European Association for
Professions in Biomedical Science

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Harmonising education: Brussels 2003

A two-day series of presentations, discussion forums and workshops was recently hosted by the European Professions in Biomedical Science (EPBS). The EPBS is a network of national organisations representing biomedical scientists across Europe. The two-day event in Brussels bought together representatives from a number of countries including Sweden, United Kingdom, Slovakia, Portugal and France.

The representatives focused on issues of extended roles, the concept of a European biomedical scientist, harmonising education and training standards, EU enlargement and communication.

Martin Nicholson, President of the EPBS (left), said "I was delighted with the outcomes from this event. Since 2002 we've been working on assessing and harmonising the education of biomedical scientists in our member societies. Degree entry to the profession is now the normal route of entry across Europe.

The EPBS is an important forum for exchanging ideas and information between member nations. Over the years it has supported and helped its members to return to their respective countries and work with government and health authorities to achieve a set of agreed minimum standards. This is an important step towards the conception of a European biomedical scientist."

Above: EPBS President Martin Nicholson

Harmonising education and training standards
Harmonising the education of biomedical scientists presents a difficult challenge due to the different education, training and registration systems across Europe. In some countries, for example, educating institutions for biomedical scientists are not necessarily integrated within a university structure yet this does not mean that such standards are incomparable or weakened.

Building a common platform of agreed standards is an important tool that allows member states with a developing biomedical profession to progress their own national agendas of improving professional standards by using the EPBS and European Union as reference.

The EU is concerned with proposing a more uniform, transparent and flexible regime of recognition of qualifications. Under the Bologna Process, EU members are working to achieve convergence in higher education. Successful harmonisation will allow for greater workforce and professional mobility across Europe as well as allowing students to study abroad on exchange programmes.

Dr. Anita Hufnagl explores the challenges of reaching a common understanding of the different education systems across Europe in her article ‘It's a long way: European Integration - challenge and chance’.

Harmonising education: EU Directive
The EU is currently drafting a Proposal for a Directive on the Recognition of Professional Qualifications to clarify and simplify the rules in order to facilitate the free movement of qualified people between member states and resolve any with regard to recognition of their professional qualifications. The member nations of the EPBS unanimously agreed that all member countries had reached level D for either variant A or B as detailed in the current working document. As stated in the document:

“Level D corresponds to a diploma certifying successful completion of training at post-secondary level of at least three years' duration and not more than five years, at a university or establishment of higher education or another establishment providing the same level of training, as well as the professional training which may be required in addition to that post-secondary course.”

The current working document also states that:

“Professional associations which establish common platforms must be representative at national and/or European level. To be considered as established at European level, a common platform must cover at least two thirds of the Member States and in any case all the member states which regulate that profession. A common platform facilitates the mutual recognition of professional qualifications, in particular where the criteria established make it possible to compensate for the substantial differences which may exist between the training in the various member states“.

The EPBS has now developed a platform that covers two thirds of the member states and met with MEP Bill Miller, chairman of the group steering the directive through the European Parliament and Commission.

Changing roles
The roles of biomedical scientists across Europe are evolving within the healthcare field - from ‘consultant level’ biomedical scientists to roles in education, IT, point of care testing, management, marketing and commerce. In Switzerland for example, biomedical scientists are involved in the marketing and promotion of their laboratory services to attract customers.

One recently emerging role is measuring the quality of the work of biomedical scientists. Wemmie Elsenga in her presentation Quality Management in Medical Laboratories looks at the role of quality managers and ISO 9000:2000

Professor Claudia Wilfing from the Vienna Health Insurance Fund looks at Extended Roles in Austria which includes study-administrator/site-co-ordinator (in USA: Study-Nurse), co-ordinator of Clinical Trials in health institutions, quality supervisor and professional and training matters of health professions.

The EPBS is building a portfolio of the wide diversity of extended roles developing in member nations. One conclusion reached at the meetings was that all staff should be trained and certified in Point of Care Testing by biomedical scientists who should also ensure the establishment, implementation and adherence of a quality control program.


Above: EPBS President Martin Nicholson (standing) opens the 2003 meetings at Brussels

The next step: competencies
Following on from agree on minimum educational standards, the EPBS’s next task is to develop a minimum level of competencies ranging from science to management to ethics. The EPBS is building a database of education, training, competencies and qualifications of biomedical scientists across Europe with the aim of eventually developing a certificate or diploma that recognises a European biomedical scientist. The certificate would include minimum educational qualifications and post-graduate competencies recognised by all the member states and approved by the EPBS to be used for professional recognition across Europe.

Acquired knowledge after graduation should be reviewed and processed by EPBS with minimum standards proposed to the European Commission and consequently a EU Registration for biomedical scientists established. This outcome will not affect any current requirements of biomedical scientists to be registered within their member state as a lawful requirement. There are two objectives to this work: to achieve unrestricted professional mobility within the European Union and to aid some of the member countries in developing a process of registration and recognition of competency within their borders.

This will be a major step forward in mapping the professional requirements for a practising European biomedical scientist and will allow for the eventual setting up of a European register.

Professional recognition in Europe
There is a challenge in promoting and representing a profession that has many different titles across Europe. The EPBS will be establishing contacts with the European Union to promote biomedical science and bring a unified approach to EU legislation. One meeting has already taken place with MEP Bill Miller on the proposed Directive on the Recognition of Professional Qualifications.

European Students of Biomedical Sciences
The EPBS has set up a Students Forum and students from ten countries were represented at the forum in Brussels to discuss ideas and initiatives for the benefit of biomedical science students across Europe. It is planned to set up a forum on the EPBS website to enable communication and exchange of information. Information will also be available on education in each of the member states and available exchange programmes between countries.


Above: EPBS Students Forum

More information on the students’ forum will be published on the website at a later date.

Further issues
The EPBS will also be working on other issues - developing a code of ethics and conduct, planning for the repercussions of EU expansion and continuing to collectively help all member states to learn form each other’s experiences.

National representation
The following national professions were represented at the meetings in Brussels:

Austria
Belgium
Croatia
Cyprus
Denmark
Finland
France
Germany
Iceland
Ireland
Italy
Netherlands
Norway
Portugal
Slovakia
Spain
Sweden
Switzerland
United Kingdom

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