In a declaration addressed to the FIMM HPB, the FIMM Executive Board has defined the goal in terms of UEMS:
- to initiate the positioning of Manual/Musculoskeletal Medicine in Europe as a distinct specialization.
In further steps taken by the HPB a group with DGMM and other European FIMM member societies or other groups of Manual/Musculoskeletal specialists shall form a group of sub-specialists and attempt recognition by UEMS, including a possible change within the by-laws of the UEMS.
There have been several attempts to include Manual/Musculoskeletal Medicine as a partner or member of UEMS1, 2, 3, 4.
The facts are well compiled in Art. 24 of the Rules of Procedure of UEMS (part 2, UEMS specialists section, final text dated May 5, 2003):
…I.1 In order for a discipline to be recognised as a specialty of UEMS, with the view of forming a Specialist Section, it must be recognised as an independent specialty by more than one third of the EU member states, must be registered in the Official Journal of European Commission (Medical Directives) and fulfil the following conditions, as laid down by the Management Council on 3rd of November 1979:
the specialty must be effectively carried on as such, essentially in exclusive practice, by competent specialists;
the number of these specialists must be sufficient to establish, from among their members, panels of examiners or recognition Committees in that discipline;
the discipline must be practiced in institutions with sufficient training facilities available for them to be designated as training centres. These institutions must be controlled by specialists of such seniority and experience as to be acknowledged as directors of training (D7927).
It is important to know that UEMS has set high goals in its quality agenda. UEMS considers regulation to be one part of this agenda5. In addition UEMS has published a policy paper on Continuing Professional Development as quality improvement: The Basel Declaration (2001)6 – that deals with continuing professional development as a form of quality improvement – and Promoting Good Medical Care (2004)7 on quality assurance.
It is clear that UEMS has set benchmarks, which will not easily be achieved and maybe not achieved at all by Manual/Musculoskeletal Medicine at this time. The FIMM Executive Board, therefore, considers it to be impossible to become a full member of UEMS at this point of time and to get a full recognition as a speciality for physicians even though in some member countries of the European Union Manual/Musculoskeletal Medicine is fully recognised as a medical mono-specialty. In many of the FIMM European FIMM-member countries, Manual/Musculoskeletal Medicine is not even recognized as a sub-speciality8. As a first step the German DGMM reached at least an observatory status in UEMS.
1 Attempt by former Vice-President of SOFMMOO (M.-J. Teyssandier), 1990
2 Letter by the Chairman of the FIMM Policy Sub-Committee (M. Hutson), July 15, 1996
3 Diverse information of UEMMA kindly given at disposition by M.-J. Teyssandier in a letter
dated June 8, 2007
4 Letter on behalf of the FIMM HPB by the FIMM President (W. von Heymann), May 1, 2007
5 Budapest Declaration on: Ensuring the Quality of Medical Care, UEMS, 18 final, 2006,
6 http://www.ebac-cme.org/newsite/archives/Vol 02/EACCME 5.pdf
8 Report of the FIMM President 2007