Continuing Medical Education

from Wikipedia, the free encyclopedia

Continuing Medical Education (CME) (German Medical Education ) is an American Anglo-from-derived term that a "continuous-job training " in the Medicine active doctors referred.

The term is broadly defined as what is known as “ Continuing Professional Development ” ( CPD).

The training measures serve to maintain and permanently update the professional competence of the medical profession. CME is thus a measure for medical quality assurance .

Historical development in Germany

Medical training was organized nationwide in Germany from the end of the 19th century. From 1881, the association of lecturers for medical vacation courses , founded with the participation of Ernst von Bergmann , Robert Koch and Rudolf Virchow , offered advanced training in the form of courses for the first time. In 1900, on the initiative of Ernst von Bergmann, the association for the holding of advanced training courses for general practitioners was founded in Berlin . In 1901, a central committee for advanced medical training was established in Prussia for the state coordination of advanced medical training , which offered advanced training for all physicians nationwide and free of charge and was co-editor of the journal for advanced medical training from 1904 . By 1926, state committees for advanced medical training with a total of 79 local associations had been set up in all German states. To coordinate these activities at the Reich level, the Reich Committee for Medical Training was established as early as 1908 . In 1935, regular participation in advanced training was made mandatory. With the end of National Socialism in 1945, mandatory training for doctors was not taken over. In 1964 it was reintroduced for the GDR area .

Development in Germany since 1990

In 1999, the 102nd German Medical Association decided to introduce a standardized training certificate nationwide. Initially, a certificate was planned on a voluntary basis.

The obligation of doctors to provide regular advanced training was passed on January 1, 2004 with the law on the modernization of statutory health insurance (GMG) (§ 95 d SGB V). While the medical training obligation was previously regulated exclusively by professional law, it is now part of the Social Security Code and thus federal law .

In mid-2004, the 107th German Medical Association decided on the relevant principles of the CME for German doctors.

With the introduction of CME into federal law, specialists now have to acquire 250 advanced training points within five years and thus the advanced training certificate of the responsible medical association . Specialists must obtain at least 150 points in specialist training courses. This certificate serves as evidence for the statutory health insurance associations , which are obliged to "check their members for compliance with their training obligations".

Considered to be suitable for advanced training

  • media-based self-study (specialist literature, audiovisual teaching and learning aids, structured interactive training),
  • Participation in advanced training events (congresses, seminars, exercise groups, courses, colloquia, quality circles),
  • Clinical training (observations, case presentations) and
  • Contents conveyed in the curriculum (curricular further training, further training courses which are prescribed for a further training title according to the further training regulations, additional courses of study)

considered.

Depending on the demands of the event, the participants receive up to eight advanced training points, so-called CME points, per day. In the event of non-compliance, contract doctors face sanctions such as reimbursement reductions up to a maximum withdrawal of approval by the Association of Statutory Health Insurance Physicians. Hospital doctors without a statutory health insurance license have an obligation to provide evidence to their employer. No sanctions have yet been provided for here.

Online training for doctors is also increasingly being offered, for example a four-week seminar on the subject of “Rational Antibiotic Prescription” as part of the RAI project, organized by the Berlin Charité.

Proof of advanced training

Proof of advanced training in accordance with Section 95d SGB V is provided via the personal advanced training account of a doctor licensed in Germany. To this end, every doctor receives a personal 15-digit uniform training number (EFN) from his regional medical association . The EFN has a nationwide structure, is personal and valid for life. In the course of a change of chamber, the assigned EFN will be retained. The EFN is made available to doctors as a barcode by the medical associations so that it can be used directly on the registration forms.

Structure of the uniform training number (EFN)

The EFN contains the following data:

Job meaning
1.2 Occupational group z. B. Internist
3,4,5 Country code according to ISO 3166
6.7.8 ID of the recognizing institution
9-14 6-digit sequential number that does not contain any coding
15th Check digit

criticism

The legal provisions leave the regulation of the organization of the advanced training events open. Although the law stipulates that the training must be “free of economic interest”, pharmaceutical companies can clearly be recognized as sponsors behind many free offers. The medical associations responsible for certification and compliance with the freedom of advertising are only up to their task to a limited extent. Every large pharmaceutical company now has its own CME portal. According to Franz-Joseph Bartmann, Chairman of the Senate for Medical Training, the problem lies in the large number of necessary offers that cannot be provided by the professional associations alone, as well as the fact that external offers cannot be checked down to the last detail by the medical associations.

See also

literature

Web links

Individual evidence

  1. ↑ 106th German Medical Congress: Transparency and efficiency in the German health care system ( Memento from January 18, 2015 in the Internet Archive ); Minutes of the decision of the 106th German Medical Congress from 20. – 23. May 2003 in Cologne: TOP-I health, social and medical professional policy; Accessed July 25, 2011.
  2. ↑ 107th German Medical Association 2004: Continuous professional development (CPD)  ( page no longer available , search in web archives )  Info: The link was automatically marked as defective. Please check the link according to the instructions and then remove this notice. ; Decision minutes of the 107th German Medical Congress from 18.-21. May 2004 in Bremen: TOP-V advanced medical training - progress report; Accessed July 25, 2011@1@ 2Template: Toter Link / www.bundesaerztekammer.de  
  3. ↑ a b c d e 107th German Medical Congress: (sample) regulation of the articles of association for advanced training and advanced training certificate ( memento of September 9, 2013 in the Internet Archive ); Minutes of the resolution of the 107th German Medical Congress 2004: TOP-II proof of advanced training; Accessed July 25, 2011
  4. ↑ Peter Semler. The position of the Kaiserin Friedrich Foundation in advanced medical training. Dtsch Ärztebl 1978; 75 (37): 2066-207
  5. ↑ Bernd Luther, Hans Lippert . The development of the medical training system in Berlin by the surgeon Ernst von Bergmann. Z ärztl Fortb 1987; 81: 21
  6. ↑ Moritz Fürst. The training system for general practitioners. In: The doctor. A Guide to Social Medicine. 1909, page 30 ff. Reprint 2017 .
  7. ↑ Eva Heine. The beginnings of organized training in the German Reich. Munich 1985
  8. ↑ Elke Böthin. Medical training in Germany 1871-1945. Sudhoffs Archive Journal for the History of Science 2015; 99 (2): 145-176
  9. ↑ Kurt Blome. New guidelines on continuing medical education. Compulsory medical training. Dtsch Ärztebl 1935; 65 (33): 773-777
  10. ↑ Elke Boethin: Medical Education in Germany - mandatory and voluntary . In: Journal for Evidence, Education and Quality in Health Care . tape 107 , no. 4–5 , pp. 327–334 , doi : 10.1016 / j.zefq.2013.03.017 ( online [accessed on May 11, 2020]).
  11. ↑ 102nd Deutscher Ärztetag 1999: Advanced training certificate from the medical associations ; Minutes of the resolution of the 102nd German Medical Congress 1999: TOP-II proof of advanced training; Accessed July 25, 2011
  12. ↑ a b c d Social Code (SGB) V, § 95d ; accessed on November 13, 2008
  13. ^ RAI> Tabs Container. Retrieved September 3, 2017 .
  14. ↑ a b Hamburg Medical Association: What does uniform advanced training number mean. Hamburg Medical Association, accessed on March 12, 2018 .
  15. ↑ Katja Kölsch: EFN barcode order. State Medical Association of Hesse, accessed on March 12, 2018 .
  16. ↑ Laura M. Lenzen, Johann W. Weidringer, Günter Ollenschläger. Conflicts of interest in continuing medical education - examinations of certified online continuing education offers. Magazine f. Evidence, Education and Quality in Healthcare 2016; 100-111: 60-68
  17. ↑ Jörg Auf dem Hövel: Power of the pharmaceutical portals anger the cartel office ; Spiegel Online, report from October 15, 2008; last accessed on November 6, 2012.