Annual meeting of coordinators for CME activities
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Transcript of Annual meeting of coordinators for CME activities
Annual meeting of coordinators
for CME activities
University of Vermont College of Medicine
Continuing Medical Education
April 3, 2012
Disclosures
• No relevant financial relationships to disclose
Cheung Wong, MD
Objectives of meeting
• UVM CME office– Staff– Undergoing Reaccreditation
• Decision to be announced March, 2013
• Recognize the efforts of CME coordinators in conducting CME accredited activities
• Review mechanism for planning, monitoring and evaluation of CME activities
UVM CME
• Cheung Wong, M.D.– Associate Dean for CME, UVM COM– Department of Obstetrics/Gynecology, FAHC– E-mail: [email protected]
Who are we?
• Terry Caron– Director of CME, UVM COM– Conference coordinator– E-mail: [email protected]– Phone: 802-656-2292
UVM CMEWho are we?
• Mary Gagné– Regional Program Coordinator– Conference coordinator– E-mail: [email protected]– Phone: 802-656-2275
UVM CME
Who are we?
• Kate Martin– Conference Coordinator– E-mail: [email protected]– Phone: 802-656-8449
UVM CME
Who are we?
• Natalie Remillard– Conference Coordinator– E-mail: [email protected]– Phone: 802-656-2292
UVM CME
Who are we?
• Karen Whitcomb– Regional Program Assistant– E-mail: [email protected]– Phone: 802-656-2292
UVM CME
Who are we?
• Deborah Rhea – Conference Assistant– E-mail: [email protected]– Phone: 802-656-2292
UVM CME
Who are we?
• Sheila Dooley– Conference Assistant– E-mail: [email protected]– Phone: 802-656-2292
UVM CME
Who are we?
• Michele Morin– Conference Assistant– E-mail: [email protected]– Phone: 802-656-2292
UVM CME
Who are we?
• Moira Delahanty – Business/Accounting Specialist– E-mail: [email protected]– Phone: 802-656-2292
UVM CME
Who are we?
How should we communicate?
• Phone: 802-656-2292• E-mail: [email protected]• Letter (CME office-Lakeside Avenue)• UVM CME web site
– http://cme.uvm.edu
• This meeting!
UVM CME activities• Postgraduate courses/seminars
– Directly sponsored– Jointly sponsored
• Regularly scheduled conferences– Grand rounds– M & M– Tumor boards– Lecture series
UVM CME
• Planning and implementation• Monitoring• Evaluation
Conducting CME activities
UVM CMEConducting CME activities
• Planning and implementation• Monitoring• Evaluation
UVM CME
• CME planning committee– Determines practice gaps/needs to be addressed– Sets goals and objectives to address the gaps/needs– Considers topics/formats appropriate to improving
physician competence/performance or pt outcomes
• Application forms• Disclosure forms• Commercial support form• Multiple speaker evaluation form
Planning & implementation of CME activity
Forms at : http://cme.uvm.edu
• Forms– Application forms
• Planning document • Checklist• Biographical data form
– Disclosure forms• Disclosure statement/attestation form• COI resolution form• Disclosure documentation form• Monitoring form
– Commercial support– Multiple speaker evaluation forms
UVM CMEPlanning & implementation of CME activity
Forms at : http://cme.uvm.edu
All forms have been revised.
http://cme.uvm.edu
UVM CME website-forms
UVM CME – Planning DocumentREVISED
Easier format
- check off boxes
- pdf instead of word doc.
- “walk you through” gap/need analysis
Some new info:
- barriers
- partners
- new evaluation choices
UVM CME – Biographical data form
• Forms– Application forms
• Planning document• Checklist• Biographical data form
– Disclosure forms• Disclosure statement/attestation form• COI resolution form• Disclosure documentation form• Monitoring form
– Commercial support form– Multiple speaker evaluation forms
UVM CMEPlanning & implementation of CME activity
Forms at : http://cme.uvm.edu
UVM CME – Disclosure/attestation formWho Discloses?
- Faculty
- Course Director
- Planning Committee
What needs to be disclosed?
Financial Relationship in the last 12 months with a commercial entity that provides healthcare products/services relevant to the topic of the presentation or series of presentations.
UVM CME – COI resolution form
UVM CME
• Planning and implementation• Monitoring• Evaluation
Conducting CME activities
• Forms– Application forms
• Planning document• Checklist• Biographical data form
– Disclosure forms• Disclosure statement/attestation form• COI resolution form• Disclosure documentation form• Monitoring form
– Commercial support– Multiple speaker evaluation forms
UVM CMEPlanning & implementation of CME activity
Forms at : http://cme.uvm.edu
UVM CME
• Goals & objectives of activity communicated to learners prior to activity
• Disclosure of sources of commercial support & relevant financial relationships from individuals controlling content (faculty and planners) made to learners prior to activity
• Relevant COIs resolved prior to activity• Completed disclosure documentation, COI, and
monitoring forms collected and sent to UVM CME office
Monitoring of CME activity
UVM CME – monitoring form
List Faculty
and
all planners.
Remember to post and sign!
(Disclosure can be “posted” via PPT slide. Attach slide
to signed form)
• Forms– Application forms
• Planning document• Checklist• Biographical data form
– Disclosure forms• Disclosure statement/attestation form• COI resolution form• Disclosure documentation form• Monitoring form
– Commercial support form– Multiple speaker evaluation forms
UVM CMEPlanning & implementation of CME activity
Forms at : http://cme.uvm.edu
UVM CME – commercial support form• List $ received and/or• In-Kind” contribution
– Non-monetary such as equipment, supplies, etc.
• Two signatures needed – Company Representative
– UVM CME
UVM CME
• Planning and implementation• Monitoring• Evaluation
Conducting CME activities
UVM CME
• Activity was evaluated in terms of effectiveness at meeting objectives
• Participants did not perceive commercial bias from the presentation
• Changes/improvements in practice will result from presentation
Evaluation of presentation
UVM CME – immediate post activity evaluation form
Affiliated/Jointly sponsored Grand Rounds
UVM CME
• Did the activity adequately address an identified professional gap and result in improved physician knowledge, performance, or patient outcomes?
• 3-4 month post-activity evaluation or chart audits, etc. (See planning doc for more options)
Evaluation of overall activity
3-4 Month Post Activity Survey(Sample)
• 1. Regarding the treatment of osteoarthritis, my care for these patients has changed based on information presented at the course.
• a. Yes• b. No• c. I do not see patients with this condition
• 2. Based on what I learned at the course, I am now more likely to identify and
treat osteoarthritis patients with NSAIAs.• a. Yes• b. No
• 3. The lecture on “XXX” has altered at least one aspect of my use of “Z” in my
practice.• a. Yes• b. No• c. I do not use “Z” in my practice
UVM CME – Planning document
Professional practice gap
• Definition: “The difference between actual and ideal performance or patient outcomes.”
Planning Doc -Practice gaps
• Examples:
1. Best/Ideal Practice: 100% of patients with osteoarthritis treated properly with NSAIAs. Current: Nationwide, only 20% of patients properly treated (AHRQ data).
2. Best/Ideal Practice: 0 Central Line Infections
Current: X Central Line Infections last year due to significant variation in techniques. (Internal Data)
3. Best/Ideal: All shoes with laces would be tied
Current: X% of providers have untied shoes (Observed)
Planning DocumentNeeds Analysis
BASED ON THE GAPS….
What do the learners need to know, be able to do, or perform? (Knowledge, competence, performance)
What strategy do they need to achieve “best practice”?
Planning Doc. - Needs Analysis
• Examples:
1. Providers need to understand the use of NSAIAs in treating osteoarthritis (Knowledge)
2. Providers need to become standardized in their approach to central line placement. (Performance)
3. Providers need to tie their shoes so that fewer people trip. (Performance)
Objectives
What can the learner expect to achieve by attending the lecture/event?
The participant should be able to…
1.1 …explain the use of NSAIAs in the treatment of osteoarthritis.
1.2 … determine when and how to properly use NSAIAs.
2.1 …discuss the need for a standardized approach in central line placement.
2.2 …successfully complete the standardized approach to central line placement.
3.1 …discuss the statistics of injuries associated with untied shoes.
3.2 …identify shoes that do not require laces.
Barriers (New)
What potential barrier might prevent participants from implementing their new knowledge?
Evaluation (Revised)
• Post Activity Evaluation – still required• 3-6 month measure of change still required but…
• Other options: chart audits, patient outcomes…• Or, you may still prefer to do a follow up survey.
Summary
• Activity planned by committee using multiple sources to identify gaps (QA, lit, evals)
• Objectives tied to gaps/needs• Course structured to address gaps• Evaluation
– Participants evaluated to assess change in knowledge and performance post activity
– QA data analyzed to assess impact of activity
Case examples
• Regularly scheduled conference• Tumor board
XYZ Hospital
• XYZ Hospital conducts a weekly tumor board• The activity has a CME planning committee,
comprised of a radiologist, a CME coordinator, an oncologist, a radiation therapist, a pathologist, and a surgeon
• The committee identifies 2 specific objectives for the activity based on identified gaps in physician knowledge, performance, or in patient outcome for lung cancer patients:
Planning & implementation of tumor board
XYZ Tumor Board
• 1. Reduce the time interval for patients from presentation to diagnosis– Average time = 28 days– Goal = < 14 days (national statistics)
• 2. Increase number of patients referred for minimally invasive treatment of lung CA– Emergence of thermal ablation techniques
(literature, annual ASCO meeting)
Objectives
XYZ tumor board
• The tumor board will track the following data for the year’s activity:– 1. Number of days between initial office visit
for chief complaint and tissue diagnosis for cancer patients
– 2. Number of patients referred to XYZ Hospital for thermal ablation of unresectable lung tumors
Planning & implementation of postgraduate course
XYZ tumor board
• Number of days between presentation and diagnosis of CA– 2012 = 35– Institute organizational measures to reduce this
• Patients referred for radiofrequency ablation of lung cancer– 2012 = 1– Create mechanism to refer to XYZ for RFA
Post activity evaluation
XYZ tumor board
• Planned by committee using multiple sources to identify gaps (QA, lit, meetings)
• Objectives tied to gaps
• Parameters of cancer patient care measured
• Changes implemented to improve on deficiencies in system
Common Mistakes• Planning committee (including Course
Director) does not make disclosure.
• Commercial support forms not completed.
• Monitoring forms – appropriate boxes not checked, forms not signed.
• Forget to evaluate 3-6 months post activity (by survey, chart audit, etc.)
Helpful Hints are listed on our website with the other forms!
Questions?