WFME Task Force

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MEDINE and ECTS MA Annual Conferences Oslo
10-12th May 2007
State of the Art
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MEDINE ANNUAL MEETING OSLO, NORWAY, MAY 2007
European Specifications for the WFME Global
Standards for Improvement of Medical Education
by Dr. Hans Karle WFME Professor Maria Rosa
Fenoll-Brunet AMSE
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OUTLINE OF PRESENTATION

• Needs for global standards in medical education
• WFME global standards programme
• European specifications

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ACTUAL TRENDS INHIGHER EDUCATION
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NEED FOR GLOBAL STANDARDS

• Implications of globalisation process
• Migration of medical doctors
• Cross-border medical education
• Common curricular and management trends
• National problems/challenges
• Changes in health care delivery services
• Institutional conservatism/insufficient
  leadership
• Problems with new medical schools
• Mission/foundation/resources
• Clinical settings/research attainment
• For-profit purposes

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WFME TRILOGY OF GLOBAL STANDARDS
A foundation for accreditation
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TWO LEVELS OF ATTAINMENT

• Basic Standards or Minimum Requirements (musts)
• Standards for Quality Development (shoulds)

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COVERAGE

• Institutional/Educational Programme Level
• Broad Categories of Medical Educational
  Institutions and Programmes
• Structure
• Process
• Content
• Conditions/Environment
• Outcome

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DOMAINS

• 9 AREAS, defined as broad components of structure
  and process of medical education.
• 36-38 SUB-AREAS, defined as specific aspects of
  an area, corresponding to performance indicators.

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WFME Trilogy of Standards Areas
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MEDINE Task Force IIIonQuality Assurance
StandardsDeveloping European Standards in
Medical Education based on the WFME Global
Standards
THEMATIC NETWORK MEDINE
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RESPONSIBLE ORGANISATIONS

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

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OBJECTIVES

• To enhance overall standards of medical education
  in Europe
• To adapt the WFME standards to the European
  context of medical education and to the Bologna
  process
• To produce a set of quality assurance standards
  for medical education in Europe, building on and
  adapting existing work such as the WFME Global
  Standards

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PREMISES FOR EUROPEAN SPECIFICATIONS

• WFME Global Standards Programme
• Delineation of the European Region
• Diversities of medical education in Europe
• Europe in a global context
• Needs for standards in Europe
• Concept and use of standards

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DELINEATION OFTHE EUROPEAN REGION

• European Union (EU) 27 countries
• EU EFTA 31 countries
• Bologna Process Area 45 countries
• Council of Europe 46 countries
• WHO European Region 53 countries
• All Europe 55 countries

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THE EUROPEAN HIGHER EDUCATION AREA
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DIVERSITIES OF MEDICAL EDUCATION

• Teaching traditions
• Cultural background
• Socio-economic conditions
• Health and disease spectrum
• Organisation of the health care delivery system
• Distribution of health care service activities on
  various cadres of the health care workforce

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EUROPE IN A GLOBAL CONTEXT

• Europe should not be isolated
• Europe should not establish an un- necessary
  barrier for exchange

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NEEDS FOR STANDARDS IN EUROPE

• QUALITATIVE PROBLEMS IN MEDICAL EDUCATION
• Political, socio-economic and cultural realities
• Institutional conservatism
• Faculty staff inertia
• Lack of educational budgets
• Insufficient supervision of programmes
• Lack of incentives
• Insufficient leadership

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SPECIAL EUROPEAN CONDITIONS

• Directive 2005/36/EC of 7 September 2005 on
  recognition of professional qualifications
• The Bologna Declaration and Process
• The European Credit Transfer System (ECTS)
• European University Tradition

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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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STANDARDS FOR EUROPE

• No rationale for an intermediary level between
  global and national standards
• Sufficient to state European Specifications for
  the WFME Global Standards in Medical Education
  throughout its continuum
• Basic Medical Education
• Postgraduate Medical Education
• Continuing Professional Development

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THE EUROPEAN HIGHER EDUCATION AREA
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TYPES OF EUROPEAN SPECIFICATIONS

• Changing the division lines between basic
  standards and standards for quality development
• Supplement necessitated by special European
  conditions
• Other relevant additions or modifications

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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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EUROPEAN SPECIFICATIONS
BME Standards 1.1. Statements of mission and
objectives BS The quality development
standard is considered a basic
standard. BS Statements of mission and
objectives must take into
consideration the European perspective
in the Higher Education and Research
Areas. BS The medical school must be part
of a university or be an institution
of equivalent level.
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CONCLUSIONS

• Need for standards in medical education
• WFME global standards with European
  specifications template for national standards
  in the Region

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THE EUROPEAN HIGHER EDUCATION AREA