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Continuing Medical Education

Continuing Medical Education. Stephanie Giberson, MCE Director, Rural & Northern Manitoba CME. “Best Practices” Quality Assurance Application to Rural & Northern CME. Society for Academic Continuing Medical Education, Spring 2007 Meeting, Copper Mountain, Colorado. W5.

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Continuing Medical Education

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  1. Continuing Medical Education Stephanie Giberson, MCE Director, Rural & Northern Manitoba CME

  2. “Best Practices”Quality Assurance Application to Rural & Northern CME Society for Academic Continuing Medical Education, Spring 2007 Meeting, Copper Mountain, Colorado

  3. W5 • Where - Rural & Northern CME challenge • Why • ‘traditional’ programs , • IMG CME needs • Who - politics and perspectives • What - the Quality Assurance model • How – cycles, CoPs, communication

  4. 500 Rural & Northern physicians Spread Over…. 1400 km 400 km

  5. New grads • Experienced, but transient • 67% International Medical Graduates

  6. Personal adjustment • Family adjustment • Clinical adjustment -health profiles, -pharmaceuticals, -protocol & procedures • Staff Shortages of All Health professionals

  7. “We need to participate” “Need” = clinical + collegial

  8. “I don’t need more medicine in my life”

  9. CME Diversity NOT homogenous programming

  10. My Challenge • Meet EVERYONE’s clinical and collegial CME needs • Retain physicians in community/province Introduce CPD !

  11. My Reality???? Politics & Perspectives

  12. Regulatory Bodies • Manitoba Medical Association • College of Physicians & Surgeons of Manitoba • Royal College of Physicians & Surgeons Office of Rural & Northern Health Winnipeg RHA Central RHA Brandon RHA Assiniboine RHA Churchill RHA Parkland RHA NorMan RHA SEMan RHA COMMUNITY CHARACTERISTICS • Education … • -secondary • Advanced… • -university • -community colleges Manitoba Health RHAM-Regional Health Authorities of Manitoba POLITICAL Reality

  13. The new Dean’s perspective Sandham, J. D. , Chrusch, C. (2005). Canadian Collaboration to Improve Patient Care and Safety in the ICU: Improvement Guide “All models are wrong, some are useful” George E.P. Box Research Accountability Improvement Science

  14. The Improvement Model (PDSA) Sandham, J. D. , Chrusch, C. (2005).

  15. Building knowledge sequentially Breakthrough Results Evidence & Data Learning & Development Theories, hunches, best practice & change concepts Sandham, J. D. , Chrusch, C. (2005)

  16. Cycle 1 Data collection & verification • annual needs assessment to ALL R & N mds with f/u telephone interviews • Travel OUT • Bring ‘chairs’ IN twice/year • May – Strategic Planning as focus group and evaluators • December – evaluation, recognition • Create ext. & int. advisor committees • Assess costs/develop budgets for growth

  17. Building Rural & Northern CME through a Communities of Practice Lens (aka Data Collection) R&N health/social programs R&N communities visits by CME staff 6..now.. 7 community FP ‘Chairs’ Internal CME Committee U of M, medical 9 medical unit/department ‘reps ’ Welcome(vs control) others as we find them! External CME Advisory Council regional, provincial, community health foundations, med association, colleges

  18. Cycle 2 Erosion control & Exploration • Stabilize losses of ‘old’ visiting lecturer program • Modify videoconferencing program • Explore web-base contributor • Explore R & N conference • develop CME ‘presence’ at U of M • contribute to CME nationally/internationally

  19. Power of QA Improvement Guide • To push ourselves (staff, faculty, admin.) • To pulltogether int/ext stakeholders • To empower rural mds • To cut, adjust, transform as needed… • To risk with confidence • To promote our activity as a key part of the continuum of medical education vs “on the edge” of the faculty.

  20. Cycle 3 • Grow old “transformed” visiting lecturer colleague CME/CPD series • Growth in videoconferencing program • Web-based CME partner/contributor • Successful first ‘hands-on’ R & N Conference • High rating for clinical and collegiality • Noted as ‘industry- free’ event

  21. “I don’t need more medicine in my life”

  22. references Deming, W.E., Out of Crisis, MIT Press, 1986. Langley, G., Nolan., K., Nolan, T., Norman, C., Provost, L. Improvement Guide: A Practical Approach to Enhancing Organizational Performance. San Francisco, CA., Jossey-Bass Publishers, 1996.

  23. Continuing Medical Education Quality Assurance Application to Rural & Northern CME

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