continuing medical education in portugal · 2019. 9. 4. · continuing medical education in...
TRANSCRIPT
Continuing Medical Education in Portugal
Ana Margarida Neves, MD, MSc, PhDAssociate Professor, Faculty of Medicine, Lisbon University
Head of Pediatric Allergy Unit, Department of Pediatrics, Santa Maria HospitalVice-President of European Academy of Paediatrics
Paediatric Section of the Union of European Medical Specialties
Index
1 – Introduction
2 –CME in Portugal
3 – Medical Careers
4 – UEMS
5 – Conclusion
Maintaining lifelong knowlegdge and skills is essential for a safe clinicalpractice
To Err is Human REPORT 1999 Bristol Inquiry 1996
Patient safety
Continuing Medical Education (CME) for Specialist Recertification
Core component Continuous Professional Development (CPD)
Introduction
Ahmed K et al The effectiveness of continuing medical education for specialistRecertification Can Urol Assoc J. 2013 Jul-Aug; 7(7-8): 266–272.
Definition- Recertification of Specialist
CME- established and reliable method that can facilitate lifelong learning
- Knowledge- Skills - Competent practice- Patient safety
Recertification (Netherland)Maintenance of Certification (US, Canada)Specialists Revalidation (UK)
Up-to date
Patient centered
Evidence-based care
PATIENT OUTCOME monitoring a positive change in performance
Practice Based Learning and Improvement (PBLI)
CME Curricula
An overview of methods for CME
Comparison CME
Netherland UK Malta Portugal
Mandatory Legal frame Legal frame
Voluntary Ethical Code Obligation
Not mandatory Incentives/AbsentLegal frameSelf directed
Structure
5-5 yearsIDP Appraisal200 CME/5 y
Loss License
5-5 yearAnnual Appraisal
Portofolio byOfficers
Loss License
Financial incentives 2 Weeks Congress
Pre and Pos Graduate
Medical CareerAppraisal:
Specialist Degree Graduate Degree Senior Degree
2 Weeks Congress
Portofolio -Proof Competence by Officers
Adapted: Sehlbach C et al,“Certified … now what?” On the Challenges of Lifelong LearningJ Eur CME. 2018; 7(1): 1428025
Many countries in Europe are in the process of reforming their CME systems
In Portugal CME is structured as Medical Careers
• Followed
• Not mandatory but with economic career progression incentives
• Good healthcare outcomes (13th NHS in the world)
CME in Portugal
In Portugal MDs are the professionals that are submitted to more
public exams and evaluations during their lifelong careers.
Health Care Authorities (legislation) and the National Medical
Association (technical support) regulate the medical careers with a
hierarchy of EC, Ethics, Specialty Councils.
Scientific Pediatric Society –National Congress, Meetings, Courses
Medical Careers
Law 177/2009 - DEGREES
Specialist Degree: 3 days exam - CV, practical and theoretical
Graduate Degree: 2 days exam – CV, 5 years later, proof competence evaluation
Senior Graduate Degree – 1 day exam - CV, leadership, development project - POSTE
Annual repport and evaluation
Last decade - Healthcare: shifted from public to private sector...
Special Medical Careers
Certification of Specialists
Differences in training requirements and certification in Europe
eg length of training, timing of exam
Pediatric European Exam 2019
Certification of Specialists
Sehlbach C et al,“Certified … now what?” On the Challenges of Lifelong Learning: Reportfrom an AMEE 2017 Symposium J Eur CME. 2018; 7(1): 1428025.
Specialist (Law 13/2018)
National Access Exam to Specialization
Detailed Training Program (3 years Common Trunk + 2 years Subspecialty
Options), defined by Law, yearly and continuous evaluations in
Departments recognized by visitations, tutors...
Certification National Specialist Exam- CV, patient centered practical and
theoretical discussion (3 days)
Certification of Specialists in Portugal
Graduate Degree Evaluation - National Juries
Evaluation
Evaluation
Evaluation
Graduate Degree: 1st day - CV discussion 2nd day - Proof of competence
National CME Council is studying the alignment and integration of the
portuguese medical careers with the models already established in
other countries introducing guidelines to regulate the CME program
for each specialty in Portugal
Medical Careers
UEMS supports CME and offers an Accreditation System
EUROPEAN ACCREDITATION COUNCIL for CME- EACCME
- Assures the quality for CME program
CPD/CME accreditation of events and activities - application form
- Allocation of credits/year – 40/year-200 CME per 5 years
European Union Medical Specialist-UEMS
Continuous not occasional or casual medical education;
Useful in the short and long term;
Focus on excellence of patient care and outcomes;
Funding by healthcare authorities is desirable to have independent
education and regulation
Conclusion CME
Thank you for your attention