European Deontological Guidelines - ceom-ecmo.eu · •Nurse •Radiology technician, laboratory technician, neurophysiopathology technician •Physiotherapist •Biologists •Dentist

European Deontological Guidelines

I. Professional updating and CME/CPD

II. Relationship with other health professions

European Council of Medical Ordres

Conseil Européen des Ordres des Médecins

Dr. P. Hecquard – Dr. F. Alberti

W.G. Deontological Guidelines

Paris, December 2013




3 3

Sanremo Document 2005




Continuing Professional Development

The rapid obsolescence of knowledge and skills of the

physician, the constant renewal of health technologies, the

prospects of demographic changes, the increase in chronic

diseases and social fragility in a multiethnic and multicultural

society will inevitably be reflected on the tasks, functions and

the activities of physicians and in the planning of the health

care organization. They require physicians remarkable

adaptability, both individually and in team work, and a

continuing education (lifelong learning).

4 4

Sanremo Document 2005




The physicians continuing education, however, should be a

process of global change, which brings together the

development of skills and clinical knowledge with the socio-

cultural adaptation to new organizational and ethical

instances, and not a "mandatory" credits acquisition,

administered by the bureaucracy.

5 5

European Charter of Medical Ethic

Kos 2011




Principle 6

The physician uses his professional knowledge to improve

or maintain the health of those confiding in him, at their

request; he may not act to their detriment under any

circumstances.

Principle 7

The physician calls on all the resources of medical science

to apply them appropriately to his patient.

6 6

Examined Codes




Italy: art. 6, 14, 19

Portugall: art. 9

Germany: art. 4

France: art. 11

Spain: art. 7 [paragraph 2-3-4]

Belgium: art. 37

Romania : art. 17 [paragraph 1-2-3]; art. 33

Switzerland: art. 1 [paragraph 3]

7 7

Updating and Training




The continuing discoveries in the medical, scientific and

technological fields require a constant updating of the

professional skills and knowledges, as primary tool to

provide proper quality and effectiveness of the health

services to the citizens.

8 8

Updating and Training




Updating: It is mainly "informative", and it consists in the

acquisition of new theoretical knowledges, in the refreshing

of notions or in the replacement of outdated theories.

Training: It is an educational process characterized by

professional purposes. It is organized by objectives/goals

relevant to the tasks, aimed at the problem solving and the

satisfaction of educational needs through methods based on

active learning and continuous evaluation.

9 9

Submitted article




• The professional updating and the continuing medical

education are an ethical and deontological duty for all

physicians during their professional life.

• The physician must keep himself constantly updated on the

evolutions in the scientific, deontological and management

fields, to maintain and develop knowledge and new skills in

order to ensure the best quality of care, in respect of the

trust relationship with citizens.

10 10

Annexe: Teaching




• The physician should convey to students and young

colleagues his knowledge and the cultural and ethical

heritage of the profession.




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Health Professions




•Pharmacist

•Nurse

•Radiology technician, laboratory technician,

neurophysiopathology technician

•Physiotherapist

•Biologists

•Dentist (in Italy there is a one order for Physicians and dentists)

•Psychologist

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European Codes of Ethics




• Italy: art. 66

• Belgium: art. 177, 178, 179, 180

• France: art. 68

• Spain: art. 41, 42

• Germany: art. 29

• Portugal: art. 145, 146, 147

• Switzerland: art. 41

14 14

“Other” Health Professions




Nowadays the "other" health professions have their own field of

activity, responsibility and decision-making autonomy.

15 15

Recognition of Other Health Professions




The professional skills must be based on clearly defined criteria :

- Professional profiles contents

- Training contents

- Codes of Conduct contents

16 16

The Professional Profile




It is important that the European Countries clearly establish the

activities that the non-medical professional can autonomously

perform and those subject to medical prescription.

17 17

Collaborative Relationships




The different European Codes of Medical Ethics examined

emphasize the importance of collaborative relationships for

interdisciplinary work and team, that to be effective require an

ongoing and open relationship between the different professionals

involved, in accordance with their respective professional skills.

18 18

Submitted Article




The physician, within his professional competences and in respect

of other health professionals opinion, must ensure the widest

possible cooperation and foster communication between all the

health professionals involved in the care process aimed to the

interest of the citizen.

19 19

Thanks for your attention




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European Deontological Guidelines - ceom-ecmo.eu · •Nurse •Radiology technician, laboratory technician, neurophysiopathology technician •Physiotherapist •Biologists •Dentist