Message from the CEO
Education Works: Demonstrating the Impact of Accredited CME
Education and Outreach
Registration Now Open for August 2015 CME as a Bridge to Quality™ Accreditation Workshop
ACCME Co-Hosts Getting Started with Joint Accreditation for Interprofessional Continuing Education™ Workshop
ACCME Participates in ABMS, AMA, AAMC, AHME/SACME Events
ACCME Presents at Recognized Accreditor Events in Texas, Kansas, and Missouri
ACCME Participates in Interprofessional Continuing Education Advisory Board Meeting
ACCME’s New President and CEO Presents at SACME Spring Meeting
PARS Open for 2016 Reporting Year; Reminder about PARS Improvements for 2015
Make Sure You Removed Your Commercial Interest Logos from Disclosures — Deadline Was May 2015
Summer Newsletter Publication Schedule
In Case You Missed It
Communicating the Value of Accredited CME; Tutorial: Ensuring Independence—The Role of Employees of ACCME-Defined Commercial Interests; Webinar: Joint Accreditation for Interprofessional Continuing Education™ 101
Message from the CEO
In my interactions with stakeholders over the past few months, I’ve heard that we need to work together to continue to build a robust evidence base about the effectiveness of accredited CME and its contributions to healthcare improvement. That’s why I am so pleased that the Journal of Continuing Education in the Health Professions (JCEHP) has published “The Impact of CME on Physician Performance and Patient Health Outcomes: An Updated Synthesis of Systematic Reviews,” by Ronald M. Cervero, PhD; and Julie K. Gaines, MLIS, in its Spring 2015 issue.
The article reports that:
- CME does improve physician performance and patient health outcomes.
- CME has a more reliably positive impact on physician performance than on patient health outcomes.
- CME leads to greater improvement in physician performance and patient health if it is more interactive, uses more methods, involves multiple exposures, is longer, and is focused on outcomes that are considered important by physicians.
In an invited editorial, Murray Kopelow, MD, Past President, ACCME, discusses the role of accreditation requirements in promoting educational approaches that are most effective in changing performance. He reminds us that performance improvement is a process—rather than an event—that includes a series of multimedia, multiformat interventions to address learners’ practice gaps.
The full report by Dr. Cervero and Ms. Gaines is published on our website, along with supplementary materials including a video interview with Dr. Cervero and Dr. Kopelow. You are welcome to share these resources with your leadership, learners, volunteers, and colleagues.
The JCEHP article, the full report, and the ACCME resources demonstrate the value of the work accredited CE providers are doing every day to make a difference in the health of our nation. In addition, these resources provide practical, evidence-based strategies that can assist accredited CE providers in designing education that will have the most impact.
Further, the resources serve as a call to action for our CE community. As the research shows, we already know that physicians can learn. We now need evidence that demonstrates the most effective means of creating and sustaining performance change and shows how education drives improvement in quality, safety, and patient care outcomes. As Dr. Cervero and Ms. Gaines recommend, future research about CME’s effectiveness needs to take into account the wider social, political, and organizational factors that affect physician performance and patient health outcomes. The accredited CE community can play a leading role in achieving these goals and the ACCME would be happy to collaborate to advance a national research agenda.
I hope you’ll join our open webinar for all stakeholders on July 7 at 1:00 p.m. Central where we can share strategies for how we can work together to advance research about educational effectiveness and promote the value of accredited CE to the broader healthcare system. I invite you to submit your questions for me before the webinar.
The ACCME will continue to be a strong advocate for CME and an ally in your efforts to research and communicate the value of your work. I look forward to working with you to communicate our shared passion for learning and the power of education to drive quality in our profession and for the patients we serve.
Graham McMahon, MD, MMSc
President and Chief Executive Officer
Accreditation Council for Continuing Medical Education
The ACCME will host an open webinar for all stakeholders on July 7, 2015 at 1:00 p.m. Central. This webinar will give you the opportunity to learn more about ACCME’s new President and CEO Graham McMahon, MD, MMSc. He will share his background, perspective, and vision, and answer your questions. The webinar will give you the opportunity to discuss your challenges and strengths with Dr. McMahon, and express your ideas for how the ACCME and CME community can work together to achieve our shared mission.
Education and Outreach
Registration is now open for the ACCME's 2015 CME as a Bridge to Quality™ Accreditation Workshop scheduled for August 6–7 in Chicago. In response to attendees’ feedback and to meet your individualized learning needs, we are continuing to offer the improved features first introduced in 2014. As we have done in previous years, we will hold "Self-Study for Accreditation" sessions in conjunction with each workshop.
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 2015
- Flipped classroom approach: We’ve incorporated this educational model to give you the opportunity to gain knowledge on your own time prior to the workshop, so that during the event you will have more time to focus on problem-solving, analysis, and interaction with peers and experts.
- 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 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 is offered by invitation only for providers that are seeking initial accreditation or expecting their next reaccreditation decision in July 2016, November 2016, or March 2017. Invitations were sent to these providers in January of this year and again in June. If you are in one of these decision groups and you have not received your invitation, please contact Marcia Martin, Manager, Provider Education and Outreach, at firstname.lastname@example.org.
- 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.
Feedback from April 2015 Workshop Participants
- “I thought the entire workshop was fantastic…. your pedagogic formats for the different sessions were super and it was a very meaningful learning experience for me. Thanks.”
- “It was really nice to hear the government speakers come and talk about what are really pressing issues that they would like to see CME contribute to, because that plants a seed in my brain when I work with my faculty on their course content development to see how we can integrate that material if possible into CME. It was great to set higher goals, like CME research, because that is challenging and ultimately proves you are impacting patient care, which is the goal and the outcome we are all hoping for.”
- “The cases demonstrating compliance/noncompliance were very helpful to me. The breakouts were meaningful, because we got to hear from our colleagues about their strategies and successes.”
- “This is the first time I attended this workshop and I found it extremely helpful. I have a committee of nine faculty members that I am working with to set up the infrastructure for [our] CME Program and have used all the resources on the website (including viewing all the video tutorials). However, I also learned that the processes are not as rigid as I always believed and there is room to streamline and to be creative.”
- “I think the breakout sessions were incredibly valuable. Having the opportunity to share and discuss issues with colleagues from other providers, and learn about their strategies and challenges, was great.”
Joint Accreditation for Interprofessional Continuing Education™ hosted an introductory workshop in May at the ACCME’s offices in Chicago. There were 50 participants from 28 organizations in attendance. The workshop explained the basics and benefits of Joint Accreditation and answered questions about the Joint Accreditation process. It was designed for organizations in the initial stages of the application process as well as organizations that are considering applying for Joint Accreditation. Organizations that are already jointly accredited were also welcome to attend to review the process and interact with their colleagues. During the workshop, participants heard from leadership from the three collaborating accreditors that created Joint Accreditation, as well as from jointly accredited providers who shared their experiences.
When surveyed on what they found most valuable about the workshop, participants commented:
- “The opportunity to learn from the group discussion and the experiences of others who were either further along in the process or at the same place.”
- “Hearing how IPCE is such a strong component of the Joint Accreditation process.”
- “I think the perspective of the [jointly accredited provider] was very valuable because it gave an idea of how the actual accreditation works.”
- “Sharing of examples from other providers and hearing directly from the respective accrediting bodies.”
Joint Accreditation offers organizations the opportunity to be simultaneously accredited to offer interprofessional continuing education (IPCE) activities planned by the team for the team, as well as provide individual medicine, pharmacy, and nursing continuing education activities. Joint Accreditation includes a single, unified application process, fee structure, and set of accreditation standards. Joint Accreditation is a collaboration of the ACCME, the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC).
Joint Accreditation 101, a free webinar, explains the application requirements and the process for achieving joint accreditation. For more information, visit Joint Accreditation for Interprofessional Continuing Education™.
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.
- Graham McMahon, MD, MMSc, President and CEO, ACCME; and Kate Regnier, MA, MBA, Executive Vice President, ACCME, attended a meeting of the Board of Directors of the American Board of Medical Specialties (ABMS) held in June in Chicago. Dr. McMahon discussed opportunities for collaboration between the two organizations.
- Steve Singer, PhD, Vice President for Education and Outreach, ACCME, participated in a meeting of the American Medical Association (AMA) Council on Medical Education (CME) Stakeholders’ Networking Forum held in June in Chicago. Dr. Singer presented an update on the ACCME. Participants discussed issues related to time-based versus competency-based medical education.
- Dr. Singer also attended the 2015 Integrating Quality Meeting: Improving Value through Clinical Transformation, Education and Science meeting hosted by the Association of American Medical Colleges (AAMC) held in June in Chicago. The meeting focused on quality improvement and patient safety across the continuum.
- Dr. McMahon presented at a teleconference hosted by the Association for Hospital Medical Education (AHME) and Society for Academic Continuing Medical Education (SACME) in June. He described the scope of CME produced by AHME and SACME members. Dr. McMahon spoke about the ongoing opportunities for the ACCME and the accredited CME community to work together to support public health priorities, team-based care, and healthcare quality initiatives.
- Graham McMahon, MD, MMSc, President and CEO, ACCME; and Kate Regnier, MA, MBA, Executive Vice President, ACCME, attended the 2015 Texas CME Conference hosted by the Texas Medical Association (TMA) and Texas Alliance for CME (TACME) in June in San Antonio, Texas. In a plenary session, Dr. McMahon presented data showing a robust CME community in Texas. He shared his thoughts about how the Texas CME community contributes to quality improvement, public health initiatives, and team-based care. Together, Dr. McMahon and Ms. Regnier also led a discussion on the proposed new criteria for ACCME Accreditation with Commendation.
- Marcia Martin, Manager of Provider Education and Outreach, ACCME, participated in a 2015 CME provider conference co-hosted by the Kansas Medical Society (KMS) and Missouri State Medical Association (MSMA) in June in Missouri. Ms. Martin presented data on the scope of accredited CME in Kansas and Missouri and discussed case examples illustrating the ACCME’s expectations for compliance with the Standards for Commercial Support: Standards to Ensure Independence in CME Activities℠.
The Advisory Board on Interprofessional Continuing Education, the partnership effort of Joint Accreditation for Interprofessional Continuing Education™ and the National Center for Interprofessional Practice and Education, held its first meeting in June in Minneapolis.
Leadership from the three collaborating accreditors in medicine, pharmacy, and nursing that created Joint Accreditation—Kate Regnier, MA, MBA, Executive Vice President, ACCME; Kathy Chappell, PhD, RN, Vice President, Accreditation Program and Institute for Credentialing Research, American Nurses Credentialing Center (ANCC); and Dimitra Travlos, PharmD, Assistant Executive Director and Director, Continuing Pharmacy Education Provider Accreditation, Accreditation Council for Pharmacy Education (ACPE)—described the current landscape of interprofessional continuing education (IPCE) and its relation to the National Center’s mission.
The 13-member advisory board—which includes thought leaders from continuing education accreditors in the health professions, jointly accredited providers, and academic institutions, as well as a public representative—will leverage the research of the National Center to identify IPCE models that can advance the development of a workforce that thrives in a team-based environment.
More information about the Advisory Board is available here.
Graham McMahon, MD, MMSc, President and CEO, ACCME, participated via video conference in the Society for Academic Continuing Medical Education (SACME) 2015 Spring Meeting held from April 29 to May 2 in Tampa, Florida. Dr. McMahon described the scope of CME delivered by SACME members and thanked them for what they were doing “as a community for the well-being of the country.”
Dr. McMahon discussed his background, his new role as ACCME President and CEO, and his commitment to furthering the leadership role of CME in the healthcare community. He explained that the ACCME is a service organization, focusing on meeting the needs of the CE community and its learners. The ACCME will continue to support public health initiatives, advance continuing education by the team, for the team through Joint Accreditation for Interprofessional Continuing Education™, and explore opportunities for CME to engage across the medical education continuum.
Dr. McMahon said that the ACCME is interested in collaborating with the CE community to advance a national research agenda about the effectiveness of CME. He noted that there is already evidence showing that physicians can learn—we now need evidence that demonstrates the most effective means for education to drive changes in patient outcomes, and healthcare quality and safety. CME providers need evidence to demonstrate to their colleagues that “education is the solution to healthcare challenges,” he said.
The Program and Activity Reporting System (PARS) is open for data entry for the 2016 reporting year. There have been no changes made to PARS for the 2016 reporting year—however, please note that as we previously announced, we made improvements for the 2015 reporting year, which will carry over to 2016. The PARS educational resources have been refreshed to reflect the 2015 changes. The deadline for completing data entry for the 2015 reporting year is not until March 31, 2016, but we are reminding you now to give you time to prepare and to familiarize yourself with the changes. As always, you can enter basic information about an activity before it has taken place and complete the entry after the activity has occurred. There are no changes involved in opening activities.
Accredited CME providers use PARS to meet year-end reporting requirements. In addition, the ACCME uses the information collected in PARS to support the performance-in-practice reviews that are part of the process for initial accreditation, reaccreditation, and progress report reviews.
For more information, visit About PARS.
Last April, the ACCME modified its requirements to prohibit the inclusion of ACCME-defined commercial interest logos in educational materials and disclosures of commercial support. While the change was effective immediately (April 2014), we did not expect accredited providers to change or reprint any materials that existed at the time of the announcement. Accredited providers were expected to make any necessary changes to CME materials by May 2015.
The prohibition against using commercial interest logos only applies within the parameters of Standards for Commercial Support: Standards to Ensure Independence in CME Activities℠ (SCS) 4.3 and 6.4, and the Commercial Support Acknowledgment Policy. The modifications only apply to logos of ACCME-defined commercial interests—not to organizations that fall outside that definition.
The modifications apply to all CME providers within the ACCME accreditation system, including providers directly accredited by the ACCME and those accredited by ACCME Recognized Accreditors (state or territory medical societies that are recognized by the ACCME as accreditors of intrastate CME providers).
As we have done in previous years, we will publish a combined July/ August issue in August. Best wishes for an enjoyable summer!
- The Alliance for Continuing Education in the Health Professions (ACEhp) sent a letter to the editor in response to the US News & World Report article “What Pharma Wants to Hide,” citing inaccuracies in the piece and its misrepresentation of continuing education (CE). In response, US News & World Report corrected the article. The article now states that Open Payments data shows that payments made by industry to physicians for serving as faculty or speakers at accredited and nonaccredited CME programs constitute 2.08% of the total financial transactions between industry and individual physicians. The article had previously reported a much larger figure. The Alliance sent the letter as part of its efforts to advocate on behalf of the CE community.
- “Extreme ER,” published in MD Magazine, features an interview with Sanjey Gupta, MD, Director of Emergency Medicine, Franklin Hospital, Valley Stream, New York, discussing the importance of wilderness training for physicians. Dr. Gupta, who is an educator as well as practicing physician, advises healthcare professionals to choose CME activities about wilderness medicine that are accredited by the ACCME.