1979 UEMS-Cardiology Section: 1st Report of the UEMS-CS on Training in Cardiology Common Trunk ("Tronc Commun") of 3 years General Internal
1989 Plenary Assembly of the UEMS-CS P. Hugenholtz, President, Pierre Block, Secretary
1991 Report of the UEMS Cardiology Section Begin of a close collaboration with the ESC- Presidents M. Bertrand, PP. Wilson, G. Breithardt Lars Ryden, M. Simmons, J.P.
Bassand, M. Tendera,
1992 - 2009 EU-Commission asked via ACMT the UEMS for Recommendations in Training and CME: The European Board for the Specialty of Cardiology, a joint venture between ESC and UEMS-CS, was founded, and terminated in 2009. It was primarily responsible to decide harmonized criteria of training in Cardiology (Chapter 6 regulations).
1994 2009 Diploma of the European Cardiologist Was issued, which will be substituted in the near future by the new European Diploma in General Cardiology
2000 European Board of Accreditation in Cardiology (EBAC) Was founded, which was another joint venture between the ESC and the UEMS-CS. It is responsible for the Accreditation of high quality CME and CPD In Cardiology and works in accordance to EACCME. In
2009 ESC decided to leave the cooperation, so that EBAC is now A sole entity of UEMS-CS.
2010 European Cardiology Section Foundation (ECSF) The legal organisation of the UEMS-CS was founded in Cologne to handle in accordance to UEMS BRX all duties of the UEMS-CS
1958 - 1978
From the begin........ The UEMS (European Union of Medical Specialists, Union Européenne des Médecins Spécialistes, www.uems.net) was founded in
1958, one year after the Treaty of Rome as representation of all European medical specialists. Together with the UEMO, the
organisation of the European GPs/Family Physicians, the UEMS and other institutions are related via the Standing Committee
of the Medical Doctors (Committee Permanent, www.cpe.eu) to the different EU bodies (EU Council, EU Commission, EU Parliament).
Mission of UEMS 1958 - 2008: ......shall continuously maintain and develop the entire spectrum of professional interests of European medical specialists,
with special emphasis on assuring the highest level of professional autonomy allowing medical specialists to ensure the highest
possible quality of healthcare services for the benefit of all European citizens.
EU ́s Doctors Directive 1975
Mutual recognition of medical diplomas
between the EU member states
Sections established since 1962:
UEMS - Cardiology Section
For setting up standards of training
Maintain these standards by monitoring
At present the UEMS consists of 39 Specialist Sections, 4 Joint Sections and several Boards, among them the UEMS-Cardiology
The statutory purpose of the UEMS is the harmonization and improvement of the quality of medical specialist practice in the
European Union (EU). Education is a key element in this field. The UEMS has been pursuing the formulation of a common policy
in the field of training for many years. The Charters in this UEMS website represent the consensus reached in the Medical
Specialist Associations in the European Union.
1979 - 1998
The Cardiology Section of the UEMS was born in 1979 when cardiovascular specialists of the UEMS member countries convened
in Paris to discuss the results of a UEMS questionnaire (D-7614) related with various professional and training aspects in
cardiology. They formulated a common point of view, which was furthermore submitted to the UEMS in Brussels. Already at this
time the opinion of future members of the ESC as Greece, Portugal and Spain has been sought and has been taken into account
for the finalization of the 1st Report of the UEMS Cardiology Section on Training in Cardiology.
1979: The first President and Secretary of this section were respectively Prof. H. Denolin and Dr. N. Boyadjian, both Belgian Cardiologists. Prof. H. Denolin has also been President of the ESC. The essence of this first report was the
recommendation of a common trunk ("tronc commun") of general internal medicine, the same as for the other (sub)specialties of internal medicine (with an optimal duration of 3 years), which should be followed
by a specific education and training in cardiology of 2 years. We have to be aware that at this time and also until now there
exist large differences in training and education in cardiology throughout Europe.
In the late eighties Prof. P.G. Hugenholtz became President and Prof. P. Block Secretary. The 1979 Report of the UEMS Cardiology Section was issued containing actualized information on the training facilities, not only for the 12 ESC countries, but moreover for
12 other countries. In the meantime a more structured organization found place with an International Steering Committee of which the first members were Prof. P. G. Hugenholtz (the Netherlands) (chairman), Prof. P. Block (Belgium) (secretary),
Prof. L. Kappenberger (Switzerland), Dr. H.R. Michels (the Netherlands), Prof. M.M. Oliver (England).
Its first task was to issue a report providing the UEMS and other EC officials with information in terms of qualification
requirements prior to exchange and licensing Cardiology specialists even if from a theoretical point of view, free settlement
for all workers inside the EEC (later the EU) was possible since the Treaty of Rome. Moreover this report provided the authorities
with minimum requirements which a training centre must fulfil in order for its graduates to be properly recognized as an "European
standard" cardiologist. Among the same time a leaflet was issued reporting the similarities and differences that characterized
the practice of cardiology in the UEMS member countries with the aim to begin a harmonisation process.
Also at this time the first formal contacts were taken with the Board of the ESC and from this time a very successful collaboration with their successive presidents Prof. P.Ph. Wilson, M. Bertrand and G. Breithardt could be established.
1989 a Plenary Assembly of all the representatives of the Cardiology Monospecialty Section of the UEMS was hold at the headquarter of the ESC, which at this time was in Nyon (Switzerland). It was decided to rewrite and to actualize
the 1979 report. Representatives of many non-ESC countries attended also this meeting and formulated propositions for participating
in these activities.
1992 UEMS was asked at the request of the EU Commission (via the ACMT = Advisory Committee for Medical Training) to establish
recommendations for training and CME. This idea was transferred to the all Monospecialtiy Sections.
Back to the UEMS-Cardiology Section: At the mean time the cardiology section of the UEMS had a new President, Dr. J.P. Letouzey (Paris), Pierre Block continued to serve the Section as Secretary.
1998: After more than 20 fruitful years of the UEMS-Cardiology Section (UEMS-CS) under the famous Secretary Prof. P. Block, Belgium,
and the creation of the European Cardiologist Diploma in a joint venture with the European Society of Cardiology (ESC) via
the EBSC (European Board for the Speciality of Cardiology) the Steering Committee and also the Board of the Section felt during
their meetings in Vienna, Aug. 1998, that it would be much more appropriate to join the ESC completely. The reasons were the lack of a financial and administrative
basis of the section and also much of the work was covered by the ESC. The consequence would be to dissolve the Section and
the connection to the UEMS. After a long discussion especially under the support of Dr. Michael Petch (UK), EBSC Chairman
and Treasurer of the Section, it was agreed to give the section another chance to continue independently as it was for about
one year and to watch carefully the success.
UEMS-CS 1998 - 2013
In the November 1998 Steering Committee meeting in the rooms of the British Cardiac Society, London, the responsibilities changed and the new officers were elected for four years: Dr. Heinz Weber (AT) as President, Dr. Peter Kearney (IR), Dr. M. Petch (UK) as Treasurer, Dr. J-P-. Amlie (NO) and Dr. G. Mercuro (IT) as Vice- Presidents. Further members of the
Steering Committee were Dr. J-P. Letouzey (FR) as Past-President, Dr. P. Block (BL) as the long-term Past-Secretary, Dr. Ch.
Fessas (CY) and Dr. Preda (HU) as Representatives of the Non-EU-Countries, Dr. Silove (UK) as AEPC- and Dr. Roedevand (NO)
How could we move what?
Structure and administrative basis of the UEMS-CS.
The UEMS-CS is one Section of the UEMS. The ROPs (Rules of Procedures) of the CS were approved by the UEMS in Dec. 2001 and are the basis of the structure and votings in accordance to the Bylaws of the UEMS. The basic organisational structure
of the UEMS-CS consists of the Plenary Assembly and of the Steering Committee. The Plenary Assembly of the UEMS-CS consists of two delegates from each EU-/EFTA- and also Non-EU-Country, one representing
the National Cardiac Society, the other the National Professional Union (Fig. 5). The Paediatric Cardiologists (AEPC) had decided in former times to join the UEMS-CS as subsection. Therefore they are also represented by 2 delegates in the
Plenary Assembly. In accordance to the UEMS-Bylaws one representative of the PWGs is also member of the Plenary Assembly and of the Steering Committee. This latter group is representing in general
the Doctors-in-Training and is organised similar to the UEMS, consisting of delegates sent by the National Professional Unions.
So the PWG is more a political body than a speciality oriented one sim. to the UEMS itself. In 2001 the European Society of Hypertensi on became also an official member of the UEMS-CS, whereas on the other hand the Vascular-Medicine people decided not to accept
our invitation and became part of the UEMS Section of Internal Medicine in general.
The Plenary Assembly meets once or twice a year, at least during the ESC-Congress, sometimes in May in Brussels, and is responsible
for all the votings and must decide all the Steering Committee proposals including finances.
The Steering Committee is the administrative body of the section and consists of the President, Vice-Presidents, Secretary,
Treasurer and up to two delegates from the Non-EU Countries, a delegate from the AEPC and from the PWG. They are all elected
by the Plenary Assembly for a four year period.
1999: The first steps after the London Meeting were to create anadministrative and financial basis: The first Logo of the section,
the heart within the left upper quadrant of the UEMS-logo was discussed and decided during the next Steering Committee Meeting
held in Paris, Jan. 1999. The disappointing information from the UEMS, that there is no financial support to any section possible,
was followed by many discussions about fund raising. Finally an annual fee rel. to the number of members of the National Cardiac
Societies was accepted during the Plenary Assembly, Barcelona 1999, which led to many further discussions about a fair distribution
of the amount of the annual fee. Other concepts were proposed during the following years, but without any acceptance. Nevertheless,
many countries agreed and contributed financially, so that a financial, transparent basis could be established.
At present the UEMS-CS can cover costs of a secretariat, administration, advertising, producing letters, faxes, e-mails etc.
2000: The first secretariat started to work in Vienna during autumn 2000 under Mrs. Marianne Laczko. Now it was possible to serve
our delegates with informationsfrom the UEMS, the UEMS-CS and also directly form the EU.
During the next congress of the ESC in Stockholm 2001 the Section was present the first time with its own booth and distributed
flyers explaining its structure, delegates and mission to more than 20.000 congress attendances (Fig. 6 and 7). This continued
from now each year, so also in Berlin 2002 represented (Fig. 8).
2002: During the ESC Congress in Berlin 2002 H. Weber was followed by Prof. Jan Peder Amlie (NO) as President and Peter
Kearney by Rolf Michels (NL) as Secretary of the UEMS-CS, who served until 2006.
2006: Prof. Heikki Huikuri (FL) became President and Prof. Lino Gonzalves (PT), Secretary of the Section
2009, Prof. Reinhard Griebenow (DE) and his Secretary Prof. Thomas Binder (AT) took over responsobility, who stay both in
duty until now.
2010: A Board decision from the ESC stopped the cooperation with the Section EBSC and also the European Diploma. The renovation
of the latter became a main task of the CS now and in the future
2011 Prof. Otto Hess, from Switzerland, who served the UEMS-CS for many years as treasurer, died due to a short-lasting malignant
2012 Prof. Charis Fessas, Cyprus, who served the Section as Officer in the Executive Committee and also as UEMS-CS delegate
in the EBAC for many years died also unexpectedly due to a severe short-lasting disease. WE MISS YOU BOTH!!!
2013: Votes for President , Secretary and officers were scheduled for the ESC Conference in Amsterdam in August
What is the Mission of the UEMS-CS? Relation to the EU (Fig. 10) The UEMS Cardiology Section has
to supply the EU- and also the Non-EU representatives with informations related to cardiovascular disorders and general public health
coming from the different EU organisations, and beyond from other non-EU organisations;
to transfer the opinions of the UEMS-Cardiology Section to the EU bodies via the UEMS or the Committee Permanent (http://www.cpme.be/)
or directly with the aim to influence their decision making processes (lobbying for the tremendous burden of cardiovascular
diseases and the problems of the European Cardiologists);
to answer questions from the delegates, if possible, or to organize answers on specific questions related to CV-diseases, CME, training
in Cardiology, general public health topics etc.
to harmonize differing structures between several countries to achieve a European level in basic training, in CME etc.;
to stimulate all improvements related to diagnosis, therapy, medical training, continuous professional development, Evidence Based Medicine
and also Public Health care predominantly in CV diseases in adult and paediatric patients.
Therefore many efforts were taken to improve the contacts and the visibility of the section at the EU-level. Due to
the Secretariats possibilities the Section could inform the EU-commissioner and the DGs, the EU-MPs and the National Ministries
of Health about the mission of the section. Each year a meeting in Brussels was organised to increase the contacts to the
EU-organisations and to inform them either directly or via the UEMS (which was necessary due to the bylaws). The transfer
of the UEMS-CS office from Vienna to Brussels was discussed, but could not be realised despite the tremendous support from
the former UEMS-President Dr. Cilian Twomey (IR).
UEMS-CS Relations to the European Society of Cardiology: The European Society for Cardiology (ESC) is primarily based on academic science and research, secondarily on Training in
Cardiology, CME and other related topics, which are areas of cooperation with the UEMS-Cardiology Section. The UEMS- Cardiology
Section has the legitimation to represent the views and opinions of the European Cardiologists in several bodies of the EU
and is much more related to the practicing cardiologist than the ESC.
The overlapping areas led especially among the ESC-Presidents Lars Ryden (SW), Marten Simoons (NL) and also J-P. Bassend (FR)
to a close and fruitful cooperation between the two bodies during the past years avoiding competition:
In summary the UEMS - Cardiology Section had improved their activities significantl during the past years. The Delegates of
the Member states can be sure to get the most recent informations from the different EU organisations directly to them. Furthermore
the direct path up to the EU-bodies will guarantee the quick transfer of opinions of the Cardiologists to the decision-making
bodies and to influence them in order to provide the highest possible standard of care for patients and populations in Europe.
Lobbying is the Success of the UEMS-CS!
Puzzled by and responsible for the content: Heinz Weber, MD, FESC, FACC Prof. of Internal Medicine-Cardiology, Vienna, AT UEMS-CS President 1998- 2002 Member of UEMS-CS Executive since 1998 EBAC- Founding Chairman 2000 2004 EBSC Co-Chairman 2006 -2008
European Board of Accreditation in Cardiology (EBAC)
In 2000 another joint venture between the ESC and the UEMS-Cardiology Section was founded, named EBAC (Fig. 9). The European
Board for Accreditation in Cardiology (EBAC) is an independent organisation responsible for the accreditation of international
CME programmes in cardiology for the European medical community.
EBAC accreditation can be awarded to events or to distance learning educational programmes. When completing EBAC internet-based
application form the provider is confident that the educational programme will be submitted to a quick, independent, and high
quality peer review. Therefore, EBAC accreditation is a certificate that the educational content of the event or product is
of high quality and unbiased.
Mission & Objectives
(see www.ebac-cme.org) According to its Mission Statement, adopted in December 2000, the role of EBAC goes beyond providing accreditation services:
"The European Board for Accreditation in Cardiology (EBAC) will stimulate, coordinate, and facilitate high quality Continuing
Medical Education (CME) in cardiology, both for individuals and institutions, in order to provide the highest possible standard
of care for patients and populations."
EBAC takes the responsibility for the development, availability and quality of international CME in European cardiology. Practically
Advises and helps those, who wish to establish accreditation procedures in cardiology
Facilitates individual cardiologists' international CME credit acquisition
Encourages the recognition of those credits by national authorities
Produces guidelines for CME in Cardiology.
EBAC will facilitate and accredit all types of international CME activities in cardiology, and promote the application
of new information technologies. EBAC intends to guidepractitioners in their choice of distance based CME activities by displaying
the EBAC logo on the accredited Internet CME courses, CD ROMs and CME articles.
Evaluation and accreditation of CME Courses The EBAC Board performs a systematic review of all CME Programmes submitted for accreditation by independent reviewers. Between
2001 - 2008, 1179 event held in 34 different countries were evaluated, additionally 14 CD-ROMs, 160 CME-Articles and Texts
(e.g. Textbook of the ESC) and 51 CME Web Modules (Fig. 10) in accordance to the EBAC-criteria and also to EACCME. EBAC: a Joint initiative of ESC and UEMS Cardiology Section (2001)
The competence of EBAC to accredit international CME Programmes in Cardiology is now recognised by 19 European Cardiac Societies.
Austrian Society of Cardiology
British Cardiovascular Society
Croatian Cardiac Society
Danish Society of Cardiology
Finnish Cardiac Society
French Society of Cardiology
German Cardiac Society
Hellenic Cardiological Society
Irish Cardiac Society
Italian Federation of Cardiology
Lebanese Society of Cardiology
Netherlands Society of Cardiology
Polish Cardiac Society
Portuguese Society of Cardiology
Romanian Society of Cardiology
Slovenian Society of Cardiology
Spanish Society of Cardiology
Swiss Society of Cardiology
Turkish Society of Cardiology
Contacts have been made with many other European Cardiac Societies and we hope to have more joining the group soon. The complete
list is available on the EBAC website: www.ebac-cme.org
EBAC was present with a booth during all ESC Congresses since 2000 (Fig. 11).
After 10 year fruitful work the ESC-Board under the President Roberto Ferrari voted in Dec. 2009 for an out-sourcing of EBAC
and for a withdrawal of ESC from the joint venture. Now EBAC became an own entity and also a unique enterprise of the UEMS-CS.
Nevertheless EBAC continues its work together with EACCME under the umbrella of UEMS- Cardiology Section.
The Chairmanship was handed over from Heinz Weber (AT) to Lino Gonzalves (PT) and furthermore to Peter Polack (NL ). For the
outsourcing process the recent UEMS-CS President Reinhard Griebenow (D) took over the responsibility for the New EBAC.