• citations in SCIndeks: 0
  • citations in CrossRef:0
  • citations in Google Scholar:[]
  • visits in previous 30 days:0
  • full-text downloads in 30 days:0


article: 2 from 1714  
Back back to result list
2021, vol. 149, iss. 5-6, pp. 334-342
A standstill of the continuing medical education in Serbia 2011-2017
aUniverzitet u Beogradu, Medicinski fakultet, Centar za kontinuiranu medicinsku edukaciju, Beograd
bUniverzitet u Beogradu, Medicinski fakultet, Škola javnog zdravlja i zdravstvenog menadžmenta, Beograd
cUniverzitet u Bilefeldu, Škola javnog zdravlja, Bilefeld, Nemačka
dUniverzitet u Beogradu, Medicinski fakultet, Škola javnog zdravlja i zdravstvenog menadžmenta, Beograd + Clinical Center of Serbia, Clinic for Endocrinology, Diabetes and Metabolic Diseases, Belgrade
eUniversity of Belgrade, Faculty of Medicine, Institute of Physiology
Keywords: continuing medical education; accreditation; evaluation; faculties of medicine; Serbia
Introduction/Objective: Continuing Medical Education (CME) is a crucial element to keep the level of professionalism in the three key fields of medical education: pre-clinical, clinical, and public health. The profile of CME in Serbia has been analyzed for the 2011-2017 period. Methods: Between 2011 and 2017, 11,557 courses of CME have been submitted for accreditation, described by 26 variables. Due to the predominance of nominal data, we employed a principal component analysis (PCA) using the nonlinear iterative partial least squares algorithm (PCA/PLS) to arrange the 16 variables with complete information in such a way that most influential factors could be displayed and ranked. The analysis was done with TIBCO Statistical Software. Results: The Faculty of Medicine of Belgrade takes the top position among the medical faculties in Serbia with 569 courses or 47.9% (n = 1187; 2011-2017), whereas non-educational institutions with 86.2% of all courses (n = 11,514) are the most dominant providers. Clinical topics dominate the thematic spectrum with 59.7%. Between 2012 and 2017, the total number of courses offered diminished by 16.9%. A PCA of 16 potential determinants of CME reveals that the most relevant ones are duration, credit points, price, and number of lecturers. Conclusion: For the last decade, a standstill or even a regression in the development can be observed. Especially the faculties of medicine in Serbia, as well as other major providers, should reconsider the entire structure of their administrative organization and initiate innovative development.
*** (2019) Law on Health Care. Official Gazette RS, 25
*** (2017) Law on Higher Education. Official Gazette RS, 88
*** (2005) Strategy for Development of Education in Serbia by 2020. Official Gazette, 55 and 71
*** (2017) Law on Chambers of Health Workforce. Official Gazette, 70
Academy Of Medical Educators Aome (2009) A Framework for the Professional Development of Postgraduate Medical Supervisors. Cardiff, Accessed February 12, 2020 at: supervisors.pdf
Academy Of Medical Royal Colleges (2016) A reference guide for postgraduate specialty training in the UK ('gold guide'). in: Conference of Postgraduate Medical Deans, London, 6th ed
Agha, S. (2021) Aligning continuing professional development (CPD) with quality assurance (QA): A perspective of healthcare leadership. Quality & Quantity, 1-15
Bjegović-Mikanović, V., Lalić, N., Wenzel, H., Nikolić-Mandić, R., Laaser, U. (2015) Continuing medical education in Serbia with particular reference to the Faculty of Medicine, Belgrade. Vojnosanitetski pregled, vol. 72, br. 2, str. 160-168
Bucklin, B.A., Asdigian, N.L., Hawkins, J.L., Klein, U. (2021) Making it stick: Use of active learning strategies in continuing medical education. BMC Medical Education, 21(1): 44-44
Burazeri, G., Zaletel-Kragelj, L. (2017) 'Health: Systems-Lifestyle-Policies' and 'Health Investigation: Analysis-Planning-Evaluation'. South Eastern European Journal of Public Health (SEEJPH), Vol. I & II
Cervero, R.M., Gaines, J.K. (2015) The Impact of CME on Physician Performance and Patient Health Outcomes: An Updated Synthesis of Systematic Reviews. Journal of Continuing Education in the Health Professions, 35(2): 131-138
Cook, D.A., Price, D.W., Wittich, C.M., West, C.P., Blachman, M.J. (2017) Factors Influencing Physicians' Selection of Continuous Professional Development Activities: A Cross-Specialty National Survey. Journal of Continuing Education in the Health Professions, 37(3): 154-160
Donaldson, L. (2002) Unfinished business: Proposals for the reform of the senior house officer grade. London: Department of Health
European Union Of Medical Specialists Uems (2018) Continuing medical education & Professional development. Brussels, Accessed February 12, 2020 at:
Garattini, L., Gritti, S., de Compadri, P., Casadei, G. (2010) Continuing Medical Education in six European countries: A comparative analysis. Health Policy, 94(3): 246-254
General Medical Council G.M.C. (2017) Standards for curricula and assessment systems: Merger with PMETB. London, Accessed February 12, 2020 at:
General Medical Council G.M.C. (2010) Quality improvement framework. London
Health Council Of Serbia (2020) Belgrade, Accessed February 12, 2019 at:
Hearle, D., Lawson, S. (2019) Continuing Professional Development Engagement: A UK-based Concept Analysis. Journal of Continuing Education in the Health Professions, 39(4): 251-259
Koepsen, J. (2019) Demands-based and employer-driven curricula: Defining knowledge in higher vocational education and training. Studies in Continuing Education, Accessed February 12, 2020 at:
Kruk, M.E., Gage, A.D., Arsenault, C., Jordan, K., Leslie, H.H., Roder-Dewan, S., Adeyi, O., Barker, P., Daelmans, B., Doubova, S.V., English, M., García-Elorrio, E., Guanais, F., Gureje, O. (2018) High-quality health systems in the Sustainable Development Goals era: Time for a revolution. Lancet Global Health, 6(11): e1196-e1252
Maisonneuve, H., Matillon, Y., Negri, A., Pallarés, L., Vigneri, R., Young, H.L. (2009) Continuing medical education and professional revalidation in Europe: Five case examples. Journal of Continuing Education in the Health Professions, 29(1): 58-62
McMahon, G.T., Skochelak, S.E. (2018) Evolution of Continuing Medical Education: Promoting Innovation Through Regulatory Alignment. JAMA, 319(6): 545-551
O'Brien, P.M., Blanshan, A.S., Huneke, K.M., Thomas, B.B.L., Cook, D.A. (2021) Barriers to identifying and obtaining CME: A national survey of physicians, nurse practitioners and physician assistants. BMC Med Educ, 21(1):168
Patel, M. (2016) Changes to postgraduate medical education in the 21st century. Clinical medicine (London, England), 16(4): 311-314
Sole, M., Panteli, D., Risso-Gill, I., Doering, N., Busse, R., McKee, M., et al. (2014) How do medical doctors in the European Union demonstrate that they continue to meet criteria for registration and licencing?. Clin Med (London), 14(6): 633-642
Tello, J.E., Barbazza, E., Waddell, K. (2020) Review of 128 quality of care mechanisms: A framework and mapping for health system stewards. Health Policy, 124(1): 12-24
TIBCO Software Inc (2017) Statistica (data analysis software system). version 13,
Vannieuwenborg, L., Goossens, M., de Lepeleire, J., Schoenmakers, B. (2016) Continuing medical education for general practitioners: A practice format. Postgraduate Medical Journal, 92(1086): 217-222
Whitehurst, K.E., Carraway, M., Riddick, A., Basnight, L.L., Garrison, H.G. (2019) Making the Learning Continuum a Reality: The Critical Role of a Graduate Medical Education-Continuing Medical Education Partnership. Journal of Continuing Education in the Health Professions, 39(4): 270-275
Wiese, A., Kilty, C., Bergin, C., Flood, P., Fu, N., Horgan, M., Higgins, A., Maher, B., O'Kane, G., Prihodova, L., Slattery, D., Bennett, D. (2017) Protocol for a realist review of workplace learning in postgraduate medical education and training. Systematic Reviews, 6(1): 10-10
Younes, N.A., Abualrub, R., Alshraideh, H., Abu-Helalah, M.A., Alhamss, S., Qanno', O. (2019) Engagement of Jordanian Physicians in Continuous Professional Development: Current Practices, Motivation, and Barriers. International Journal of General Medicine, Volume 12: 475-483
Zaletel-Kragelj, L., Kovačić, L., Bjegović, V., Bozikov, J., Burazeri, G., Donev, D., et al. (2012) Utilization of teaching modules published in a series of handbooks for teachers, researchers and health professionals in the frame of 'Forum for Public Health in South Eastern Europe: Programmes for training and research in public health' network. SJPH, 51(4):237-50


article language: English
document type: Original Paper
DOI: 10.2298/SARH210107041N
received: 07/01/2021
revised: 25/04/2021
accepted: 13/05/2021
published online: 17/05/2021
published in SCIndeks: 10/07/2021