ESO-The European School of Oncology, Milan, Italy.
Eur J Cancer. 2010 Sep;46(13):2340-3. doi: 10.1016/j.ejca.2010.05.029. Epub 2010 Jul 7.
One of the first reports on the state of medical education was published in 1910 in North America, with the support of the Carnegie Foundation, showing that the interest for this issue dates back at least a century. Doctors (and nurses) are among the few professionals who managed to avoid for a long time any sort of evaluation of their knowledge and competence after the achievement of their diploma. But concern has been rising in society about the fast obsolescence of medical knowledge, particularly in the last 50 years when the development of research and technology in the field has been so fast. The concept of Continuing Medical Education gained growing interest after the Second World War as a necessity for health professionals, but also as a form of protection of patients, who have the right to be treated by competent and knowledgeable doctors and nurses. The United States (US)-based Josiah Macy Foundation recently sponsored a conference exploring the state of continuing education and the result is 'a picture of a disorganised system of education with obvious foci of excellence (most in universities) but with most commercially supported events shading more towards product promotion and the welfare of doctors than prioritised dedication to enhancing the care of patients'. Despite the fact that there is a lot to be learned from the US experience, Europe has to find its own way. Considerable progress was made since 1995 when UEMS (Union Européenne des Médecins Spécialistes) started to structure CME activities in Europe at translational level. A workshop on the issue was jointly organised by the European School of Oncology (ESO) and the Accreditation Council of Oncology in Europe (ACOE) in Berlin in September 2009.
第一篇关于医学教育状况的报告于 1910 年在北美发表，得到了卡内基基金会的支持，这表明人们对这个问题的关注至少可以追溯到一个世纪以前。医生（和护士）是少数几个在获得文凭后很长一段时间内都设法避免对其知识和能力进行任何评估的专业人员之一。但是，社会对医学知识快速过时的担忧日益加剧，尤其是在过去 50 年中，该领域的研究和技术发展如此迅速。第二次世界大战后，继续医学教育的概念作为卫生专业人员的一项必要措施越来越受到关注，但作为保护患者的一种形式也越来越受到关注，因为患者有权接受有能力和知识渊博的医生和护士的治疗。总部设在美国的Josiah Macy 基金会最近赞助了一次会议，探讨继续医学教育的现状，其结果是“一幅教育系统混乱的画面，明显的卓越焦点（大多数在大学），但大多数商业支持的活动更倾向于产品推广和医生的福利，而不是优先致力于提高患者护理水平”。尽管美国的经验有很多值得学习的地方，但欧洲必须找到自己的道路。自 1995 年以来，UEMS（欧洲专科医生联盟）开始在欧洲进行转化层面的 CME 活动以来，已经取得了相当大的进展。欧洲肿瘤学学会（ESO）和欧洲肿瘤学认证委员会（ACOE）于 2009 年 9 月在柏林联合举办了一次关于该问题的研讨会。
