Cme ppp may 280510

Developing aNational Continuing Professional

Development - CME /CPD Program forHealth Professionals

Dr. Yousuf H. QureshiJP MNZIM MD DPH FACP DAB PhD

Technical Adviser CME / CPD/ CNE & Advocacy

Health Systems Strategy LLC

Dubai

UAE

04/09/2023 Dr Yousuf H. Qureshi 2

Continuing ProfessionalDevelopment (CPD/CME)

CPD/CME is a specific form of professional development that helps health professionals maintain competence and learn about new and developing areas of their fields.

Continuous updating of professional knowledge and the improvement of professional competence throughout a person’s working life.



Lifelong Learning

Formal Education

Birth Death Continuing Professional

Development



Characteristics of CPD/CME Program Continuous / life long learning; Should be structured / formal; Outcome oriented; Everyone participates; Specific to national healthcare needs; Should not be a costly affair; Voluntary !! / Mandatory!!!!


(CPD/CME)Existing Global CPD/CME Model

In most of the countries with relatively mature CPD/CME Programs:

CPD/CME is regulated by the Professional Societies/ Universities / Colleges;

CPD/CME is provided by a large number of Medical

Organizations; CPD/CME is accredited by some Accreditation Agencies; CPD/CME is measured in the form of credit hours/points; Recertification and renewal of licenses are being

increasingly linked with formal CPD/CME requirements.


(CPD/CME) in the UAE

Health Professionals in the UAE: > 10,000 Registered Medical Practitioners; Over 1000 Registered Dental Practitioners; Over 2,000 specialist doctors; Over 200 TCAM Practitioners; Tens of thousands of nurses and

technicians



UAE doctors, nurses, technicians

and other health professionals have

life-long learning needs as in any other Civilized Country.

A strong CPD/CME Program is needed to

fulfill the learning needs of health professionals practicing in the UAE.


CME/CPD/CME in the UAE

CME/CPD/CNE has always existed in teaching hospitals in the form of medical education activities:

Clinico- pathological meetings Mortality & Morbidity meetings Journal clubs Grand rounds Lectures, workshops, seminars.

Limited CME/CPD/CNE opportunities for

private sector doctors BUT INCREASING!!


CME/CPD/CNE in the UAE

UAE Policy Makers and Decision Makers need to learn from the

experiences of others and start a National CPD/CME Program on right lines right from the

beginning.


Proposed Strategy forCPD/CME Program in the UAE

Define CPD/CME (from UAE’s CPD/CME needs perspective); Perform assessment of situation (tools like SWOT analysis); Set vision, mission and values of the National CPD/CME

program; Set strategies for the National CPD/CME Program; Set rules and regulations for the National CPD/CME Program; Establish infrastructure needs, CPD/CME policy, role and

responsibilities

of key stakeholders; Set goals and objectives of the program (Operational plan); Identify funding needs and mechanisms (Financial plan).


Define CME/CPD/CNE in the UAE

CPD/CME in the UAE means:

Continuous improvement of professional knowledge and competence of ALL health professionals, through an integrated CPD/CME system with a special emphasis on improving the quality of healthcare services through addressing the healthcare needs of the country.


CME/CPD/CNE in the UAESTRATEGY

Vision UAE will have an integrated CPD/CME

system to fulfilling the professional development needs of all health professionals, through a specially designed CPD/CME curriculum specific to the needs of the UAE healthcare system, to improve the health of the nation.



Mission UAE has a well organized and

structured CPD/CME program that integrates key stakeholders to address the lifelong learning needs of its health professionals, in order to improve the health of the nation.



Values Life long learning for all health

professionals; Integrated system; Well regulated system; Addresses the national healthcare needs; Affordable system; Model for developing countries.


Key Stakeholders inUAE CPD/CNE Program Ministry of Health (largest employer of Health

Professionals) Dubai Health Authority Health Authority Abu Dhabi Proposed Health Authority of Northern Emirates Professional and specialty societies (EMA and

others). Medical Colleges & Universities Other Institutions – Pharmaceutical Companies

etc. etc.


SWOT Analysis ofthe Existing CPD/CME System

Strengths & Weaknesses: Motivated staff eager to learn and improve. Medical Education increasingly being valued at the

Medical Colleges/Universities’ level. Fragmented, unstructured CPD/CME system, mostly

limited to teaching hospitals; No formal CPD/CME requirements at any level; System is not supported by stakeholders (MOH,

DHA, HAAD etc.); Rules and regulations do not exist, universally, to

operate the system.


CME / CPD Requirement

A minimum number of credit points are required, within a period of FIVE years

Medical & Dental Practitioners: 30 Points /year Pharmacy practitioners: 20 Points /year Nurses : 15 Points /year Technicians: 10 Points / year Allied Health Professionals TCAM* 15 Points /year

MANDATORY to acquire, at least, 50% points at regular CME activities, designed, for Medical Fraternity

(Source: MoH News in Khaleej Times – March 2010)


SWOT Analysis ofthe Existing CPD/CME System

Opportunities and Threats: Enormous opportunities in the field. If we do not act

now, others will invade and takeover the system. If the system is not implemented, UAE Health

professionals will become isolated from global developments in health services.

CME CREDIT POINT SYSTEM is increasingly becoming globalized.

UAE Health Professionals will look towards external sources of CPD/CME in the absence of a National

CPD/CME System.


Setting Strategies forthe UAE CPD/CME Program

The DHA should involve key stakeholders (MoH, HAAD. New Authority, Universities) to perform brainstorming and assessment studies to introduce an organized CPD/CME program in the UAE.

Review existing global CPD/CME programs at the MoH / DHA / HAAD.

Establish rules and regulations for CPD/CME program and define constitutional responsibilities of key stakeholders.


Setting Strategies forthe UAE CPD/CME Program

Establish mechanisms to introduce CPD/CME system in the UAE.

Establish CPD/CME Accreditation and Regulatory System through the establishment of UAE Council for Continuing Professional Development.

Introduce CPD/CME Curriculum that is based on National Health Policy and Priorities.


Challenges in ImplementingCPD/CME System in the UAE Bringing key stakeholders on one table (MOH,

DHA, HAAD, Medical Universities, EMA , Emirate Nursing Council etc.);

Defining the role of different stakeholders; Developing law, rules and regulations for

CPD/CME system; Developing an affordable CPD/CME system; Defining country specific CPD/CME curriculum; CPD/CME outreach program to capture all health

professionals in different beurucratic locations.


CME / CPD Present Points Awarding Structure To gain the credit hours / points the CME

activities are divided into 3 Categories

Category 1 Be sponsored by an organization accredited

by the MoH. Conform to the Definition of CME / CPD. Be based on a perceived or demonstrated

educational need which is documented Be intended to meet the continuing

education needs of an individual physician or specific group of participants


CME / CPD Present Points Awarding Structure

Category 1 (Continued)

Have stated educational objectives for the activity Have content which is appropriate for the

specified objectives Use teaching/learning methodologies and

techniques which are suitable for the objectives and format of the activity

Use evaluation mechanisms defined to assess the quality of the activity and its relevance to the stated needs and objectives



Category 2 Category 2 activities are not formally

designated Online Medical research and study Using non-designated enduring materials Teaching of medical or

healthcare professionals Reading authoritative medical literature Attendance at conferences, lectures, and

seminars not designated in Category 1.



Category 3 Category 3 activities are not designated in

either categories 1 & 2 and cater, solely, for research oriented CME activities



Table1. Menu of CME / CPD Activities

Category 1

Type of Activity CME / CPD credit points / hour or part of Workshops An hour /More than one hour 1 Credit point

Lecture series 1 credit point Symposia 1 credit point Seminars 1 credit point Group Learning Sessions/Group Activities 0.5 cr. point Practical Training Sessions 0.5 credit point Clinical Training Sessions 0.5 credit point



Table 2. Menu of CME / CPD Activities Category 2: Type of Activity CME / CPD credit points / hour

or part of

Patient care review meetings 0.5 point Teaching – Medical & Other Health Professionals 0.5 point Writing Questions for Examinations 0.5 point

Journal Clubs 0.5 point Self Assessment Examinations 0.5 point



Category 2 (Continued)

Type of Activity CME / CPD credit points / hour or part

of

Approved Self Instructions 0.5 credit point Computer Assisted Instructions 0.5 credit point Audio- Visual Instructions 0.5 credit point Distance Learning / Web based Learning 0.5 credit point Reading scientific Papers for Journals 0.5 credit point Self – directed Study for Examinations 0.5 credit point



Table 3. Research & Related

Category 3 Type of Activity CME / CPD credit points Scientific Papers published in related journals - 1st or Single Author (solo) 5 credit points - 2nd Author 3 credit points - 3rd Author 2 credit points Review Articles in related specialty - 1st (Or Single) author 5 credit points - 2nd author 3 credit points - 3rd author 2 credit points



Table 3. Research & Related Category 3

Chapters in a book in related specialty - 1st (Or Single) author 5 credit points - 2nd author 3 credit points - 3rd author 2 credit points Scientific Paper presentations in related specialty - International Conference 5 credit points - Local, Regional or National level 3 credit points - Chairing / Co chairing a session 2 credit points - Writing a book in related specialty 10 credit points



Key stakeholders MUST unite to introduce

structured CPD/CME Program in the UAE



Mistakes are painful when they happen.

BUT YEARS LATER COLLECTION OF

MISTAKES IS CALLED EXPERIENCE,

WHICH SHOULD LEAD TO SUCCESS.

WE CANNOT AFFORD MAKING MORE

MISTAKES….



NO ONE CAN GO BACK AND CHANGE A BAD

BEGINNING BUTANYONE CAN START

NOW AND CREATE A SUCCESSFUL ENDING


CONCLUSION

CPD/CME System is already in crises in the UAE. We DO NOT have a system to address the professional

development needs of our fellow colleagues. Our Healthcare leadership must wake up NOW to

establish the system before it is too late…. Who will take the lead ? MOH ? DHA ? HAAD ? EMA ? ACADEMIC Institutions Someone else?


Food for Thought

Responsible and accurate portrayal of best clinical practice in the context of Evidence Based Medicine, using current clinical practice as a reference point.

Transparency on relationships and matters of conflict of interest.

Structures in place to avoid potential influence from commercial supporters or single issue organizations.

Expert authors of the appropriate level of expertise and relevance to the target audience.

(European CME-CPD Academy)


Food for Thought

Clarity of support and involvement: all institutions and supporters are clearly identified and differentiated where they have had any involvement and under what conditions.

Clearly laid out learning objectives and expectations for participation in order to complete the activity, including timings and evaluation or testing requirement.

All our programs are accredited for CME or approved for CPD by the relevant authority to the target audience profile of each individual activity.

(European CME-CPD Academy)


Food for Thought

European CME-CPD Academy is dedicated to the delivery of high quality accredited continuing education for healthcare professionals in Europe.

Can we form an Academy, here, in the UAE that would serve all the GCC Countries, other neighboring countries and Indo - Pak Subcontinent.


Revenue Generation by CME

Any organization wish to use DHA/MoH /HAAD Logo MUST be charged x – y K depending on the size of the event and worth of the organization.

IF DHA/MoH /HAAD facilities are used for any CME activity they should levy some charges.

All certificates issued by the organizers MUST be charged a Prorate say 50 dirham / certificate (Irrespective whether the organizers are charging the participants or NOT) DHA/MoH /HAAD fraternity exempted.



THANK YOU

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