>>McMAHON: CME providers are at the heart of what makes CME work. And there are four things that I'd really love to see CME providers all across the country and the world do, to advance their mission.

The first is to really think that what they've always been doing may not be working, and to switch if they have any, from passive to active learning environments. That means not being simply an information transfer vehicle, but creating environments where learners participate, process information, come up with their own solutions, because that's what drives long-term learning retention and the quality improvement that we're all looking for. So first of all, make sure you're switching to active learning environments.

Second thing is, involve patients. Patients contextualize, bring normality, bring insight into the education that we're trying to create. Whether it's in your planning activities, or whether it's in sharing a story in advance of a live presentation of a complex phenomenon, patients can really help you capture the hearts and minds of your learners.

Thirdly, you've got to focus on institutional and system goals. And that means collaborating with system leadership, meeting with your directors of QI, if there is one in your region, and understanding what their goals are, and then making sure your education is tapping into and addressing those goals in collaboration with them.

And the fourth principle I would say, is work on generating long term meaningful relationships with your learners. If you're delivering value and you're delivering activities that meet their needs, then you're likely to develop those relationships that are ultimately going to make a difference for the long term. And it's with long-term relationships that you're able to really maintain and sustain the kind of change that you're trying to generate, and improve performance of all the clinicians that you have the privilege of interacting with.