Executive Summary of July 2013 ACCME Board Of Directors Meeting Now Available
ACCME Reviews Feedback to Proposal for Simplifying and Evolving the Accreditation Requirements and Process
K.M. Tan, MD, Honored As Recipient of 2013 Rutledge W. Howard, MD, Award
ACCME Participates in FDA REMS Meetings; Compiles REMS Fact Sheet
ACCME Publishes 2012 Annual Report
For Your Reference
Integrating CME and Faculty Development into a Single Course: Effects on Participants’ Behavior, Published in Medical Teacher
MedEdPORTAL, Produced by the Association of American Medical Colleges in Partnership with the American Dental Education Association
The ACCME has released the executive summary of its Board of Directors meeting, held July 11– 12, 2013 at its Chicago offices. The ACCME ratified 60 accreditation and reaccreditation decisions. This included 17 CME providers that received Accreditation with Commendation (28%), which confers a 6-year term of accreditation. The list of accredited providers on our Web site has been updated to reflect the July 2013 accreditation decisions.
The Board reviewed accreditation decision trends from November 2008 through July 2013. The ACCME has reviewed 838 providers using the 2006 Accreditation Criteria. The proportion of CME providers achieving Accreditation with Commendation has increased, from 3% of providers in the November 2008 cohort to 28% in the July 2013 cohort. The proportion of CME providers receiving Accreditation with a progress report has dropped over this period, from 51% in the November 2008 cohort to 27% in the July 2013 cohort.
The ACCME has reviewed and analyzed the feedback received via its online survey about the “Proposal for Simplifying and Evolving the Accreditation Requirements and Process.” We appreciate the responses and look forward to our continued engagement with stakeholders. The vast majority of respondents expressed support for the proposed changes. Respondents also offered constructive suggestions and comments. Read more and view a figure summarizing the responses.
The ACCME is proud to announce that the 2013 Rutledge W. Howard, MD, Award for Individual Service to the Intrastate Accreditation System has been awarded to K.M. Tan, MD.
The award recognizes Dr. Tan for his contributions and commitment to advancing community-based CME programs and the intrastate accreditation system. Dr. Tan was nominated for the award by the Institute for Medical Quality/California Medical Association (IMQ/CMA). Dr. Tan has demonstrated his leadership and dedication to the medical education community for more than three decades. He has served as a mentor to IMQ/CMA staff, committee members, and accredited providers; volunteered for numerous committees; served as an accreditation surveyor; and frequently participated as a faculty member at IMQ/CMA educational conferences for CME providers.
The ACCME has participated in two meetings with the Food and Drug Administration (FDA) about Risk Evaluation and Mitigation Strategies (REMS). We have also produced a fact sheet for accredited CME providers about the FDA Extended-Release and Long-Acting Opioid Analgesics REMS.
ACCME Presentation at FDA REMS Public Meeting
Murray Kopelow, MD, ACCME President and CEO, made a presentation at the FDA Standardizing and Evaluating REMS Public Meeting, held July 25–26, 2013. He explained that the ACCME has a long-standing commitment to supporting public health priorities and described how accredited CME for prescribers supports the goals of FDA REMS. He explained the scope of the ACCME accreditation system, which includes 2,000 accredited providers that offered more than 130,000 activities in 2012, educating more than 24 million health care professional participants.
Accredited CME supports public health priorities by addressing health care professionals’ practice gaps, providing education that is designed to facilitate change, and evaluating the education for its effectiveness. With the Extended-Release and Long-Acting Opioid Analgesics REMS, the FDA provided a blueprint which contains the core educational messages for accredited CE providers to follow when developing REMS CE. Moving forward, Dr. Kopelow suggested that the FDA consider continuing to standardize the REMS process, but allowing more flexibility in content. The strength of CME lies in its expertise in producing educational activities targeted to physicians based on their professional practice gaps, individualized needs, and stages of learning and change. With more flexibility, accredited prescriber education related to REMS could go further in addressing individual prescribers’ educational and practice needs.
He said that the effectiveness of REMS could also be measured in terms of how successfully it promotes access to education, mobilizes the education community to an issue, and draws the medical professions’ attention to a problem.
He emphasized that accredited prescriber education related to REMS will be independent of commercial influence and will meet the requirements of the ACCME Standards for Commercial Support.
“I was honored to have the opportunity to present at the FDA REMS meeting,” said Dr. Kopelow. “We appreciate that the FDA recognizes the value of accredited education. The ACCME has a long-standing commitment to supporting the role of accredited CME as a strategic partner in public health and safety initiatives. Certainly, accredited CME should be considered as a strategic asset to all those trying to improve drug safety.”
Download Dr. Kopelow’s presentation.
ACCME Participates in the Conjoint Committee on CME Meeting with FDA about ER/LA Opioid Analgesics REMS
The Council of Medical Specialty Societies (CMSS) Conjoint Committee on CME (CCCME) and other representatives of the CE community met with the FDA on July 23 discuss the Extended-Release and Long-Acting (ER/LA) Opioid Analgesics Risk Evaluation and Mitigation Strategy (REMS). The centerpiece of the ER/LA Opioid Analgesic REMS is a prescriber education program about the risks of opioid medications as well as safe prescribing and safe use practices. The CCCME explained its goal to exceed the FDA’s targets for educating 25% of the 320,000 physician prescribers of ER/LA opioids in the first year and 60% of prescribers by the fourth year. CE providers described their education initiatives related to the ER/LA Opioid Analgesics REMS. Kate Regnier, MA, MBA, Deputy Chief Executive and COO, ACCME, participated in the meeting; the ACCME is a member of the CCCME.
Fact Sheet for Accredited Providers about the ER/LA Opioid Analgesics REMS
The ACCME has compiled “Accredited Continuing Medical Education and the FDA’s Risk Evaluation and Mitigation Strategies: A Fact Sheet for Accredited CME Providers.” The fact sheet for accredited providers within the ACCME system answers questions about the ER/LA Opioid Analgesics REMS and explains the role of accredited continuing education, the ACCME, and accredited providers in addressing prescription drug safety and fulfilling the goals of the REMS. It describes how the ACCME is participating in the REMS data collection and auditing process as a service to the CME community and to the FDA.
The ACCME released the 2012 Annual Report in July. The 2012 report features expanded data analysis in order to provide more information about the continuing medical education (CME) accreditation system.
The ACCME 2012 Annual Report shows a robust system with 2,000 accredited CME providers that offered more than 130,000 educational activities, comprising almost one million hours of instruction. These CME activities educated more than 24 million learners, including physicians and other health care professionals.
To offer a long-range view of the accreditation system, the ACCME expanded the year-by-year data analysis, showing trends in CME revenue and expenses, and the numbers of educational activities, hours of instruction, and participants from 2005 through 2012.
This year, the report includes additional trend analysis exploring participation in various activity types. Accredited providers offer CME in a wide range of activity types. This data shows the growth of participation in online CME and activity types such as performance improvement and Internet searching and learning.
Read a news release about the report.
Listen to an audio commentary by Murray Kopelow, MD, ACCME President and Chief Executive, about the 2012 Annual Report.
Download the ACCME 2012 Annual Report.
Tips and Tools
Please read–and check to ensure that your organization is in compliance. The ACCME expanded the definition of commercial interest in 2007; however, in 2013 the ACCME is finding that some providers may not have incorporated the expanded definition into their processes. The current definition reads: "A commercial interest is any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients." Some providers have not added “marketing, re-selling, or distributing” to their processes and tools. CME providers must use the complete definition.
Failure to use the complete definition could cause an accredited provider to:
- partner with an ACCME-defined commercial interest;
- collect incomplete information related to the relevant financial relationships of those in control of content; and therefore
- not resolve all conflicts of interest; and/or
- not disclose all relevant financial relationships to learners.
This could lead to one or more noncompliance findings in Criterion 7 (Standards for Commercial Support 1, 2, and 6). Some providers that have recently been reviewed have received notice of our concerns. Other providers would be wise to evaluate their processes and determine if they have also failed to include the complete definition.
We have produced a series of new Ask ACCME Q&A to support your compliance in this area. For more information, including links to tools, sample forms, and more Q&A, please see Resources for Implementing the Standards for Commercial Support.
The ACCME has added five new summaries to its compilation of blinded summaries from the complaints process. We publish these materials to educate providers and other stakeholders and as part of our ongoing efforts to increase the ACCME accreditation system’s transparency and accountability. The complaints process is the procedure that the ACCME uses to respond to complaints from the public and the CME community about ACCME-accredited providers' compliance with accreditation requirements.
The summaries follow the model of the Examples of Compliance and Noncompliance, a compendium of blinded descriptions of provider practices published for educational purposes.
ACCME-Accredited Providers: We will send invoices for the 2014 ACCME annual accreditation fee in November, with payment due by January 31, 2014. In 2014, this fee will be $5,300, representing a fee structure change that we previously announced here. The invoices will be addressed to the person designated by your organization as the billing contact. To view your organization’s contact information (including the billing contact), please login to the Program and Activity Reporting System (PARS). If you need to change the billing contact for this accreditation fee invoice, please do so by October 13, 2013.
Please note: This information applies only to ACCME-accredited providers, not to providers accredited by a state medical society. Intrastate providers should check with their accreditor for information regarding accreditation fees.
- “Integrating CME and Faculty Development into a Single Course: Effects on Participants’ Behavior,” by Anja Karg, Peter M. Boendermaker, Paul L.P. Brand, and Janke Cohen-Schotanus, published in Medical Teacher, reports on a study that shows that integrating CME and faculty development into a single course is highly effective in changing physicians’ medical practice as well as their teaching practice.
- MedEdPORTAL, a free program of the Association of American Medical Colleges (AAMC) in partnership with the American Dental Education Association (ADEA) includes the CE Directory, which lists activities developed by faculty at AAMC member institutions. A video describing the program is available here. The AAMC is an ACCME member organization.
- The ACCME Report, June 27, 2013
- Integrating the Teaching of Medical Students and Residents into Your CME Program