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Improving Healthcare Worldwide .

Why eCME ?. eCME 2011. Integrating eCME With Other Education. eCME Beyond 2011 + Role of Social Networks. Physician engagement with successful eCME platforms. Improving Healthcare Worldwide. Why eCME ?. Three Years and Still Going!. eCME 2009 Defining eCME Who cares? eCME 2010

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Improving Healthcare Worldwide .

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  1. Why eCME? eCME 2011 Integrating eCME With Other Education eCME Beyond 2011 + Role of Social Networks Physician engagement with successful eCME platforms Improving Healthcare Worldwide.

  2. Why eCME?

  3. Three Years and Still Going! • eCME 2009 • Defining eCME • Who cares? • eCME 2010 • People are interested • Are learners learning? • eCME 2011 • Global acceptance • Is it quality education and are funders funding?

  4. I Have a Few Discussion Questions…

  5. Are you currently using technology in CME/CPD?

  6. What technology are you currently using in CME/CPD?

  7. What new or innovative technology has a place in CME/CPD?

  8. eCME 2011 – Europe and Beyond

  9. Impact of eCME in Europe – 2010 ECF http://www.pmlive.com/find_an_article/allarticles/categories/pr_and_med_ed/2010/november/features/navigating_the_minefield

  10. Where Does eCME Fit in European Mix – 2010? http://www.pmlive.com/find_an_article/allarticles/categories/pr_and_med_ed/2010/november/features/navigating_the_minefield

  11. Globally There is Interest But Little Strategy • Digital delivery of “real” CME/CPD is sporadic • Accreditation needs and rules vary • Non-CME content is used and appreciated • Non-CME medical e- and m- platforms are used and appreciated • Why the disconnect?

  12. Requirements • Mandatory Legal Austria Czech Republic France Germany Greece Hungary Ireland Italy Netherlands Norway Poland Romania Slovakia Slovenia Croatia Switzerland • Mandatory – Professional Germany Italy Netherlands UK Switzerland • Voluntary Belgium Bulgaria Cyprus Denmark Finland Greece Iceland Luxembourg Malta Norway Portugal Spain SwedenTurkey • Re-certification Hungary Netherlands Norway Slovenia Croatia • Re-licensing Hungary Ireland Netherlands Croatia

  13. On average, CME cycles last 4 yearsduringwhichMedicalSpecialists have to collecteachyeararound 46 credits or 13 days of CME activities. CME Activities Cycle

  14. Sanctions • None Belgium Bulgaria Cyprus Czech Republic Denmark Finland France Greece Iceland Italy Luxembourg Malta, Netherlands Poland Spain Sweden • Professional Croatia, Germany, Hungary, Ireland, Netherlands (the), Romania, Slovenia, UK, USA • Loss of License Germany Greece Netherlands (the) Slovakia, Switzerland • Financial Austria, Belgium, Germany, Ireland, Malta, Norway ,Slovakia, Switzerland, USA • Certificate Awarded Austria Cyprus Germany Poland

  15. ResponsibleAuthority • Government Belgium, Denmark, France, Italy Netherlands (the); Norway, Poland Slovakia Spain Sweden, Switzerland, USA • National Professional Body Austria, Croatia, Cyprus, Denmark, Finland, Germany, Hungary, Ireland Netherlands, Poland Slovakia Spain Sweden, Switzerland • National Medical Association Austria Belgium Bulgaria Cyprus Czech Republic Denmark Germany Greece Hungary Iceland Italy, Luxembourg Malta Netherlands Norway Romania Slovakia Slovenia Sweden Switzerland Turkey • National Scientific Society Cyprus Denmark Greece Netherlands Slovakia Sweden, Switzerland, Turkey, UK, USA • Universities Greece Hungary Italy Poland Slovakia • Insurance Organizations

  16. ResponsibleAuthority • Government Belgium, Denmark, France, Italy Netherlands (the); Norway, Poland Slovakia Spain Sweden, Switzerland, USA • National Professional Body Austria, Croatia, Cyprus, Denmark, Finland, Germany, Hungary, Ireland Netherlands, Poland Slovakia Spain Sweden, Switzerland • National Medical Association Austria Belgium Bulgaria Cyprus Czech Republic Denmark Germany Greece Hungary Iceland Italy, Luxembourg Malta Netherlands Norway Romania Slovakia Slovenia Sweden Switzerland Turkey • National Scientific Society Cyprus Denmark Greece Netherlands Slovakia Sweden, Switzerland, Turkey, UK, USA • Universities Greece Hungary Italy Poland Slovakia • Insurance Organisations

  17. Recognised CPD Activities • Communication skills Austria Belgium Croatia Denmark Finland Germany Ireland Netherlands Norway Poland Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey UK, USA • Economical skills Austria Belgium Denmark Finland Germany Ireland Norway Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey UK, USA • Legal skills Austria Belgium Croatia, Denmark Finland Ireland Norway Poland, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey UK, USA

  18. CME Plus E Plus M • eCME and mCME typically refer to delivery of content • The beauty of online and mobile platforms is that they are expected to be interactive • This presents opportunities for • Data gathering (needs assessments, peri- and post-activity queestioning) • Branched learning

  19. Branched Learning? • Learners participate in education that has interactive questions • Didactic or case based • Responses guide learners down different paths • Incorrect responses trigger educational teachable moments • Managing cases leads to • Good patient outcomes • Dead patients • Things in between the extremes • Leads to education

  20. Greater Use is NOT Limited by the Platforms! • CME/CPD rules, requirements, definitions, needs, acceptance, capabilities vary greatly • Terms like satellite symposium have different meanings globally • CME is CME when it needs to be CME otherwise it isn’t CME

  21. The Platform Presents the Opportunity • Most CME in all forms focuses on diseases and/or treatments • Most CME in all forms lacks focus on management of patients (including prevention) • eCME and mCME can, should, does and will embrace the patient management model • And this will happen at the Point of Care

  22. The Power Of The Platform • CME can be deployed in any form (video, slideshow, podcast, etc) • The community drives learning and awareness • Peer-to-Peer interaction influences learning and behavior change – • Reinforcement of learning through community acceptance • Immediate feedback - quality of CME product, etc

  23. The Power Of The Platform • Behavior change tracking • Track over time • Capture how each physician behaves, reports, and discusses the topic as time goes on • Do they evangelize the technique/process/treatment/etc • Do they ask about it again? • vs. traditional post CME surveys (one and done)

  24. Expectations of the Platforms • Simple • Easy • Graphics • Easily navigable • Recommendations • eCME and mCME can be like amazon.com

  25. In The US in 2011 • We are seeing a fundamental shift in content formats and types • eCME, mCME and other formats are taking a curricular approach • The one and done tactic has met its death • Shorter duration  higher impact • eCME and mCME are using innovative instructional design to impact learning • Educational impact is being measured • You can’t treasure it if you can’t measure it1 1Andree Bates, PhD, Eularis, at Eyetorpharma ePharma Marketing 2009, Munich.

  26. Which is the Problem:The Platform or the Content?

  27. What Makes This Good:The Platform(s) or the Content?

  28. Platform Providers Can Collaborate

  29. Multiple Integrated Online Models

  30. What Do We See Online?

  31. 2,031 HCPs participated in live CME • 487 patients participated in text messaging, receiving an aggregated total of 44,841 text messages on FM Smartphones and CME • Used for self-assessment measurements of knowledge and competency • Used to deliver MicroCME, small “bursts” of education and reminders • Used to deliver text messages to clinicians and patients alike Smartphone Apps

  32. Smartphones and CME • Used for self-assessment measurements of knowledge and competency • Used to deliver MicroCME, small “bursts” of education and reminders • Used to deliver text messages to clinicians and patients alike Smartphone Apps

  33. NOF Guidelines App, a joint development project Smartphones and CME • Used for self-assessment measurements of knowledge and competency • Used to delivery MicroCME, small “bursts” of education and reminders • Used for delivering text messages to clinicians and patients alike Smartphone Apps

  34. MD Self-Assessment App, measuring knowledge and awareness of chronic pain management Smartphones and CME • Used for self-assessment measurements of knowledge and competency • Used to delivery MicroCME, small “bursts” of education and reminders • Used for delivering text messages to clinicians and patients alike Smartphone Apps

  35. Integrating eCME With Other Education

  36. Where can you envision integrating eCME or mCME with other education?

  37. eCME mCME PLUS • No live education should occur without allowing the content to live on • In the appropriate revised format • A curricular approach supports education • Prequels, sequels, and equals

  38. Multiple Formats Serve All Learning Styles Online | Smartphone | Print | Live & Workshops | MicroCME | Video

  39. CME Could And Should Use Multiple Platforms

  40. CME Could And Should Provide A Mechanism For Using The Latest Information Presented

  41. Beyond 2011 + Role of Social Networks

  42. In Europe • Need for more defined eCME/CPD where needed • Sometimes the need needs to be established • Need to advocate for broader acceptance of varied formats by accreditation bodies • EACCME • Need for shift in content to reflect measured patient care needs of learners

  43. Question: Will technology-based CME/CPD replace some or all of live CME/CPD?

  44. Online CME – Present and Future • Currently 6-8% (as of 2008) • 76% is housed on 16% of sites surveyed • 70% is $10 or less • 60% developed by publishing or private medical education providers • Will make up >50% of all CME in next 8-10 years Harris JM, et al. JCEHP Winter 2010, 30(1) 3-10

  45. What About Social Media and CME/CPD?

  46. Is There A Place For Social Networking in Medicine and CME? • Physicians and healthcare providers need to communicate • With each other • With their patients • With the public • With other professionals • Physicians and healthcare providers represent a “community” • Needs assessments and professional practice gap analyses consistently identify communications as an area of need • Most importantly: know your audience! • Not all physicians will want to use social networking • Of course not all wanted the Internet of email either • Know barriers, obstacles, and value definitions • It may or may not be generational • Think Prochaska readiness to change1 1http://www.uri.edu/research/cprc/TTM/detailedoverview.htm

  47. Big Questions For Many • Who is going to use it? • Who is going to pay for it? • Is it sustainable? • Who can do it? • Who should do it? • Who will do it? • Who will monitor it?

  48. When I Think of Social Media…

  49. Use of Facebook in A Needs Assessment

  50. Twitter – Many Uses For CME Providers

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