Discussion Forum From CME to CPD 30th September 2006

CME Vs CPD

Definition of CME 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. ACCME: Accrediting Council Continuous Medical Education

Definition of CPD Development of competencies relevant to the practice profile of a practitioner that may change over the years, and professional development endeavours are directed at enhancing his quality of care and the delivery of safe standard of practice Tang G. CPD-A surrogate for recertification. Ann Acad Med Singapore 2004;33:711-4

CME versus CPD CMECPD Educator centredLearner focused Little direct impact on improving professional practice Good for quality management in terms of changes Passive learningActive learning Dr KW Chan “Medical education: From continuing medical education to continuing professional development” Asia Pacific Family Medicine 2002; 1: 88–90

CMECPDKnowledge translation SettingsTeaching settingsAny learning settingsPrimarily practice settings ToolsPrimarily educational methods (lectures, print materials) Wide variety of learning methods Methods for overcoming barriers to change—e.g. prompts, reminders, patient mediated methods TargetsIndividual doctors; CME credits Doctors, other health professionals, groups; CPD credits, learning portfolio, self directed learning Clinicians, teams, health systems, patients, populations, policy makers ContentMostly clinicalClinical plus other practice related areas As in CME and CPD, possible focus on evidence based information Guiding model(s) Primarily educational; CME credits and accreditation important Self directed learning; CPD credits and accreditation important Holistic: incorporates clinician- learner and educational delivery system; Evidence based: from content of activity to testing of interventions Relevant disciplines Medicine, education, educational psychology As for CME Plus organisational learning theory, social psychology As for CME and CPD Plus systems management, health services research, social marketing, patient education, bio-informatics, and others Dave Davis et al. The case for knowledge translation: shortening the journey from evidence to effect. BMJ 2003;327:33-35

Principles of CPD CPD allows doctors to demonstrate that they are maintaining their skills in their practice. It also allows doctors to develop professionally and to learn from more informal experiences CPD encourages and motivates doctors to learn. It should be closely related to each doctor’s individual needs, ambitions and personal learning styles. This focus on the doctor’s learning needs will support changes and improvements in practice.

The ultimate purpose of CPD is to contribute to high-quality patient care whilst taking into account the needs and wishes of patients. CPD also helps doctors to improve their professional effectiveness, career opportunities and work satisfaction. CPD should also include public and patient involvement. Principles of CPD (cont’d)

Encourage active participation in CME/CPD activities, which is more effective in changing one’s behaviour/practice, and discuss and review their CPD with others Let Fellows adopt the CPD programme that is most appropriate for their practices Provide flexible and wider choices of learning to Fellows Why implement CPD?

Current Types of CME/CPD Activities Self study Publication Active Participation Passive Participation Research Postgraduate Course Development of CME/CPD materials Development of New Technologies or Services Conducting Examinations Quality Assurance and Audits Activities for Improvement of Patient Cares Grand Rounds in Training Units Mortality and Morbidity Meetings Reviewer of HKMJ and Indexed Journals

Moving towards CPD

Moving from CME to CPD Expanding definition of CME Encouraging Fellows to play an active role in CME/CPD activities Duty to keep up-to-date Focusing on quality assurance and medical audits activities which are important for improving healthcare for patients

CME/CPD Continuous life-long learning process maintain, develop or increase the knowledge, skills and competencies relevant to the practice of Fellows that may change over the years enhance professional performance to enable the delivery of quality professional care and safe standard of practice to the patients, and public that Fellows serve ensure that Fellows will remain competent throughout their professional career

From CME to CPD: Milestones 1 st Jan 2008 – Capping of 75 points maximum for passive CME to encourage Fellows to do other activities 1 st Jan 2011 – Further capping of participation as attendee of meetings – Certain activities become mandatory ( QA, Audit, M&M and those activities that would improve patient care)

Major Changes of CME/CPD for 2011 Mandatory component - Fellows must obtain some points in activities like quality assurance, medical audits, mortality and morbidity meetings, or those activities involving improvement of patient care

Major Changes of CME/CPD for 2011 Wider Choices of Learning - Contents will be expanded to cover other non- medical professional development activities such as knowledge and skills relating to relevant laws, information technology, clinic management and interpersonal communication

Recommended Types of CME/CPD Activities for Participation as an Attendee in FCAA 2.Chairing/Presenting at FCAA 3.Self study 4.Publications 5.Research 6.Development of New Technologies or Services 7.Conducting Examinations 8.Quality Assurance and Medical Audits

Recommended Types of CME/CPD Activities for 2011 (2) 9.Mortality and Morbidity Meetings 10.Postgraduate Course 11.Development of CME/CPD or Knowledge- Translation materials 12.Activities for Improvement of Patient Cares 13.Grand Rounds in Training Units 14.Reviewer of HKMJ and Indexed Journals 15.Other Non-medical Professional Development Activities 16.Hands-on Clinical Attachment Programme 17.Others ……..

Role of HKAM on CME/CPD Provide general and specified principles and guidelines Approve CME/CPD programmes established by Colleges Ensure compliance with CME/CPD requirements

Support for Fellow FAQ Q&A contact point: CME/CPD Office of the Academy

Comments received Support CPD, on right track, get down to do it Public expects all professionals to commit to CPD CPD points to be kept minimum at start

Questions received Why need to cap, fellows free to choose Solo practice Private hospital practice

Q & A