ABSTRACT
INTRODUCTION: Since reliable information is scarce to describe continuing medical education (CME) and revalidation in Europe, we carried out a survey in 5 selected countries (France, Germany, Italy, Spain, and the United Kingdom). METHODS: A tested questionnaire was sent to 2 experts per country (except in Germany), during August-September 2004. RESULTS: In the analyzed countries medical societies, medical associations, and employers are the main CME providers. Pharmaceutical industry sponsorship accounts on the average for more than 50% of the CME financing in those countries. In all 5 countries, CME accreditation systems exist; the national health authorities and medical associations are mainly responsible for them. In France, Italy, and Germany CME is mandatory; in Spain and the United Kingdom it is voluntary. CME credits/points are mainly used for professional career purposes. Revalidation systems have not been introduced in any of these countries, although in the United Kingdom it is being introduced as part of a relicensing process. DISCUSSION: Recommendations for the implementation of a European system of CME/CPD harmonization are made by the authors.
Subject(s)
Clinical Competence/standards , Education, Medical, Continuing , Physicians/standards , Accreditation , Data Collection , Drug Industry , Europe , Financial SupportABSTRACT
A case of cutaneous Crohn's disease involving the right breast and presenting as multiple periareolar fistulas in a 46-year-old female is reported. The lesion had initially been diagnosed and treated as a simple abscess. She had a 26-year history of Crohn's disease with numerous hospitalizations for bowel resections and control of diarrhea. Histopathologic examination following excision of the fistulas and total duct excision, however, showed well-defined granulomas containing multinucleated giant cells characteristic of extraintestinal Crohn's disease.
