Vaibhav Srivastava - European CME...
Transcript of Vaibhav Srivastava - European CME...
Vaibhav Srivastava • M. Pharm, PGDBA
• Marketing professional serving the Indian Pharmaceutical Industry since 1995
• Director - Insignia Communications, Mumbai, India
• Board of Directors – GAME
• Program Director – GAME India Regional Conference
• Board Member – JECME
AboutthePresenter
CountrySta1s1cs
• Largestdemocra-c&secularcountryintheworld
• 7thlargestcountry(Geographicalareawise)
• 2ndintheworld(Popula-onwise:1.23bn)
• 17.6%ofglobalpopula-on
• Popula-ondistribu-on(Urban-30%,Rural-70%)
• Languagesspoken:122major&other1599
• Officiallanguages:Hindi&English
• Allmajorreligionsareprac-cedfreely
HealthcareSta1s1cs
• Totalno.ofallopathicdoctors:0.8million
• InIndia,0.7doctors/1000popula-on(WHOaverage2.5doctors/1000)
• Industryneeds1.54millionaddi-onaldoctors
• Mostofthedoctorsareconcentratedinurbanareas
• AlldoctorsarefluentinEnglishlanguage
• 400MedicalColleges,totalseatsperyear:52,405
IndiawillovertakeChinaasthefastestgrowingemergingeconomyin2015–16byclockingagrowthrateof7.5%.Indiahasthepoten-altobecometheworld’s3rdlargesteconomyinthenextdecadeandlargesteconomyby2050-IMF
AboutIndia
Morethan800,000qualifieddoctorsinIndia
Lessthan25%aremembersofIMA
Lessthan15%arepartofvariousdoctors’socie1es
Morethan75%areprivateprac11oners
Prac1ceenhancementthrough–
• Self-prac-ceexperience• AccesstovariousNa-onal&Interna-onal
publica-ons/conferences
• Majorknowledgeupdateinforma-onimpartedbyMedicalrepresenta-ves
IndiandoctorsarehighlypamperedbyPharmaceu-calcompanies
CMESeekers–Doctors&Paramedics
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Effec1veness
Surveyoutcomefrom751physiciansfrom8medicalspecial9esacrossIndia
CMESeekers–WhatTheyWant
• AboutCMEdura1on:Preferred2hoursoflearning/CME
• ATendingcriteria:Scien-ficagenda(78%)&Statureofspeakers(77%)
• CMEagenda:Aboutdiseaseguidelines(88%),newdrugs/device/interven-on(86%)
• Aboutspeakerandvenue:PreferIndianspeakers(66%),localvenue(75%),andhavingface-to-facediscussion(64%)
• Aboutproviders:DoctorsmostlypreferCMEprogramsdrivenbyMedicalSocie-es(87%)
CMESeekers–WhatTheyWant
•IndianpharmaretailMrktismorethanUS$20billion)(MAT
April’16)expectedtoreachUS$55billionatCAGRof23.9
•Highlyfragmentedmarket(morethan20thousand
registeredcompanies)
• Morethan60thousandbrands(Branded+Branded
generic)
• 8%ofglobalPharmaceu-calproduc-on
• 3rdbyVolume&14thbyvalue
•IndiacurrentlyfacesthedualburdenofAcuteCommunicable
diseases(69.1%)&ChronicNon-communicableDiseases(30.9%)
•Indiaisacompletelybrandedgenericmarket
•Doctorss-llpreferstoprescribemedicinesofbrandedgenerics
•HealthinsurancecompanieshavenosayonRx
•85%ofcostofmedicinepurchasecomesfrompublicpocket
•MedicalRepresenta-vesarecri-calinbrandpromo-on
AboutIndianPharmaceu1calIndustryanditsInfluenceonSeekers
LIVEMEETINGSMolecule/Therapyconceptbuildingthroughlivemee-ngs,(Advisoryboard/RTM/FGD/LiveCME)+
Indian/Interna-onalKOLs-withandwithoutinvolvementofIndian/Int.Socie9es
SCIENTIFICBRAND/THERAPYPROMOTION
Therapy/brandbuildingthroughscien-ficevidenceviadifferentmodesCUSTOMIZED/
PUBLISHEDsolu-ons
PRINT/ONLINE/DIGITALCMEMedicaleduca-onthroughPrint/Online/DigitalCME
BRANDPROMOTIONGins/Me-tooBrand
Reminders
CONFERENCERegional/Na-onal/Interna-onal
Conferencepar-cipa-onsponsorship
GROUPTOURDoctoreduca-ontripfor
infotainment
1Doctor:60–70pa1ents/day,10–15MedicalRep/day,60–70Brandsexposure/promo1onaday………Mostofthelearningofseekersgetfundedbysponsors
IndianPharmaceu1calsCompanies-DoctorsEngagementModel
Areyou(indevelopedCMEsystem)execu1ngCMEwithoutpharmasponsorshiporwithouttheirinterference?1. Yes2. No3. Yeswithfirebowl
CanweexecuteaCMEwithoutpharmasponsorshipinacomplexmarketlikeIndia?1. Yes2. No3. Maybe
Ques1onsforAudience
MedicalCouncilofIndia(MCI)isastatutorybodywiththeresponsibilityof
• Establishingandmaintaininghighstandardofmedicaleduca-onandrecogni-onofmedicalqualifica-oninIndia
• Registeringdoctorstoprac-ceinIndia
• Isresponsibleforestablishingandmaintaininghighstandardsofhealthcareintheirrespec-vestates• Registersdoctorstoprac-ceintheirrespec-vestates(council)• RecognizesonlyliveCME,confusionononlineCMErecogni-onButonly9outof26statemedicalcouncilsannouncedCMEcreditpointsystemoutofwhichMaharashtrahasmadeitmandatory
April2011MCIpassedaresolu1ononCMEas-“Mandatoryforalldoctorstoa.end30hrsofCMEinevery5yrs.Iftheyfailtoa.end,theirregistra<ontoprac<cewouldbesuspended”CMECreditpointscanbegainedby-• Asacoauthor/authorinindexedNa-onal/Interna-onalmedicaljournals• Dr.pursuingPGcourse–likeDiploma,MD,MS,DNBandDM(4points/year)• Dept.andins-tu-onalac-vi-eslikejournalclubmee-ng,mortalityconferenceetc.
StateMedicalCouncil
CMERegulatorsandRegula1oninIndia
RoleinCMEexecu1on:Morethan1,700branches,organizedmonthlyliveclassroomCMEswithlocalspeakerssponsoredbyPharmacompanies(Creditedbystatecouncilbutunstructuredandunorganized)
Objec1ves:• Promo-onandadvancementofmedicalandallrelatedsciences• Improvingthepublichealthandmedicaleduca-oninIndia• Maintainingthehonoranddignityofthemedicalprofession
• Annualscien-ficconferencefor4–5daysarractlargenumbersoftheirmembers• Eachconferenceoffers15to20CMEcreditpoints• AverageconferencebudgetvariesfromUS$1to3million• Morethan80%fundingcomesfrompharmacompanies
IndianMedical Associa-on (IMA) isthe only representa-ve voluntaryorganiza-on of Doctors of ModernScien-fic System ofMedicine, whichlooksaner the interestofdoctorsaswell as the well-being of thecommunity at large.Membership isapprox.178,000.
CMEFacilitators–Doctors’Associa1onsandOrganiza1ons
CurrentReformonMCI
A Preliminary Report of the Committee
on the Reform of the Indian Medical
Council Act, 1956
NITIAayogGovernmentofIndia
August7,2016
KeyFindings/Recommenda1ons
CurrentStatus
Medical educa-on is at the core of the access to quality healthcare in any country. Accordingly, a flexible andwell-func-oninglegisla-veframeworkunderlyingmedicaleduca-onisessen-alforthewellbeingofthena-on.ItisagainstthisbackgroundthatIndiaadoptedtheIndianMedicalCouncil(IMC)Act1956sixdecadesago.WhilethisActprovidedasolid founda-on for the growth ofmedical educa-on in the early decades, it has not kept pace with -me. Variousborlenecks have crept into the system with serious detrimental effects on medical educa-on and, by implica-on,deliveryofqualityhealthservices.
TheCommiTeeobservesthattheMCIastheregulatorofmedicaleduca1oninthecountryhasrepeatedlyfailedonallitsmandatesoverthedecades.
“ “ Itgoesontoofferalistoffailuresthatincludes:
• FailuretocreateacurriculumthatproducesdoctorssuitedtoworkingintheIndiancontext
• Failuretomaintainuniformstandardsofmedicaleduca-on,bothundergraduateandpostgraduate
• Devalua-onofmeritinadmission,par-cularlyinprivatemedicalins-tu-ons
• Failuretoputinplacerobustqualityassurancemechanics
• Failuretoproduceanystandardizedsumma-veevalua-onofthemedicalgraduatesandpostgraduates
• Failuretocreateatransparentsystemofmedicalcollegeinspec-onsandgrantofrecogni-onor
derecogni-on
• Heavyfocusonniry-griryofinfrastructureandhumanstaffduringinspec-onsbutnosubstan-alevalua-onofqualityofteaching,training,andimpar-ngofskills
CurrentStatus
StructureandRoleofaNewNa1onalMedicalCommission(NMC)
UGBoardofMedicalEduca1on&Training(UGMEB)
Todetermineandprescribestandardsandoverseeallaspectsofmedicaleduca-onatundergraduatelevel
PGBoardofMedicalEduca1on&Training(PGMEB)
Todetermineandprescribestandards
andoverseeallaspectsofmedicaleduca-onatthepostgraduateandsuper-specialtylevels
MedicalAssessment&Ra1ngBoard(MARB)
Todeterminetheprocessof
assessmentandra-ngofmedicaleduca-onalins-tu-ons
Na1onalBoardforMedicalRegistra1on(BMR)
• TheBMRshallmaintainaliveNa-onalRegisterofalllicensed
medicalprac--onerstobeknownastheNa-onalRegister• Regula-onofProfessionalConduct
2ndGAMEIndiaRegionalConference13th Feb. 2016, Hotel The Leela,
Mumbai, India
Anuniqueini1a1vetounderstandglobalCME-CPDprac1cesandadop1ngthemtoanestablishedIndianCMEecosystem
Withpar-cipa-onof
LeadersofIndianMedical
Associa1ons
Indian/State
MedicalCouncils
LeadersfromIndianPharmaIndustry
GlobalCMEexpertsfrom
GAME
LeadersfromIndianMedcomcompanies
AGAMEchangingeventintheIndianCMEscenario:Forma1onofIndianCMEcommunityplaoormandforum
1stGAMEIndiaRegionalConference18th Oct. 2014, Hotel The Lalit,
Mumbai, India
………..BuildingastrongCMEcommunityunderGAMEleadership
Morethan20speakersandpanelistspresentedtheirviewsonIndianCMEscenariovs.goodglobal
prac-ce
Arendedby100oddCMEstakeholdersofIndiaincluding
Industrythoughtleaders,Medicaleduca-onproviders,andHealthcare
providerthoughtleaders
Cross-func-onaldebateanddiscussionononestage(Industry,Medcom,MedicalSociety,and
Regulator)
…Neverhappenedbefore
Inaugura-onofmee-ngfromkeystakeholdersofCMEofIndiai.e.
Educa-oncommireechairman-MCI,President-IMA,MD-HealthcarecompanyandGAME-President
1stGAMEIndiaRegionalConference-Outcome
2ndGAMEIndiaRegionalConference
OutcomeofGAMEIndiaRegionalConferences
Outcome & foundation
• Overall,thefirst2GAMEIndiaRegionalConferencesweresuccessstories
• Allthemembersfounditveryinteres-ngwithhighapprecia-onforthecontentandexecu-on
• AnerarendingtheGAME2ndconference,morethanhalfofthepar-cipantsfeltlikeamemberoftheCMEcommunitywheretheycoulddiscussimportantissuesrelatedtoCME
• Accordingtoallthepar-cipants,tolearnaboutaccredita-onintheWorldandinIndiaaswellastolearnabouthowtoputtogethereduca-onalac-vi-eswerethemajorreasonstoarendtheconference
• Recommenda-onsonCMEcameoutfrom3differentstakeholdersofCMEi.e.MedicalSocie-es,Pharmaceu-calIndustryandMedcomcompaniesinthefollowingareas:
1. IndiamusthaveuniformCMEaccredita-onpolicyacrossallthestates2. Indiashouldhaveuniformselec-oncriteriaforCMEproviders3. CME-CPDsystemtofollowminimumprocessguidelines4. AseparateCMEwing/departmentwithintheCMEproviders
(speciallyinmedicalassocia-ons/organiza-ons/medicalcolleges)5. Allmodesoflearningshouldberecognized(online/liveandprint)6. IndiamusthaverecognizedACCME/EU-ACME/RCPaccreditedCMEs(whicharerelevantforIndianHCPs)
• HighdemandofdevelopedCMEworldcontentandtheirexperts
• Newregula-onmayrecognizeACCMEandEU-ACMEaccreditedcontent
• Greatneedtoadoptexper-seofdevelopedCMEworld’sprocess
(enhancedcollabora-onneeded)
• Adapta-onofinnova-ondoneindevelopedworldinIndianmarket
• Greatopportunityfortechnology-basedCMEinIndiainnearfuture
HowdevelopedCMEcommunitycanbuildsynergywiththeIndianCMEecosystem?
Thank You…