Presentation of manual medical training institutes An-Institute for Manual Medicine at the DTMD-University

The qualification in manual medicine builds worldwide on a primary medical degree, which with few exceptions does not include the subject of manual medicine. The continuing education in
Manual medicine thus primarily takes place postgradually. As a rule, it comprises at least 300 hours and in some countries is integrated into a specialist's training. More often, however, as in Germany, manual medicine is an additional qualification complementary to a residency, and in many countries the qualification to practice manual medicine is not regulated. Against this background, the International Federation for Manual/Musculoskeletal Medicine (FIMM) recommends, in order to homogenize further training in manual medicine worldwide, a four-level qualification which, when completed, corresponds to 60 ECTS (European Credit Transfer System) points and a Master of Advanced Studies (M2). The recommendations of the European Scientific Society of Manual Medicine (ESSOMM) and the European Union of Medical Specialists (UEMS) go in the same direction, and also require that continuing educators be qualified at the master's level. About the coupling of the continuing education recommendations
to ECTS, a connection to the European educational processes becomes possible.

In Europe, two educational processes (Bologna Process, Bruges/Copenhagen Process) were introduced to make national educational qualifications comparable and to simplify permeability between the different levels and areas of education. The Bologna Process primarily regulates initial academic education, while the Bruges/Copenhagen Process, in addition to primary vocational education, regulates in particular continuing vocational education and training, including postgraduate academization. The Bologna Process works with ECTS, the Bruges/Copenhagen Process with ECVETs (European Credit System for Vocational Education and Training). Both credit systems are interchangeable and one credit point (1 ECTS, 1 ECVET) corresponds to 25 to 30 hours of learning and work. Both the Bologna Process and the Bruges/Copenhagen Process refer to the European Qualifications Framework for levels 6 (Bachelor) to 8 (Doctorate). While the Bologna Process is the responsibility of the respective national ministries of education, the Bruges/Copenhagen Process complies with European law and is the responsibility of the EU Commission.

When comparing the current qualification situation in manual medicine and the European educational processes, a further development of the qualification standards of manual medicine within the framework of the Bruges/Copenhagen process seems to make the most sense. The hitherto usual scope of further training in manual medicine of 300 hours can be converted into 10 to 12 ECVET points and corresponds to the second level of the four qualification levels of the FIMM recommendation and thus to a Certificate of Advanced Studies. In order to also reach the fourth level of the FIMM recommendation with master's level, a state or university accreditation is necessary. Thus, in order to further develop manual medicine and to implement the recommendations of FIMM, ESSOMM and UEMS, the integration of manual medicine into a university environment and studies is mandatory.

With this in mind, the Medical Seminar Isny-Neutrauchburg (MWE) and the University for Digital Technologies in Medicine and Dentistry (DTMD-University), based in Wilz Castle in Luxembourg, have founded a joint university institute for manual medicine. DTMD University offers part-time postgraduate master's programs in medicine and dentistry throughout Europe according to the Bruges-Koppenhagen process. With the foundation of the An-Institute for Manual Medicine, an associate professorship for manual medicine and nuclear medicine pain therapy was simultaneously established at DTMD University. In coordination with the University, the An-Institute of Manual Medicine has the right to conduct master's and certificate courses in manual medicine and related specialties and to award corresponding degrees from DTMD University. The research focus of the An-Institute is the evidence-based nature of manual medicine and the impact of increasing digitalization
in health care to manual medicine. In the meantime, based on the qualification recommendations of FIMM, ESSOMM and UEMS, a master's degree program in manual medicine for physicians has been developed and accredited by the Accreditation Agency in Health and Social Services (AHPGS) and is thus recognized throughout Europe. The course will be officially inaugurated at the MWE annual meeting on Sept. 25, 2021. It has a duration of two years, enables the acquisition of 120 ECTS or ECVETs and
concludes with a Master of Science degree. The module manual with the contents of the study program can be viewed on the homepage of the DTMD University.

The master's degree program in manual medicine gives physicians in countries that have not yet had state regulation of continuing education the opportunity to obtain official proof of qualification. It fulfills the recommendations of ESSOMM and UEMS for the qualification of continuing educators and thus enables a corresponding proof of continuing education qualification as required by the model continuing education regulations of the German Medical Association. Another advantage for the further development of manual medicine is the increasing scientific qualification of the graduates of the master's program and the resulting opportunity for a more comprehensive scientific study of manual medicine. Ultimately, this can lead to a better evidence base for manual medicine, which supports the continued existence of manual medicine within health care systems and makes it seem more likely.

R. Klett, Head of An-Institute for Manual Medicine at DTMD-University
Manual medicine 2021; 59:211-216. https://doi.org/10.1007/s00337-021-00815-5

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