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Online CME Accreditation for Point-of-Care Learning

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Online CME Accreditation for Point-of-Care Learning . Marc Edelstein, MD, PhD Chief Medical Officer and Co-Director, Tufts Health Care Institute and Tufts University School of Medicine Office of Continuing Education Ralph Halpern, MSW Director, Content Development & Program Evaluation

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Online CME Accreditation for Point-of-Care Learning

Marc Edelstein, MD, PhD

Chief Medical Officer and Co-Director,

Tufts Health Care Institute and Tufts University School of Medicine Office of Continuing Education

Ralph Halpern, MSW

Director, Content Development & Program Evaluation

Tufts Health Care Institute

MedBiquitous, April 2007. Point of Care Learning

what s happening in cme
What’s Happening in CME?
  • Calls for reform in CME
  • Inadequacy of traditional didactic CME to improve practice
  • CME’s goal: improve patient care
    • A broader definition of education,

from: individual learning to: quality improvement

  • Evolution from Continuing Education to CPD- Continuous Professional Development
cme providers mission shrink the quality gap
CME Providers’ Mission: Shrink the Quality Gap
  • Mission: Deliver programs that provide physicians with implementable knowledge and skills…
  • so that measurable changes in competence (“knowledge-in-action”), performance, or patient outcomes can be demonstrated.
accme s updated accreditation criteria 2006 cme as a bridge to quality
ACCME’s Updated Accreditation Criteria, 2006“CME as a Bridge to Quality”

Accredited providers shall:

  • Focus on improving one or more of physician competence, physician performance, and/or the physician’s patient outcomes.
  • Provide CME activities based on practice-based and learner-based needs.
  • Evaluate success at meeting their change mission.
  • Engage with their environment to enhance the role of their program and of CME in promoting quality and safety.
accme expectations
ACCME Expectations

CME providers are expected to…

  • demonstrate progress towards implementation of these updated criteria by November 2008 …
  • and reach full compliance by 2012.
accme ama approve new formats of cme
ACCME & AMA Approve “New Formats” of CME
  • Accredited CME providers can now designate credit for
    • internet searching and learning, or point of care learning,
    • performance improvement activities,
    • test-item writing,
    • manuscript review.
references
References
  • AMA:AMA Physician\'s Recognition Award Booklet. 2006 revision
    • http://www.ama-assn.org/ama1/pub/upload/mm/455/pra2006.pdf
  • ACCME: New Formats of Continuing Medical Education. May 2005
    • http://www.accme.org/dir_docs/doc_upload/fd31627e-1510-4e6f-90bb-67b0adca2c38_uploaddocument.pdf
internet point of care poc cme
Internet point of care (PoC) CME

The learner may –

  • Identify a question in practice;
  • Access new information from ‘trusted source(s);’
  • Integrate learning into patient care; and
  • Demonstrate what has been learned.
  • Earn 0.5 credits per search
examples internet point of care poc cme
Examples: Internet point of care (PoC) CME
  • Structured, self-directed, practice-based learning in support of specific patient care.
  • MD uses a computer-based clinical decision-making support tool at the point of care.
  • A reflective process in which physicians must document 1)their clinical question, 2)the sources consulted and 3)the application to practice.
  • Even when the recommendation is not appropriate for the patient, the physician still learns something in the process.
tufts infopoems poc cme
Tufts-InfoPOEMs POC CME
  • Tufts is accrediting searches Using infoPOEMs/InfoRetriever (Wiley)
  • Implementation requirements:
    • Contract (specs, funding)
    • Technical (POC site; credit tracking)
    • Testing
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Treatment

Diagnosis

Screening & prevention

Prognosis

Epidemiology

Education

evaluation to claim poc cme
Evaluation to claim POC CME
  • The InfoRetriever search(es) I completed help me make decisions about the care of one or more patients. (strongly agree….strongly disagree)
  • Compared to other forms of acquiring CME, searching the literature with InfoRetriever and reflecting on the implications for practice is … (more/equally/less valuable)
  • Overall I would rate this CME activity as … (excellent…poor)
  • Please give one example of how a search did or did not affect your diagnosis, treatment, and/or patient outcomes. (free text)
challenges
Challenges
  • Was the search truly patient-related?
    • Option: require additional information from user to identify patient age/sex/diagnosis
  • Was the information source valid (a “trusted source”)?
    • Accreditor must approve the search engine’s tools and processes
  • Was the search completed and documented?
    • Does the accreditor collect complete information from the search engine or just assertions from the user?
contact information
Contact Information
  • Marc M. Edelstein, MD, PhD, FAAP Chief Medical Officer and Co-Director Phone: (617) [email protected]
  • Ralph Halpern, MSW

Director, Content Development and Program EvaluationPhone: (617) 636-3991Email: [email protected]

  • http://www.thci.org/
  • 617-636-1000
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