The Future of Pharmaceutical Company Participation and Support for Continuing

Medical Education Dr. Bernard Maillet Secretary General

UEMS – EACCME - ECAMSQ

•  Secretary-General UEMS •  Pathologist in a Private Lab near by

Brussels • Member of EUCOMED’s Compliance

Panel •  Vice-President of Mdeon

• Member of the Rome Group

Disclosure

Maintenance of Academic Knowledge and Skills

Continuing Medical Education (CME)

• Means of Updating, Developing and Enhancing how Doctors apply the Knowledge, Skills and Attitudes required in their working lives

• The Competence development includes CME + Personal, Managerial, IT, Communication and Social skills

Continuing Professional Development (CPD)

Definition of Commercial Support

Financial or other kind of contributions given by a commercial organization which is used to pay all or part of the costs of a CME / CPD activity

Rationale for commercial support regulation

•  Commercial support accounts for more than 60% of CME / CPD offer in Europe and the USA.

•  Commercial support is essential to assure the access of physicians to qualified CME / CPD, complementing the resources allocated by employers and the health administration (in many European countries)

How do we manage industry support ?

Pragmatic solution

Complete ban No control at all

Categories of Educational Activities

Commercial Support

Educational Value

Marketting activity Product information

Social gathering Accredited event

Regulations

u  National •  UK : ABPI •  UK : Federation of Royal Colleges of Physicians •  Belgium : Mdeon •  Spain : SACME •  USA : ACCME Standards on Commercial Support •  Canada : Canadian Medical Association •  UK : Bribery Act •  USA : Foreign Corrupt Practices Act

u  Global •  Europe : Joint declaration CPME - EFPIA •  Europe : UEMS-EACCME Standards on Commercial Support •  Europe : EFPIA and EUCOMED codes •  Worldwide : Rome Group Guidelines on Commercial Support

CME is paid by patients – insurance premiums – hospital and other bills – fees of doctors and other

professionals – taxes – prices pharmaceutical products – outside funding is the exception

Financing of CME

– Commercial support – Academia - Universities – Authorities – Healthcare Management

Organizations – Insurances – payers – Patient organizations

Sources of bias

Funding for CME / CPD (Basel Declaration 2001)

CPD can therefore be considered part of a wider “social contract” between doctors, their patients, their employers and healthcare fund-holders. Resources, including funding, are provided for doctors to undertake appropriate educationalactivities; in return they are required to demonstrate positive outcomes from their educational activities. It is the strongly held view of the UEMS that without the necessary resources doctors cannot be expected to deliver the comprehensive CPD agenda recommended here.

Funding for CME / CPD (Basel Declaration 2001)

The UEMS believes that because of the different healthcare structures in Europe - in addition to its own efforts - it is the responsibility of national bodies to promote the development of CPD, motivate for the provision of necessary resources, and encourage the involvement of all doctors in CPD activities and programs. This reflects the view recently taken by the European Parliament but should not exclude the potential for a more harmonized approach to CPD provision and funding.

“If you think education is expensive, you should consider

ignorance.”

Socrates (469 – 399 BC)

Thank you

Merci Muito obrigado

Vielen Dank

Grazie mille

Muchas gracias Tack

Dank U

Kiitos ευχαριστώ

сбасиво

Dakujem

Dekuji

Köszönöm

Go raibh maith agaibh

Ginkuje

Grazzi

Multamesc Takk

Благодаря

Dėkoju

Gracies

Faleminderit

Hvala Teşekkürler Tänas

תודה רבה

Paldies

U.E.M.S. Union Européenne des Médecins

Spécialistes European Union of Medical Specialists

www.uems.net