continuing medical education in emerging market
TRANSCRIPT
Continuing Medical Education in Emerging Market
June 2009
Dr Saurabh JainDirector – CME Solution
Indegene LifesystemsBangalore, INDIA
E Mail – [email protected]
Why should Doctors do CME Emerging Market?
Engaging ContentAbility to deliver content in an
engaging fashion and in a way that lends value to the physician’s
practice
Credible Content Developed in
Association with International Center of Excellence
ReachPartnered with
Pharmaceutical companies or Medical Associations to reach out
Physician
Performance Improvement
In Absence of regulation doctor will do CME only if it adds value in practice
Guiding Principle for effective Continuing Medical Education Programs in India
Performance Improvement Key for Success In Emerging Market
Performance Improvement Initiative
Create improvement plan and Create improvement plan and implement in practiceimplement in practice
Current practice Performance assessment
Application of performance Improvement to patient care
Evaluation of the Performance Improvement
Review patient charts and Review patient charts and record metrics of his/her current record metrics of his/her current
practicepractice
Review charts and compare Review charts and compare with baselinewith baseline
Reflect on benefits of Reflect on benefits of improvements to patientsimprovements to patients
A B C
KOL
Regional Faculty
Physicians
Indian /International
Faculty
Physicians
Partner with leading experts/International CME Provider to add credibility to program
Build program momentum
Deploy educational programming to meet physicians’ needs
KOL
Asses Current Practice and Identify the Gap to Build Curriculum
Tropical Diseases Chronic Diseases
Family Physician Specialist
Performance Improvement in Different Groups
Practice Assessment through Questioner
Practice Assessment is done through Virtual Case stimulations
Based on Practice Assessment Clusters are defined for Program implementation
Practice Assessment
Family Physician Specialist
Clustering Mechanics
Current Practice Assessment versus Guidelines
Assessment
Cluster 1 Cluster 2 Cluster 3 Cluster 4
Cluster Mapped through Benchmarking Data (Internationally accepted Guidelines)
Practice Assessment Through Questioner
Practice Assessment through Virtual Case stumulations
+Individual Doctor behavior Guidelines
Curriculum Mechanics
Patients Profiles in Diabetes as per Disease Continuum
Regional and local KOL Partnership to
formulate Curriculum
Categorization of Profile for different level based on Secondary research and KOL
feedback
Program A2.Lifestyle management3.Glucose control levels4.Clinical monitoring5.Glucose control: oral therapy6.Glucose control: insulin therapy
Program B2.Blood pressure control3.Cardiovascular risk protection4.Eye screening5.Kidney damage6.Foot care
Program C2.Nerve damage3.Pregnancy4.Children5.In-patient care6.Special Situation
Target Group
Cluster 1
Cluster 2
Cluster 3
Cluster 4
Q1 Q2 Q3 Q4
Program A2.Lifestyle management3.Glucose control levels4.Clinical monitoring5.Glucose control: oral therapy6.Glucose control: insulin therapy
Program B2.Blood pressure control3.Cardiovascular risk protection4.Eye screening5.Kidney damage6.Foot care
Program C2.Nerve damage3.Pregnancy4.Children5.In-patient care6.Special Situation
Program B2.Blood pressure control3.Cardiovascular risk protection4.Eye screening5.Kidney damage6.Foot care
Program C2.Nerve damage3.Pregnancy4.Children5.In-patient care6.Special Situation
Program C2.Nerve damage3.Pregnancy4.Children5.In-patient care6.Special Situation
Involved as Regional Faculty
Targeted CME for Behavior Change
Modular Format
Presentation
45 Min
Dis
cuss
ion
Lunch Break
30 Min
Case Discussion
30 Min
Pos
t E
valu
atio
n
Streptococcus Pneumoniae (pneumococcus)
A 63-year-old male presents with fever and cough
Lower Respiratory Track Infection
LRTI
Reading Material Handout
+ + +
Respiratory Symptoms URTI Asthma COPD TuberculosisLRTI
Indegene EventEngine™
Crossing Borders with integrated CME Programs
Need Gap IdentificationNEED GAPS through Dip stick study among target audience including subject matter experts.
Local Case Studies developed by Regional Faculties based on Defined learning Objective
Local Clinical Data collection for devloping
Program
1. All 16 cases to be sent to advisory board for review, advisory board selects 4 best cases collaborates and International Bodies designate members
2. CME Universe enhances the case contents as per the suggestions received and further sent to advisory board for review
CME Content Development
Defining Key Learning Define Key learning Objectives on basis of Primary research and secondary Research
4 Cases studies developed and presented at each country local Meet
Need Assessment and CME Content Development
Crossing Borders with Integrated CME Programs
India PhilippinesIndonesia Malaysia
Crossing Borders with Integrated CME Programs
Participant activity report and clinical reasoning and educational effectiveness report (CREE) developed.
Expert interviews and post activity reviewed as part of a continuous needs assessment.
Quantitative and Qualitative
Reporting of CME Activity
Recruitment 2400 Primary Care physician recruited for this activity through field force of Grantor
Interactive case stimulation delivered to Physicians in CD / summary booklet/Online Platform
Interactive Patient Simulations CME
An offline/online post-test and evaluation survey for completion of the initiative.
Certificates will be issued to participants.
Evaluation/Post-Test
Schematic of CME Activities
India
Print Module +
Online Modules
Indonesia
Print Module
Philippines
Print Module +
Online Modules
Malaysia
Online Module
10. Online module for reference (24 x 7 access)
11. Patient education Material
1. 24 x 7 online query handler at website.
2. Medical Representative Can also submit request on Behalf of doctor
3. All the queries will be answered through a personalized mail from mentor
1. All the request submitted at this will be forwarded to Mentor for answer
2. Medical Representative Can also submit request on Behalf of doctor
3. Center will coordinate with Mentor for answering these queries through Personalized call from Mentor
1. Once in month Mentor will be available for web chat and telephonic chat
Support and Guidance
Help Desk
Support platforms are key for driving compliance for CME programs in India
Summary
Most of Emerging Markets don't have any CME accreditation systems currently
Performance Improvement initiative customized to target audience is key for success
Multinational Pharmaceutical companies are key funders for unbiased CME activity in country
Support platforms are key for driving compliance for CME programs
International content, Institute and Association add credibility to CME programs designed for Specialist
Thank you.