1.
WFME
WORLD FEDERATION
FOR
MEDICAL EDUCATION

2. TASK FORCE III STATUS REPORT by Hans Karle
MEDINE EXECUTIVE MEETING COPENHAGEN, OCTOBER 2006
TASK FORCE III STATUS REPORT by Hans Karle

3. 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, October
WFME October 2006

4. AMEE ANNUAL CONFERENCE, GENOA, SEPTEMBER 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

5. 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

6. FUNDAMENTAL QUESTIONS
FUNDAMENTAL QUESTIONS
Delimitation of the European Region
Diversity of medical education and health care in the Region
The concept of standards in medical education (BME; PME; CPD)
The use of standards for quality improvement/accreditation/recognition
Relation to the Bologna Process
Relation to the EU Medical Directive (Directive 2005/36/EC)
WFME October 2006

7. DELIMITATION OF THE EUROPEAN REGION
DELIMITATION OF THE EUROPEAN REGION
European Union (EU) 25 countries
European Economic Area (EEA)
(EU + EFTA) countries
Bologna Process Area 45 countries
Council of Europe countries
WHO European Region 52 countries
All Europe countries
WFME October 2006

8. NUMBER OF MEDICAL SCHOOLS IN EUROPE
NUMBER OF MEDICAL SCHOOLS IN EUROPE
European Union (EU) 297
European Economic Area (EEA)
(EU + EFTA)
Bologna Process Area 476
Council of Europe
WHO European Region 511
All Europe
WFME October 2006

9. MAIN DIVERSITIES OF BASIC MEDICAL EDUCATION IN EUROPE
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

10. CONCEPT OF STANDARDS Set of rules to be followed strictly
CONCEPT OF STANDARDS
Set of rules to be followed strictly
Flexible guidelines
WFME October 2006

11. WFME TRILOGY OF GLOBAL STANDARDS
A foundation for
accreditation

12. WFME GLOBAL STANDARDS: TWO LEVELS OF ATTAINMENT
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

13. WFME GLOBAL STANDARDS: ORIENTATION AND COVERAGE
WFME GLOBAL STANDARDS: ORIENTATION AND COVERAGE
Institutional/Educational Programme Level
Institutional structure and organisation
Curriculum/content/process
Learning environment
Outcome
Management
WFME October 2006

14. EDUCATIONAL PROGRAMME
  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.

15. European Standards should include:
„medical school must be defined and accredited as university, part of it, or institution of equivalent level
Area 1.1
„structure of the curriculum must comply with the EU Directive 2005/36/EC”
Area 2.1

16. 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

17. European Standards should include
Model of the curriculum must be clearly defined in relation to the 2 cycle system
Area 1.1
Organisation of the curriculum should be based on estimated students workload as expressed in ECTS credit points.
Area 2.6

18. European Standards should include
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
Area 2.6
Credit accumulation system should be implemented
Annotations 6.6.

19. European Standards should include
The school must define its own policy regarding internal quality assurance and improvement
The school should seek possibility to confirm quality of its education by external evaluation and accreditation
Area 9

20. European Standards should include
„competencies should be described taking into account the European Framework of Qualifications and the Dublin Descriptors.”
Area 1.1

21. RATIONALE FOR EUROPEAN STANDARDS?
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

22. PRELIMINARY (PROVOCATIVE?) CONCLUSIONS
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

23. WFME WORLD FEDERATION FOR MEDICAL EDUCATION
Web-site: