WelcomeWelcome2008 2008

CME Coordinators WorkshopCME Coordinators Workshop

SUNY Downstate Medical CenterSUNY Downstate Medical Center

Office of Continuing Medical Office of Continuing Medical EducationEducation

CME UpdateCME Update

Over 80 grand rounds activitiesOver 80 grand rounds activities

New departmentsNew departments

New types of activities to receive CME New types of activities to receive CME creditcredit

Updated mission statementUpdated mission statement

Change in CME documentationChange in CME documentation

Presenters have nothing to disclose.Edeline Mitton

Cassandra Greene

RSC 2006-7 ReviewRSC 2006-7 Review

Planning and supporting data were extremely poor

Objectives - very general, had nothing to do with topics being presented.

Grant Letter of Agreement / Acknowledgement– Letter of agreement not executed with OCME knowledge– Acknowledgement missing from flyer– Missing Disclosure

Flyer – Regulatory statements absent– Evidence of public disclosure to audience is missing

HOT TOPICSHOT TOPICS

DocumentationDocumentationPlanningPlanning

Commercial SupportCommercial Support

ObjectivesObjectives

1.1. At the end of this workshop, all At the end of this workshop, all participant should be able to complete participant should be able to complete the CME application;the CME application;

2.2. Discuss and translate the types of Discuss and translate the types of documentation and planning necessary documentation and planning necessary for CME activities; andfor CME activities; and

3.3. Recognize the role of commercial Recognize the role of commercial support and disclosures.support and disclosures.

DocumentationDocumentation

SolutionSolution

READ! - Review the Application PacketREAD! - Review the Application Packet

Ask for AssistanceAsk for Assistance

Streamline your applicationStreamline your application

Fear Not! Fear Not! You too can effectively manage your department’s Serial You too can effectively manage your department’s Serial

ConferencesConferences

DocumentationDocumentation

All the forms are designed for completion All the forms are designed for completion on your computer in Microsoft Word or on your computer in Microsoft Word or PDF.PDF.

CME application is available onlineCME application is available online

Disclosure is available onlineDisclosure is available online

DocumentationDocumentation

We are moving to a 2 year accreditation We are moving to a 2 year accreditation cycle!cycle!

Simplifying the applicationSimplifying the application

Sample ApplicationSample Application

Improving the evaluation processImproving the evaluation process

PlanningPlanning

           When ask about planningWhen ask about planning– Typical answerTypical answer

We do not plan or have a committeeWe do not plan or have a committee

It’s just me and the department chairpersonIt’s just me and the department chairperson

What do you mean by planning?What do you mean by planning?

PlanningPlanning

What is Planning? What is Planning? – the act or process of making a plan or plans; the act or process of making a plan or plans;

a formal program for specified benefits, needsa formal program for specified benefits, needs

Evaluation

Competence

Performance

Disclosure

Gap

Scope of practice

Knowledge

Commercial support

PlanningPlanning

A planning session is required for a CME activity and is part of the needs assessment process and helps provide evidence of educational intent.

The planning session also provides an opportunity to establish the linkage between needs, objectives, instructional design, and results/outcomes.

PlanningPlanning

Should include:Should include:date and time of meetingdate and time of meetingAll in attendance recorded; collect signed All in attendance recorded; collect signed disclosures for all plannersdisclosures for all plannersDescribe process by which needs data are used Describe process by which needs data are used to determine the curriculum for the activityto determine the curriculum for the activity– How needs were gatheredHow needs were gathered– Selection of topics, speakers and method of delivering Selection of topics, speakers and method of delivering

the educational activity the educational activity – Do you think this activity fit your learner’s scope of Do you think this activity fit your learner’s scope of

practice?practice?– How will change be measuredHow will change be measured

CME ApplicationCME Application

CME Process InvolvementCME Process Involvement

Workshop Audience

0

20

40

60

80

100

120

Filing ofApps

Sending ofApps

JACHO ACGME QA

ACCME Updated CriteriaACCME Updated Criteria

Understanding CMEUnderstanding CME

ACGME/ABMS ACGME/ABMS General CompetenciesGeneral Competencies

CME ApplicationCME Application

Question 1Question 1

What is the physician target audience for What is the physician target audience for the CME activity? the CME activity?

Sample AnswerSample Answer

Identify the type of health professional Identify the type of health professional the activity is targeting—i.e. house staff, the activity is targeting—i.e. house staff, family medicine physicians, family medicine physicians, ophthalmologist, nurses, neurologist, etc.ophthalmologist, nurses, neurologist, etc.

CME ApplicationCME Application

Question 2Question 2What are the professional practice What are the professional practice

gaps/needs of the target audience that will gaps/needs of the target audience that will be addressed?be addressed?

Sample AnswerSample Answer

Describe the medical and/or educational reason Describe the medical and/or educational reason for the activities.for the activities.

Example 1Example 1

The need for this activity is a result ofThe need for this activity is a result of insufficient treatment planinsufficient treatment plan for for psychiatry patients.psychiatry patients.

Statement of Need/Gap

The professional practice gap is the overall need for the educational activity that relates to the target audience and derived from the Needs Assessment

Educational needs provide the reason for offering CME activities. They may imply a deficit in knowledge, skills, attitudes and/or behavior among prospective participants

CME ApplicationCME ApplicationQuestion 3Question 3

Is it a gap in physician knowledge, Is it a gap in physician knowledge, competence, or performance?competence, or performance?

Sample AnswerSample AnswerKnowledgeKnowledge

– Facts and information acquired by a person through Facts and information acquired by a person through experience or education.experience or education.

CompetenceCompetence– Having the ability to apply knowledge, skills, or Having the ability to apply knowledge, skills, or

judgment in practice if called upon to do so.judgment in practice if called upon to do so.

PerformancePerformance– What a physician actually does in practice.What a physician actually does in practice.

Example 2Example 2

– The need for this activity is ineligible and The need for this activity is ineligible and insufficient treatment plan for psychiatry insufficient treatment plan for psychiatry patients.patients.

– The The planners identified a competence needplanners identified a competence need. . A strategy A strategy to write better treatment plansto write better treatment plans which also address the ACGME interpersonal which also address the ACGME interpersonal and communication skills competencyand communication skills competency

Need/Gapidentified

CME ApplicationCME Application

Question 4Question 4

Based on the need/gap the activity is Based on the need/gap the activity is addressing, what is the activity designed addressing, what is the activity designed to change?to change?

Sample answerSample answer– You can say to improve: Competence, You can say to improve: Competence,

Performance or Patient outcomesPerformance or Patient outcomes– To affirm knowledge or improve knowledgeTo affirm knowledge or improve knowledge

ApplicationApplication

Question 5Question 5

How were those needs/gaps identified How were those needs/gaps identified by your department?by your department? – literature, survey, evaluation summary, literature, survey, evaluation summary,

national guidelines, chart audits, department national guidelines, chart audits, department discussions, Quality Improvement data, discussions, Quality Improvement data, federal or state guidelines, or other federal or state guidelines, or other

Needs Assessment DataNeeds Assessment Data

FORWARD or FORWARD or ATTACH ATTACH

supporting supporting documentationdocumentation

Example 3Example 3

The need for this activity is ineligible and The need for this activity is ineligible and insufficient treatment plan for psychiatry insufficient treatment plan for psychiatry patients.patients.

The The need was derived from chart auditsneed was derived from chart audits of of patient seen within the last 2 years. patient seen within the last 2 years.

Need/Gapidentified

ApplicationApplication

Question 6 Question 6 Based on the desired results of the activity, Based on the desired results of the activity,

list 3 to 5 overall learning objectives list 3 to 5 overall learning objectives for this CME activity.for this CME activity.

– Clear statement of anticipated results– Focus primarily on what participants will

do/learn as a result of attending the activity– Best when measurable

ObjectivesObjectives

The provider must communicate the purpose or objectives of the activity so the learner is informed before participating in the activity

Objectives of the activity express learning outcomes in terms of physician performance or patient health (i.e. in behavioral terms), and are communicated clearly and consistently to the learner

ObjectivesObjectives

All activities require objectivesFor open discussion-based activities (i.e. M&M, Case conference) objectives for the year are adequateFor lecture-based activities (i.e. Grand Rounds) objectives for the year are required as part of the application and then a minimum of a single objective per lecture is also required

Sample AnswerSample Answer

After attending this activity, participant will be able After attending this activity, participant will be able to:to:

to improve skill of staff in writing better and to improve skill of staff in writing better and clearer treatment plan;clearer treatment plan;

or

In a simulation of ventricular fibrillation, participant will be able to demonstrate appropriate ACLS protocol until the mannequin shows a normal cardiac rhythm

SampleSample

Global grand rounds objectives can be Global grand rounds objectives can be stated as:stated as:– Participant will be motivated to change Participant will be motivated to change

practice to improve patient carepractice to improve patient care– Participant will have new skills that can be put Participant will have new skills that can be put

into practiceinto practice– Participant will be better informed about Participant will be better informed about

current research on ( dept discipline) issuescurrent research on ( dept discipline) issues

ApplicationApplication

Question 7 Question 7 What ACGME, ABMS or IOM related What ACGME, ABMS or IOM related

competency is associated with this competency is associated with this activity?activity?

Medical knowledgeMedical knowledgeClinical CareClinical CareCommunication SkillsCommunication SkillsProfessionalismProfessionalismSystems-based practiceSystems-based practicePractice-based improvement Practice-based improvement

ApplicationApplicationQuestion 8Question 8

The educational format (s) that best supports The educational format (s) that best supports the objective of the activity is/are: the objective of the activity is/are:

listening to expert facultylistening to expert faculty Interacting with faculty using Q&A or open discussionsInteracting with faculty using Q&A or open discussions Hands-on skills workshop Hands-on skills workshop small group discussionsmall group discussion Simulation with real/or simulated patients Simulation with real/or simulated patients Reading materials such as journals with open discussions or Reading materials such as journals with open discussions or Q&AQ&A other other           

ApplicationApplication

Question 9 Question 9

How do you plan to evaluate the activity How do you plan to evaluate the activity Standard paper evaluationStandard paper evaluation

Post-course follow-upPost-course follow-up

SurveySurvey

Post-testPost-test

Focus groupFocus group

Practice data Practice data

Question 10Question 10Brochure/FlyersBrochure/Flyers

Intended audienceNeeds & purpose of activityLearning objectivesSpeaker/Planner disclosure Accreditation statementCredit designation statementPolicy on speaker and provider disclosureOCME must review and approve all marketing

material in advance of distribution

Question 11- BudgetQuestion 11- Budget