Education and Outreach
August 2014 Accreditation Workshop Features Flipped Classroom; Registration Now Open
ACCME Participates in Spring 2014 Member Organization Events
State Medical Society Meetings Feature Presentations on CME’s Strategic Value
Genomics Education Meeting Includes ACCME Presentation on Independence
Interprofessional Continuing Education and Joint AccreditationTM Discussed at SACME Meeting
Earlier this month, we held an informational webinar to answer your questions about our Proposal for a Menu of New Criteria for Accreditation with Commendation. The webinar drew more than 900 participants. A recording and transcript of the webinar is now available here.
As the next step in the process, we invite you to take our survey to provide us with your feedback about the proposal. We will accept responses through July 11, 2014.
This survey is part of an ongoing engagement process. At this time, we seek to gather your opinions about the value of the proposed new criteria and your suggestions for how we can improve or clarify them. At a later time, you will have the opportunity to provide your suggestions about how many criteria should be required to achieve Accreditation with Commendation and how the ACCME should measure compliance with the criteria.
The proposed criteria incorporate ideas gathered from the CME community and other stakeholders over the past few years, as well as feedback from the ACCME Board of Directors and member organizations. In response to this feedback, we have created a menu of potential new commendation criteria that are designed to respond to the evolving healthcare environment and strengthen the role of CME as a strategic asset to healthcare improvement initiatives.
We have provided links to the proposal, the survey, and other resources below. If you have questions, please contact us at firstname.lastname@example.org.
Archived May 13 Informational Webinar about the ACCME Proposal for a Menu of New Criteria for Accreditation with Commendation: Murray Kopelow, MD, ACCME President and CEO, answers participants’ questions about the proposal.
ACCME Proposal for a Menu of New Criteria for Accreditation with Commendation: A PDF including a cover letter; the proposed menu of 15 commendation criteria, grouped into four sections related to the Creation of CME, CME Activities, The Program, and Outcomes; and annotations to support the CME community’s understanding of the ACCME’s intentions.
Evolving Accreditation with Commendation: ACCME Proposal for a Menu of New Criteria— A video tutorial with Murray Kopelow, MD, ACCME President and CEO
Proposal for New Criteria for Accreditation with Commendation: A dedicated Web page with information, updates, and resources about the proposal and feedback process.
TIPS AND TOOLS
As we announced last month, the ACCME has modified its requirements to prohibit the use of ACCME-defined commercial interest logos in disclosure of commercial support. The changes include modifications to Standards for Commercial Support℠: Standards to Ensure Independence in CME Activities (SCS) 4.3, SCS 6.4, and the Commercial Support Acknowledgment Policy, as shown in this news release.
The modifications are effective immediately. However, accredited providers are not expected to change or reprint any materials that currently exist. Accredited providers will be expected to make any necessary changes to CME materials by May 2015.
To support providers’ understanding of the modifications and compliance, we have published new Q&A:
- What is the timeline for implementing the April 2014 modifications to Standards for Commercial Support 4.3 and 6.4 and the Commercial Support Acknowledgement Policy related to prohibiting the use of commercial interests’ logos in the disclosure of commercial support?
- The April 2014 update to Standard 4.3 says that “Educational materials that are part of the CME activity” cannot contain corporate logos of an ACCME-defined commercial interest. What does the ACCME mean by “educational materials”?
- The syllabus for our accredited CME activity includes an agenda, PowerPoint presentations, and disclosures. If we accept commercial support for an activity, we include the names and logos of the supporting companies on the last page. Can we continue to print the logos of supporting companies on the very last page? Can we print the names and logos of exhibitors on the last page of our syllabus, if they are not providing commercial support?
- We make disclosure of commercial support as required by Standard 6.4 to our learners on our on-line registration portal. The opening screen includes the names and logos of our commercial supporters. Is that acceptable?
- Can there be corporate logos of ACCME-defined commercial interests in noneducational spaces or materials?
- If an activity that we produce is supported by a community health foundation that is not an ACCME-defined commercial interest are we allowed to use its logo to acknowledge their support?
- At our annual meeting, we have sessions that include procedure-based training using surgical devices. We sometimes use technical representatives who are employees of device companies to demonstrate the equipment from their firms under the supervision of our own faculty. Is it permissible for those employees to wear clothing that includes their company logo during the demonstration?
- I watched ACCME’s video on the changes to the Standards for Commercial Support, and I recognize that the changes only apply to disclosure of commercial support and the mixing of educational and promotional materials. However, I want to double-check that this does not apply to exhibitors. The Commercial Exhibits and Advertisements definition states that commercial exhibits are not commercial support, but are subject to Standard 4.
The Q&A are aggregated here: Ask ACCME Q&A about Use of Commercial Interest Logos in Disclosure of Commercial Support Logos
For more resources, please visit our Simplification and Evolution Web Page.
When obtaining disclosures from all those in a position to control the content of a CME activity, make sure that your mechanisms for collecting this information explicitly include the expectation that the individuals are considering the relationships of their spouses or partners as one and the same as their own relationships. You do not need to obtain disclosure directly from the spouses or partners of persons in a position to control the content, but you do need to make sure that those individuals understand that their disclosures need to include the relevant financial relationships of their spouses or partners. As described in the Financial Relationships and Conflicts of Interest Policy, the ACCME considers relationships of the person involved in the CME activity to include financial relationships of a spouse or partner. That means that you need to consider those relationships when you are meeting the requirements for disclosure of relevant financial relationships and identification and resolution of conflicts of interest. For example, if an individual in control of content discloses that their spouse or partner is an employee of an ACCME-defined commercial interest, you must consider the individual as an employee, and take the appropriate measures to ensure independence*. Failure to do so may lead to one or more noncompliance findings in Criterion 7 (Standards for Commercial Support 1, 2, and 6).
*Update: In July 2016, the ACCME Board modified the interpretation of the Standards for Commercial Support related to relevant financial relationships. In situations where a person in control of CME content discloses that their spouse or partner is an employee of a commercial interest and the content being controlled is related to the products/services of that commercial interest, then that person will now be considered to have a relevant financial relationship. Previously, that person would have been considered a commercial interest employee because of their spouse/partner’s employment. As with any relevant financial relationship, providers are required to implement mechanisms to resolve these conflicts of interest per SCS 2.
The following Ask ACCME Q&A may be helpful to you:
- What financial relationships need to be disclosed to the accredited provider?
- What information do I need to collect in order to be compliant with Criterion 7, Standard for Commercial Support 2 (SCS 2)?
- Do I need to obtain disclosure of relevant financial relationships directly from the spouse or partner of a person who is in a position to control the content of a CME activity? (Standard for Commercial Support 2.1)
- Can employees of commercial interests serve as planners or speakers in our accredited CME activities?
For more information, including links to tools, sample forms, and Q&A, please see Resources for Implementing the Standards for Commercial Support.
EDUCATION AND OUTREACH
Registration for ACCME's August 2014 CME as a Bridge to Quality™ Accreditation Workshop scheduled for August 13– 15 in Chicago for August is open now. The April accreditation workshop was filled to capacity, with a record attendance. If you are planning to attend in August, we recommend that you register as soon as possible to ensure there is space available for you.
We are pleased to announce that we are incorporating a flipped classroom approach at the August workshop. We offered this approach for the first time at the April workshop and in response to the positive feedback we received from participants, we are offering it again in August. This educational model gives participants the opportunity to gain knowledge on their own time prior to an event, enabling them during the event to focus on problem-solving, analysis, and interaction with peers and experts. More information about this educational approach can be found in “Flipping the Classroom,” published by Vanderbilt University Center for Teaching.
Before the Bridge to Quality workshop, participants will have the opportunity to view a series of modules consisting of existing video FAQs and new videos created specifically for the workshop. These new videos, featuring Murray Kopelow, MD, ACCME President and CEO, describe the ACCME’s expectations for compliance with the Accreditation Criteria and the Standards for Commercial Support. This pre-work will give participants a foundation in the requirements, preparing them to engage in discussions and case vignettes during the workshop.
The flipped classroom is one of several new features and formats we are offering in 2014 in response to attendees’ feedback and to meet your individualized learning needs. Designed for all levels, from CME novices to masters, the Accreditation Workshops offer participants the opportunity to work closely with ACCME staff, national CME leaders, and colleagues to learn practical strategies for complying with accreditation requirements and positioning CME as a Bridge to Quality within their organizations.
Special Features for 2014
- More interaction: We’ve reduced the number of didactic sessions and included more discussion time, vignettes, cases, and examples throughout the workshop.
- Small group discussions: Integrated throughout the workshop, these sessions give you the opportunity to build on the information presented at the general sessions and discuss strategies for improving your CME program with your peers.
- Learner-Centered Breakout Sessions: Choose two breakouts on topics of specific interest to your organization and explore these issues with your colleagues.
Pre-Workshop Optional Sessions
- Self-Study for Accreditation: This session will be offered by invitation only for providers that are seeking initial accreditation or expecting their next reaccreditation decision in July 2015, November 2015, and March 2016. We sent information to eligible participants in February 2014. If you have not received this information, please contact Saifra Khan, Coordinator, Education and Outreach, at email@example.com.
- Newcomers Introduction to Accredited CME: Designed for participants involved in CME for one year or less, this session will introduce you to CME basics, enabling you to get the most out of the workshop.
For more information or to register, click here.
Questions? Please contact Saifra Khan, Coordinator, Education and Outreach, at firstname.lastname@example.org.
Comments from Participants at the April 2014 Workshop
- “The flipped classroom style is perfect for learning the material. The breakouts gave us an opportunity to learn great ideas from experienced professionals in the field.”
- “The breakout sessions were highly informative and very helpful. The new workshop format made it much easier to resolve questions.”
- “Being so new to CME that we aren't yet accredited, being immersed in CME for two days was my greatest benefit.”
- “The breakout sessions proved to be greatly informative. As a new professional in CME… it was very helpful to hear from other professionals in the room about how and what is done in their respective organizations.”
- “Thanks also for the great public health panel. The workshop took on an academic tone when you brought people on the cutting edge of some of the hot topics in medical and interprofessional education. I felt that this was one of the most helpful and exciting parts of the workshop.”
The ACCME participated in the following meetings during the past few months as part of its ongoing collaboration with member organizations. Through joint leadership initiatives, the ACCME and member organizations identify and implement strategies for improving physicians' continuing professional development and patient care.
- Murray Kopelow, MD, President and CEO, ACCME, participated in the American Board of Medical Specialties (ABMS) National Policy Forum held in April in Washington, DC.
- Dr. Kopelow gave two presentations at the 2014 Association for Hospital Medical Education (AHME) Institute, held in Charleston, SC, in May. In his presentations, Dr. Kopelow discussed how accredited CME needs to evolve to meet the lifelong learning needs of the emerging generations of physicians, who, as digital natives, learn, think, and process information differently than preceding generations. He also explored how accredited CME promotes change and integrates with quality improvement.
- Carlyle H. Chan, MD, Chair, Board of Directors, ACCME; and Kate Regnier, MA, MBA, Deputy Chief Executive and COO, ACCME, attended the Council of Medical Specialty Societies (CMSS) 2014 Spring Meeting, held in May in Chicago.
- Ms. Regnier participated in a panel presentation at the Federation of State Medical Boards (FSMB) 2014 Annual Meeting, held in April in Denver. She explained how accredited CME supports Maintenance of Licensure (MOL) and supports physicians’ continuing professional development. She described the scope of the ACCME system and the range of activities offered by accredited CME providers, as well as the alignment of the ACCME Accreditation Criteria with the principles of effective lifelong learning.
The ACCME participated in the following state medical society events this month. The participation is part of the ongoing support the ACCME provides for the intrastate accreditation system and for Recognized Accreditors (state/territory medical societies recognized by the ACCME as accreditors of local CME providers).
- Kate Regnier, MA, MBA, Deputy Chief Executive and COO, ACCME, gave a presentation at the IMQ Provider Annual Conference, held by the Institute for Medical Quality/California Medical Association. Ms. Regnier provided an overview of the ACCME’s ongoing engagement with stakeholders, which has resulted in the simplification of the accreditation requirements and process, as well as the proposal for a menu of new criteria for Accreditation with Commendation. She showed data demonstrating how accredited CME providers are designing and analyzing activities to change learners’ competence, performance, and patient outcomes; and she discussed the opportunities for accredited CME to take a leadership role in public health initiatives.
- Steve Singer, PhD, Director, Education and Outreach, ACCME, gave two presentations at the Massachusetts Medical Society (MMS) & Rhode Island Medical Society (RIMS) Directors of Medical Education Conference. In his first presentation, Dr. Singer discussed the role of accredited CME in supporting public health initiatives and how CME can contribute strategic support to the Clinical Learning Environment Review (CLER) Program, established by the Accreditation Council for Graduate Medical Education (ACGME) to assess graduate medical education learning environments. He provided an update on the ACCME’s simplification of the accreditation requirements and process, and the proposal for a menu of new criteria for Accreditation with Commendation. In his second presentation, Dr. Singer explained the ACCME’s expectations for implementing the Standards for Commercial Support ℠: Standards to Ensure Independence in CME Activities (SCS).
Steve Singer, PhD, Director, Education and Outreach, ACCME, gave a presentation at a meeting of the Inter-Society Coordinating Committee for Practitioner Education in Genomics (ISCC), held in April in Washington, DC. He described the ACCME’s approach for ensuring that accredited CME is effective in supporting physicians’ improvement in practice, based on valid content, and independent of commercial influence. He explained how the Standards for Commercial Support ℠: Standards to Ensure Independence in CME Activities (SCS) provide a framework for preventing commercial bias by requiring the disclosure of relevant financial relationships and the identification and resolution of conflicts of interest.
The ACCME is a member of the ISCC. Dr. Singer’s participation in the meeting is part of the ACCME’s ongoing support of the initiative led by the National Human Genome Research Institute, National Institutes of Health, to improve the integration of genomics into health professionals’ practice.
Steve Singer, PhD, Director, Education and Outreach, ACCME, participated in two presentations at the Society for Academic CME (SACME) 2014 Spring Meeting. In one presentation, Dr. Singer discussed the strategic role of accredited CME in supporting public health initiatives and the Clinical Learning Environment Review (CLER) Program, established by the Accreditation Council for Graduate Medical Education (ACGME) to assess graduate medical education learning environments. In the second presentation, Dr. Singer and Kathy Chappell, PhD, RN, Director, Accreditation Program, the American Nurses Credentialing Center (ANCC), discussed how the Joint Accreditation™ program supports interprofessional education and collaborative practice. Launched in 2009, Joint Accreditation is a collaboration of the ACCME, the Accreditation Council for Pharmacy Education (ACPE), and ANCC.
As a reminder, PARS is always open and accredited providers are welcome to enter data for activities scheduled through 2014. We encourage you to enter your PARS data as you plan and implement your CME activities, rather than waiting until the annual deadline. You can enter basic information about an activity before it has taken place and complete the entry after the activity. Visit About PARS for more information and links to educational resources.
PARS Improvements for 2014
Beginning with the 2014 Reporting Year, the ACCME has added an optional activity-related question that gives providers the opportunity to identify which competencies an activity was designed to address. You will see this question when you enter new activities for 2014. If you choose to provide this information, you will be asked to select from a list of competencies including ACGME/ABMS, Institute of Medicine, Interprofessional Education Collaborative, and Other.
Please note that if you use the batch upload functions and choose to enter data about competencies, you will need to make sure to use the 2014 tab-delimited upload and XML upload templates and processes. The links are below and are also available on the PARS Web page.
Batch Upload Resources 2014
The question about competencies will produce information that supports Accreditation Criterion 6, which says that the provider develops activities in the context of desirable physician attributes. The ACCME added this data element in response to requests from stakeholders including the American Board of Medical Specialties (ABMS). This data will enable the ACCME to inform the stakeholder community about the extent to which the competencies are addressed by accredited CME.
In addition, we have made modifications based on feedback from accredited providers in order to improve the user experience. We have improved navigation when searching for and editing activities using the Web-fill form, increased the speed for generating user reports, and added a function enabling providers to filter the “Download All Activities” report by reporting year.
PARS Improvements for 2015
The ACCME is continuing to identify potential improvements to PARS based on feedback from accredited providers and other stakeholders. For the 2015 reporting year, we are considering enhancements that may include removing data collection fields that have not been shown to add value, developing fields that will add more value, and changing the optional fields to required fields. When the plans are finalized, we will notify accredited providers about the changes to give you time to prepare.
For more information and links to educational resources, please visit our About PARS Web page.