C3,Symposium organized by WFME: “Accreditation of institutions and programmes in Medical Education”
Lecture : Leif Christensen. The WHO-WFME Guidelines for for Accreditation Systems
75
D5
E4, E10, E11, E12, E13
3u
A2
AMEE Annual meeting 2005. Amsterdam
International Symposium
EN
C3,Symposium organized by WFME: “Bologna process and Medical Education”
Lecture: “Leif Christensen.The WFME-AMEE Statement on the Bologna Process”
120
D5
E4, E10, E11, E12, E13
3v
A2
QTF participation into AMEE 2007:
International symposium
EN
C3, Symposium to present QTF outputs and implementation
Lectures: Maria Rosa Fenoll-Brunet and Hans Karle Presentation of European Specifications for the WFME Global Standards in Medical Education
and
Jadwiga Mirecka and Leif Christensen. Quality Assurance Systems in Europe
100
D5
E4, E10, E11, E12, E13
3w
A2
QTF Outputs available on-line into websites of: MEDINE, WFME, AMSE
EN
C3, On-line access to QTF Outputs
WORLDWIDE ACCESS
D5
E4, E10, E11, E12, E13
www.bristol.ac.uk/MEDINE
www.wfme.org
3x
A2
AMEE 2006 Genoa Annual Meeting
International
Workshop on European Standards in Medical Education organised by WFME on behalf of the Thematic Network MEDINE
EN
C3,
Lectures:
Leif Christensen: “Preliminary Reflections of the EU Thematic Network MEDINE Task Force on Quality Standards”,
Hans Karle: “European Standards – Relevance of an Intermediary between Global and National Standards”
100
D5
E4, E10, E11, E12, E13
3y
A2
Second Medical Education
Meeting, organised by the Turkish Medical Association,
Dr Fusun Sayek
University of Ankara, Ankara Turkey
March 2007.
EN
C3,
Lecture:
Hans Karle: “European Specifications for Global Standards in Medical Education”
related to the clarification of the Bologna process
EN
AMEE Conference Trondheim
2 Workshops (2007)
Abstract available at AMEE Conference Program / Report with evaluation
Conclusions
30 +20
D5
E1, E4, E10, E11, E12, E13
4t
A3
Data Dissemination
EN
C2
Article accepted by Medical Teacher on the implementation of the 2-cycle system
October 2007
Unlimited
D5
E1, E4, E10, E11, E12, E13
4u
A3
Data Dissemination
SP
C2
Article accepted by JANO on the Bologna Process
October 2007
Unlimited
D5
E1, E4, E10, E11, E12, E13
Task Force Five
5a
A2
report
TF5 report
EN
C8
Network
55
Medical schools
E1, E11
5b
Study
Individualized map
EN
C8
Network
55
Medical schools
E1, E11
5c
A12, publication
“Harmonisation of the Bachelor-Master system in the Curricula of Medical Doctor and the Biomedical Sciences”
EN
C2, journals
1
D5, D13, D12
E1, E2, E4, E10, E11
5d
A12, workshops
“Link between medical education and research”
EN
C3 and C6
8
D5, D13
E1, E2, E4, E10, E11
5e
A2
Questionnaire
EN
5f
A2
BA/MA Workshops
EN
gf.vub.ac.be/bamaworkshop/
gf.vub.ac.be/BaMaWorkshop2/
5g
A2
Overview of changes
EN
5h
A2
Task Force Meeting
EN
Budapest 17.06.07
5i
A2
Text for Task Force 5 presentation
EN
Antalya 14.09.07
(1) For materials state the number of copies; for courses, the number of courses and participants, etc.
3.2 - Project achievements 3.2(a)- Did the project meet its targets in terms of outcomes (as given in the application form, particularly in the workplan). Please comment on any under or over achievements of targets. (max 1 page, no more than 2000 characters).
Task Force 1: Tuning met all targets as identified in the application, and generated the specific outputs. Conclusions were disseminated widely through conferences, workshops and publications.
Task Force 2: Academic Recognition of Qualifications successfully completed the proposed survey and produced a manual. The issue of relationship between undergraduate and postgraduate training was resolved through recommendation of flexible learning paths, and common characteristics in the structures have been identified.
Task Force 3: Quality Assurance explored systems for quality assurance in Europe to establish a database, noting e.g. accreditation methodology. WFME Global Standards were then adapted to include ‘European Specifications’ in line with EHEA, Bologna and the EU Directive.
Task Force 4: Transparency developed ‘MedEdCentral’, a web-based, open-access glossary of medical education terms and inventory of medical schools, sources of information, catalogues of individuals (Who is Who) institutions and organisations in Medical Education, list of education journals and dissemination tool for key issues such as the Bologna process. Moreover the clarification of the Bologna Process namely that concerning the implementation of the 2-cycle system was achieved through a number of activities (3 workshops, 1 symposium, 1 survey and 2 articles).
Task Force 5: Research redefined targets when the project proved too wide-ranging. The approved new targets were achieved through a successful survey targeting institutional coordinators and academic staff, to establish a basis for recommendations to enable medical schools to self-analyse and improve the link between medical education and research.
3.2(b) - What was the added value of the project? (max 1 page, no more than 2000 characters).
Task Force 1: Tuning used the internet-based survey tool www.surveymonkey.com to access and analyse opinion from a wide range of respondents, evoking a far more enthusiastic response than was anticipated and triggering a widespread interest in outcomes as a result.
Task Force 2:Academic Recognition of Qualifications through their questioning raised awareness of the degree of effort which is required to implement ECTS at an institutional level. The issue of potential for mobility between levels of medical training and across other healthcare programmes was also raised.
Task Force 3: Quality Assurance, while examining the delivery of health care training across Europe, experienced an unexpected level of interest from countries outside the EU. It is hoped that the principles established within Europe will spread to the wider community.
Task Force 4: Transparency developed a web resource (MedEdCentral) which works simultaneously as a “top-down tool” for factual dissemination and a “bottom-up” process for exchange of ideas and opinion. This enables practitioners and students to both learn and share in the same online space. Moreover the catalogue facilitates Medical Educators networking, since information on Medical Educators, background, profile and special interests will be available through MedEdCentral.
Task Force 5: Research developed a novel way of analysing survey data and evaluated with statistical reports links between medical education and research across 26 European countries.
3.2(c) - What was the overall contribution of the transnational work? Please comment on the value of transnational activities to the achievements of your project objectives at national and transnational level. Include any unanticipated benefits. (max 1 page, no more than 2000 characters).
Task Force 1: Tuning
Attracted participation from virtually all European member and accession states, through attendance at workshops or via the questionnaire. Statistical analysis shows good consensus regarding the learning outcomes, which will help in achieving acceptance at national and transnational level. The unanticipated link with Tuning Latina America (Medicine) proved welcome and highly productive.
Task Force 2:Academic Recognition of Qualifications enjoyed participation from all EU member states in the survey, through use of UEMS (Union Europeenne des Medicins Specialistes).
Task Force 3: Quality Assurance conducted cross-national discussion relating to different methods of quality assurance, to enable better understanding of methods and local variations currently in use. Possible scenarios for harmonisation can be created as a result.
Task Force 4: Transparency
Transparency produced a web-based resource which is designed to encompass the needs of all nationalities and medical professionals at all levels and promote a survey to get information in all Bologna signatory countries on the implementation of the 2-cycle system. Cross-national discussion was promoted through different initiatives regarding the progress of the Bologna process.
Task Force 5: Research
Research conducted a survey in which 26 European countries took part. Through interaction with Task Force 1: Tuning, the specific role of research in medical education was more clearly defined and the role of elective elements in the curriculum better understood.
3.2.(d) - How will the project partnership and project network or activities/results be sustained beyond the Community grant? (max 1 page, no more than 2000 characters).
Task Force 1: Tuning anticipate continued cooperation with the overall Tuning Project and other working groups in the health-care sector such as Tuning (Nursing). In addition, strong ongoing support from the Association for Medical Education in Europe and collaboration with other institutions and associations such as the Association for Study of Medical Education will enable the continued dissemination of outcomes.
Task Force 2:Academic Recognition of Qualifications have developed a manual which will continue to be an important tool to enable implementation of ECTS in medical faculties. The ongoing quest for a common structure between undergraduate education and postgraduate training will contribute to an increase in mobility at postgraduate level.
Task Force 3: Quality Assurance created groups concentrating on quality assurance who cooperate through WFME and AMSE. These groups will continue after the project ceases formally, and will be in a position to update recommendations over time to ensure medical education remains appropriate and fit for purpose.
Task Force 4: Transparency anticipate a time when mobility is universally accepted as a benefit to medical education and delivery, and have created a tool to enable transnational harmonisation of practices and
concepts in medical education at no cost to the user. MedEdCentral will continue to be resourced by AMEE
after the MEDINE project concludes.
Task Force 5: Research will feed back results specific to institutions participating in the survey after publication of the general findings and so will help to facilitate best practice.
3.3 Review of Project Workplan
Using the original approved Workplan for the project, please describe clearly and briefly the main activities or workpackages undertaken in the different project’s stages. Activities listed should take account of any changes to the project’s workplan whether subject to a formal approval or not. Please include partnership meetings as distinct activities.
Task Force 1 Stage 1
Brief description of activity or workpackage
Tuning project for medicine
Organisations involved
University of Edinburgh and members of Tuning Task Force
Start date (dd/mm/yyyy)
01/10/04
End date (dd/mm/yyyy)
01/10/05
Number of days
365
Aims and objectives
Generation of a learning outcomes/competency framework for primary medical degrees in Europe
Review of existing outcomes frameworks for medicine. Construction of draft outcomes framework for medicine in Europe.
Construction of Tuning questionnaire based on draft outcomes document. Review of framework in Task Force workshops. Collaboration with Tuning adviser (Dr Gonzales).
Evaluation of outcomes
Approval of draft document at MEDINE Executive and Annual General Meeting of MEDINE Network
Describe and justify any changes to or variations from the original workplan
None
Impact on the project of changes to the workplan
Task Force 1 Stage 2
Brief description of activity or workpackage
Tuning project for medicine
Organisations involved
University of Edinburgh and members of Tuning Task Force
Start date (dd/mm/yyyy)
01/10/05
End date (dd/mm/yyyy)
01/10/06
Number of days
365
Aims and objectives
Generation of a learning outcomes/competency framework for primary medical degrees in Europe
Description of specific tasks undertaken and outcomes
Translation of Tuning questionnaire into French and German. English, French and German versions converted to web-based survey instruments. url circulated to identified Tuning contacts in each country in Europe. Surveys live on surveymonkey.com website April-October 2006
Evaluation of outcomes
Approval of final questionnaire at MEDINE Executive and Annual General Meeting of MEDINE Network.
Describe and justify any changes to or variations from the original workplan
Meeting with representatives of Tuning Latina America (medicine), Brussels, May 2006.
Impact on the project of changes to the workplan
Our questionnaire was translated into Spanish by Dr Jose Carreras and subsequently used as basis of Tuning Latina America (medicine) questionnaire. Positive collaboration with them has continued.
Task Force 1 Stage 3
Brief description of activity or workpackage
Tuning project for medicine
Organisations involved
University of Edinburgh and members of Tuning Task Force
Start date (dd/mm/yyyy)
01/10/06
End date (dd/mm/yyyy)
01/10/07
Number of days
365
Aims and objectives
Generation of a learning outcomes/competency framework for primary medical degrees in Europe
Description of specific tasks undertaken and outcomes
Analysis of questionnaire responses (1302 in total). Generation of rankings for generic and discipline-specific competences. Discussion and ratification of initial analysis at Tuning workshop and MEDINE AGM, Oslo. Production of Tuning Validation brochure for Validation Conference, Brussels, June 2007. Additional statistical analysis of results by Dr Margaret McDougall, based on comments from expert panel. Presentation of final outcomes to MEDINE network closing meeting, Anatalya, September 2007. Preparation of Final report.
Evaluation of outcomes
Discussion and ratification of final outcomes document at MEDINE Executive meetings (x2), Annual General Meeting of MEDINE Network, Tuning Validation Conference, and MEDINE final meeting.
Describe and justify any changes to or variations from the original workplan
The Validation conference was not in our original workplan, having been initiated and coordinated by the overall Tuning Project. It was undertaken in conjunction with other healthcare Tuning groups, and the expert panel for medicine were invited by the Commission.
Impact on the project of changes to the workplan
The Validation conference provided invaluable feedback and advice from the expert panel, together with an overall ratification of our approach and findings.
3.3 Review of Project Workplan
Using the original approved Workplan for the project, please describe clearly and briefly the main activities or workpackages undertaken in the different project’s stages. Activities listed should take account of any changes to the project’s workplan whether subject to a formal approval or not. Please include partnership meetings as distinct activities.
Task Force 2 Stage 1
Brief description of activity or workpackage
1. Action line: developing a survey
Organisations involved
MEDINE members
Start date (dd/mm/yyyy)
30/10/04
End date (dd/mm/yyyy)
30/09/05
Number of days
Aims and objectives
To know the grade of implementation of ECTS into medical faculties of MEDINE
To provide information for the ECTS-manual for medical schools/faculties
Description of specific tasks undertaken and outcomes
The survey was set up with help of the technique of Survey monkey.
The methodology of the survey was the Total Design Method (Dillman 1978)
Evaluation of outcomes
Describe and justify any changes to or variations from the original workplan
Initially a survey was not foreseen but considered being very important for the preparation of the ECTS-manual
Impact on the project of changes to the workplan
Not applicable
Grant Agreement number: 110463- CP -1 - 2004 - 1 – UK – ERASMUS-TN 3.3 Review of Project Workplan
Using the original approved Workplan for the project, please describe clearly and briefly the main activities or workpackages undertaken in the different project’s stages. Activities listed should take account of any changes to the project’s workplan whether subject to a formal approval or not. Please include partnership meetings as distinct activities.
Exploring possibilities for crossing over and switching between (bio)medical curricula
Description of specific tasks undertaken and outcomes
To reveal the introduction of educational path counsellors (EPC’s)
To point out that there are possibilities in facilitating mobility for students for (bio)medical curricula
Evaluation of outcomes
Describe and justify any changes to or variations from the original workplan
Not applicable
Impact on the project of changes to the workplan
Not applicable
3.3 Review of Project Workplan
Using the original approved Workplan for the project, please describe clearly and briefly the main activities or workpackages undertaken in the different project’s stages. Activities listed should take account of any changes to the project’s workplan whether subject to a formal approval or not. Please include partnership meetings as distinct activities.
Task Force 2 Stage 3
Brief description of activity or workpackage
1.Action line: creating an ECTS-manual for medical schools/faculties
2.Action line: exploring post-graduate phase in medical studies
Organisations involved
MEDINE members
Start date (dd/mm/yyyy)
01/10/06
End date (dd/mm/yyyy)
30/09/07
Number of days
Aims and objectives
1. To facilitate implementation of ECTS within medical faculties 2. To encourage mobility at post-graduate level between ‘Centres of Excellence’
Description of specific tasks undertaken and outcomes
1. This is in addition to the official ECTS Users’ Guide; the focus is on medicine. Examples of good practice are being shown 2. A modular training scheme (e.g. anaesthesiology) at post-graduate level has been introduced in some specialties and this has the potential to facilitate the movement of trainees within Europe.
Evaluation of outcomes
Describe and justify any changes to or variations from the original workplan
Not applicable
Impact on the project of changes to the workplan
Not applicable
Task Force 3 Stage 1
Brief description of activity or workpackage
Plans for the Quality Task Force, including appointment of members, were agreed upon by representatives of WFME and AMSE at the first Executive Board Meeting of the Thematic Network MEDINE in Budapest, March 2005, and at the first Annual Conference of MEDINE in Brussels, May 2005.
It was decided to work in a small, effective group with broad European representation.
The list of members of the Task Force is presented in QTF-Annex.
It was decided that the Secretariat of the Quality Task Force should be located at the WFME Office at the Faculty of Health Sciences, the Panum Institute, the University of Copenhagen (Denmark).
Organisations involved
WFME/AMSE/UEMS/EMSA/FINNNISH MEDICAL ASSOCIATION/ASSISTANCE PUBLIQUE-HOPITAUX DE PARIS/COPENHAGEN UNIV/ROVIRA I VIRGILI UNIV/JAGIELLONIAN UNIV/MANCHESTER UNIV/VRIJE UNIV AMSTERDAM/HACETTEPE UNIV/HUMBOLDT UNIV/FREE UNIV OF BERLIN
Start date (dd/mm/yyyy)
30.10.04
End date (dd/mm/yyyy)
30.09.05
Number of days
270
Aims and objectives
To establish the group members
To establish a new working plan and timing for the group due to the delayed starting of the project
To establish the secretariat
Description of specific tasks undertaken and outcomes
Discussion then centred on the work of the different task forces topics to rationalise and exploit areas of overlap and work plan due on starting the project. It was also agreed that the financial situation meant that some activities would need to be pruned or covered in a different way. Task Forces topics, work plans and budget were agreed upon.
Evaluation of outcomes
At this stage, all QTF objectives were fulfilled according to the new work plan.
Describe and justify any changes to or variations from the original workplan
Because of the delays beyond our control, the order and timetable were revised but, eventually all the outcomes for each year were achieved.
Impact on the project of changes to the workplan
Task Force 3 Stage 2
Brief description of activity or workpackage
Collection of information about existing accreditation methodologies, assessment systems and standards in European medical education (Year 1 on the original working plan)
Analysis of previous data and comparison with international standards in medical education defined by WFME and IIME (Year 2 in the original working plan)
Organisations involved
WFME/AMSE/UEMS/EMSA/FINNNISH MEDICAL ASSOCIATION/ASSISTANCE PUBLIQUE-HOPITAUX DE PARIS/COPENHAGEN UNIV/ROVIRA I VIRGILI UNIV/JAGIELLONIAN UNIV/MANCHESTER UNIV/VRIJE UNIV AMSTERDAM/HACETTEPE UNIV/HUMBOLDT UNIV/FREE UNIV OF BERLIN
Start date (dd/mm/yyyy)
01.10.05
End date (dd/mm/yyyy)
30.09.06
Number of days
365
Aims and objectives
To establish group meetings for objectives discussion and work planning and timing
To establish the methods of working and the communication strategy
To identify quality task force needs to follow the work plan
To elaborate a survey on quality assurance and accreditation of medical education in the European Union
To collect material and discuss existing quality standards for BME in Europe
To obtain the preliminary responses and analyse results of the survey in Europe
To report quality task force activities
To discuss future work for quality task force in a MEDINE2 project
To analyse networking possibilities with other MEDINE task forces and/or other networks & institutions
Description of specific tasks undertaken and outcomes
The task force met on two occasions. The first meeting lasted one day, the following two days. Meeting locations were as follows: 1st QTF meeting held in Amsterdam (10.01.06) hosted by Professor Dr Herman J.M van Rossum and Vrije Universiteit Amsterdam, the Netherlands, VUMC Medical Center – Institute for Medical Education:
Task undertaken: group objectives discussion, work planning and timing, identification of needs, communiation strategy, draft document)
2nd QTF meeting held in Paris (30/31-10/06) hosted by Christophe Segouin and Lariboisiere Fernand Widal Hospital, Paris, France.
Task undertaken: report of activities, discussion of Quality standards for BME in Europe, preliminary results of the survey on quality assurance, external evaluation and accreditation in Europe, discussion for future work, MEDINE2 application draft, networking with other TF.
Between meetings, members of the Task Force communicated electronically and by phone calls. Full description of tasks undertaken can be found in QTF Annex: I & II Quality Task Force meeting Minutes documents
Evaluation of outcomes
At this stage, all QTF objectives were fulfilled
QTF objectives, working conditions and budget were accepted although members regretted the limited time and resources
Each QTF was charged with collecting information from a number of countries according to a plan
European Accreditation models for Medical Education, reference documents, links, Quality Agencies in Europe where identified and they may be useful to use in a database
Countries using Accreditation models for Medical Education programs were identified
Generally, the WFME Global Standards were considered relevant and adequate also for the European region. European Specifications according to EHEA and Bologna principles were introduced
Describe and justify any changes to or variations from the original workplan
Because of delays beyond our control, the order and timetable were revised but, eventually all the outcomes for each year were achieved.
Impact on the project of changes to the workplan
Changes made on the original work plan were necessary and enabled the QTF to achieve its objectives.
The shortening of the schedule imposed significant additional burdens on the QTF members, but all aims were met.
Task Force 3 Stage 3
Brief description of activity or workpackage
Proposals for Quality Assurance standards for basic medical education (BME), postgraduate medical education (PME), continuing medical education (CME) and continual professional development (CPD)
(Year 3 in the original working plan)
Organisations involved
WFME / AMSE / UEMS / EMSA / FINISH MEDICAL ASSOCIATION / ASSISTANCE PUBLIQUE-HOPITAUX DE PARIS/ COPENHAGEN UNIV/ ROVIRA I VIRGILI UNIV/ JAGIELLONIAN UNIV/ MANCHESTER UNIV/ VRIJE UNIV AMSTERDAM / HACETTEPE UNIV/ HUMBOLDT UNIV AND FREE UNIV OF BERLIN
Start date (dd/mm/yyyy)
01.10.06
End date (dd/mm/yyyy)
30.09.07
Number of days
Aims and objectives
To Continue group Meetings according to original objectives and new work planning and timing
To start preparing outcomes from collected material on Quality standards for BME in Europe
To obtain all responses and prepare a survey of results in Europe
To discuss existing Quality standards for PME and CPD in Europe
To report Quality task force activities
To prepare the future work for Quality task Force into a MEDINE2 new application
To start networking with other MEDINE task forces and/or other networks & institutions
Description of specific tasks undertaken and outcomes
The Task Force met on two occasions. Both meetings lasted two days. Meeting locations were as follows:
3rd Quality Task Force meeting held Barcelona (2/3-2-07). hosted by Professor/Dr. Maria Rosa Fenoll-Brunet and Agència per a la Qualitat del Sistema Universitari de Catalunya (AQU), the Catalonian Quality Agency, Barcelona, Spain.
Task undertaken: discussion of Quality Standards for PME and CPD in Europe
4th Quality Task Force meeting held Krakow (2/3-9-07), hosted by Professor Jadwiga Mirecka and the Jagiellonian University Medical School, Krakow, Poland.
Task undertaken: discussion and approval of the document on Survey on Quality Assurance and Accreditation on medical education in Europe, discussion and approval of QTF final report into MEDINE1 and discussion on further work to be done in MEDINE2.
Between meetings, members of the Task Force communicated electronically and by phone calls.
Full description of task undertaken can be found on QTF Annex: III & IV Quality Task Force meeting Minutes documents
Evaluation of outcomes
At this Stage, all QTF objectives were fulfilled
Working methods agreed by the group resulted in very successful and productive meetings
QTF members produced several outcomes and disseminated results (see Table 3.1 and Table 3.5.1)
Describe and justify any changes to or variations from the original workplan
Because of delays beyond our control, the order and timetable were revised but, eventually all the outcomes for each year were achieved.
Impact on the project of changes to the workplan
Changes made on the original work plan were necessary and enabled the QTF to achieve its objectives.
The shortening of the schedule imposed significant additional burdens on the QTF members, but all aims were met.