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Building Bridges in International CME/CPD

Building Bridges in International CME/CPD. Division of CPPD of the AMA Dennis K. Wentz, MD. Need to think globally in CME. We live in a global medical world Accelerating pace of medical discovery Important knowledge has no geographic regional or country boundaries

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Building Bridges in International CME/CPD

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  1. Building Bridges in International CME/CPD Division of CPPD of the AMA Dennis K. Wentz, MD

  2. Need to think globally in CME • We live in a global medical world • Accelerating pace of medical discovery • Important knowledge has no geographic regional or country boundaries • “Global” communicable diseases • Internet = instantaneous access • Physician accountability a societal demand

  3. AMA’s International Objectives • To improve access to quality health care for all people through quality education, especially CME • To be a leader in establishing the concepts of global medicine • To work with other nations with regard to medical education, medical ethics, and health care delivery, to share understandings and standards

  4. What are the needs in CME in oncology ? Leonardo da Vinci Survey among health professionals 891 questionnaires completed September 2002

  5. Countries • European Union : 541 (68%) • Central and Eastern Europe : 112 (14%) • Switzerland : 60 (7%) • Norway + Iceland : 3 (0,3%) • North America : 26 (3%) • Others : 52 (6%) • Total : 794

  6. What are your main incentives to participate in CME activities? YES • Professional 810 (92%) • Moral/Ethical 309 (35%) • Recertification 202 (23%) • Legal 197 (22%) • Reimbursement system 19 (2%)

  7. Are you mainly attending CME activities which have been accredited? • YES 530 (61%) • NO 337 (39%)

  8. Do you believe that a system of mutual recognition of CME credits would be useful? • Between European countries? • YES 97% • NO 3% • Between European countries and the USA? • YES 89% • NO 11% • Between European countries and other countries (other than USA)? • YES 72% • NO 28%

  9. Would you be in favour of accreditation systems for enduring materials? • YES 87% • NO 13%

  10. Do you preferably attend CME events which are : • International 326 (38%) • European 290 (34%) • No preference as such 283 (33%) • National 273 (32%) • Regional 124 (14%)

  11. Is your preferred option a question of : • Time 401 (69%) • Cost 339 (58%) • Language 132 (23%) • Other

  12. What type of CME activity would you like to see developed (further) as a priority? • Web-based educational materials 454 (56%) • New CME events and workshops 336 (41%) • Other educational materials 288 (35%) (CD-roms, videos, etc)

  13. In your view, what are the main weaknesses of existing CME events, if any? • Events are too expensive 401 (45%) • Quality standards often not satisfactory 260 (29%) • CME credits not recognised in my country 245 (27%) • Events are too long 173 (19%) • Some subjects are not sufficiently covered 104 (12%) • Events are mostly not in my native language 76 (9%) • Other

  14. Do you have any concerns about CME activities being driven by industry? • YES 425 (51%) • NO 416 (49%)

  15. AMA and Global CPD Initiatives • Hosted 3 international conferences on CME/postgraduate medical education 88-91 • Support of the World Medical Association • Dialogue with World Health Organization • 1990: Established system to recognize qualified international congresses for AMA PRA Category 1 credit • 1994: AMA PRA Eligibility extended to fully licensed Mexican MD’s,now working closely with Academia Nacional de Medicina of Mexico for shared credit standards

  16. Current Global CPD Initiatives • 1998: CME credit Pilot Project underway: EACCME of the UEMS (renewed in 2000) • 2001: Letter of Agreement to assist Malaysian Medical Association • 2002: Agreement to collaborate with Spanish Medical Association • 2002: advisors to WFME Task Force on: Global CPD Standards for Quality Improvement - issued in March 2003 (www.wfme.org)

  17. Is there a role for a reciprocal international CME credit system? • Inevitable trend to globalization of standards, in medicine as in business • Internationalization of peer-reviewed publications and congresses/conferences • Physicians on the move • Credentials need to be transferable • Allowing seamless movement to achieve excellence should be a goal

  18. (Each country varies in its patient care needs, educational system and resources, and health care goals) But: Each Country is Unique

  19. Basic considerations in International Cooperation • Any quality CME system must serve the needs of its “local” physicians first • Responsive to practitioner needs, wherever and whenever needed • Probably must be in the language most used • Adapted to learning preferences and to the technology available; “CME that fits in” • Credible to regulatory bodies and to society

  20. An international CME credit system based on shared global standards? • Consider organizing at three levels? • A national system for delivery of CME • A regional level, perhaps multi-country, for cooperation in recognition of CME credit • An international level attached to a new system of “international credit” – transferable and recognized world-wide • Standard-setting and oversight at each level

  21. Building Bridges…..? Thanks!

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