CME & KFSH

Dr. Shad Salim AkhtarMBBS, MD, MRCP (UK), FRCP (Edin), FACP (USA)

Medical DirectorChairman CME

CME - Definition

Education after certification and licensure

Davis D et al. BMJ 2003; 327:33

CME - AIMS

Lifelong learning process Develop skills needed which include

Education Management Training IT Audit Communication Team building

Editorial BMJ 2000; 320:393

Why Do Physicians Learn?

Patient problemsRevalidationRecertificationEgoJuniors ask questionsPatients’ demands (internet)Pharmaceutical agencies

Shannon S. The Lancet 2003; 361:266

Research states that physicians have 3 to 5 clinicalquestions per day that remain unanswered.The answers are out there,…..

Why CME BMJ August 2001

CME - Flaws

Primarily teacher and learner drivenDoes not usually address population

health questionsDriven by CME credit huntingDisconnected from actual practice

Davis D et al. BMJ 2003; 327:33

CME-Is It Effective?

Bums on the seatsPursuit of creditsNo relation to real outcomesNo relation with professional

development

Clair du Boulay BMJ 2000; 320:393

Is Traditional CME Effective?

Since 1970 evidence available that CME is ineffective

Does not improve physician performance No effect of patient health outcome Didactic CME courses have little effect on guideline

adoption Opportunities for practice and feedback enhance

change Multifaceted interactive interventions better

Journal of Med Internet Res 2003; 5:e20

Changing Practice

Physicians becoming aware of a gap in knowledge or skill

Learning changes the practice not teaching

Shannon S The Lancet 2003; 361:618

Reasons for Information SeekingVaries from stage to stageComplex changes in practiceSpecific patient problemHigher qualificationsHigher remunerationPeer challenge

Journal of Med Internet Res 2003; 5:e20

What Should CME Program Do?

Identify educational needs Have specific objectives Focus on important issues relevant to

participants’ practice Provide evidence based information Allow participant interaction Give opportunity for practice and feedback Provide mechanisms for program follow up

Shannon S The Lancet 2003; 361:618

KFSH - CME

Journal clubs Debates CPC Case presentations Departmental activities Recent advances Practice based sessions