| Popis: |
We have previously published the results of a comprehensive research project which was conducted in 11 European countries in 2010/2011 to establish a detailed database on the implementation of CME in these countries, including underlying structures, roles and responsibilities, and funding models. Special attention was given to the role of the various stakeholders such as Ministry of Health/government, physician associations/societies/chambers, and universities in addition to the positioning of CME within the medical education pathway from undergraduate through postgraduate to life-long learning. We showed that there were three models for the implementation and accreditation of CME: physiciancentric model, politician-centric model and university-centric model. In this paper we describe a more detailed analysis of these systems. The three different types are characterised by different leaderships (physician representations, Ministry of Health and universities), diff erent drivers and diff erent means of access to CME. There was no relationship between the accreditation system implemented in the respective country and the identified CME implementation model. In addition, different approaches to funding were identified for the different models, from purely governmental funding to predominantly third party sponsoring, revealing different risks for bias in the different models. We conclude that knowledge of the underlying model may be crucial for providers of medical education and medical societies when executing international educational programmes for their members or setting up international collaborations. It is hoped that these new findings may also stimulate an interesting discussion amongst the leaders in CME on what may be the future model for CME in Europe: Is there one compelling model other countries may want to follow? Keywords: European implementation models for CME, comprehensive research project, beyond accreditation systems, future model for CME in Europe (Published: 19 March 2013) DOI: 10.3109/21614083.2013.772056 |
