Transcript Slide 1

The accreditation of CME-CPD in
Contributing to higher standards in medical care
The transatlantic cooperation in CME-CPD:
The mutual recognition agreement between the
UEMS Conference, 18th November, 2011
Contact information
Alejandro Aparicio, MD, FACP
Director, Div. of Continuing Physician
Professional Development
American Medical Association
515 N. State Street
Chicago, IL 60654
Office: (312) 464-5531
[email protected]
I have no financial relationship to any
commercial interest to disclose.
Clinical Assistant Professor of Medicine and
Assistant Professor of Medical Education at
the University of Illinois at Chicago College
of Medicine.
Board of Directors of the Global Alliance for
Medical Education
Member of the Rome Group
Chairman, National Task Force on CME
Provider/Industry Collaboration
Mission of the AMA
Promote the art and
science of medicine
and the betterment of
public health
The AMA definition of CME
CME consists of 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.
The content of CME is the body of knowledge and
skills generally recognized and accepted by the
profession as within the basic medical sciences,
the discipline of clinical medicine, and the
provision of health care to the public [AMA House
of Delegates policy #300.988].
The AMA PRA Credit System
Evolved to help physicians
provide better patient care
through engagement
in certified CME
The AMA PRA Credit System
Category 1 (provider) - Live activities, Enduring
Materials, Journal-based CME, Test item writing,
Manuscript Review, Performance Improvement
CME (PI CME), Internet point-of-care (PoC)
Category 1 (AMA) – Teaching at a live activity
certified for AMA PRA Category 1 Credit™,
publishing articles, poster presentation, medically
related advanced degrees, ABMS Board
certification, and ACGME accredited graduate
medical education program
The AMA PRA Credit System
Category 2 (Physicians) - Participation in activities
that have not been certified for AMA PRA Category
1 Credit™, teaching physicians, residents, medical
students or other health professionals,
unstructured online searching and learning (i.e.,
not Internet PoC), reading authoritative medical
literature, consultation with peers and medical
experts, small group discussions, self assessment
activities, medical writing, preceptorship
participation, research, and peer review and quality
assurance participation
Some elements for international
relationships involving CME credit
• Based on mutually acceptable definition of
• There is a description of a needs
assessment and target audience
• Educational objectives are communicate to
the target audience
• Content is factual and adheres to shared
definition of CME
• Content is free of commercial influence or
Excerpted from “Process to Establish an International Agreement with the AMA to establish a
credit conversion system or to award AMA PRA Category 1 Credit™” Updated 2010
Activities eligible for conversion
between the two credit systems
1. Live activities and
2. E-learning activities, defined in the 2010
UEMS-EACCME Reference Guide to the
Accreditation Process “as covering the
delivery of CME/CPD by methods including:
recorded audio, recorded visual, recorded
on Compact Disc (CD), recorded on Digital
Versatile Disc (DVD), available on Personal
Digital Assistant (PDA), available online via
an educational website, or any mixture of
the preceding.”
• Under the agreement between UEMS-EACCME and the AMA,
if UEMS-EACCME approves an activity for UEMS-EACCME
credit to take place within the United States, those UEMSEACCME credits cannot be converted to AMA PRA Category 1
Credits(TM). For attendees to receive AMA PRA Category 1
Credits(TM) the activity must be certified for AMA PRA
Category 1 Credits(TM) prior to the activity taking place.
• Under the agreement between UEMS-EACCME and the AMA,
organizations authorized to award AMA PRA Category 1
Credit(TM) may continue to hold certified CME activities
anywhere in the world, however, if the organization chooses to
hold an activity in a country that is part of the UEMS-EACCME,
those AMA PRA Category 1 Credits(TM) cannot be converted
to UEMS-EACCME credits. For participants to receive UEMSEACCME credits the activity must be approved by the UEMSEACCME prior to the activity taking place.
Effectiveness of CME
Robertson et al., Impact studies in continuing education for health
professions: update J. of Continuing Educ. in the Health Prof 2003;
Marinopoulos, SS, Dorman T. Ratanawongsa N. Wilson LM, Ashar BH
Magaziner JL, Miller RG, Thomas PA, Prokopowicz GP, Qayyum R,
Bass EB. Effectiveness of Continuing Medical Education. Evidence
Report/Technology Assessment No. 149 (Prepared by the Johns
Hopkins Evidence-based Practice Center, under Contract No. 290-020018.) AHRQ Publication No. 07-E006. Rockville, MD: Agency for
Healthcare Research and Quality. January 2007
Effectiveness of Continuing Medical Education: American College of
Chest Physicians Evidence-Based Educational Guidelines. Chest 2009;
Forsetlund L, Bjørndal A, Rashidian A, Jamtvedt G, O’Brien MA,Wolf F,
Davis D, Odgaard-Jensen J, Oxman AD. Continuing education meetings
and workshops: effects on professional practice and health care
outcomes. Cochrane Database of Systematic Reviews 2009, Issue 2.
Art. No.: CD003030. DOI: 10.1002/14651858.CD003030.pub2.
• Division of Continuing Physician
Professional Development (CPPD)
• AMA PRA credit system
• Resources for physicians
• Information for CME providers
• CPPD Report Newsletter transitioned to
the AMA MedEd Update
• AMA CPPD Webinars