Date post: | 23-Dec-2015 |
Category: |
Documents |
Upload: | cameron-wilkins |
View: | 214 times |
Download: | 1 times |
Rob Jansen Prague Patient Safety April 11th 2013
Patient Safety
Education and training to European Specialist in Laboratory Medicine
1
Rob Jansen Prague Patient Safety April 11th 2013
Why Patient safety
• 70% of medical decision based on laboratory medicine
• Risk of wrong result or wrongly interpreted result leads to wrong treatment, possibly causing dead
• Therefore: right specialist
2
Rob Jansen Prague Patient Safety April 11th 2013
Patient Safety
Harmonisation
3
Rob Jansen Prague Patient Safety April 11th 2013
What should be harmonised?
• Laboratory investigation and analysis
• Laboratory data transfer (e-lab communication)
• Laboratory data interpretation
Therefore
• Specialist Laboratory Medicine4
Rob Jansen Prague Patient Safety April 11th 2013
Patient expectationLaboratory investigation
• Quality
- Right result
- Right time
- Rightly taken sample
- Right calibration or harmonisation
5
Rob Jansen Prague Patient Safety April 11th 2013
Patient expectationLaboratory data transfer
• Quality
- Right result
- Right time
- Right units
- Right calibration or harmonisation
6
Rob Jansen Prague Patient Safety April 11th 2013
Patient expectationLaboratory data interpretation
• Quality
- Right interpretation
- Right consult
- Right time (24/7)
7
Rob Jansen Prague Patient Safety April 11th 2013
Patient expectation
Harmonisation
Same result, same interpretation, same consult everywhere
8
Rob Jansen Prague Patient Safety April 11th 2013
Patient expectation
safety
Harmonised European specialist in
laboratory medicine
9
Rob Jansen Prague Patient Safety April 11th 2013
The Development
of Common Training
Harmonisation10
Rob Jansen Prague Patient Safety April 11th 2013
Why Common Training?
• Cardiologist ≠ Cardiologist
• Urologist ≠ Urologist
• Clinical biochemist ≠ Clinical Biologist ≠ Clinical chemist ≠ Biological Chemist
11
Rob Jansen Prague Patient Safety April 11th 2013 1
2
Harmonization is needed
Rob Jansen Prague Patient Safety April 11th 2013 1
3
Harmonization is needed
Rob Jansen Prague Patient Safety April 11th 2013 1
4
Harmony in music
Rob Jansen Prague Patient Safety April 11th 2013
Harmonization
The right road, the right fruit, the good music for
Specialists in Laboratory Medicine
Directive Recognition Professional Qualifications1
5
Rob Jansen Prague Patient Safety April 11th 2013
Why Harmonisation?Why Common
Training?
ForPatient safety!
16
Rob Jansen Prague Patient Safety April 11th 2013
The EC4 European Register of
Specialists in Laboratory Medicine
17
Rob Jansen Prague Patient Safety April 11th 2013
European Register of Specialists in Laboratory Medicine
• Directive on Recognition of Professional Qualifications 2005/35/EC (DG Market): common training
• Quality standard for our profession
18
Rob Jansen Prague Patient Safety April 11th 2013
European Register of Specialists in Laboratory Medicine
• Kept by Foundation EC4
• Foundation Board
• Board of Governors
- National representatives of EFLM related national societies
• Registration Commission
- National representatives of NLMRC
19
Rob Jansen Prague Patient Safety April 11th 2013
European Register of Specialists in Laboratory
Medicine
• European Syllabus (to be revised)
• Code of Conduct• Guide to the Register• Equivalence of Standards of
National Register(s)
20
Rob Jansen Prague Patient Safety April 11th 2013
Applicants to the European Register of Specialists in
Laboratory Medicine
• Member of national Register of EU member state
• National Register granted Equivalence of Standards
• Fulfill criteria of Guide to the Register
21
Rob Jansen Prague Patient Safety April 11th 2013
Applicants to the European Register of Specialists in
Laboratory Medicine
• Medical education
• Pharmaceutical (biologiste) education
• Scientific education
• Harmonised specialist training?
22
Rob Jansen Prague Patient Safety April 11th 2013
European Register of Specialists in
Laboratory Medicine• Registration• Re-registration (CPD, re-
registration in national register)
• Automatic registration• Equivalence of Standards
revised23
Rob Jansen Prague Patient Safety April 11th 2013 2
4
Rob Jansen November 9th 2011
Level of training
0
2
4
6
8
10
12
14
AT
mB
Em
BE
pB
Es
BG
mC
Ys
CZ
mC
Zs
DK
mD
Ks
EE
mF
Im FIs
FR
mF
Rp
DE
mD
Es
EL
mE
Lp
EL
sH
Um
HU
pIE
mIE
sIT
mIT
pIT
sL
Vm
LV
sL
Tm
LU
mL
Up
LU
sM
Tm
NL
mN
Ls
PL
mP
Ls
PT
mP
Tp
RO
mS
Km
SK
pS
Ks
SL
mS
Lp
SL
sE
Sm
ES
pE
Ss
SE
mU
Km
UK
s
Ye
ars Training non-regulated
Training regulated
Academic education
Rob Jansen Prague Patient Safety April 11th 2013 2
5
Level of training requirements
• a total duration of education plus training of ten years
• a minimum duration of academic education including a masters degree in medicine, pharmacy or science, of four years plus one year academic development
• flexibility in the additional academic development year consisting of academic education, a PhD, year of scientific research resulting in published peer reviewed article
• a minimum duration of training of four years plus one year additional experience
• registration in the appropriate national register if it exists
• flexibility in the additional experience year consisting of extra academic education, a PhD, work experience, extra training years, courses, traineeships
Rob Jansen Prague Patient Safety April 11th 2013 2
6
Rob Jansen November 9th 2011
Training content
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
AT
mB
Em
BE
pB
Es
BG
mC
Ys
CZ
mC
Zs
DK
mD
Ks
EE
mF
Im FIs
FR
mF
Rp
DE
mD
Es
ELm ELp
ELs
HU
mH
Up
IEm
IEs
ITm ITp
ITs
LVm
LVs
LTm
LUm
LUp
LUs
MT
mN
Lm NLs
PLm PLs
PT
mP
Tp
RO
mS
Km
SK
pS
Ks
SLm SLp
SLs
ES
mE
Sp
ES
sS
Em
UK
mU
Ks
genetics and IVF
microbiology
haematology
general chemistry
Rob Jansen Prague Patient Safety April 11th 2013
European Register of Specialists in
Laboratory Medicine• European Standard for professional
qualifications
• Co-operation with UEMS
• Basis for Common Training system of EC
Directive on Recognition of Professional
Qualifications?
• Name of Profession same in all countries
• Harmonised requirements
27
Rob Jansen Prague Patient Safety April 11th 2013
Harmonisation in Europe
28