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Federazione delle Società Medico -Scientifiche Italiane. CME Worldwide. BRAIDO F. FISM Task Force. CANONICA G.W. FISM Secretary General. Continuing Medical Education: an international reality. Braido F., Popov T., Ansotegui IJ., Gayraud J.,

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slide1

Federazione delle Società

Medico -Scientifiche Italiane

CME Worldwide

BRAIDO F.

FISM

Task Force

CANONICA G.W.

FISM

Secretary General

slide2

Continuing Medical Education:

an international reality

Braido F., Popov T., Ansotegui IJ., Gayraud J.,

Nekam K.L., Delgado J.L., Malling H.J., Olson S,

Larchè M., Negri A., Canonica G.W.

EAACI CME Accreditation Committee

In press 2005

slide4

Applicants

Bulgaria

Ceska Rep.

Estonia

Cypros

Lettonia

Latvija

Magyarorszag

Malta

Polska

Romanja

Slovenja

Slovackia.

Turkiye

Belgium

Denmark

Germany

Greece

Spain

France

Ireland

Italy

Luxemburg

Holland

Portugal

Austria

Finland

Sweden

Great Britain

EU Member Countries

belgium
BELGIUM

Mandatory or Voluntary CME?

  •  Voluntary, but incentives exist for accredited doctors (they can ask for higher fees, about 4.5%, + a yearly premium of 490 Euro.) There are no sanctions besides exclusion of accreditation and no re-certification.

Type of Credit:Points 

Number of Credits:

  • The number of credits required amounts to 200 per year (20 hours of which 3 hours must be Ethics, and 4 hours in group peer review).

National Accreditor:

  • CME in Belgium is regulated by an organization within the INAMI-RIZIV (State Institution for Insurance against Disease and Invalidity) and hence, is monitored by the profession, the universities and scientific organizations and the (mostly politically linked) insurance organizations.
bulgaria
BULGARIA

Mandatory

CME Agreement with UEMS

croatia
CROATIA

Mandatory or Voluntary CME?Mandatory.Voluntary up to 1995, since then all physicians have had to join the Croatian Medical Chamber. An Institute of Licensure and Re-licensure was established. All physicians with state examinations, already practicing medicine, were granted a license for independent practice, renewed after six years following the obtaining of 120 points of CME.

Type of Credit: 1 hour = 1 credit

National Accreditor: Specialists Societies and Hospitals (1996)

czech republic
CZECH REPUBLIC

Mandatory or Voluntary CME?

  • Mandatory, similar to Croatian system

Type of Credit: Credits system

Number of Credits: Credits obtained over 5 years

National Accreditor: Specialist Societies and Hospitals

Online CME? Yes

hungary
HUNGARY

Mandatory or Voluntary CME? Mandatory with sanctions

Type of Credit: Points

Number of Credits: 250 points over 5 years

National Accreditor:

  • Four Medical Schools under control of aSupervisory Steering Committee Other: Incentive to comply,Doctors pay to register and are punished if they do not. Also important is the Hungarian Physicians Chamber (HPC).

Other:

  • Pharma companies (local and international), from both a financial point of view as well as giving scientific information, are playing keyrole in the continuous medical education. Every activity concerning the creditpoint system should be in close cooperation with the HPC and the entire Doctors Collegium (Neurology, Gynecology etc.)
poland
POLAND

Mandatory or Voluntary CME?

  • A law exists but doesn't work in practice.

Voluntary

National Accreditor:

  • Polish Chamber of Physicians and Dentists

Other:

  • The Head of Polish Gynecological Society Prof. WieslawSzymanski can be interested in the introduction of CME system and give assistance.
romania
ROMANIA

Mandatory or Voluntary CME? Mandatory 

Type of Credit: Credits per type of activity 

Number of Credits:

  • 50-200 credits every 5 years (depending upon specialty). A scale of crediting has been established according to the difference between courses with and without a final evaluation as well as taking part in conferences and congresses.

National Accreditor: Romanian College of Physicians

Accreditation of providers:

  • Providers are accredited with help of Scientific Societies and the Professional Organizations – rules include experience and no commercial links.
slovakia
SLOVAKIA

CME is about to be established.

slovenia
SLOVENIA

Mandatory or Voluntary CME? Mandatory.

Type of Credit: Credit Points.

Number of Credits: 75 points over 7 years for re-certification

National Accreditor: Slovenian Medical Chamber

Online CME? Coming up

slide17

TURKEY

Voluntary CME

with sanctions in certain areas

united states
UNITED STATES

Mandatory or Voluntary CME? Mandatory in 40 states.

Type of Credit: Credit hours, move to credits

Number of Credits: 150 credit hours over three years

National Accreditor:

  • The Accreditation Council for Continuing Medical Education (ACCME) Online CME
  • ACCME released policy 2002-A-11 stating eight points regarding online CME program. In summary, they say that CME activities delivered via the internet are expected to be in compliance with ACCME Essential Areas, Elements and Policies.

Other

  • Reciprocity agreement between AMA and the EACCME
slide20

1998 2003

USD

302 millions

971 millions

N.E.J.M. february 10,2005

slide22

CANADA

Mandatory CME

As in the United States

Reciprocity agreement with USA

mexico
MEXICO

Mandatory since 2002

Bylateral agreement

with the USA

argentina
ARGENTINA

Mandatory or Voluntary CME?

  • Voluntary but there are plans to make itmandatory in the future.

National Accreditor:

  • NationalCommissionfor BoardCertification and Re-certification
brazil
BRAZIL
  • Not a formal system in place. Brazilian federal health council has no rules for CME.
  • Medical societies like: anesthesia, cardiology and gynecology are playing a major role in establishing standards for certifying and updating their members.
  • There is a trend leaded by the major schools of medicine to reduce the number of new physicians, due to saturation of the market (9,000 new doctors every year), the goal is to have better training and CME for future board certification.
chile
CHILE

Mandatory or Voluntary CME?Voluntary

National Accreditor:

  • National Council for Medical Specialties Certification (CONACEM) established in 1985. certification is provided through a diploma of CME issued by this council.

Online CME? Yes

Other:

  • Government health authorities, “CONACEM” and Chilean Academy of Medicine are now considering implementation of CME and board certification standards for all specialists.
  • Pharmaceutical industry is playing a major role in education by delivering CME enduring programs (print and online).
costa rica
COSTA RICA

Mandatory or Voluntary CME?

  • Voluntary for almost all medical specialties, but mandatory for public health employees.

National Accreditor:

  • Board certification and re-certification is ruled by the committee for medical certification of the Costa Rica’s national medical college. Re-certification required now by 6 specialties every 3 years. 

Other:

  • Mexican influence in Costa Rica’s and Central America due many opinion leaders from the region have graduated or postgraduated in Mexico.
slide29
PERU
  • In 1998 the National system for board certification andre-certification under the rule of the Peruvian college of medicine) was established. Implementation process is starting.
  • There are many CME activities and programs sponsored by pharmaceutical companies.
kuwait
KUWAIT

Mandatory or Voluntary CME? Looks voluntary.

Type of Credit: Points

Number of Credits:

  • Health professionals who acquire a total of 250 credit points during a period of five years receive a Certificate of Satisfactory Completion of CME from KIMS. Category 1 Educational activities entitle the participants to claim 1 credit point of CME for one contact hour of educational activity (Lectures, symposia, group learning, seminars etc. that are structured and formal). Practical/clinical training sessions yield 0.5 credit point per hour.Category 2 activities earn 0.5 credit point of CME for every hour.

National Accreditor: Kuwait Institute for Medical Specialization (KIMS)

Online CME? Yes

Other

  • Category 1 comprises formal learning opportunities provided by recognized educational institutions or professional bodies, and accredited by the CME Council of KIMS. Educational activities that are less structured from a learning viewpoint than those under Category 1 are included under Category 2.
slide32

SAUDI ARABIA

MANDATORY CME

80 different nationalities practising medicine CME

as standard practice 30 Hours

slide33

IRAN

Mandatory CME

25 Credits a year

Loss of licence

south africa
SOUTH AFRICA

Mandatory or Voluntary CME? Mandatory.

Type of Credit:Credit Points (1 point = 1 hour of CME activity)

Number of Credits: 50 points

National Accreditor:

  • Medical and Dental Professional Board under the jurisdiction of the Health Professions Council of South Africa (HPCSA).
slide36

SINGAPORE

Mandatory system for Specialists

slide38

AUSTRALIA

Voluntary for Specialists

slide39

NEW ZEALAND

Voluntary for Specialists

slide40

COUNTRIES with MANDATORY CME

North America: Canada, USA (40 States)

Central America : Mexico

Europe: Austria, Ireland, Italy, Netherlands,

Norway (only GPs.), Switzerland, U.K. (CPD)

Eastern Europe: Bulgaria,Croatia, Check Republic,

Romania, Slovenia

Africa: South Africa

Asia: Iran, South Korea, Singapore,

Saudi Arabia, Arabian Emirates

slide41

CME ITALY

usa

CME USA

CME EUROPE

CME WORLD

slide42

RECIPROCITY

EACCME --ACCMECME Credits

till 2006

slide43

UNMET NEED

&

ABSOLUTE REQUIREMENT

Harmonization of CME Systems throughout Europe

slide44

Euro

Currency

CME

Italian CME Credit System

European

CME

Credit System

EACCME

German CME Credit System

French CME Credit System

slide45

A harmonized system of CME

throughout Europe

is

inevitable

in the next few years

slide46

“USA-EU:

Sharing the educational effort”

Milan - March 2003

Rome - October 2003

Rome - April 2004

G. Walter Canonica, Chairman, European Academy of Allergology & Clinical Immunology Accreditation Council, Secretary General, World Allergy Organization, Secretary, Italian Federation of Scientific Medical Societies, Genoa Italy

Murray Kopelow, Chief Executive, Accr Council for Continuing Medical Education, Chicago, IL,

Bernard Maillet, Secretary General, European Union of Medical Specialists, Brussels, Belgium

Herve Maisonneuve, Task force on Health Care Professionals' Competencies, Paris, France

Alfonso Negri, Secretary General, Italian Council for Accreditation in Pneumology, Milan, Italy

Helios Pardell, Director, Spanish Accr Council for Continuing Medical Education Madrid, Spain

Teodor Popov, European Academy of Allergology and Clinical Immunology, Sofia Bulgaria

Barbara Schneidman, Vice President for Education, American Medical Association, Chicago, IL

Pasquale Spinelli, Vice President, Italian Federation of Scientific Medical Societies Milan, Italy

Riccardo Vigneri, Chairman, Long Distance Learning Sub-Committee, Italian Continuing Medical Education Commission of the Ministry, Catania, Italy

Kate Lancey, Royal College CPD London UK

Next Meeting : Rome May 16, 2005

slide49

Consensus on Basic Values and Responsibilities Underlying the Substantial Equivalency of CME and CPD Systems

Values

CME/ CPD systems should be based on the following enduring values

Continuing medical education and life-long learning:

1.That enhances physician performance and thereby improves

the health of people.

2.That is based on information concerning the educational needs

of physicians with the ultimate aim of helping them improve health.

A process for the accreditation of providers/organizers

of CME/CPD activities that includes:

1.Fairness, validity, innovation, honesty and consistency

in accreditation practices.

2.Reasonable standards and criteria for CME providers/organizers.

3.Accountability, responsiveness, and leadership of accreditation bodies.

4.The promotion of continuous quality improvement of the accreditation

process as well as the education systems it supports.

5.Collaboration and partnership between and among accreditation bodies,

and between accreditation bodies and providers/organizers

Allergy 2005 in press

slide50

Responsibilities of the provider/organizer of CME/CPD activitiesto be fulfilled in order to grant credit

  • 1.  Any commercial sponsorship or interests of the programme planner, presenters, or facilitators must be disclosed to the provider / organizer and the learners.
  • 2.Any support, sponsorship or funding by commercial health care organisations must not influence the structure or content of the educational programme.
  • Ensure there are outcome measures of education effectiveness expressed in terms of meeting the knowledge, competence or performance objectives of the activity.
  • Be able to make available a confirmation of participation, at a frequency and nature appropriate to regulatory requirements.
  • Ensure that the teaching methods used are appropriate to the stated learning objectives.
  • Be able to show that they have evaluated the quality of any previous education activities and have made improvements, where necessary

The provider / organizer must:

Allergy 2005 in press

slide51

Responsibilities of the learner

- to be fulfilled in order to claim credit -

Learners

  • have responsibility for:
  • Participating in CME/CPD that is based on their individual educational needs.
  • Ensuring that the needs are relevant to their professional practice.
  • Evaluating the extent to which their needs have been met, in the context of a change in knowledge, competence or performance.
  • Verifying that mechanisms are in place to keep educational activities free of commercial bias.

Allergy 2005 in press

slide53

EUROPEAN ACADEMY

of

ALLERGY and CLINICAL IMMUNOLOGY

Chairman - G.W. Canonica

Members: I.Ansotegui

F.Braido

L.Delgado

J.Gayraud

K.L. Nekam

M.Larchè

H-J. Malling

S.Olsson

C.Öström

T.Popov

EAACI-CME AccreditationCommittee

slide54

Continuing Medical Education:

an international reality

Braido F., Popov T., Ansotegui IJ., Gayraud J.,

Nekam K.L., Delgado J.L., Malling H.J., Olson S,

Larchè M., Negri A., Canonica G.W.

EAACI CME Accreditation Committee

In press 2005

slide55

Feel free to contact us at:

fulvio.braido@unige.it

canonica@unige.it

Thank You

jordan
JORDAN
  • Licenses of the physiciansare for lifetime practices and noadditionaleducationafter the university is required.
slide59

Responsibilities of the provider/organizer to be fulfilled in order to grant credit,

    • 1. Any commercial sponsorship or interests of the programme planner, presenters, or facilitators must be disclosed to the provider / organizer and the learners.
    • Any support, sponsorship or funding by commercial health care organisations must not influence the structure or content of the educational programme.
slide60

The provider / organizer must,

    • 1. Ensure there are outcome measures of education effectiveness expressed in terms of meeting the knowledge, competence or performance objectives of the activity.
    • 2. Be able to make available a confirmation of participation, at a frequency and nature appropriate to regulatory requirements.
    • 3. Ensure that the learning objectives are specifically defined in terms of knowledge competence or performance, and are appropriate for the target audience
    • 4. Ensure that the teaching methods used are appropriate to the stated learning objectives.
    • 5. Be able to show that they have evaluated the quality of any previous education activities and have made improvements, where necessary.