Transcript From CME to CPD - Hong Kong Academy of Medicine

Discussion Forum
From CME to CPD
30th September 2006
CME Vs CPD
Definition of CME

Educational activities which serve to
maintain, develop, or increase the
knowledge, skills, and professional
performance and relationships that a
physician uses to provide services for
patients, the public, or the profession.
ACCME: Accrediting Council Continuous Medical Education
Definition of CPD

Development of competencies relevant to
the practice profile of a practitioner that
may change over the years, and professional
development endeavours are directed at
enhancing his quality of care and the
delivery of safe standard of practice
Tang G. CPD-A surrogate for recertification. Ann Acad Med Singapore 2004;33:711-4
CME versus CPD
CME
CPD
Educator centred
Learner focused
Little direct impact on
improving professional
practice
Good for quality
management in terms of
changes
Passive learning
Active learning
Dr KW Chan “Medical education: From continuing medical education to continuing
professional development” Asia Pacific Family Medicine 2002; 1: 88–90
CME
CPD
Knowledge translation
Settings
Teaching settings
Any learning settings
Primarily practice settings
Tools
Primarily educational
methods (lectures, print
materials)
Wide variety of learning
methods
Methods for overcoming barriers to
change—e.g. prompts, reminders,
patient mediated methods
Targets
Individual doctors;
CME credits
Doctors, other health
Clinicians, teams, health systems,
professionals, groups;
patients, populations, policy makers
CPD credits, learning portfolio,
self directed learning
Content
Mostly clinical
Clinical plus other practice
related areas
As in CME and CPD, possible focus
on evidence based information
Guiding
model(s)
Primarily educational;
CME credits and
accreditation important
Self directed learning;
CPD credits and accreditation
important
Holistic: incorporates clinicianlearner and educational delivery
system; Evidence based: from
content of activity to testing of
interventions
Relevant
disciplines
Medicine, education,
educational psychology
As for CME
Plus organisational learning
theory, social psychology
As for CME and CPD
Plus systems management, health
services research, social marketing,
patient education, bio-informatics,
and others
Dave Davis et al. The case for knowledge translation: shortening the journey from evidence to effect. BMJ 2003;327:33-35
Principles of CPD


CPD allows doctors to demonstrate that they are
maintaining their skills in their practice. It also
allows doctors to develop professionally and to
learn from more informal experiences
CPD encourages and motivates doctors to learn. It
should be closely related to each doctor’s
individual needs, ambitions and personal learning
styles. This focus on the doctor’s learning needs
will support changes and improvements in practice.
Principles of CPD (cont’d)
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The ultimate purpose of CPD is to contribute to
high-quality patient care whilst taking into account
the needs and wishes of patients.
CPD also helps doctors to improve their
professional effectiveness, career opportunities
and work satisfaction.
CPD should also include public and patient
involvement.
Why implement CPD?



Encourage active participation in CME/CPD
activities, which is more effective in changing
one’s behaviour/practice, and discuss and review
their CPD with others
Let Fellows adopt the CPD programme that is
most appropriate for their practices
Provide flexible and wider choices of learning to
Fellows
Current Types of CME/CPD Activities








Self study
Publication
Active Participation
Passive Participation
Research
Postgraduate Course
Development of
CME/CPD materials
Development of New
Technologies or
Services






Conducting Examinations
Quality Assurance and
Audits
Activities for Improvement
of Patient Cares
Grand Rounds in Training
Units
Mortality and Morbidity
Meetings
Reviewer of HKMJ and
Indexed Journals
Moving towards CPD
Moving from CME to CPD


Expanding definition of CME
Encouraging Fellows to play an active
role in CME/CPD activities

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Duty to keep up-to-date
Focusing on quality assurance and
medical audits activities which are
important for improving healthcare for
patients
CME/CPD

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Continuous life-long learning process
maintain, develop or increase the knowledge,
skills and competencies relevant to the practice of
Fellows that may change over the years
enhance professional performance to enable the
delivery of quality professional care and safe
standard of practice to the patients, and public that
Fellows serve
ensure that Fellows will remain competent
throughout their professional career
From CME to CPD: Milestones

1st Jan 2008
– Capping of 75 points maximum for passive CME to
encourage Fellows to do other activities

1st Jan 2011
– Further capping of participation as attendee of meetings
– Certain activities become mandatory ( QA, Audit,
M&M and those activities that would improve patient
care)
Major Changes of CME/CPD for 2011
 Mandatory component - Fellows must
obtain some points in activities like
quality assurance, medical audits,
mortality and morbidity meetings, or
those activities involving improvement
of patient care
Major Changes of CME/CPD for 2011
 Wider Choices of Learning - Contents
will be expanded to cover other nonmedical professional development
activities such as knowledge and skills
relating to relevant laws, information
technology, clinic management and
interpersonal communication
Recommended Types of CME/CPD
Activities for 2011
1.
2.
3.
4.
5.
6.
Participation as an Attendee in FCAA
Chairing/Presenting at FCAA
Self study
Publications
Research
Development of New Technologies or
Services
7. Conducting Examinations
8. Quality Assurance and Medical Audits
Recommended Types of CME/CPD
Activities for 2011 (2)
9. Mortality and Morbidity Meetings
10. Postgraduate Course
11. Development of CME/CPD or KnowledgeTranslation materials
12. Activities for Improvement of Patient Cares
13. Grand Rounds in Training Units
14. Reviewer of HKMJ and Indexed Journals
15. Other Non-medical Professional Development
Activities
16. Hands-on Clinical Attachment Programme
17. Others ……..
Role of HKAM on CME/CPD

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Provide general and specified principles and
guidelines
Approve CME/CPD programmes
established by Colleges
Ensure compliance with CME/CPD
requirements
Support for Fellow
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FAQ
Q&A contact point:
CME/CPD Office of the Academy
Comments received
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Support CPD, on right track, get down
to do it
Public expects all professionals to
commit to CPD
CPD points to be kept minimum at
start
Questions received
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Why need to cap, fellows free to
choose
Solo practice
Private hospital practice
Q&A