More participation and cooperation between professionals and institutions to redesign a truly efficient continuous training system for doctors. It's the recipe Amedeo Bianco, president of the National Federation of Medical Associations (Fnomceo), for the future of the CME. "Doctors - said Bianco, speaking at a meeting on the subject yesterday in Rome - participated with great enthusiasm in the continuous training project in these first 5 years of experimentation". So far, therefore, "there has been a very strong grassroots push from professionals to join these projects". A push certainly not motivated by legislative obligation, but by the fact that "training is a professional value recognized and pursued by doctors themselves". But now, according to the president of the Italian white coats, it is time to take a few steps forward. “The CME of the future must be designed – he explains – on a model of strong sharing and participation of professionals at all levels: in designing training objectives, in activity evaluation mechanisms, in defining provider accreditation criteria, in provide for the certification of credits. Only in this way will the system be able to give its best”. From Doctornnews 20-04-07
Ecm revolution, from ad hoc registry office to "remedial courses"
These are some of the indications contained in the proposal developed by the Joint State-Regions Commission on ECM.
New rules for the continuous training of doctors and health professionals. Starting with a new 'headquarters' for the Ecm National Commission, hosted by the Agency for Regional Health Services (Assr), and with a clear indication of regional responsibilities. But there will also be the 'training dossier of the professional' and two ad hoc registers that certify the training credits, one regional and one national. And even 'remedial courses' at professional associations, for those who have not reached the necessary number of credits, on ethics and deontology. These are some of the indications contained in the proposal developed by the Joint State-Regions Commission on CME, and which was discussed in Rome, during a meeting dedicated to continuous training. The news was anticipated by Maria Linetti, director of the Ministry of Health's training office, on behalf of the president of the joint commission, Ivan Cavicchi, adviser to the Minister of Health.
A project that is already ready and in many parts shared by professionals, the Government and the Regions, but still under discussion. In fact, the political issue on skills is difficult to resolve, with the professions asking for more participation and the Regions reluctant to lose decision-making autonomy. In short, the issue to be resolved is the "governance of the system", as specified during the meeting by Amedeo Bianco, president of the Federation of Doctors' Orders and member of the Joint Commission, a body formed at the end of last year precisely to redefine the rules of 'Ecm. The 'restructuring' of the system on which it was agreed provides for the transfer of the Ecm National Commission – which will have its own Observatory and its own national secretariat – within the Assr. While, as a consultative body of the Commission, a national Consulta will be convened at fixed deadlines, made up of trade union organisations, scientific societies, providers, patient protection associations. The National CME Commission will then be subordinated to the State-Regions Conference only to approve the national training plan; express opinions on national targets; approve the annual report on the stat