Marburger Bund is the largest doctors’ union in Europe representing about 125,000 salaried doctors in Germany and fights for fair working conditions, appropriate salaries, quality in training, and improvements in the work-life balance. Following a decision of 127 th Marburger Bund General Assembly 2015, criteria should be developed to be applied by participants to assess independence in planning and delivery of individual CME activities. This position paper describes the role of methodological and medical competence generation and use of data (evidence) independent sources of information independence of faculty in CME language in medical education conduct of independent CME, and independence of (passive) physician participants in CME Measures are defined by which independence in CME may be achieved and how this may change the process of CME delivery.

Continuing medical education (CME) should not be an end in itself, but as expressed in Moore's pyramid, help to improve both individual patient and ultimately community, health. However, there are numerous barriers to translation of physician competence into improvements in community health. To enhance the effect CME may achieve in improving community health the authors suggest a kick-off/keep-on continuum of medical competence, and integration of aspects of public health at all levels from planning to delivery and outcomes measurement in CME.

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