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Archive for May, 2005

Volunteerism as CME?

In this editorial in AM News on how to deal with the scarcity of docs volunteering their time in free clinics, there was this thought:


    Encouragingly, volunteerism has become a significant part of the curriculum of many medical schools and residency programs, providing more direct clinical experience earlier than in the past. It has also created a more ecumenical atmosphere, with graduates who are in tune with broader issues in social policy as it relates to health care. Hence, volunteerism can serve as a form of continuing medical education for experienced physicians, exposing them to situations they might not see in their daily practices.

No amount of CME could help this doc!

Today’s horrifying story on physician incompetence, brought to you by CBC News: Nurses at Australian hospital hid patients from ‘Dr. E. coli’

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Save the date

From a press release: Repositioning CME Summit:  Commitment, Communication and Collaboration


The Conjoint Committee on CME is pleased to announce that a CME

Summit is scheduled for Thursday, November 17, 2005, at the Westin

O’Hare, Rosemont, Illinois (Chicago-O’Hare area).  In contrast to the

Summit held last November, the emphasis of this meeting will be directed

toward implementation of fundamental change in CME and is open to all

CME professionals and organizational CEOs. 



The

full-day meeting will feature two major components, Self-Assessment, of

both physicians and CME professionals, and Linking CME With Practice Performance and Quality Improvement.   If you would like further information, please contact the Office of

the Council of Medical Specialty Societies at 847/295-3456, or

correspond with Sandi Trusky at strusky@cmss.org.



One year later, pharma still withholding data

From today’s New York Times (free registration req’d): Despite Vow, Drug Makers Still Withhold Data. A snip:


When the drug industry came under fire last summer for failing to disclose

poor results from studies of antidepressants, major drug makers promised to

provide more information about their research on new medicines. But nearly a

year later, crucial facts about many clinical trials remain hidden, scientists

independent of the companies say.



*sigh*

Why teamwork works



This post courtesy of Anne Taylor-Vaisey: Baker DP, Salas E, King H, Battles

J, Barach P. The role of teamwork in the

professional education of physicians: current status and assessment

recommendations
. Jt Comm J Qual

Patient Saf
2005; 31(4):185-202.


BACKGROUND: The Institute of

Medicine (IOM) has recommended that organizations establish interdisciplinary

team training programs that incorporate proven methods for team management.

Teamwork can be assessed during physician medical education, board

certification, licensure, and continuing practice. Team members must possess

specific knowledge, skills, and attitudes (KSAs), such as the ability to

exchange information, which enable individual team members to coordinate.


ASSESSING PHYSICIAN TEAMWORK: KSAs might be elicited and assessed across a

physic! ian’s career, starting in medical school and continuing through

licensure and board certification. Professional bodies should be responsible for

the development of specific team knowledge and skill competencies and for

promoting specific team attitude competencies. Tools are available to assess

medical student, resident, and physician competence in these critical team KSAs.


CHALLENGES AND COMPLEXITIES IN TEAM PERFORMANCE MEASUREMENT: For teamwork

skills to be assessed and have credibility, team performance measures must be

grounded in team theory, account for individual and team-level performance,

capture team process and outcomes, adhere to standards for reliability and

validity, and address real or perceived barriers to measurement.


PubMed: http://eutils.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=15913126
Publisher link: http://www.ingentaconnect.com/content/jcaho/jcjqs/2005/00000031/00000004/art00002
[Cost:

$20 US]



Calif. law SB 1765–how are you dealing with it?

Last fall, the California governator signed into law SB 1765, which from my understanding puts legal teeth behind the requirements of the voluntary PhRMA Code and the OIG Guidance. This afternoon, I spoke with a couple of gentlemen in California who are wondering exactly how to comply with SB 1765, especially in the grayer areas and the areas that aren’t in complete agreement with the ACCME Standards for Commercial Support. My best advice was that they couldn’t go wrong by following whichever requirements are the strictest among the various rules, codes, and laws; and to have copies of the law to hand to any commercial supporters they work with so they can show why they have to have the restrictions they do.


If anyone from California is reading this, we all would love to know how you’re dealing with this new law in your state. Are you spending a lot of time educating your commercial supporters on what they can and can’t do? Are you doing anything differently than you were before? Are commercial supporters more leery of CME in your state now that they could face legal consequences on a state as well as federal level? If you have any answers, please e-mail me  or drop a comment below. Thanks!

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Bathroom humor

He’s at it again–Orac over at Respectful Insolence once again made me laugh with his unique perspective on all things medical. This time, it’s about a cellphone conversation overheard while in the loo. A snip:


I was getting a serious education in the second-line therapy for non-Hodgkin’s lymphoma right there on the commode!



Warning, this post contains some reference to bodily functions. But I had to share. There’s lots more good stuff on this week’s Grand Rounds, hosted by Michael Chaplin.

Fast-growing Internet has potential to alter the nature of CME


This post courtesy of Anne Taylor-Vaisey: From the new issue of Journal of

Continuing Education in the Health Professions:


Harden RM. A New vision for distance learning and

continuing medical education
. J

Contin Educ Health Prof
2005; 25(1):43-51.


Abstract: Increasing demands on

continuing medical education (CME) are taking place at a time of significant

developments in educational thinking and new learning technologies. Such

developments allow today’s CME providers to better meet the CRISIS criteria for

effective continuing education: convenience, relevance, individualization,

self-assessment, independent learning, and a systematic approach. The

International Virtual Medical School (IVIMEDS) provides a case study that

illustrates how rapid growth of the Internet and e-learning can alter

undergraduate education and has the potential to alter the nature of CME. Key

components are a bank of reusable learning objects, a virtual practice with

virtual patients, a learning-outcomes framework, and self-assessment

instruments. Learning is facilitated by a curriculum map, guided-learning

resources, "ask-the-expert" opportunities, and collaborative or peer-to-peer

learning. The educational philosophy is "just-for-you" learning (learning

customized to the content, educational strategy, and distribution needs of the

individual physician) and "just-in-time" learning (learning resources available

to physicians when they are required). Implications of the new learning

technologies are profound. E-learning provides a bridge between the cutting edge

of education and training and outdated procedures embedded in institutions and

professional organizations. There are important implications, too, for

globalization in medical education, for multiprofessional education, and for the

continuum of education from undergraduate to postgra! duate and continuing

education.


Lessons for Practice
 · The CRISIS

criteria for effective CME (convenience, relevance, individualization,

self-assessment, independent learning, and systematic) can be met using

e-learning.
· Internet-based learning has a

significant role to play in CME, offering "just-for-you" and "just-in-time"

learning.
· Internet-based CME is a response to

the challenges of globalization in medical practice.
· Core elements in constructing an

e-learning program include a bank of reusable learning objects, a virtual

practice, and a set of learning outcomes and self-assessment activities.


· Learning can be facilitated using

a curriculum map


Current issue of

JCEHP: http://www.jcehp.com/vol25/2501.asp


New Harvard study on drug co. involvement in clinical studies

From today’s Boston Globe: Hospitals split over role drug firms play: Involvement in tests raises concerns over integrity of studies.


    The survey, conducted by the Harvard School of Public Health with the University of Massachusetts Center for Survey Research, found that 41 percent of 107 academic institutions questioned accept research contracts with drug companies that prohibit physicians and scientists from independently disclosing trial results.


    Fifty percent of the hospitals said they would permit drug companies to write manuscripts detailing trial results for publication in medical journals, and 24 percent said they would allow them to insert their own statistical analyses into manuscripts.


    ”It raises issues about the integrity of studies that are published in medical journals,” said Dr. Robert Steinbrook, the author of an accompanying perspective article and a national correspondent for the New England Journal of Medicine. He is also an adjunct professor of medicine at Dartmouth Medical School.


Just thought you might like to know.

Seeking guidelines for working with commercial supporters

Another reader request: She’s looking for any guidelines CME providers have written up instructing commercial supporters of what they can and cannot do. If you have any to share (I can strip out any identifying information before passing them along, if you like), please e-mail them to me and I’ll pass them along. Thanks in advance for any help you can provide!

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