WFME

WORLD FEDERATIONFOR

MEDICAL EDUCATION

TASK FORCE III

STATUS REPORT

by

Hans Karle

MEDINE EXECUTIVE MEETING COPENHAGEN, OCTOBER 2006

MEDINE EXECUTIVE MEETING COPENHAGEN, OCTOBER 2006

Task Force III Progress June-October 2006:

Questionnaire on accreditation/recognition issues in the European Region

Draft of possible European version of standards

Workshop at the AMEE Annual Conference, Genoa, September

Second Task Force Meeting, Paris, 30-31 October

WFME October 2006

Workshop 

“Is there a need for European Regional Standards in Medical Education?”  

Organised by The World Federation for Medical Education (WFME) on behalf of the Thematic Network MEDINE

 Time: Saturday, 16 September 2006, 14:30-16:00

 Meeting room: Tramontana, module 9, level 2

 Chair: Dr. Hans Karle, President WFME

AMEE ANNUAL CONFERENCE,GENOA, SEPTEMBER 2006

AMEE ANNUAL CONFERENCE,GENOA, SEPTEMBER 2006

Programme

Panellists presentations: 

1. Professor Leif Christensen, Denmark

“Preliminary Reflections of the EU Thematic Network MEDINE Task Force on Quality Standards”

2. Professor Jadwiga Mirecka, Poland

“European Specifications of the WFME Global Standards for Quality Improvement of Medical Education”

3. Professor Herman J.M. van Rossum, The Netherlands

“Why can we not have a European accreditation system?”

4. Dr. Christophe Segouin, France

“Alternative Approaches to Quality Assurance of Medical Education – The French Model”

5. Dr. Hans Karle, Denmark

”European Standards – Relevance of an intermediary between global and national standards?” 

General discussion

FUNDAMENTAL QUESTIONS

 Delimitation of the European RegionDiversity of medical education and health care in the

RegionThe concept of standards in medical education (BME;

PME; CPD)The use of standards for quality

improvement/accreditation/recognitionRelation to the Bologna ProcessRelation to the EU Medical Directive

(Directive 2005/36/EC)

WFME October 2006

DELIMITATION OFTHE EUROPEAN REGION

European Union (EU) 25 countries

European Economic Area (EEA)

(EU + EFTA) 29 countries

Bologna Process Area 45 countries

Council of Europe 46 countries

WHO European Region 52 countries

All Europe 54 countries

WFME October 2006

NUMBER OF MEDICAL SCHOOLS IN EUROPE

European Union (EU) 297

European Economic Area (EEA)

(EU + EFTA) 308

Bologna Process Area 476

Council of Europe 476

WHO European Region 511

All Europe 511

WFME October 2006

MAIN DIVERSITIES OF BASIC MEDICAL EDUCATION IN EUROPE

Public or private schools

Duration of curriculum: 4 ½ -7 years

+/- specialisation (ex.: science-track; paediatric track)

Curricular models

Clinical training

Research attainment

Pre-registration training: 0-24 months before licensure

WFME October 2006

CONCEPT OF STANDARDS

Set of rules to be followed strictly

Flexible guidelines

WFME October 2006

WFME TRILOGY OF GLOBAL STANDARDS

A foundation for accreditation

WFME GLOBAL STANDARDS:TWO LEVELS OF ATTAINMENT

Basic Standards or Minimum Requirements (“musts”)Accreditation foundation to be met from the outset

Standards for Quality Development(“shoulds”)Reform purposes in accordance with international consensus about best practice

WFME October 2006

WFME GLOBAL STANDARDS:ORIENTATION AND COVERAGE

Institutional/Educational Programme Level

Institutional structure and organisation Curriculum/content/processLearning environmentOutcomeManagement

WFME October 2006

 2.1 CURRICULUM MODELS AND INSTRUCTIONAL METHODS

Basic standard:The medical school must define the curriculum models and instructional methods employed.  Quality development:The curriculum and instructional methods should ensure the students have responsibility for their learning process and should prepare them for lifelong, self-directed learning. Annotations:·         Curriculum models would include discipline, system, problem and community based models etc.·         Instructional methods encompass teaching and learning methods·         The curriculum and instructional methods should be based on sound learning principles and should foster the ability to participate in the scientific development of medicine as professionals and future colleagues.

EDUCATIONAL PROGRAMME

European Standards should include:

„structure of the curriculum must comply with the EU Directive 2005/36/EC”

„medical school must be defined and accredited as university, part of it, or institution of equivalent level

Area 1.1

Area 2.1

Educational goals of the Bologna Declaration

- system essentially based on the two cycles, bachelor and master

- establishment of a system of credits such as ECTS

- promotion of mobility- cooperation in quality assurance

Model of the curriculum must be clearly defined in relation to the 2 cycle system

Area 1.1

European Standards should include

Organisation of the curriculum should be based on estimated students workload as expressed in ECTS credit points.

Area 2.6

School must implement and use ECTS both for structuring the curriculum and for educational exchange.Schedule of courses and requirements should be flexible enough to allow students exchange

European Standards should include

Area 2.6

Credit accumulation system should be implemented

Annotations 6.6.

The school must define its own policy regarding internal quality assurance and improvement

European Standards should include

Area 9

The school should seek possibility to confirm quality of its education by external evaluation and accreditation

„competencies should be described taking into account the European Framework of Qualifications and the Dublin Descriptors.”

Area 1.1

European Standards should include

RATIONALE FOR EUROPEAN STANDARDS?

Is the spectrum of diversity different from other regions?

Would Sub-regional standards be of any value?

Is a common European accreditation system feasible?

Europe in the context of globalisation

WFME October 2006

PRELIMINARY (PROVOCATIVE?) CONCLUSIONS

WFME Global Standards could be used directly as a basis for formulation of National Standards

An intermediary between global and national standards is probably not needed

Some additional recommendations might be of value as a basis for formulation of National Standards

Division line between basic and quality development standards could be changed

Adaptation (Europeanisation) of annotations in the standards document to the European

context

WFME October 2006

WFME

WORLD FEDERATIONFOR

MEDICAL EDUCATION

Web-site: http://www.wfme.org