DIN EN 16872-2017 Services of Medical Doctors with additional qualification in Homeopathy (MDQH) - Requirements for health care provision by Medical Doctors with additional qualifi.pdf

1、February 2017 English price group 14No part of this translation may be reproduced without prior permission ofDIN Deutsches Institut fr Normung e. V., Berlin. Beuth Verlag GmbH, 10772 Berlin, Germany,has the exclusive right of sale for German Standards (DIN-Normen).ICS 03.080.99; 03.100.30; 11.020.10

2、!%ani“2627570www.din.deDIN EN 16872Services of Medical Doctors with additional qualification in Homeopathy (MDQH) Requirements for health care provision by Medical Doctors with additionalqualification in Homeopathy;English version EN 16872:2016,English translation of DIN EN 16872:2017-02Dienstleistu

3、ngen von rzten mit Zusatzqualifikation in Homopathie Anforderungen an die Gesundheitsversorgung durch rzte mit Zusatzqualifikation in Homopathie;Englische Fassung EN 16872:2016,Englische bersetzung von DIN EN 16872:2017-02Services de sant des docteurs en mdecine ayant une qualification complmentaire

4、 en homopathie Exigences relatives aux prestations de soins de sant fournies par les docteurs en mdecine ayant une qualification complmentaire en homopathie;Version anglaise EN 16872:2016,Traduction anglaise de DIN EN 16872:2017-02www.beuth.deDTranslation by DIN-Sprachendienst.In case of doubt, the

5、German-language original shall be considered authoritative.Document comprises 29 pages 02.17 2 A comma is used as the decimal marker. National foreword This document (EN 16872:2016) has been prepared by Technical Committee CEN/TC 427 “Project Committee - Services of Medical Doctors with additional q

6、ualification in Homeopathy (MDQH)” (Secretariat: ASI, Austria). The responsible German body involved in its preparation was NA 159 BR Beirat des DIN-Normenausschusses Dienstleistungen (NADL Beirat of DIN Standards Committee Services). The EN Standard was developed without the participation of German

7、 experts. Before DIN EN 16872 is applied, the following should be noted: The rules of medical practice including medical professional duties and medical training are subject to German regional law (Landesrecht), thus the regulatory power for medical practice lies with the German Federal States (Bund

8、eslnder). The respective legal bases are accordingly medical professional laws and chamber legislation (Heilberufs- und Kammergesetze) of the concerned German Federal States. The chamber legislation of the German Federal States authorises the medical associations to adopt statutes concerning the pro

9、fessional code of conduct (Berufsordnung) and the training rules (Weiterbildungs-ordnung). The provisions regulating medical practice in Germany (professional code of conduct, training rules, etc.) must be complied with. The standard DIN EN 16872 does not replace applicable German legislation. Prior

10、 to applying the standard DIN EN 16872 or parts of it in Germany, it is recommended to consult the responsible regional and national authorities about the applicability or non-applicability of this standard or parts of it. The Bibliography referenced in this document is listed in the National Annex

11、“Bibliography” (see Annex NA) with respective German documents. National Annex NA (informative) Bibliography Hahnemann, Samuel. Organon der Heilkunst, 6. Auflage, Heidelberg: Haug Verlag, 1987 Hahnemann, Samuel. Die chronischen Krankheiten, ihre eigentmliche Natur und homopathische Heilung. Vol. 1,

12、2nd ed. J.E. Schaub 1835 DIN EN 16872:2017-02EUROPEAN STANDARD NORME EUROPENNE EUROPISCHE NORM EN 16872 October 2016 ICS 03.080.99; 03.100.30; 11.020 English Version Services of Medical Doctors with additional qualification in Homeopathy (MDQH) - Requirements for health care provision by Medical Doc

13、tors with additional qualification in Homeopathy Services de sant des docteurs en mdecine ayant une qualification complmentaire en homopathie - Exigences relatives aux prestations de soins de sant fournies par les docteurs en mdecine ayant une qualification complmentaire en homopathie Dienstleistung

14、en von rzten mit Zusatzqualifikation in Homopathie - Anforderungen an die Gesundheitsversorgung durch rzte mit Zusatzqualifikation in Homopathie This European Standard was approved by CEN on 6 August 2016. CEN members are bound to comply with the CEN/CENELEC Internal Regulations which stipulate the

15、conditions for giving this European Standard the status of a national standard without any alteration. Up-to-date lists and bibliographical references concerning such national standards may be obtained on application to the CEN-CENELEC Management Centre or to any CEN member. This European Standard e

16、xists in three official versions (English, French, German). A version in any other language made by translation under the responsibility of a CEN member into its own language and notified to the CEN-CENELEC Management Centre has the same status as the official versions. CEN members are the national

17、standards bodies of Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, Former Yugoslav Republic of Macedonia, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovakia

18、, Slovenia, Spain, Sweden, Switzerland, Turkey and United Kingdom. EUROPEAN COMMITTEE FOR STANDARDIZATION COMIT EUROPEN DE NORMALISATION EUROPISCHES KOMITEE FR NORMUNG CEN-CENELEC Management Centre: Avenue Marnix 17, B-1000 Brussels 2016 CEN All rights of exploitation in any form and by any means re

19、served worldwide for CEN national Members. Ref. No. EN 16872:2016 EEN 16872:2016 (E) 2 Contents Page European foreword . 3 Introduction 4 1 Scope 5 2 Terms and definitions . 5 3 Competences . 7 3.1 General 7 3.2 Required knowledge and understanding . 7 3.3 Required abilities and skills . 8 3.4 Relat

20、ionship between conventional and homeopathic approaches . 8 4 Clinical practice . 8 4.1 Homeopathic case taking . 8 4.2 Homeopathic case analysis 9 4.3 Follow-up and case management 9 4.4 Requirements for documentation of medical records 9 5 Code of ethics and conduct . 10 5.1 Basic principles . 10

21、5.2 Principles for the practitioners attitude 10 5.3 Principles for therapeutic action 12 5.4 Principles for day-to-day practice 13 6 Education 14 6.1 General . 14 6.2 Basic requirements of the Homeopathic Education Programme (HEP) 14 6.2.1 Admission requirements . 14 6.2.2 Requirements of the Homeo

22、pathic Education Programme (HEP) . 14 6.3 Learning outcomes 14 6.3.1 Main outcomes 14 6.3.2 Required knowledge and skills . 14 6.3.3 Delivery of the Homeopathic Education Programme (HEP) 15 6.4 Examination . 15 6.5 Continuing professional development (CPD) 15 6.5.1 CPD for MDQHs 15 6.5.2 CPD of the

23、profession 15 Annex A (normative) Curriculum 16 A.1 Synopsis . 16 A.2 Syllabus 17 A.2.1 General . 17 A.2.2 The care process . 17 A.2.3 Case management and clinical record 18 A.3 Continuing professional development (CPD) 20 A.3.1 CPD for medical doctors 20 A.3.2 CPD of the profession 21 Annex B (info

24、rmative) Guidelines for examinations 22 Annex C (informative) Recommended list of homeopathic medicine to be taught . 25 Bibliography . 27 DIN EN 16872:2017-02 EN 16872:2016 (E) 3 European foreword This document (EN 16872:2016) has been prepared by Technical Committee CEN/TC 427 “Project Committee -

25、 Services of Medical Doctors with additional qualification in Homeopathy”, the secretariat of which is held by ASI. This European Standard shall be given the status of a national standard, either by publication of an identical text or by endorsement, at the latest by April 2017, and conflicting nati

26、onal standards shall be withdrawn at the latest by April 2017. Attention is drawn to the possibility that some of the elements of this document may be the subject of patent rights. CEN shall not be held responsible for identifying any or all such patent rights. According to the CEN-CENELEC Internal

27、Regulations, the national standards organisations of the following countries are bound to implement this European Standard: Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, Former Yugoslav Republic of Macedonia, France, Germany, Greece, Hungary, Iceland, Irelan

28、d, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey and the United Kingdom. DIN EN 16872:2017-02 EN 16872:2016 (E) 4 Introduction Homeopathy was developed over 200 years ago by a German physician, Dr.

29、Samuel Hahnemann, and has since evolved into a sophisticated practice of case-taking, diagnosis, prescription and long term care management. It is based on the principle of similars “let like cure like” which has been recognized by some physicians and philosophers for centuries, but it was Hahnemann

30、 who recognized the universality of this principle and made it the basis of a complete system of medicine with an own concept of health and disease described in his standard work Organon of the Medical Art 1. Homeopathy which has evolved from and within the science of western, and particularly Europ

31、ean, medicine, is practiced nowadays in more than 70 countries worldwide. This European Standard was developed to specify minimum quality standards for homeopathic care in a medical context, ensuring high standards in the education, training and practice of homeopathy by medical doctors. Patients wh

32、o choose homeopathy should be ensured of the quality and standard of care they will receive. In addition, this standard aims at harmonizing professional standards in homeopathic practice by medical doctors across Europe and integrating high-quality homeopathy into European healthcare. It will help h

33、ealth care leaders to develop solutions that contribute to a broader vision of health and patient autonomy as recommended by the WHO Traditional Medicine Strategy 2014-2023 2. DIN EN 16872:2017-02 EN 16872:2016 (E) 5 1 Scope This European Standard specifies the minimum requirements for medical docto

34、rs with additional qualification in homeopathy and their services. This European Standard is not applicable to services provided by persons not being medical doctors, nor to the preparation of homeopathic medicines, nor to the methodology and practice of homeopathic provings. 2 Terms and definitions

35、 For the purpose of this document, the following terms and definitions apply. 2.1 acute disease rapid pathological process which has a tendency to finish its course more or less quickly, but always in a moderate time SOURCE: Hahnemann, The Chronic Diseases: Their Peculiar Nature and Their Homeopathi

36、c Cure 2.2 chronic disease disease, often with an imperceptible beginning, which dynamically affects the living organism to gradually deviate from the healthy condition SOURCE: Hahnemann, Organon of the medical art, 72 2.3 constitution pattern of physical and psychological characteristics that ident

37、ify an individual, including physical and psychological reactions to stimuli and circumstances that occur in everyday life 2.4 direction of cure progressive improvement in the patients state indicated by directional changes in the disease process, namely from above downwards, from within outwards, f

38、rom more important to less important organs and from the mental level to the physical level, and symptoms resolve in reverse order of their onset Note 1 to entry: Direction of cure may be determined by changes in the disease process. 2.5 general symptoms generals phenomenon of a disease concerning t

39、he patient as a whole relating to more than one area or aspect EXAMPLE Fever, sweat or weakness. 2.6 homeopathic medicine homeopathic medicinal product prescribed according to the principle of similars SOURCE: 2001/83/EC as amended by 2004/27/EC, Art. 1(5) 3 DIN EN 16872:2017-02 EN 16872:2016 (E) 6

40、2.7 homeopathic medicine selection comparison and differentiation of the homeopathic medicines in question in order to find the most appropriate homeopathic medicine for each patient based on the principal of similars 2.8 homeopathic proving method used in homeopathy by which the symptom profile of

41、a homeopathic medicine is determined by the administration of doses of the substance in homeopathic potency to healthy volunteers that can elicit symptoms Note 1 to entry: Corresponds to homeopathic pathogenetic trial. 2.9 homeopathy medical approach aimed at improving the patients health by the adm

42、inistration of homeopathic medicines 2.10 materia medica homeopathica body of collected knowledge about the therapeutic properties of any substance used for healing in homeopathy 2.11 Medical Doctor with additional Qualification in Homeopathy MDQH medical doctor additionally trained in homeopathy an

43、d qualified to integrate homeopathy into patient care within the context of general medical practice, conventional specialist practice or full-time homeopathic practice 2.12 miasmatic theory Hahnemanns theory explaining the aetiology and development of chronic or recurrent disease states which may b

44、e acquired or inherited and which may bring about a predisposition to a particular disease 2.13 modality factor which aggravates or ameliorates a symptom or the whole clinical state of a patient 2.14 potency degree to which a homeopathic medicine has been potentized 2.15 potentization dynamization m

45、ethod of preparing a homeopathic medicine by means of trituration or succussion in between each serial dilution 2.16 principle of similars therapeutic use of substances to treat symptoms similar to those which they can induce in a healthy person DIN EN 16872:2017-02 EN 16872:2016 (E) 7 2.17 repertor

46、ization technique of using a repertory to identify the homeopathic medicines whose materia medica corresponds most closely to the totality of the symptom picture of the patient 2.18 repertory systematic cross reference of symptoms and disorders to the homeopathic medicines 2.19 repertory rubric head

47、ing in the repertory that links the symptoms or signs or clinical diagnosis to the corresponding homeopathic medicines 2.20 suppression treatment against the direction of cure 2.21 totality of symptoms complete clinical picture including the mental, general and local symptoms of the patient 3 Compet

48、ences 3.1 General Homeopathy offers a different approach to the concept of illness and its relationship to the patient. MDQHs work in the same way as their conventional colleagues but integrate homeopathy into patient care. The MDQH shall bring to the consultation all the ethical and professional va

49、lues, competence and responsibilities that are expected of a medical practitioner; forming an all-round assessment of the patients needs, and cooperating with other health care practitioners whose care the patient is already receiving or may need. 3.2 Required knowledge and understanding In addition to their conventional training the MDQH shall have knowledge and understanding of: a) the scope and value of homeopathy, and the ability to understand and