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Welcome 2008 CME Coordinators Workshop SUNY Downstate Medical Center Office of Continuing Medical...
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WelcomeWelcome2008 2008
CME Coordinators WorkshopCME Coordinators Workshop
SUNY Downstate Medical CenterSUNY Downstate Medical Center
Office of Continuing Medical Office of Continuing Medical EducationEducation
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CME UpdateCME Update
Over 80 grand rounds activitiesOver 80 grand rounds activities
New departmentsNew departments
New types of activities to receive CME New types of activities to receive CME creditcredit
Updated mission statementUpdated mission statement
Change in CME documentationChange in CME documentation
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Presenters have nothing to disclose.Edeline Mitton
Cassandra Greene
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RSC 2006-7 ReviewRSC 2006-7 Review
Planning and supporting data were extremely poor
Objectives - very general, had nothing to do with topics being presented.
Grant Letter of Agreement / Acknowledgement– Letter of agreement not executed with OCME knowledge– Acknowledgement missing from flyer– Missing Disclosure
Flyer – Regulatory statements absent– Evidence of public disclosure to audience is missing
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HOT TOPICSHOT TOPICS
DocumentationDocumentationPlanningPlanning
Commercial SupportCommercial Support
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ObjectivesObjectives
1.1. At the end of this workshop, all At the end of this workshop, all participant should be able to complete participant should be able to complete the CME application;the CME application;
2.2. Discuss and translate the types of Discuss and translate the types of documentation and planning necessary documentation and planning necessary for CME activities; andfor CME activities; and
3.3. Recognize the role of commercial Recognize the role of commercial support and disclosures.support and disclosures.
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DocumentationDocumentation
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SolutionSolution
READ! - Review the Application PacketREAD! - Review the Application Packet
Ask for AssistanceAsk for Assistance
Streamline your applicationStreamline your application
Fear Not! Fear Not! You too can effectively manage your department’s Serial You too can effectively manage your department’s Serial
ConferencesConferences
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DocumentationDocumentation
All the forms are designed for completion All the forms are designed for completion on your computer in Microsoft Word or on your computer in Microsoft Word or PDF.PDF.
CME application is available onlineCME application is available online
Disclosure is available onlineDisclosure is available online
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DocumentationDocumentation
We are moving to a 2 year accreditation We are moving to a 2 year accreditation cycle!cycle!
Simplifying the applicationSimplifying the application
Sample ApplicationSample Application
Improving the evaluation processImproving the evaluation process
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PlanningPlanning
When ask about planningWhen ask about planning– Typical answerTypical answer
We do not plan or have a committeeWe do not plan or have a committee
It’s just me and the department chairpersonIt’s just me and the department chairperson
What do you mean by planning?What do you mean by planning?
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PlanningPlanning
What is Planning? What is Planning? – the act or process of making a plan or plans; the act or process of making a plan or plans;
a formal program for specified benefits, needsa formal program for specified benefits, needs
Evaluation
Competence
Performance
Disclosure
Gap
Scope of practice
Knowledge
Commercial support
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PlanningPlanning
A planning session is required for a CME activity and is part of the needs assessment process and helps provide evidence of educational intent.
The planning session also provides an opportunity to establish the linkage between needs, objectives, instructional design, and results/outcomes.
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PlanningPlanning
Should include:Should include:date and time of meetingdate and time of meetingAll in attendance recorded; collect signed All in attendance recorded; collect signed disclosures for all plannersdisclosures for all plannersDescribe process by which needs data are used Describe process by which needs data are used to determine the curriculum for the activityto determine the curriculum for the activity– How needs were gatheredHow needs were gathered– Selection of topics, speakers and method of delivering Selection of topics, speakers and method of delivering
the educational activity the educational activity – Do you think this activity fit your learner’s scope of Do you think this activity fit your learner’s scope of
practice?practice?– How will change be measuredHow will change be measured
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CME ApplicationCME Application
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CME Process InvolvementCME Process Involvement
Workshop Audience
0
20
40
60
80
100
120
Filing ofApps
Sending ofApps
JACHO ACGME QA
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ACCME Updated CriteriaACCME Updated Criteria
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Understanding CMEUnderstanding CME
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ACGME/ABMS ACGME/ABMS General CompetenciesGeneral Competencies
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CME ApplicationCME Application
Question 1Question 1
What is the physician target audience for What is the physician target audience for the CME activity? the CME activity?
Sample AnswerSample Answer
Identify the type of health professional Identify the type of health professional the activity is targeting—i.e. house staff, the activity is targeting—i.e. house staff, family medicine physicians, family medicine physicians, ophthalmologist, nurses, neurologist, etc.ophthalmologist, nurses, neurologist, etc.
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CME ApplicationCME Application
Question 2Question 2What are the professional practice What are the professional practice
gaps/needs of the target audience that will gaps/needs of the target audience that will be addressed?be addressed?
Sample AnswerSample Answer
Describe the medical and/or educational reason Describe the medical and/or educational reason for the activities.for the activities.
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Example 1Example 1
The need for this activity is a result ofThe need for this activity is a result of insufficient treatment planinsufficient treatment plan for for psychiatry patients.psychiatry patients.
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Statement of Need/Gap
The professional practice gap is the overall need for the educational activity that relates to the target audience and derived from the Needs Assessment
Educational needs provide the reason for offering CME activities. They may imply a deficit in knowledge, skills, attitudes and/or behavior among prospective participants
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CME ApplicationCME ApplicationQuestion 3Question 3
Is it a gap in physician knowledge, Is it a gap in physician knowledge, competence, or performance?competence, or performance?
Sample AnswerSample AnswerKnowledgeKnowledge
– Facts and information acquired by a person through Facts and information acquired by a person through experience or education.experience or education.
CompetenceCompetence– Having the ability to apply knowledge, skills, or Having the ability to apply knowledge, skills, or
judgment in practice if called upon to do so.judgment in practice if called upon to do so.
PerformancePerformance– What a physician actually does in practice.What a physician actually does in practice.
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Example 2Example 2
– The need for this activity is ineligible and The need for this activity is ineligible and insufficient treatment plan for psychiatry insufficient treatment plan for psychiatry patients.patients.
– The The planners identified a competence needplanners identified a competence need. . A strategy A strategy to write better treatment plansto write better treatment plans which also address the ACGME interpersonal which also address the ACGME interpersonal and communication skills competencyand communication skills competency
Need/Gapidentified
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CME ApplicationCME Application
Question 4Question 4
Based on the need/gap the activity is Based on the need/gap the activity is addressing, what is the activity designed addressing, what is the activity designed to change?to change?
Sample answerSample answer– You can say to improve: Competence, You can say to improve: Competence,
Performance or Patient outcomesPerformance or Patient outcomes– To affirm knowledge or improve knowledgeTo affirm knowledge or improve knowledge
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ApplicationApplication
Question 5Question 5
How were those needs/gaps identified How were those needs/gaps identified by your department?by your department? – literature, survey, evaluation summary, literature, survey, evaluation summary,
national guidelines, chart audits, department national guidelines, chart audits, department discussions, Quality Improvement data, discussions, Quality Improvement data, federal or state guidelines, or other federal or state guidelines, or other
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Needs Assessment DataNeeds Assessment Data
FORWARD or FORWARD or ATTACH ATTACH
supporting supporting documentationdocumentation
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Example 3Example 3
The need for this activity is ineligible and The need for this activity is ineligible and insufficient treatment plan for psychiatry insufficient treatment plan for psychiatry patients.patients.
The The need was derived from chart auditsneed was derived from chart audits of of patient seen within the last 2 years. patient seen within the last 2 years.
Need/Gapidentified
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ApplicationApplication
Question 6 Question 6 Based on the desired results of the activity, Based on the desired results of the activity,
list 3 to 5 overall learning objectives list 3 to 5 overall learning objectives for this CME activity.for this CME activity.
– Clear statement of anticipated results– Focus primarily on what participants will
do/learn as a result of attending the activity– Best when measurable
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ObjectivesObjectives
The provider must communicate the purpose or objectives of the activity so the learner is informed before participating in the activity
Objectives of the activity express learning outcomes in terms of physician performance or patient health (i.e. in behavioral terms), and are communicated clearly and consistently to the learner
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ObjectivesObjectives
All activities require objectivesFor open discussion-based activities (i.e. M&M, Case conference) objectives for the year are adequateFor lecture-based activities (i.e. Grand Rounds) objectives for the year are required as part of the application and then a minimum of a single objective per lecture is also required
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Sample AnswerSample Answer
After attending this activity, participant will be able After attending this activity, participant will be able to:to:
to improve skill of staff in writing better and to improve skill of staff in writing better and clearer treatment plan;clearer treatment plan;
or
In a simulation of ventricular fibrillation, participant will be able to demonstrate appropriate ACLS protocol until the mannequin shows a normal cardiac rhythm
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SampleSample
Global grand rounds objectives can be Global grand rounds objectives can be stated as:stated as:– Participant will be motivated to change Participant will be motivated to change
practice to improve patient carepractice to improve patient care– Participant will have new skills that can be put Participant will have new skills that can be put
into practiceinto practice– Participant will be better informed about Participant will be better informed about
current research on ( dept discipline) issuescurrent research on ( dept discipline) issues
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ApplicationApplication
Question 7 Question 7 What ACGME, ABMS or IOM related What ACGME, ABMS or IOM related
competency is associated with this competency is associated with this activity?activity?
Medical knowledgeMedical knowledgeClinical CareClinical CareCommunication SkillsCommunication SkillsProfessionalismProfessionalismSystems-based practiceSystems-based practicePractice-based improvement Practice-based improvement
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ApplicationApplicationQuestion 8Question 8
The educational format (s) that best supports The educational format (s) that best supports the objective of the activity is/are: the objective of the activity is/are:
listening to expert facultylistening to expert faculty Interacting with faculty using Q&A or open discussionsInteracting with faculty using Q&A or open discussions Hands-on skills workshop Hands-on skills workshop small group discussionsmall group discussion Simulation with real/or simulated patients Simulation with real/or simulated patients Reading materials such as journals with open discussions or Reading materials such as journals with open discussions or Q&AQ&A other other
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ApplicationApplication
Question 9 Question 9
How do you plan to evaluate the activity How do you plan to evaluate the activity Standard paper evaluationStandard paper evaluation
Post-course follow-upPost-course follow-up
SurveySurvey
Post-testPost-test
Focus groupFocus group
Practice data Practice data
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Question 10Question 10Brochure/FlyersBrochure/Flyers
Intended audienceNeeds & purpose of activityLearning objectivesSpeaker/Planner disclosure Accreditation statementCredit designation statementPolicy on speaker and provider disclosureOCME must review and approve all marketing
material in advance of distribution
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Question 11- BudgetQuestion 11- Budget