Journal of European CME最新文献

{"title":"Redesigning an International Orthopaedic CME Course: The Effects on Participant Engagement over 5 Years.","authors":"Abhiram R Bhashyam,&nbsp;Quirine M J van der Vliet,&nbsp;R Marijn Houwert,&nbsp;Rogier K J Simmermacher,&nbsp;Peter Brink,&nbsp;Piet de Boer,&nbsp;Luke P H Leenen","doi":"10.1080/21614083.2019.1633193","DOIUrl":"https://doi.org/10.1080/21614083.2019.1633193","url":null,"abstract":"<p><p>The time required to observe changes in participant evaluation of continuing medical education (CME) courses in surgical fields is unclear. We investigated the time required to observe changes in participant evaluation of an orthopaedic course after educational redesign using aggregate course-level data obtained from 1359 participants who attended one of 23 AO Davos Courses over a 5-year period between 2007 and 2011. Participants evaluated courses using two previously validated, 5-point Likert scales based on content and faculty performance, and we compared results between groups that underwent educational redesign incorporating serial needs assessment, problem-based learning, and faculty training initiatives (Masters Course), and those that did not (Non-Masters Course). Average scores for the usefulness and relevancy of a course and faculty performance were significantly higher for redesigned courses (p < 0.0001) and evaluations were significantly improved for both groups after faculty training was formalised in 2009 (p < 0.001). In summary, educational redesign incorporating serial needs assessment, problem-based learning, and faculty training initiatives were associated with improvement in participant evaluation, but these changes required 4-5 years to become evident.</p>","PeriodicalId":87300,"journal":{"name":"Journal of European CME","volume":"8 1","pages":"1633193"},"PeriodicalIF":0.0,"publicationDate":"2019-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21614083.2019.1633193","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37109334","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 Culture of Learning for the NHS.","authors":"Robin D Stevenson,&nbsp;Donald E Moore","doi":"10.1080/21614083.2019.1613862","DOIUrl":"https://doi.org/10.1080/21614083.2019.1613862","url":null,"abstract":"A recent report suggests that current conditions in the NHS may be preventing the delivery of optimal patient care. For example, patients with various common cancers or cardiovascular diseases can expect sub-optimal treatment in the NHS [1]. In March 2018, the King’s Fund confirmed common knowledge on poor NHS performance, staff shortages, lengthening waiting lists, cancelled operations and financial pressures [2]. The UK is out-performed by comparable countries, coming 30th out of 192 countries in a worldwide study [3] and 16th out of 35 countries in a European study with Switzerland in the first place [4]. In addition to poor outcomes, health-care professionals (HCPs) are shown to have behaved badly in a long series of scandals [5]. Almost 8,000 UK doctors were consulted in the recent BMA’s Caring, Supportive, Collaborative project [6]. The findings point to the persistence of a culture of fear and blame in the NHS, despite this being highlighted as a problem in two major reports [7,8]. Today’s NHS may be represented as a demotivated workforce with low morale, lacking opportunities for meaningful professional development, and resentful of an autocratic and remote bureaucracy [9]. As an example, the proportion of hospital doctors taking voluntary early retirement in the last decade has increased from 14% to 27% [10]. Medical and surgical firms with their “chiefs” no longer exist. The complexity of junior doctor rotas has prevented seniors from mentoring and supporting juniors. Medical collegiality is vanishing. Poor outcomes and disaffected HCPs suggest a dysfunctional organisational culture.","PeriodicalId":87300,"journal":{"name":"Journal of European CME","volume":"8 1","pages":"1613862"},"PeriodicalIF":0.0,"publicationDate":"2019-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21614083.2019.1613862","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37062992","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":"Report on Proceedings of the Eleventh Annual European CME Forum, King's Fund, London, November 2018.","authors":"Ron Murray","doi":"10.1080/21614083.2019.1613861","DOIUrl":"https://doi.org/10.1080/21614083.2019.1613861","url":null,"abstract":"<p><p>The historic King's Fund complex in central London was the venue for the Eleventh Annual European CME Forum (11ECF) held 7-9 November 2018. The diverse group of international participants engaged in lively discussion during presentations, workshops, poster displays, a panel discussion and an interactive session with an eloquent local learner. This year's workshop themes considered the CME acronym as a representation of a Change Management Engine. Each workshop developed these themes by providing practical examples and discussion points for the various stakeholder groups in attendance. Presenters from around the world covered a wide range of topical issues including outcomes planning and evaluation, CPD for CME professionals, collaboration, independence and commercial support, the patient voice, publishing in CME, and CME as a driver of behavioural change. Participants' level of engagement was deemed to be very high, leading to a consensus that the Forum's second decade has started with a bold commitment to further collegiality among providers to foster collaboration in providing high-quality independent CME/CPD in Europe and beyond.</p>","PeriodicalId":87300,"journal":{"name":"Journal of European CME","volume":"8 1","pages":"1613861"},"PeriodicalIF":0.0,"publicationDate":"2019-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21614083.2019.1613861","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37305937","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":"Preserving Continuing Medical Education in a U.S. Community Hospital: A Successful Model and an Alert.","authors":"Henry Tulgan","doi":"10.1080/21614083.2019.1591918","DOIUrl":"https://doi.org/10.1080/21614083.2019.1591918","url":null,"abstract":"<p><p>The decline in the number of accredited Continuing Medical Education activities over the past decade is multifactorial but is contrary to many principles of adult learning. This article describes how one small hospital in a larger hospital system has been able to preserve its long-standing programme as a Regularly Scheduled Series which is considered beneficial not only to its medical staff but to other healthcare providers who also are participants. It may serve as model for other smaller institutions facing this issue.</p>","PeriodicalId":87300,"journal":{"name":"Journal of European CME","volume":"8 1","pages":"1591918"},"PeriodicalIF":0.0,"publicationDate":"2019-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21614083.2019.1591918","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37072321","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":"Regulating for Bias in Medical Education – Reaction to the Pharmaceutical Industry Updated EFPIA Code of Practice","authors":"M. Rodzinka, Annabel Seebohm, Eugene Pozniak, L. Mosch, Lara De Luca, J. McArdle, R. Griebenow, Margarita Velcheva","doi":"10.1080/21614083.2019.1685771","DOIUrl":"https://doi.org/10.1080/21614083.2019.1685771","url":null,"abstract":"ABSTRACT The European Federation of Pharmaceutical Industries and Associations (EFPIA) representing the pharmaceutical industry operating in Europe, introduced three codes of conduct between 2007 and 2013, which had a common goal of self-regulating interactions with healthcare professionals and patient organisations. This former set of rules was appreciated as a first self-regulatory step, although self-regulation itself is still considered by many stakeholders as insufficient to provide thorough transparency. EFPIA agreed to replace the separate codes with a new, consolidated EFPIA Code of Practice. The consolidated Code was broadened to include a new section on medical education that outlines the scope of member companies' engagement in “medical education activities?. This new section is controversial as it explicitly confirms that EFPIA members can be involved in medical education. In our view “independent Medical Education“ per se prevents industry from “organising“ events, i.e. industry must not influence content, presentation, choice of lecturers or publication of results. What is more, only events respecting this key principle (amongst others) can be recognised for purposes of continuing medical education/continuing professional development (CME/CPD). A substantial portion of the medical education is currently funded by the pharmaceutical and medical device industries. This practice carries a significant risk to public and personal health, especially if it is not adequately safeguarded by a high standard of accreditation. We are most concerned by the fact that EFPIA, representing the pharmaceutical industry, is trying to broaden the approach to medical education, to include activities that are not independently evaluated as free from undue influence and conflicts of interest. We believe that in order to preserve scientific integrity and independence, pharmaceutical companies must not be granted the right to influence the content of medical education.","PeriodicalId":87300,"journal":{"name":"Journal of European CME","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21614083.2019.1685771","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45989535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Meeting Milestones: Results of a Quality-Improvement Curriculum to Achieve Cost-Conscious Care.","authors":"Olivia Chang,&nbsp;JoAnn Jordan,&nbsp;Neel Shah,&nbsp;Monica Mendiola,&nbsp;Anna Merport Modest,&nbsp;Toni Golen","doi":"10.1080/21614083.2018.1517572","DOIUrl":"https://doi.org/10.1080/21614083.2018.1517572","url":null,"abstract":"<p><p>There is a lack of residency education in cost-conscious care. We implemented a costing and quality improvement (QI) curriculum to Obstetrics and Gynaecology trainees using \"Time-Driven Activity-Based Costing (TDABC),\" and assessed its educational impact. The curriculum included didactic and practical portions. Pre-and post-knowledge surveys were obtained from 24 residents on self-perceived knowledge of key QI principles. Self-perceived knowledge, before and after the curriculum, was scored on a Likert scale from 0 to 5 points (0 is the least knowledge and 5 is the most knowledge). The mean scores reported an increase in knowledge of clinical guideline development (pre = 1.19 vs. post = 3.07, <i>p</i> = 0.0052); confidence in participating in QI work (pre = 1.75 vs. post = 3.42 points, <i>p</i> < 0.0001); and knowledge in communicating QI principles (pre = 1.89, post = 3.17, <i>p</i> < 0.0003). Our educational programme uses the TDABC method and the residents' clinical experience effectively to teach residents cost-conscious care.</p>","PeriodicalId":87300,"journal":{"name":"Journal of European CME","volume":"7 1","pages":"1517572"},"PeriodicalIF":0.0,"publicationDate":"2018-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21614083.2018.1517572","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36546550","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":"Beyond the Rim: Considering the Micro-Dynamics of CME Accreditation in India.","authors":"Dinesh Kumar V,&nbsp;Magi Murugan","doi":"10.1080/21614083.2018.1513279","DOIUrl":"https://doi.org/10.1080/21614083.2018.1513279","url":null,"abstract":"We read the descriptive article on accreditation systems in India [1] and duly acknowledge the sincere endeavours made by the responsible bodies for accrediting the Continuing Medical Education (CME) programmes and thereby contributing to the growth of healthcare professionals. We, on behalf of the participants in CME, would like to share our concerns around certain loopholes in the existing system. First, India harbours a huge and diverse health sector encompassing various educational needs. In the absence of clear demarcation between the definitions of CME and continuing professional development (CPD) by accreditation agencies, often, it becomes a daunting task to decide what type of educational activity would be effective for a particular context or target audience. Upon performing a gap analysis and needs assessment, providers may be faced with a dilemma. They may choose a lucrative topic which may or may not attract participants or alternatively go for a “timetested” and faded topic, placing them in a safer zone. We request that the accreditation agencies define multiple needs-based CME/CPD protocol roadmaps for Indian doctors belonging to various disciplines. The terminology “CME”, in its true sense, should be reserved for the sessions whose objective is to sensitise the audience to an innovation in that particular discipline. Our practical experience suggests that it is the lack of awareness among the providers, which results in some accredited CME turning out to be nothing less than a series of decontextualised lectures delivered in auditoria. Second, at present, the choice of attending a CME activity is purely on a voluntary basis and it is enough if a registered medical practitioner accrues 30 h of CME over the period of 5 years. This has positive repercussions in a way, in that it seldom restricts a medical practitioner to his/her discipline-specific domains. But, some, if not many participants try to register for CME activities held at nearby places, which fall out of their scope for mere accreditation points. This defeats the basic purpose of accreditation as the content developed for the particular CME is not going to contribute to the professional development of the healthcare professionals. Third, as the authors pointed out, organising and delivering large-scale CME activities without receiving industrial funding is difficult in Indian settings. This would exorbitantly raise a delegate’s participation fees, who has to make an “out of the pocket” expenditure for all his expenses including travel and accommodation. Also, an ordinary medical practitioner needs to balance between education, research and clinical service. In “physician-crunch” countries like India, compromising on organisational responsibilities for attending an educational activity might result in negative repercussions in one way or another. Fourth, the measures for evaluating the effectiveness of CME are not well developed in India. Accreditation agencies monitor on","PeriodicalId":87300,"journal":{"name":"Journal of European CME","volume":"7 1","pages":"1513279"},"PeriodicalIF":0.0,"publicationDate":"2018-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21614083.2018.1513279","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36478194","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":"Improving outcomes in the treatment of opioid dependence (IOTOD): reflections on the impact of a medical education initiative on healthcare professionals' attitudes and clinical practice.","authors":"Sarah Webster,&nbsp;Sarah Robinson,&nbsp;Robert Ali,&nbsp;John Marsden","doi":"10.1080/21614083.2018.1506197","DOIUrl":"https://doi.org/10.1080/21614083.2018.1506197","url":null,"abstract":"<p><p>Since 2011, the annual improving outcomes in the treatment of opioid dependence (IOTOD) meeting has brought together a broad range of primarily European healthcare professionals as part of an ongoing effort to promote best practice for this particularly vulnerable patient population. IOTOD, a comprehensive educational initiative, includes the annual Continuing Medical Education (CME)-accredited IOTOD conference, which is dedicated to measuring practice change and outcomes resulting from attendance at its educational sessions. Following each session, delegates are asked to vote for or against incorporating specified changes into their clinical practice. These \"commitments to change\" have formed one measure of the effectiveness and impact of the IOTOD conference. Here, we look at why educational initiatives like the IOTOD conference are valuable, examine our methods for conducting a CME-accredited event, and highlight individualised treatment plans and delivery. We examine this approach - increasingly seen as best practice - as an example of how it may be changing attitudes and eventually affecting clinical applications in the field of opioid dependence. The measured commitments to change offer insight into HCPs' attitudes towards opioid dependence management and show that attitudes towards individualised treatment plans seem to be progressively positive, with a general consensus to incorporate psychosocial interventions.</p>","PeriodicalId":87300,"journal":{"name":"Journal of European CME","volume":"7 1","pages":"1506197"},"PeriodicalIF":0.0,"publicationDate":"2018-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21614083.2018.1506197","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36478193","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":"The future of accreditation of continuing medical education (CME)-continuing professional development (CPD) in Europe: harmonisation through dialogue and consensus.","authors":"Fabiola de Andrade, Reinhard Griebenow, Richard W Costello, Margarita Guenova, Robert Schaefer, James D Chalmers, Andre Tichelli, Drazen Raguz, Joerg Stein","doi":"10.1080/21614083.2018.1506202","DOIUrl":"10.1080/21614083.2018.1506202","url":null,"abstract":"<p><p>In Europe, there are currently some 30 different jurisdictions and no overarching legislation regarding CME-CPD accreditation, since legislative competency related to national health-care systems lies with national authorities. Thus, public demonstration of professional agreement regarding the principles, rules and practice of CME-CPD as well as its accreditation is a highly desirable professional and political objective in Europe, where free movement and freedom to offer professional (medical) services is a key feature of the EU vision of the single market. The newly formed association of independent European accreditors, Continuing Medical Education - European Accreditors (CME-EA) is committed to offering a platform for dialogue between individuals and organisations involved in definition of professional codes in general, and accreditation of CME-CPD in particular on the national level. The aim is to reach a European consensus on principles and rules applied in planning and delivery of CME-CPD. This includes consensus on constituent characteristics of accreditors as well as principles and practice of accreditation.</p>","PeriodicalId":87300,"journal":{"name":"Journal of European CME","volume":"7 1","pages":"1506202"},"PeriodicalIF":0.0,"publicationDate":"2018-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/35/59/zjec-7-1506202.PMC6129779.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36483327","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":"Accreditation in India: Pathways and Mechanisms.","authors":"Swaptagni Das,&nbsp;Manan Shah,&nbsp;Amey Mane,&nbsp;Vishal Goyal,&nbsp;Vikram Singh,&nbsp;Jayesh Lele","doi":"10.1080/21614083.2018.1454251","DOIUrl":"https://doi.org/10.1080/21614083.2018.1454251","url":null,"abstract":"<p><p>Continuing medical education (CME) is a valuable mechanism to update physicians' knowledge with ever-increasing plethora of contemporary advances within medical fraternity. Over time, scope of CME has seen change from simple clinical updates to comprehensive continuing professional development (CPD), which is accomplished with help of accredited CME programmes. The Medical Council of India, in 2011, made a mandatory resolution for doctors to attend minimum of 30 hours of CME/5 years to ensure recertification. Authorised accreditation councils and licensing authorities award CME credits for maintenance of physicians' licensures. To date, in India, only 9 of 26 State Medical Councils have made re-registration mandatory. Although CME events benefit healthcare professionals by improving their proficiency and awareness, costs even to attend such interventions may be prohibitive. Despite financial help being received through grants and sponsorships, ethics of industry-sponsored CME remains a matter of debate. However, over past 10 years, pharmaceutical companies have started going beyond basic product information in order to focus on building physicians' knowledge in various therapeutic areas. Though CME credit system and criteria for re-licensure for medical practice in India are evolving at a rapid pace, there is a need for harmonisation and robust implementation across all states in India.</p>","PeriodicalId":87300,"journal":{"name":"Journal of European CME","volume":"7 1","pages":"1454251"},"PeriodicalIF":0.0,"publicationDate":"2018-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21614083.2018.1454251","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36094549","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}