What should the CME professional know for the year 2012?

January 17, 2008 at 7:41 pm Leave a comment

Just before the 2008 annual meeting of the Alliance for Continuing Medical Education I was contactnig by Shelly Putterman. Here is what he asked:

“In preparing a presentation for the 33rd Annual Alliance meeting, “Envisioning the Future: What You Need to Know for 2012,” I went back to my records of the 4th and 5th meeting of 1979 and 1980. You are memorialized as an attendee and I wonder if you have any comments to make for this year. I would love to add your comments to mine.”

What an opportunity. Here is my response:

We should know these things might happen:

  • Maintenance of certification time periods will shrink
  • All physicians will be required to be board certified
  • Competency based licensure and re-licensure will be based on maintenance of certification
  • Pay for Performance will be a fact of life for physicians
  • Physicians will be discriminating consumers of learning resources focused on practice improvement efforts.
  • Mandatory CME will be abolished as a requirement for licensure or re-licensure and replaced by a competency- based requirement.
  • The CME accreditation system, if it survives, will be completely transformed, requiring all ACCME accredited providers to perform at the currently defined Level 3.
  • The number of accredited CME providers will be drastically reduced
  • CME professionals will be expected to be certified
  • Pharma will give funding preference to organizations who employ certified CME professionals

We should know that in the future, to designate a CME activity for AMA PRA Category 1 Credit TM the activity will have to be:

  • Based on data measuring something related to health care delivery in a specific setting.
  • Address a practice improvement initiative based on the assessment data.
  • Have learning objectives linked to specific practice improvement initiative.
  • Utilize content directly related to the knowledge, skill, attitudes, or system changes required to be successful in the practice improvement initiative.
  • Employ evaluation mechanisms that measure practice improvement.
  • Physicians will be required to participate in a specific number of AMA PRA Category 1 Credit TM, activities that meet these criteria – thus linking CME directly to outcomes.
  • Other learning resources provided by ACCME accredited providers will be included in the definition for AMA PRA Category 2 Credit TM.

We should know these might be the results:

  • Practice improvement based CME will move from relative obscurity to the center of the CME enterprise making the return on investment for CME measurable.
  • AMA PRA Category 1 Credit TM activities will be directly linked to the priority health care initiatives of the individual or organizational health care provider— thus tying CME to the business needs of the practice or organization
  • There will be a dramatic increase in the number of patient care improvement initiatives across the country. Physicians will be the center of these efforts—thus reclaiming some control of improvement in the delivery of health care.
  • ACCME accredited organizations not in close proximity to the delivery of health care will work in collaboration with organizations that are to grant AMA PRA Category 1 Credit TM for their initiatives.
  • Some organizations currently accredited by ACCME might find it difficult to meet the ACCME level three accreditation criteria and may no longer find accreditation an attractive option and will leave the business.

What to you think the CME professional will need to know in the year 2012?


Entry filed under: CME Issues, Continuing Medical Education.

Comment on the Alliance response to the Macy Foundation Chairman’s Summary: “Continuing Education in Health Professions:Improving Healthcare Through Lifelong Learning” Macy Foundation Chairman’s Executive Summary

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