{"title":"What Does CME Accreditation Stand for?","authors":"Reinhard Griebenow, Peter Mills, Joerg Stein","doi":"10.1080/21614083.2020.1822665","DOIUrl":"10.1080/21614083.2020.1822665","url":null,"abstract":"Independence has been top of the agenda of accrediting bodies worldwide for many years and has just recently been aligned in a consensus document [1] adopted by major accrediting bodies. Furthermore, independence from any undue third-party influence has also been a top criterion to be assessed in the accreditation process. As a result, currently accrediting bodies demand that faculty should be carefully selected, in particular with regard to competing interests, and representatives of commercial interests can at no point take a role in continuing medical education(CME). Nevertheless, the Marburger Bund (MB) position paper on the independence of CME [2] reminds us that aiming at the independence of CME needs to take a holistic view of all the factors which have an impact on items relevant to CME and its outcome. Though this position paper relates to a German background, it addresses some issues of general importance for medical education in general, and CME accreditation in particular:","PeriodicalId":87300,"journal":{"name":"Journal of European CME","volume":"9 1","pages":"1822665"},"PeriodicalIF":0.0,"publicationDate":"2020-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21614083.2020.1822665","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38493525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A post-Soviet Republic in Transition: A Novel Amplification Programme to Address the Crisis of Continuing Medical Education and Challenges Facing Regional Physicians in the Republic of Armenia.","authors":"Sharon Anoush Chekijian, Hambardzum Simonyan, Gevorg Yaghjyan","doi":"10.1080/21614083.2020.1815370","DOIUrl":"https://doi.org/10.1080/21614083.2020.1815370","url":null,"abstract":"<p><strong>Background: </strong>After the fall of the Soviet Union in 1991, the existing process of Continuing Medical Education (CME) was decimated. The Fund for Armenian Relief (FAR) was able to leverage competitive educational fellowship programmes in existence, and harness new knowledge gained by returning fellows thus amplifying the impact on education and patient care in the regions of the republic of Armenia.</p><p><strong>Aims: </strong>This manuscript describes a replicable novel amplification programme using a \"train the trainer\" model for CME in the republic of Armenia. We sought to identify challenges specific to physicians from the regions, and to examine the strengths of the CME programme that can serve as a model for programme development and improvement in countries facing similar challenges.</p><p><strong>Methods: </strong>The manuscript details a descriptive and mixed method study that includes in-depth interviews and focus group discussions from 2015-2016. Conceptual content analysis was used to identify major themes from the transcripts.</p><p><strong>Results: </strong>Challenges facing regional physicians in post-Soviet counties in transition, exemplified by Armenia, are profound. Exploration of themes related to perceived barriers to care in the regions included, physicians' personal financial constraints, lack of up-to-date knowledge and equipment, lack of confidence, fear of criticism and of making incorrect diagnoses.</p><p><strong>Conclusions: </strong>The FAR/CME programme presents an innovative way to amplify the knowledge of Armenian physicians upon their return from educational programme participation abroad in order to address challenges facing regional physicians.</p>","PeriodicalId":87300,"journal":{"name":"Journal of European CME","volume":"9 1","pages":"1815370"},"PeriodicalIF":0.0,"publicationDate":"2020-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21614083.2020.1815370","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38743562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Criteria to Assess Independence in Continuing Medical Education (CME): Independence through Competence and Transparency.","authors":"Hans-Albert Gehle, Henrik Herrmann","doi":"10.1080/21614083.2020.1811557","DOIUrl":"https://doi.org/10.1080/21614083.2020.1811557","url":null,"abstract":"<p><p>Marburger Bund is the largest doctors' union in Europe representing about 125,000 salaried doctors in Germany and fights for fair working conditions, appropriate salaries, quality in training, and improvements in the work-life balance. Following a decision of 127<sup>th</sup> Marburger Bund General Assembly 2015, criteria should be developed to be applied by participants to assess independence in planning and delivery of individual CME activities. This position paper describes the role of methodological and medical competencegeneration and use of data (evidence)independent sources of informationindependence of faculty in CMElanguage in medical educationconduct of independent CME, andindependence of (passive) physician participants in CME Measures are defined by which independence in CME may be achieved and how this may change the process of CME delivery.</p>","PeriodicalId":87300,"journal":{"name":"Journal of European CME","volume":"9 1","pages":"1811557"},"PeriodicalIF":0.0,"publicationDate":"2020-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21614083.2020.1811557","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38743561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of European CMEPub Date : 2020-04-23eCollection Date: 2020-01-01DOI: 10.1080/21614083.2020.1754120
Douglas Archibald, Joseph K Burns, Michael Fitzgerald, Véronique French Merkley
{"title":"Aligning Practice Data and Institution-specific CPD: Medical Quality Management as the Driver for an eLearning Development Process.","authors":"Douglas Archibald, Joseph K Burns, Michael Fitzgerald, Véronique French Merkley","doi":"10.1080/21614083.2020.1754120","DOIUrl":"https://doi.org/10.1080/21614083.2020.1754120","url":null,"abstract":"<p><p>For hospital physicians, alignment of Continuing Professional Development (CPD) with quality improvement efforts is often absent or rudimentary. The purpose of this study was to evaluate a CPD development process that created accessible learning opportunities and aligned CPD with practice data. We conducted a chart audit to identify patient safety and quality of care issues within the institution, then established an eLearning approach that supported quick and cost effective development of high-quality interactive CPD opportunities. We tested a pilot module on the management of common infections in sub-acute care settings with fifteen (68%) residents and three staff physicians to evaluate the approach. One resident and three staff agreed to a follow-up interview. The satisfaction survey indicated that participants felt the content was generally appropriate and the module well designed. Significant improvements to knowledge were reported in the multi-drug resistance (Mean Difference = 25%, p = 0.002), infection management (MD = 32%, p < 0.001), and cellulitis risk factor (MD = 22%, p = 0.02) questions, as well as in the overall score (MD = 19%, p < 0.001). In terms of confidence in their answers, the mean rating pre-module was 3.17, rising significantly to 3.92 post-module (p < 0.001). In this way, collaboration between quality management and education committees allowed for the development of relevant CPD for physicians, with eLearning providing a timely and accessible way to deliver training on emerging issues.</p>","PeriodicalId":87300,"journal":{"name":"Journal of European CME","volume":"9 1","pages":"1754120"},"PeriodicalIF":0.0,"publicationDate":"2020-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21614083.2020.1754120","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37906023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of European CMEPub Date : 2020-04-20eCollection Date: 2020-01-01DOI: 10.1080/21614083.2020.1754121
Ron Murray, Cara L Macfarlane
{"title":"Report on Proceedings of the 12th Annual European CME Forum, University of Manchester, November 2019.","authors":"Ron Murray, Cara L Macfarlane","doi":"10.1080/21614083.2020.1754121","DOIUrl":"https://doi.org/10.1080/21614083.2020.1754121","url":null,"abstract":"<p><p>The 12th Annual European CME Forum (#12ECF) was held 6-8 November 2019 at the Barnes Wallis building in the University of Manchester, Manchester, UK. An international group of attendees participated in highly interactive learning sessions, ranging from workshops to panel discussions to oral presentations by poster authors. Breakout session themes addressed continuing medical education (CME) from the perspective of the learner (<i>micro</i>-practice); collaborations, partnerships and interprofessional approaches (<i>meso</i>-practice); and consideration of compliance and regulatory issues (<i>macro</i>-practice). Topics covered included standards for accreditation, doctor-patient communication, a framework for CME educators' professional development, capacity building and a futurist viewpoint of continuing professional development (CPD) from a global perspective. The high level of engagement by learners set a solid foundation for further collaboration among stakeholders in European CME.</p>","PeriodicalId":87300,"journal":{"name":"Journal of European CME","volume":"9 1","pages":"1754121"},"PeriodicalIF":0.0,"publicationDate":"2020-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21614083.2020.1754121","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37906024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of European CMEPub Date : 2020-02-26eCollection Date: 2020-01-01DOI: 10.1080/21614083.2020.1730549
Darren Gillgrass
{"title":"Challenges in the Evolving CME Landscape.","authors":"Darren Gillgrass","doi":"10.1080/21614083.2020.1730549","DOIUrl":"https://doi.org/10.1080/21614083.2020.1730549","url":null,"abstract":"Dear Editor,Re: Challenges in the Evolving CME LandscapeWith the continuing medical education (CME) landscape evolving in the US and Continuing Professional Development (CPD) more globally, indepen...","PeriodicalId":87300,"journal":{"name":"Journal of European CME","volume":"9 1","pages":"1730549"},"PeriodicalIF":0.0,"publicationDate":"2020-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21614083.2020.1730549","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37733039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of European CMEPub Date : 2020-02-19eCollection Date: 2020-01-01DOI: 10.1080/21614083.2020.1729304
Lawrence Sherman, Hiroshi Nishigori
{"title":"Current State and Future Opportunities for Continuing Medical Education in Japan.","authors":"Lawrence Sherman, Hiroshi Nishigori","doi":"10.1080/21614083.2020.1729304","DOIUrl":"https://doi.org/10.1080/21614083.2020.1729304","url":null,"abstract":"<p><p>Globally, CPD systems vary widely. In Japan, the Japanese Medical Association (JMA) is responsible for identifying content and developing education for its speciality practice physicians. The JMA was concerned about persistent low levels of participation in its CME activities and wanted to better understand the root causes. The analysis would provide an opportunity to restructure its programme informed by the needs of its practising clinicians. The JMA engaged a global education provider to conduct an independent analysis of its CME programme. Using a mixed-methods approach, the education provider conducted an on-line survey (N = 338) and held two in-person focus groups (N = 24) to better understand the perspectives of physicians in speciality practice. The on-line survey was sent to over 7,000 practising physicians throughout Japan. Respondents reflected a variety of medical and surgical specialities and length in clinical practice. They described factors that influenced or were barriers to participation in JMA-sponsored education. Respondents also suggested changes to the current model of CME in Japan and expressed an ongoing commitment to life-long learning and achieving the goals set forth in Japan's vision for health care in 2035: <i>Leading the World Through Health</i>. Globally, medical associations are challenged with developing education that meets the needs of a diverse physician workforce. Improved understanding of the perspectives of its physician members and implementation of collaborations with speciality societies may be one strategy to improve quality and address healthcare population needs. Lessons learned from this analysis may help other medical associations with similar challenges.</p>","PeriodicalId":87300,"journal":{"name":"Journal of European CME","volume":"9 1","pages":"1729304"},"PeriodicalIF":0.0,"publicationDate":"2020-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21614083.2020.1729304","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37726981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of European CMEPub Date : 2020-02-15eCollection Date: 2020-01-01DOI: 10.1080/21614083.2020.1726855
Julie Simper
{"title":"Cologne Consensus Conference Standards and Guidelines in Accredited CPD September 13-14, 2019, Cologne, Germany.","authors":"Julie Simper","doi":"10.1080/21614083.2020.1726855","DOIUrl":"https://doi.org/10.1080/21614083.2020.1726855","url":null,"abstract":"<p><p>On September 13-14, 2019 the eighth annual Cologne Consensus Conference was held in Cologne, Germany. The two-day educational event was organised by the International Academy of CPD Accreditors, a network of colleagues dedicated to promoting and enhancing continuing professional development (CPD) accreditation systems throughout the world. The conference was planned in cooperation with an impressive group of organisations representing leading European and North American institutions: the European Cardiology Section Foundation (ECSF), the Accreditation Council for CME (ACCME), the Royal College of Physicians and Surgeons of Canada, and Continuing Medical Education-European Accreditors (CME-EA). For the conference's eighth iteration, <i>Standards and Guidelines in Accredited CPD</i> was chosen as the program topic and educational focus; a choice reflecting increasing international collaborations and an evolution towards consistency and standards across global accreditation systems. A specific list of domains and criteria (developed under a broader initiative already underway by the Academy) would serve as the core content around which the conference was planned. This conference report describes the initiative, the proposed standards to date, highlights of the Cologne Consensus Conference discussions and feedback, and the ongoing process of achieving consensus on the standards yet to be finalised.</p>","PeriodicalId":87300,"journal":{"name":"Journal of European CME","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21614083.2020.1726855","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37726980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of European CMEPub Date : 2020-02-13eCollection Date: 2020-01-01DOI: 10.1080/21614083.2020.1717187
Brian S McGowan, Anthia Mandarakas, Sue McGuinness, Jason Olivieri, Karyn Ruiz-Cordell, Greg Salinas, Wendy Turell
{"title":"Outcomes Standardisation Project (OSP) for Continuing Medical Education (CE/CME) Professionals: Background, Methods, and Initial Terms and Definitions.","authors":"Brian S McGowan, Anthia Mandarakas, Sue McGuinness, Jason Olivieri, Karyn Ruiz-Cordell, Greg Salinas, Wendy Turell","doi":"10.1080/21614083.2020.1717187","DOIUrl":"https://doi.org/10.1080/21614083.2020.1717187","url":null,"abstract":"<p><p>Despite an increased focus and urgency for CE/CME professionals to effectively and systematically assess the impact of their educational interventions, the community has struggled to do so. This struggle is in large part due to the lack of a standardised outcomes language and a set of unified approaches to measure and communicate impact. In the spring of 2018, a group of volunteer educational research scientists and CE/CME professionals established a rigorous consensus-building process in an effort to address this need. This report describes the background, methods and first-year output (Glossary V1) of the Outcomes Standardisation Project (OSP); begins to introduce examples of how the OSP Glossary V1 may support the CE/CME professional community and concludes with plans for the future of establishing a common framework for the profession.</p>","PeriodicalId":87300,"journal":{"name":"Journal of European CME","volume":"9 1","pages":"1717187"},"PeriodicalIF":0.0,"publicationDate":"2020-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21614083.2020.1717187","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37702187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of European CMEPub Date : 2019-12-12eCollection Date: 2019-01-01DOI: 10.1080/21614083.2019.1690321
Margarita Guenova, Robert Schäfer, Paolo Palange
{"title":"Independent Continuing Medical Education (CME)/Continuing Professional Development (CPD) Must Deliver Unbiased Information.","authors":"Margarita Guenova, Robert Schäfer, Paolo Palange","doi":"10.1080/21614083.2019.1690321","DOIUrl":"10.1080/21614083.2019.1690321","url":null,"abstract":"<p><p>Physicians commit themselves always to act in the best interests of their patients, and this includes their approach to continuing medical education (CME) as well as continuing professional development (CPD). For many years professional codes, and in some countries also the civil law, have defined that CME/CPD must be independent of commercial interests. Over the last few decades, numerous bodies have introduced CME/CPD accreditation to ensure that the planning and conduct of CME/CPD follows a set of defined standards, with independence of commercial interests as one of the leading principles. Recently industry has proposed that it be accepted by accrediting bodies as a direct provider of accredited CME-CPD. Such a move would not only open the door to the introduction of an inevitable bias in CME/CPD but would jeopardise the professional standing of physicians. Accreditation of CME/CPD currently serves several different purposes, but its credibility depends on whether it can retain its ability to differentiate independent CME/CPD from the provision of commercially framed information.</p>","PeriodicalId":87300,"journal":{"name":"Journal of European CME","volume":"8 1","pages":"1690321"},"PeriodicalIF":0.0,"publicationDate":"2019-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d3/19/ZJEC_8_1690321.PMC6913681.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37471151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}