On July 2-3-4, Spain hosted 10th annual international conference on education, which was attended by representatives of Akaki Tsereteli State University: Assoc. Prof. Irma Grdzelidze, Assoc. Prof. Irine Pkhakadze, Assoc. Prof. Nato Alavidze. They presented the results of the Quality Assurance Service - "Implementation of ECTS at Akaki Tsereteli State University-Challenges and Perspectives" within the framework of the new educational program "Medicine + PBL". The latter reflects the challenges of the ECTS credit system implementation process.