraisal Upon satisfactory completion Diploma

  10. How to harmonisemedical specialists qualifications? • to adoptUEMSharmonised curricula in eachspecialty • to ensurethat all Member States «translate» themintotheir national systems • to ensurethat all EuropeanMedicalSpecialists have the samemain corecompetences

  11. Alt #1 – A European training framework for doctors?(art.49a) • Voluntary European System? To complement -but not supersede- the existing national regimes

  12. Alt #2 – common training tests for doctors?(art.49b) Assessments • Towards harmonised Aptitude Tests? 25th Anniversary of the European Diploma in Anaesthesiology Milan, 6-9 June 2009

  13. Quality in mobility • The view of patients’ and citizens’ groups…

  14. A NEW The Professional qualifications directive Directive 2012/xyz/EC Minimum Training Requirements UPDATED Case-by-case basis COMMON TRAINING FRAMEWORKS &TESTS Case-by-case basis

  15. A NEW The Professional qualifications directive Directive 2012/xyz/EC COMMON TRAINING FRAMEWORKS &TESTS Minimum Training Requirements UPDATED COMMON TRAINING FRAMEWORKS &TESTS Case-by-case basis COMMON TRAINING FRAMEWORKS &TESTS Case-by-case basis

  16. Thankyou for your attention • DrZlatko Fras • UEMS Past-President and Liaison Officer • zfras@t-2.net • UEMS • European Union of Medical Specialists • info@uems.net

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