Abstract:Continuing medical education (CME) should not be an end in itself, but as expressed in Moore's pyramid, help to improve both individual patient and ultimately community, health. However, there are numerous barriers to translation of physician competence into improvements in community health. To enhance the effect CME may achieve in improving community health the authors suggest a kick-off/keep-on continuum of medical competence, and integration of aspects of public health at all levels from planning to deliver… Show more
“…CPD for healthcare professionals has little utility if it is not driving changes in individual behaviour, evolving processes of care, or improving community or population health [ 4–6 ]. Despite the consistent signal that CPD is effective at driving the learning and knowledge outcomes for healthcare professionals, it is always more challenging and onerous to link educational interventions to higher level individual and system change [ 7–10 ].…”
The Accreditation Council for Continuing Medical Education (ACCME®) Menu of Criteria for Commendation was created to incentivise a variety of behaviours and outcomes from accredited providers. ACCME analysed data from among the 1,053 accreditation decisions made between November 2017 and March 2022, of which 122 had applied for commendation. Accredited providers plan for higher level outcomes in their activities at an increasing rate over the past five years. Since 2017, 49 (40%) of the 122 organisations that applied for commendation under ACCME’s new Menu of Criteria for Commendation were awarded this distinction. Of the organisations applying for commendation, 62%, 48% and 31% sought commendation using the “performance”, “quality” and “community health” criteria, respectively. The success rate for each of these criteria was 78%, 68% and 66% respectively. Accreditation incentives can change the performance of educational providers and augment the quality and efficacy of continuing education.
“…CPD for healthcare professionals has little utility if it is not driving changes in individual behaviour, evolving processes of care, or improving community or population health [ 4–6 ]. Despite the consistent signal that CPD is effective at driving the learning and knowledge outcomes for healthcare professionals, it is always more challenging and onerous to link educational interventions to higher level individual and system change [ 7–10 ].…”
The Accreditation Council for Continuing Medical Education (ACCME®) Menu of Criteria for Commendation was created to incentivise a variety of behaviours and outcomes from accredited providers. ACCME analysed data from among the 1,053 accreditation decisions made between November 2017 and March 2022, of which 122 had applied for commendation. Accredited providers plan for higher level outcomes in their activities at an increasing rate over the past five years. Since 2017, 49 (40%) of the 122 organisations that applied for commendation under ACCME’s new Menu of Criteria for Commendation were awarded this distinction. Of the organisations applying for commendation, 62%, 48% and 31% sought commendation using the “performance”, “quality” and “community health” criteria, respectively. The success rate for each of these criteria was 78%, 68% and 66% respectively. Accreditation incentives can change the performance of educational providers and augment the quality and efficacy of continuing education.
“…Though digitisation is a mandatory prerequisite to set up a DMP substantial human and financial resources are still needed to keep the system running. Beyond administrative purposes DMP data are an invaluable source for “closed loop” CME activities, designed to ultimately improve community health [ 21 ].…”
Disease Management Programmes (DMPs) have been introduced by German Federal Government in 2002 to improve long-term care for patients with specific chronic diseases. Digitisation has been a requirement to reliably document patient data in DMPs. This report presents data from six DMPs in the German federal state of North Rhine-Westphalia. It demonstrates that high level long-term quality of care can be achieved and maintained. But beyond clinical purposes DMP data are also an invaluable source to supply content in CME.
“… Figure 1. The “kick-off/keep-on continuum” of medical competence [ 2 ] Wendy Walsh CME in the Time of COVID-19: Educating Healthcare Professionals at the Point-of-care and Improving Performance Outcomes [ 3 ] A global point-of-care clinical resource was described that allows users to obtain credits whilst researching clinical questions at the point-of-care and provide feedback on the answers obtained. The article explained how such access to information could affect clinical decision-making and lead to improvement in care related to COVID-19.…”
Section: Outcomes In Cme/cpd – Special Collection: How To Make the “Pyramid” A Perpetuum Mobilementioning
In common with many scheduled meetings in 2020, the Thirteenth Annual European CME Forum (#13ECF) was conducted between 4 and 6 November 2020 in a virtual format. Faculty and attendees from around the world interacted via plenary sessions, breakout workshops, panel discussions, question and answer sessions, and oral presentations from selected poster authors. The plenaries dealt with topical themes such as outcomes, collaboration, changes in educational activities due to digitisation, accreditation standards, and essential competencies for continuing professional development (CPD) providers. Breakout workshop themes included online and informal learning, a global approach to outcomes, interprofessional collaboration, the role of industry, patients as teachers, simulation, pathways to accreditation and adaptation to the virtual landscape. The Forum provided a comprehensive model of educational practice in the rapidly changing environment brought on by a pandemic.
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