WFME Task Force

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WFME WORLD FEDERATION FOR MEDICAL EDUCATION
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MEDINE Task Force IIIonQuality Assurance
StandardsDeveloping European Standards in
Medical Education based on the WFME Global
Standards byHans Karle
MEDINE ANNUAL CONFERENCE PRAGUE, CZECH REPUBLIC,
MAY 2006
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RESPONSIBLE ORGANISATIONS

• World Federation for Medical Education (WFME).
• Association of Medical Schools in Europe (AMSE).

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MEMBERS OFMEDINE TASK FORCE III

• Dr. Hans Karle (WFME chair), Denmark
• Professor, Dr. Herman J.M. van Rossum (AMSE
  chair), Netherlands
• Professor Leif Christensen, Denmark
• Professor Maria Rosa Fenoll-Brunet, Spain
• Professor Roger Green, UK
• Dr. Hannu Halila (UEMS chair), Finland
• Professor Jadwiga Mirecka, Poland
• Professor Iskender Sayek, Turkey
• Professor Dieter Scheffner, Germany
• Dr. Christophe Segouin, France
• Stud. med. Christina Jensen-Dahm

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TASK FORCE III SECRETARIAT

• World Federation for Medical Education (WFME)
• University of Copenhagen
• Faculty of Health Sciences
• The Panum Institute
• Blegdamsvej 3B
• DK-2200 Copenhagen N
• Denmark
• wfme_at_wfme.org

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OBJECTIVE I

• Work to enhance overall standards of medical
  education in Europe through sharing of ideas,
  dissemination of best practice, and quality
  assurance, in conjunction with other European
  agencies such as ENQA and the regional ERA and
  making use of the work already carried out by the
  WFME.

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OBJECTIVE II

• Analyse how to adapt the WFME standards to the
  European context of medical education and to the
  Bologna process in order to establish minimum
  requirements for accreditation at medical schools
  in Europe.

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OBJECTIVE III

• Produce a set of quality assurance standards for
  medical education in Europe, building on and
  adapting existing work such as the WFME Global
  Standards, as framework for institutional
  self-evaluation and for accreditation of
  undergraduate medical education programmes.

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PHASES OF MEDICAL EDUCATION

• Basic Medical Education (undergraduate)
• Postgraduate Medical Education
• Continuing Medical Education (CME) (Continuing
  Professional Development (CPD) of Medical Doctors)

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TIMELINES

• Year 1 Collection of information about existing
  accreditation methodologies, assessment
  systems and standards in European medical
  education.
• Year 2 Analysis of previous data and comparison
  with international standards in medical
  education defined by WFME and IIME.
• Year 3 Proposals for quality assurance standards
  for basic medical education, postgraduate
  medical training and continuing medical
  education (CME) for institutional
  self-evaluation and accreditation of
  undergraduate medical education programmes.

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WFME TRILOGY OF GLOBAL STANDARDS
A foundation for accreditation
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WFME GLOBAL STANDARDSTWO 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

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WFME GLOBAL STANDARDSORIENTATION AND COVERAGE

• Institutional/Educational Programme Level
• Institutional structure and organisation
• Curriculum/content/process
• Learning environment
• Outcome
• Management

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WFME Trilogy of Standards Areas
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WFME Trilogy of Standards Competencies
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WFME Trilogy of Standards Assessments
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USE OF STANDARDS

• Framework for institutional (voluntary)
  self-evaluation
• External evaluation and counselling from peer
  review committees, including site visits
• Combination of these procedures
• Recognition and accreditation of
  institutions/programmes

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CONCLUSIONS FROM FIRST TASK FORCE MEETING,
AMSTERDAM, JANUARY 2006

• Europe to be defined as the geographical area
  covered by the European Council
• Working conditions for the Task Force accepted
• Survey about quality assurance instruments for
  medical education institutions and programmes and
  each of the European countries
• Proposal for European standards

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SURVEY OF QUALITY ASSURANCE AND ACCREDITATION OF
MEDICAL EDUCATION IN THE EUROPEAN REGION

• Questionnaire divided in
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• A. Information on Quality Assurance and
  Accreditation of Basic (Undergraduate) Medical
  Education.
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• B. Information on Quality Assurance and
  Accreditation of Postgraduate Medical Education.
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• C1. Information on Quality Assurance and
  Accreditation of Continuing Medical Education
  (CME).
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• C2. Information on Quality Assurance and
  Accreditation of Continuing Professional
  Development of Medical Doctors (CPD).

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DEVELOPING EUROPEAN STANDARDS - WFME STANDARDS AS
A TEMPLATE

• Conclusions from first Task Force meeting
• WFME global standards considered relevant and
  adequate
• European standards could be more detailed
• European standards should not be very
  prescriptive
• Probably no need for sub-regional variation
• Relationship to results from Task Force I on
  competencies

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DEVELOPING EUROPEAN STANDARDS - WFME STANDARDS AS
A TEMPLATE

• Conclusions from first Task Force meeting
• Methods to be used in development
• Change of division line between basic standards
  and standards for quality development
• Modification of annotations
• In some cases additions/deletions
• Special remarks regarding the European region

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WFME Global Standards inBasic Medical Education
1 MISSION AND OBJECTIVES   1.1 STATEMENTS OF
MISSION AND OBJECTIVES Basic standard The
medical school must define its mission and
objectives and make them known to its
constituency. The mission statements and
objectives must describe the educational process
resulting in a medical doctor competent at a
basic level, with an appropriate foundation for
further training in any branch of medicine and in
keeping with the roles of doctors in the health
care system.   Quality development The mission
and objectives should encompass social
responsibility, research attainment, community
involvement, and address readiness for
postgraduate medical training.
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WFME Global Standards inBasic Medical Education

• 1 MISSION AND OBJECTIVES
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• 1.1 STATEMENTS OF MISSION AND OBJECTIVES
• Annotations
• Statements of mission and objectives would
  include general and specific issues relevant to
  institutional, national and regional policy.
• Any branch of medicine refers to all types of
  medical practice and medical research.
• Postgraduate medical training would include
  preregistration training, vocational training,
  specialist training and continuing medical
  education/professional development.

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THE EUROPEAN VERSION OFWFME GLOBAL STANDARDS FOR
BME

• No present change of the global standards
•  Issuing an addendum the European version to be
  followed by the global standards plus the
  addendum
• Content of the addendum
• An introduction with a list of the quality
  development standards to be regarded as basic
  standards in the European Region
• Supplement to the annotations Specifications
• for the European Region

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WFME WORLD FEDERATION FOR MEDICAL EDUCATION
Web-site http//www.wfme.org