The Dutch Way since January 1st 2005 The change on that date was quite impressive, it made quality visitations compulsory Re-registration

To become a medical specialist Follow a training in certified training centers Pass all your intermediate exams Get your final positive judgement Send your paperwork to the MSRC The usual schedule, nothing special

When you are a medical specialist Your name and credentials are listed public in the BIG register The MSRC is counting your years as a medical specialist The MSRC can only count to five They are told to do so by the CCMS And when they are almost at five they will send you a bill and a form The BIG register is explained later on. BIG means Professions in Medicine MSRC means Medical Specialist Registration Committee CCMS means Central Council on Medical Specialisms, the CCMS has several registration commissions

What to do at 5 to 12? First pay the bill Then fill in the form Find some evidence Send in the form with the evidence 5 minutes to twelve is three months before your licence expires The amount is some € 300

What….if you do nothing? Some minutes after 12 you are not longer the medical specialist you were before 12 So pay the bill and find the evidence!!!! So the rules are that you have to come into action

The evidence that is needed Have done at least on average 16 hours a week of professional work in your specialty during those previous five years Have had at least 200 hours of accredited medical education in the previous five years, GAIA. Have had at least one quality visitation in the previous five years

The evidence that will be needed soon Have participated in one of the two choosen ways of IFMS About an exam is not spoken up till nowadays

Some explanations CCMS is the council that thinks about the rules of specialist education and training MSRC is the committee that has checks the work the council invents GAIA is a highly automated and smart system that counts your CME hours Quality visitation is a peer to peer judgement, not for university medical specialists BIG is a law on medical profs The council has three committees, on clinical medical specialist, on general practitioners, on social medical specialists GAIA is impossible tot translate, it is a sophisticated webbased system that counts CME credits. All accredited activities are listed in it as soon as the accreditation committee of the DOA accepts an activity. When you visit an activity you register with your BIG number. After attending you not only get a proof of attendance but the hours are added to your account in GAIA. The account is personal but near the five year mark you allow the MSRC to have a close look. Quality visitations are also on a regular base, every five years or earlier when something is not as it should be. In that way there is almost no chance that an individual specialist will not have his attendance to at least one visitation. The quality visitation is almost 25 years old

One more explanation IFMS is a way of personal evaluation along the seven CanMEDS roles for medical professionals IFMS is in its starting age

So……. Every five years you will lose a few hundred euro’s and you have to do some administration The reward is a nice sheet of paper that you have to show every time you change job position The original certificate of your specialty becomes useless

And remember! By doing nothing you will lose your certification. You only get it back with re-education And remember!