European Federation of Clinical Chemistry and Laboratory Medicine (EFLM)
The European Federation of Clinical Chemistry and Laboratory
Medicine (EFLM) was formed in June 2007 at the Euromedlab Congress
in Amsterdam by the merger of the Forum of European Societies of
Clinical Chemistry (FESCC) and the European Communities
Confederation of Clinical Chemistry (EC4).
EFLM connects National Societies of Clinical Chemistry and
Laboratory Medicine and creates a platform for all European
"Specialists in Laboratory Medicine". EFLM provides European
leadership in Clinical Chemistry and Laboratory Medicine to
national professional societies, the diagnostic industry and to
governmental and non-governmental organisations in order to serve
the public interest in health care. EFLM represents the
International Federation of Clinical Chemistry and Laboratory
Medicine (IFCC) in Europe.
All National Societies in Europe may become members of EFLM. The
President/Chair and one national representative of member societies
form the General Assembly. This is the main governing body of EFLM.
The General Assembly of EFLM convenes at least once every two
years. EFLM is legally registered in Belgium and its office is in
Milan, maintained in collaboration with IFCC.
Current membership of EFLM comprises the national societies of the
following 39 countries: Albania, Austria, Belgium,
Bosnia-Herzegovina, Bulgaria, Croatia, Cyprus, Czech Republic,
Denmark, Estonia, Finland, France, Germany, Greece, Hungary,
Iceland, Ireland, Israel, Italy, Kosovo (provisional member),
Latvia, Lithuania, Luxembourg, Montenegro, Netherlands, Norway,
Poland, Portugal, Romania, Russia, Serbia, Slovak Republic,
Slovenia, Spain, Sweden, Switzerland, Turkey, Ukraine and United
The operational structure of EFLM consists of an Executive Board
(EB) and five Committees (C) which carry out their tasks via
Working Groups (WG). Officers of the EB (president, past-president,
president elect, secretary, treasurer and two members-at-large) are
elected by the General Assembly for 2-year terms. Membership in Cs
and WGs is by application and open to nominations by national
societies when a call for nominations is issued.
The official scientific journal of EFLM is Clinical Chemistry and
Laboratory Medicine (CCLM).
Vision and Mission
Clinical Chemistry and Laboratory Medicine is at the heart of
modern healthcare, and plays a vital role in screening for disease,
diagnosis, risk assessment, treatment selection, monitoring of
therapy, prognosis and other aspects of clinical decision-making.
It is thus central to effective patient care. Patients throughout
Europe have the right to expect high standards of Laboratory
Medicine wherever they present to the health care system.
The mission of EFLM is to enhance patient care and improve
outcomes by promoting and improving the scientific, professional
and clinical aspects of clinical chemistry and laboratory medicine
and to ensure effective representation of laboratory medicine both
at European Union level and to other pan-European and sub-regional
bodies. EFLM deals with specific European issues of Clinical
Chemistry and Laboratory Medicine.
What we do
The main activities of EFLM relate to education, research,
development of the profession, requirements for competence, quality
and accreditation of laboratories, organisation of congresses, and
publications. EFLM has five Committees:
- Communications (C-C)
- Education and Training (C-ET)
- Profession (C-P)
- Quality and Regulations (C-QR)
- Science (C-S)
The Communications Committee is responsible for communicating
EFLM's activities and results to its membership, related partner
organizations and the public via EFLM's website and Newsletter. The
Committee has one Working Groups "News".
Education and Training Committee
The Education and Training Committee has general responsibility
for the postgraduate training aspects of the work of EFLM in the
field of Clinical Chemistry and Laboratory Medicine focused on
laboratory medicine professionals, health care professionals and
patients, in liaison with the Education and Management Division of
IFCC, and also with UEMS (European Union of Medical
In liaison with the IFCC Congresses and Conferences Committee, the
C-ET Committee works on the bid preparation, evaluation of the
applications to host the EuroMedLab Congresses. In collaboration
with UEMS-SLM, the Committee works on the bid preparation and
applicants evaluation to host the EFLM-UEMS Congresses. Such
evaluated bid material is presented to the General Assemblies for
The Committee organizes regional and sub-regional conferences,
workshops and postgraduate continuing education courses in
association with relevant national societies.
The Committee operates two Working Groups:
- "Congresses and Postgraduate Education" which is involved in
the organization of EFLM's regional congress, EuroMedLab, in
collaboration with IFCC; joint European conferences with UEMS,
national societies and sub-regional organizations, such as the
annual EFLM Symposium for the Balkan region. It is also responsible
for organizing the annual EFLM Continuous Postgraduate Course in
Dubrovnik on specific clinical topics and the biannual EFLM
Conference on Preanalytical Phase (in collaboration with Becton
This WG is also involved in creating the Guidelines for all EFLM
related scientific and educational events and educational materials
as Course handbooks, Conference proceedings and CD with ppt.
Presentations which are available on the EFLM web site
- "Distance education and e-learning" which is involved in the
organization of distance education programmes and e-learning
courses. This WG critically evaluates information from courses,
lectures and documents including electronic learning tools. It also
interacts with national societies to collect their needs and any
potential e-learning resources already available.
The Profession Committee is responsible for matters of
professional regulation and certification (via the EC4 Register of
European Specialists in Clinical Chemistry and in Laboratory
Medicine), and the promotion of the profession in Europe at
government level, and to patients and clinical users. It liaises
with CEPLIS (European Council of the Liberal Professions) and with
the European Commission and Parliament on professional matters. It
takes the lead in developing pan-European professional and ethical
standards. It also liaises with UEMS (European Union of Medical
Specialists) on the roles and responsibilities of medical and
scientific practitioners of the discipline.
The Committee currently has a 2 permanent Working Groups:
- "Common Training Frameworks / Syllabus"
- "Recognition of Professional Qualifications. Liaison with
European entities" which works in collaboration with the EC4
Register Commission. This operates the EC4 Register of European
Specialists in Clinical Chemistry and in Laboratory Medicine to
achieve recognition of professional qualifications under European
Union legislation, based on the principles of free movement of
professionals within Europe. The EC4 Register and its finances are
independently handled by the EC4 Foundation, a charitable Trust
based in Brussels.
Quality and Regulations
The Quality and Regulations Committee supports the establishment
of effective accreditation schemes and quality management systems
in all European countries and liaises with ISO, CEN and the
European Accreditation body (EA).
The Committee currently has two Working Groups:
- "Accreditation and ISO/CEN" which represents EFLM in EA, ISO
TC212 and CEN TC140. The WG focuses on influencing ISO/CEN
standards and harmonization of accreditation by international
surveys, education and training of assessors related to specific
professional standards of ISO 15189 and on setting European
procedures for accreditation according to the flexible scope.
- "IVD Directive" which focuses on the provision of guidelines
and guidance documents for the application of the Directive in
laboratory practice and during accreditation of laboratories, and
liaises with the manufacturers concerning accreditation
The Science Committee focuses on promotion of research that
translates the scientific results of laboratory medicine to
clinical applications and improves patient outcomes through the
appropriate use and interpretation of laboratory data in clinical
The Committee currently has the following Working Groups:
- "Cardiac Markers" which investigates, via European surveys, how
the reporting, interpretation and use of cardiac markers are
implemented in different countries.
- "Guidelines" for the laboratory investigation and management of
- "Biological Variation" which explores how studies of biological
variation are perfomed and develops a critical appraisal checklist
for papers on biological variation.
- "Test Evaluation" which sets standards and develops practical
tools for designing studies for the evaluation of the clinical
value and impact of new biomarkers.
- "Post-analytical Phase" which carries out international surveys
amongst clinicians and laboratories to see how laboratory results
are reported and interpreted. Under this WG, there is the Task and
Finish Group "Critical results" with the aim to perform a European
survey on how critical result are managed in laboratories.
- "Pre-analytical Phase" with the goal to increase the awareness
of the importance of the preanalytical phase in the total testing
process and recommend guidelines for the best preanalytical
- order to reduce the error risk.
- "Personalized Laboratory Medicine" with the aim to define the
role and responsibilities of medical laboratories in procedures
linked to personalized medicine approaches in cancer.
- "Patient Focused Laboratory Medicine" with the aim to evaluate
how laboratories can communicate with patients to improve patient
ownership of their disease and provide a service that better
reflects patients' expectations.
EFLM has four awards:
- The EFLM-Roche Scientific Award for Laboratory Medicine is
awarded every two years to honour an individual from an EFLM member
country who has made unique contributions to the promotion and
understanding of clinical chemistry throughout Europe or who has
made one or more contributions that have had a major impact on
clinical chemistry. The Award consists of a certificate and the sum
of Eur 7.500.
- The EFLM-Labs Are Vital Award for Excellence in Outcomes
Research in Laboratory Medicine is sponsored by Abbott and is
presented to the author(s) of the best published paper, as judged
by an independent panel of experts, which demonstrates the
relationship between the application of an in-vitro diagnostic test
or testing strategy and clinical and/or economic outcomes. The
Award consists of a certificate and the sum of Eur 15.000.
- The EFLM Walter Guder Preanalytical Award is sponsored by
Becton-Dickinson and is presented to a scientists under 40 years of
age who have made a significant contribution to the advancement of
the preanalytical phase. The Award consists of a certificate and
the sum of Eur 5.000.
- The CCLM "Award for the most cited paper recently published"
presented every 2 years.
EFLM collaborates with sub-regional professional organizations
in the Balkan and Nordic region. A memorandum of understanding
between EFLM and IFCC formalizes the relationship between the two
Federations. EFLM, as a new Federation, has no corporate membership
yet, but negotiations are under way with members of the IVD
industry in setting up various projects that support the
development of the profession in Europe. EFLM is keen to set up
wider collaboration with sister Federations in order to harmonize
scientific, educational and professional efforts in a complementary
fashion, so that laboratory and health care professionals enjoy the
benefits of such a collaboration both in the Euro-region and
Via Carlo Farini 81
20159 Milan, Italy
Tel: +39 02 66809912
Fax: +39 02 60781846
Prof. Mauro Panteghini
Dept of Biomedical and Clinical Sciences "Luigi Sacco"
University of Milano Medical School
Milan - Italy