from numbers to intelligence insights from 2010 national physician survey about cme/cpd in...
TRANSCRIPT
From numbers to intelligence
Insights from 2010 National Physician Survey about CME/CPD
in physicians’ lives
We have no conflicts of interest to disclose
… except our personal interest in competent
physicians.We need data to support that
interest.
Never5%
Once a year11%
Once every six months
28%
Once a month25%
More than once a month20%
NR12%
2010 National Physician Survey – Anesthesiologists’ use of evidence
based resources
Hematology Nephrology Respirology0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Estimation of effect of CME/CPD
NRDon't useVery significantSomewhat significantNeutralSomewhat insignificantVery insignificant
FP/G
Ps
Other
Spe
cialis
ts
All Ph
ysici
ans
0
1.5
32.9
3.4 3.13 3.4 3.23.1 3.3 3.2
Weekly CPD/CME time (hours)
200420072010
Numbers… numbers… noise
But every number tells a story
How much of the story do you know?1. How many
hours per week do MDs spend on CPD/CME?
a)1 hour or lessb)2-3 hoursc)3-5 hoursd)Over 5 hours
2. From this list, what is the most significant barrier to MDs’ participation in CPD/CME?
a)Time away from practice family
b)Lack of locum reliefc)Cost of traveld)Lack of opportunitye)Lack of relevance
How much of the story do you know?3. From this list, what
is the CPD/CME method that has the most impact on MDs’ practice?
a)Accredited conferences
b)Unaccredited conferences
c) Peer-reviewed journals
d)Self-assessmente)Simulation
4. What is the CPD/CME method that MDs use >1/month?
a)Accredited conferencesb)Unaccredited
conferencesc) Peer-reviewed journalsd)Self-assessmente)Simulation
Objectives1. Describe the types of CPD activities in which FPs and
SPs participate and their deemed level of impact on practice.
2. Identify potential types of CPD activities that will have significant impact on practice
3. Discuss types of CPD activities will will increase significant attendance and participation
4. Identify barriers to MDs’ participation in CME/CPD
5. Identify how much time MDs report spending on CME/CPD
6. Discuss potential new areas of NPS research into CME/CPD
National Physicians Survey (NPS) 101• Respected Canadian source of
reliable information about the profession of medicine and issues in health care.
• Conducted jointly by:– Canadian Medical Association– College of Family Physicians of Canada – Royal College of Physicians and Surgeons of
Canada
NPS 101- continued• 3 completed cycles: 2004, 2007 and 2010
• Next cycles: 2012, 2013 and 2014
• Data on current and future Canadian physicians
• Questionnaires developed with broad input
• Data used widely in health care planning and research
Time spent on CME/CPD
• Average physician work week was 51.4 hours, excl. call
• 2010 average time on CPD/CME was 3.2 hours/week
• Time spent by Family Physicians increasing since 2004.
• Variability in other specialties
FP/GPs Other Specialists All Physicians0
0.51
1.52
2.53
3.54
2.93.4
3.133.4 3.23.1 3.3 3.2
Weekly CPD/CME time (hours)
200420072010
Tim
e aw
ay fr
om p
ract
ice
Lack
of l
ocum
relie
f
Tim
e aw
ay fr
om fa
mily
Cost o
f tra
vel
Cost o
f act
ual C
PD/C
ME
Lack
of o
ppor
tuni
ty
Lack
of r
elev
ance
11.9% 31.1% 13.9% 12.9% 13.1% 18.8% 22.8%24.0%
39.5%
25.0% 32.4% 34.8%53.5% 53.0%33.7%
14.9%30.0% 35.8% 36.8%
21.1% 18.0%30.4% 14.5% 31.1% 18.9% 15.3% 6.6% 6.2%
Physicians’ rating of barriers to parti-cipation in CPD/CME
N/A or NR Not significant Somewhat significant Very Significant
Types of CPD/CME
• Conferences (accredited / unaccredited)• Journals (peer-reviewed / non peer-
reviewed)• Evidence-based resources (CPGs, etc)• Electronic education (online / offline)• Small group activities (hospital rounds etc.)• Self-assessment• Practice audits• Simulation
Types of CPD by % of physicians using
Accredited live events
Peer-reviewed journals
Evidence-based resources
Online Electronic Education
Self-assessment
Simulation
98%
82%
95%
81%
95%
68%
80%
83%
71%
48%
35%
Types of CPD by % of physicians using once/month or more
Accredited live events
Peer-reviewed journals
Evidence-based resources
Online Electronic Education
Self-assessment
Simulation
33%
25%
74%
44%
58%
21%
38%
51%
20%
4%
3%
Accredited live events
Unacredited live events
Peer-reviewed journals
Non peer-reviewed journals
Evidence-based resources
Offline Electronic Education
Online Electronic Education
Hospital Rounds / Small groups
Self-assessment
Practice Audits
Simulation
70%
40%
61%
28%
59%
26%
35%
48%
26%
15%
11%
% of physicians who rate impact of following CPD/CME methods as “somewhat significant” to “very sig-
nificant”
Live Accredited Conferences
• 98% of physicians attend at least one a year
• 33% attend one at least once a month
• Has highest ranking of “very significant impact on practice” at 31%– By comparison only 11% said that unaccredited
conferences have a “very significant impact”
Peer-reviewed journals• Easiest method to access and most frequently
used
• 74% of physicians read these at least once a month
• < FP/GPs report significant impact on practice compared to other specialists overall (57% vs. 65%)– > impact among Rheumatol (79%), Rad Onc (77%),
Nephrol (77%) and Microbiol/ID (77%)– < impact among Diag Rad (52%), Otolaryng (52%) and
Plastic Surg (51%)
Small group activities• 83% of physicians participate in small group activities
(e.g. hospital rounds)– < frequent among FP/GPs (39% do 1/month) vs other specialists
(64% do 1/month)– 48% FP/GPs and 57% other specialists deem impact on practice as
significant (> variability among other specialists)
Family Medicine
Other Specialties
0%
20%
40%
60%
80%
39% 57%
Small group activities once a month or more
Radiation Oncologists (81%)
Neurosurgeons (79%)
Ophthalmologists (48%)
Public Health / Preventative Med (30%)
Evidence-based learning• Use of evidence-based resources on a
monthly basis: 63% FP/GPs: 52% other specialists)– 31% of physicians rate the impact of these resources as “very
significant” – equalling the impact of live conferences.
Family Medicine
Other Specialties
0%
20%
40%
60%
80%
63% 52%
Use of evidence-based resources once a month or more Geriatric Medicine Specialists
(75%)Microbiology & Infectious
Diseases (75%)
Diagnostic Radiologists (29%)
Plastic Surgeons (19%)
Computer-based CPD/CME
• Neither online or offline computer CPD/CME methods receive high assessment of impact.
• 80% of physicians use online electronic CPD/CME tools and 70% use offline versions.
• Impact of these tools rated as significant by 26% of physicians for offline methods and by 35% for online.
• Online methods are used at least monthly by 38%, and offline by 21%.
Other CPD/CME methods
• While 20% of physicians use self-assessment at least monthly, only 26% rate its impact as significant.
• Practice audits are used by less than half of physicians (48%) with only 15% reporting a significant impact on practice
• Simulation registers as the CPD method with least impact – only 11% report it had a significant one. It is only used by 35% of all physicians.
How much of the story did you know when we started?
1. How many hours per week do MDs spend on CPD/CME? Between 3 and 5 (3.2)
2. From this list, what is the most significant barrier to MDs’ participation in CPD/CME? Time away from practice
3. From this list, what is the CPD/CME method that has the most impact on MDs’ practice? Accredited live events
4. What is the CPD/CME method that MDs use >1/month? Peer reviewed journals
Some takeaways from this story• Much available and relevant CME/CPD content
• Live accredited events: most used and deemed most impactful – Associated with most barriers (time and money)
• Peer-reviewed journals: frequently used and deemed impactful
• E-based resources: frequently used but deemed of limited impact
• Self-assessment: used by 7 of 10 but few deem impactful on practice
Some takeaways from this story
• No single strategy fits all – Great variability by type, specialty – and practice setting
• Need to complete the storyline so more research and analysis is needed.
National Physician Survey 2013
• Next NPS: spring 2013– Watch for it– Complete it – Use it
• Become a part of the story
Contact us
• Danielle Fréchette - Executive Director, Office of Health Policy and Communications, Royal College of Physicians and Surgeons of Canada. [email protected]
• Artem Safarov – National Physician Survey Project Manager, College of Family Physicians of Canada. [email protected]