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Continuous education in medicine

January 1 st 2002: it is the date of departure of the project of continuous Education in medicine of the Office of the Health (E.c.m.). The year that is about to conclude has been divided in two experimental semesters: the first one (January - June) for the medical personal solo, the second (July - December) for all the sanitary operators. With the new year the formative credits E.c.m. they will acquire legal value and they will enter to belong to our formative curriculas.

To the goal to avoid that the sanitary Technicians of medical radiology are cultured of surprised by such revolution, we have thought about preparing this simple and slender document that, through the question-answered formula, it tries to furnish the least one of necessary information not to be passive towards the E.c.m.

The underlines signal that the terms are object of following questions.

What is the continuous education in medicine?

The continuous education in medicine (E.c.m.) it is the project of continuous Formation of the Office of the Health.

What is the continuous Formation?

To the senses of the legislative Decree 229/99, the continuous Formation is the whole professional Updating and permanent Formation.

What is the Legislative Decree 229/99?

And' the Decree of the then Minister of the Health, Rosy Bindi, "Norms for the rationalization of the national sanitary Service", inside which are found the articles that are at the base of the project of continuous Education in medicine.

In the Decree 229/99, which are I/you/they the articles that speak of continuous Formation?

They are the articles 16-encore, continuous Formation; 16-ter, national Committee for the continuous Formation; 16-quater, Incentive of the continuous Formation; 16 quinqueses, managerial Formation and 16 sexieses, Structures of the national sanitary Service for the formation.

The continuous Formation in circle physician is an exclusive Italian?

No! Already from many years the Anglo-Saxon countries are him endowed with this tool. Italy has looked at such experiences to plan his/her system of E.c.m.

What is the professional updating?

The professional updating is defined as the following activity to the course of diploma, degree, specialization, complementary formation, formation specifies in general medicine, direct to adjust for the whole arc of the professional life the professional knowledges (art. 16-encore).

What is the permanent Formation?

The permanent Formation is the whole the activities finalized to improve the competences and the clinical abilities, techniques and managerial and the behaviors of the sanitary operators to the scientific and technological progress with the objective to guarantee effectiveness, appropriateness, safety and efficiency to the assistance lent by the national sanitary Service (art. 16-encore).

To thing it serves the continuous education in medicine?

The E.c.m. it is the useful tool to guarantee the constant appropriateness of the cares through the constant updating and increase of the professionalism of the sanitary operators.

Thing he intends for professionalism?

Inside the project of E.c.m., professionalism is understood as the whole theoretical knowledges (to know), technical ability or manuals (to know how to do) and communicative ability and report them (to know how to be).

Who are the sanitary operators?

The sanitary operators interested by the continuous Formation are: Surgeon, Veterinarian, Dentist, Chemist, Biologist, Chemical, Physical, Psychologist, sanitary Assistant, Nutritionist, professional Educator, Fisioterapista, dental Hygienist, Nurse, pediatric Nurse, Logopedista, Ortottista, Ostetrica/o, Podologo, Tec. education and rehabilitation psich.e psicosociale, Tec. fisiopatologia cardiocircolatoria and perf. Cardiovascular, Technical audiometrista, Technical audioprotesista, Technical of the prevention in the environment and in the places of job, Technical of neurofisiopatologia, Technical orthopedic, Technical sanitary of biomedical laboratory, Technical sanitary of medical radiology, Therapist of the neuro and psicomotricità of the evolutionary age, occupational Therapist, Optic, Odontotecnico, partner-sanitary Operator.

Is The continuous Formation optional?

No, it is obligatory for all the sanitary operators above suitable. The art. 16-quater performance:

What is the national Committee for the continuous Formation?

And' the Committee that, as foreseen by the art. 16-ter, coordinate the project of E.c.m.

When you/he/she has been named?

The national Committee for the continuous Formation has been named July 05 th 2000 with special ministerial Decree.

From who is composed the national Committee for the continuous Formation?

The components of the Committee are suitable from the Decree 229/99 (art. 16-ter):

1 president: Minister of the Health;

2 vice-presidents: a named by the Minister of the Health and the President national Federation of the Orders of the surgeons and the dentists (FNOMCeO);

10 designate members: 2 from the Minister of the Health, 2 from the Minister of the education, of the university and of the Search (MIUR), 1 from the Minister for the public Function, 1 from the Minister for the Equal opportunities, 2 from the permanent Lecture for the relationships among the State, the Regions and the autonomous provinces of Trento and Bolzano, 2 from the FNOMCeO.

Which are the assignments of the national Committee for the continuous Formation?

The art. 16-ter foresee that the Committee:

to) defines, with planning pluriennale, the formative objectives of national interest with particular reference to the elaboration, diffusion and adoption of the lines it drives and of the relative diagnostic-therapeutic runs;

b) defines the formative credits that must altogether have matured from the operators in a determined arc of time, you address him for the organization of the programs of formation predisposed to regional level as well as the criterions and the tools for the recognition and the evaluation of the formative experiences;

c) also defines the requisite for the accreditation of the scientific societies as well as of the public subjects and deprived that develop formative activity and it proceeds to the verification of the subsistence of the requisite themselves.

How are the formative objectives defined?

The national Committee for the continuous Formation defines the objectives formative on the base of the indications given from the national sanitary Plan and from the Associations and Institutions of category.

How many types of formative objectives do you/they exist?

Two groups of formative objectives exist. The first ones are general and they interest all the sanitary operators; the specific seconds and the operators of the professional group to whom you/they refer interest only.

The project E.c.m. does it foresee some regional levels?

You, in every region it will have to constitute him a special Committee that, respecting how much anticipated in theme of formation from the national sanitary Plan, from the directives of the national Committee and from the regional sanitary Plan, it will define formality and contents of the regional continuous Formation.

What are the formative credits?

I am a measure of the appointment and the time that every operator of the Health has annually devoted to the updating and the improvement of the qualitative level of his/her own professionalism.

How many formative credits needs to acquire? Is it in how much time?

When the project will be to regime, the formative credits to be achieved will be 150 in the triennio.

When we will be to regime?

In 2006! Actually to then the credits to achieve they will be:

Year

N° credits

2002

10

2003

20

2004

30

2005

40

From 2006

50

From when it will be possible E.c.m to acquire formative credits.?

From April 01 th 2002. The first three months of the current year are devoted to the presentation of the applications of accreditation and the evaluation of the relative events.

Will it be possible to achieve 150 formative credits in an only year?

No! With the purpose to guarantee an appointment least constant in the time, for each some three years must be achieve at least 20 credits and more than 80 you/they cannot achieve.

Two initiatives of peer duration you/they can recognize a different number of formative credits?

Certainly him! The recognized formative credits depend from the quality and from the duration of the initiative. Among the two, the relationship is to clean advantage of the before: initiatives of brief duration and high quality are to prefer him to those of superior duration but inferior quality.

Does it refer us to what when it speaks of requisite for the accreditation?

It reports us to the characteristics that the providers and the initiatives of continuous Formation that organize debbono to possess for being able to be accredited and, therefore, to recognize formative credits to those people that participate you.

Who is a provider?

Provider is he who it organizes one or more initiatives of continuous Formation and it asks for of it the accreditation to the Office of the Health.

Who provider can be?

All the subjects, public and privacies, can be provider provided that doesn't revert in the cases of incompatibility for conflict of interest.

What does he intend with incompatibility for conflict of affairs?

Simply it reports us to the impossibility to be provider for all that subjects that could draw advantages from the initiative of organized continuous Formation or for those people, that, inside the project E.c.m., they are institutionally provosts to other roles.

Inside the project E.c.m., which other roles are I/you/they possible?

Besides the role of provider, the principals are those of valuer, observer and certifier of the initiatives of continuous Formation.

What is a valuer?

The valuer is the subject provost to the verification of the requisite in possession of the providers and the initiatives from them organize. The result of such evaluation determines the accreditation of the initiatives and the number of formative credits that they recognizes to the participants.

Who is the valuer?

The national Committee for the continuous Formation; it appraises the characteristics of provider and initiatives of continuous Formation and, for how much it concerns the contents, it uses of experts of the professions.

Who is the observer?

And' the subject that, on behalf of the Office of the Health, it participates in the accredited events and it verifies the correspondence of it to how much declared by the organizer in the application of accreditation.

What is a certifier?

And' the subject institutional provost to verify that the professionals have achieved the in demand formative credits and that these have been acquired participating to coherent initiatives of continuous Formation with the general and specific formative objectives.

Who will certify?

For the professions that are gifted of it, Orders and professional Colleges. For all the other it will need to attend the reform of the Orders to know if they will already meet in present institutions or if, in contrary case, they will be responsabilizzate the Associations of category.

Can valuer, observer and certifier be provider?

No, none of these subjects can be provider. The same subject cannot be organizer of events of continuous Formation on which you/he/she has called to express him in phase of evaluation, observation and certification.

Can orders and professional Colleges be provider?

No, according to the Anglo-Saxon model that we are tracing, Orders and professional Colleges will be certifiers. To their the periodic certification of the levels of professionalism of the affiliate will be up to.

Is Qual the position of the Federation national professional Colleges T.S.R.M?

Last 30 May the national Federations of Orders or Colleges of the sanitary professions have undersigned a document in which the bases are thrown for a full recognition of the role of certifier of such institutions.

Who provider of the activities of continuous Formation will be for the T.S.R.Ms.?

Among the so many possible, the existing scientific Associations (AITMN, AITRO, AITNR, AITRI), those that will be born and all that subjects that have in if the potentialities to be him/it: University, Firms USL, hospital sanitary Firms, Office, Regions etc…

Does a site exist Internet?

You, and it is the only formality of communication among use, provider and Office of the Health: http://ecm.sanita.it

Currently, in the project E.c.m. do they exist some criticitàs?

You, at least two:

  1. It is not entirely still clear the system of financing of the project. It is to define if the expenses sustained for the continuous Formation will be to load of the professionals or, gives the obbligatorietà, in good part to load of the institutions that asks for her/it. In this second case would also stay to define as and in what percentages Office, Regions and hospital Firms will be made load of the costs;
  2. Interesting all the sanitary operators, the project E.c.m. it will involve hundreds of thousand of professionals, among which more than 23.000 TSRMs. Particular importance must have devoted to the definition of organizational models that allows all the operators to acquit to the obligations of continuous Formation.

A final consideration:

“However, reconsiderations apart, the E.c.m. it marks a turn, it determines a challenge, he/she calls all to new responsibilities and sensibility and nobody has to be able him to escape, if it is had to be in line with the times that, to comparison with the recent past, they are overwhelming.”

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