Electronic exchange of information on professional or good standing
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Electronic exchange of information on professional or good standing. Electronic exchange of information on professional or good standing. The vision. “a common passport – the creation of a new registration procedure to be used by a group of countries” – Gerald Bury - 1998

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Presentation Transcript


The vision
The vision standing

  • “a common passport – the creation of a new registration procedure to be used by a group of countries” – Gerald Bury - 1998

  • “development of the competent authority concept based on gold standards of CGS and verification of the doctors history” – Sue Ineson - 2002

  • The concept refined – a way to transfer secure information so a jurisdiction knows the doctor is bone fide, knowledge is current and is fit to be registered- IAMRA working group 2002-2004


The rationale
The rationale standing

  • Medical migration is a reality- countries, specialties and individual benefit

  • Doctors travel for :

    • Employment

    • Training

    • Fulfil service needs

    • Promote innovation

  • Therefore there is a need to simplify and facilitate the movement of competent doctors and decrease the time and cost involved in sitting different and diverse examinations and registration requirements


“This concept of a medical passport , while ideal is just a bit premature…

..the reality will not easily be achieved.”


Fast track credentialing system
Fast track credentialing system a bit premature…

  • Divide the passport concept into ‘doable’ segments

  • Streamline the current systems and utilise modern technology

  • Start small and allow the concept to grow


Electronic exchange of cgs
Electronic exchange of CGS a bit premature…

  • As part of IAMRA fast track credentialing project the GMC and MCNZ agreed to trial and then extend bilateral agreements for certificates of good standing

  • In 2003 a pilot was set up between GMC and MCNZ to exchange CGS by encrypted emails


Electronic exchange of cgs1
Electronic exchange of CGS a bit premature…

  • Basis of the system was

    • Memorandum of understanding which defined each Council’s CGS

    • Performance agreement

    • Encryption

    • A specific mail box

    • Had permission of the doctor

    • System allowed for payment


What was exchanged
What was exchanged a bit premature…

  • Name

  • Former names if known

  • Unique identifier or registration number

  • Date of birth

  • Primary medical degree- year and place of qualification


Benefits of electronic exchange
Benefits of electronic exchange a bit premature…

  • Simplicity

  • Direct from the other jurisdiction

  • Encryption to increase security

  • CGS was up to date at time of actual registration

  • Speed of exchange

  • Do not have to have exactly the same standard of CGS

  • Built relationships to enable other developments to be forwarded

  • Improved service for doctor

    The review of the pilot was positive


Extension of the exchange to other jurisdictions
Extension of the exchange to other jurisdictions a bit premature…

From 2004 onwards

  • Other groups started to develop bilateral agreements with GMC and MCNZ and with each other

  • The individual basis allowed the jurisdiction to get agreement with those it had most CGS traffic

    By mid 2006

  • 14 countries and states had cross exchanges and 11 countries in the Europe agreement


Developments
Developments a bit premature…

  • Heath Professionals Crossing Borders

    • GMC part of the European Consensus conference which developed agreement on the exchange of certificates of professional status

      Worldwide

    • Other groups continue to join the GMC and MCNZ network

    • The GMC and MCNZ agreed to extend the CGS information


Review of benefits
Review of benefits a bit premature…

A questionnaire was conducted in April 2006

The results:

  • Response from 12 jurisdictions including Ireland , South Africa, states in Australia and Canada, New Delhi and countries in Europe


Rationale
Rationale a bit premature…

  • Increased timeliness and authenticity

  • Expeditious transfer

  • Security and speed

  • Decrease in paper work

  • Memorandum with definitions did not require common standards for CGS

  • Beneficial to doctors and Councils

  • “the most logical and timely method of securely providing certificates of professional conduct”


  • Concerns
    Concerns a bit premature…

    • Encryption- this continues to cause some issues in some jurisdictions

    • Training of staff

    • Time to get it under way

    • Not all saw memorandum necessary

    • Concern that there may be no paper trail


    The way forward
    The way forward a bit premature…

    • Now numbers varied from very few to transfer of 1000s and as more countries join the network grows

      Suggestions for better development

    • Promote more via IAMRA

    • Put directory of groups participating on website

    • International standard and /or terminology

    • Encryption- this continues to cause some issues in some jurisdictions


    Gmc mcnz relationship
    GMC-MCNZ relationship a bit premature…

    • The CGS enabled the two groups to improved their relationship at a staff to staff member level

    • In late 2003 as young NZ doctors finished their intern year and looked to do their “OE” as many as 500 CGS a month were being sent to GMC electronically.

    • Now the GMC sends about 1000 per annum and NZ sends up to 100 annually

    • Therefore it makes sense to extend the concept


    Gmc mcnz extension
    GMC-MCNZ Extension a bit premature…

    • Stage one: extra information to help verification

      • Gender

      • Primary qualifications

      • Post grad qualifications

      • Start date as a specialist

      • Passport number


    Gmc mcnz extension1
    GMC-MCNZ Extension a bit premature…

    Stage two

    • Verification of identity

    • Passport number and photograph of doctors who have passed entry examinations

      Stage three

    • Passport number and photographs of own graduates


    Gmc mcnz extension2
    GMC-MCNZ Extension a bit premature…

    Stage four

    • Verification of work history

      Stage five

    • Bilateral agreement on entry examinations

      Stage six

    • Access to each others data base to a certain level


    Thanks
    Thanks a bit premature…

    • GMC especially Amanda Watson who helped develop the work

    • Medical Council of New Zealand and staff who helped with trial

    • All those who completed the questionnaire

    • IAMRA - for giving us a reason for and a way to develop new concepts


    From good to great jim collins
    From Good to Great – Jim Collins a bit premature…

    • “Being an effective organisation ……being the very best what you do ………..moving from good to great………lies in the discipline to do what ever it takes to become the best at what you do….then seek continual improvement….

    • It is really that simple.

    • And it is really that difficult!”


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