CME In the News and Blogs: Week of November 1st, 2009

November 6, 2009 at 6:48 pm Leave a comment

OK.  I admit it. To get something other than the evil influence of industry on continuing medical education or some congressional hearing examining pharma payments to physicians, or a crack down by ACCME on non-complaint CME providers related to commercial support or disclosure, etc., I put my own Blog entries in this weeks summary. Maybe this brief diversion will get some of us thinking about how we can do a better job of serving our physician constitutes  and continuously improving our CME operation.

CME Providers: Adopt an Improvement Program in Your CME Operation.

Conversations in CME October 31, 2009

Accredited CME providers are required to measure change (improvement) in physician competence, performance or patient outcomes. What does this mean? It means CME providers are expected to be integrally involved in health care quality improvement. I think the best way to learn how to be effective in this improvement environment is to adopt a “culture of improvement” in our own CME operations.

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A National Model to apply to our Overall CME Program Improvement?

ACCME requires all accredited CME providers to “Evaluate the effectiveness of its overall CME program and make improvements to the program” (Element 2.5). So how do we do this improvement stuff? I hear this question asked over and over. I hear interesting variations in the interpretation of what this means. We can change that ambiguity. We can adopt a common approach to program improvement.

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NOTE: This isn’t a news or blog item but if you are interested go muck around in YouTube with search terms we might find interesting as CME providers. Here is one I found by entering “physician performance improvement”.

The Role of Physicians Performance Measures in Quality Improvement

Renal Physician Association

You tube contributes to help physicians understand performance improvement.

Go here:

OK. Back to what is important. Ranting about pharma involvement in CME. Here is another one for you.

Aren’t You Glad Your Doctor Completed Pharma’s CMEs?

For OpEdNews: Martha Rosenberg – Writer, Sunday Nov. 1st.

“Raise your hand if you’ve breathed a sign of relief seeing your doctor had a CME certificate next to the medical school diploma on the wall………….

CMEs are supposed to be monitored by the Accreditation Council for Continuing Medical Education (ACCME) but like Standard and Poor’s and Moody’s stock ratings funding comes from the client side so buyer beware.

Did your doctor pass, Bipolar Disorder: Individualizing Treatment to Improve Patient Outcomes, Part 2 “taught” by Trisha Suppes, MD, PhD and offered by CME Outfitters?

Suppes is a Professor in Stanford’s Department of Psychiatry and Behavioral Science and funded by Abbott, AstraZeneca; GlaxoSmithKline, Janssen, Novartis, Pfizer, Wyeth, Bristol-Myers Squibb, Eli Lilly, Shire and four more pharma companies.

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Author Note: While this is not a CME related article, this points to another reason there is continuing mistrust surrounding alleged relationships between pharma and physicians.

Amgen sued by US states over alleged “kickback scheme” for Aranesp

First WordSM
Mark Todoruk October 30, 2009

Amgen is facing a lawsuit in the US over allegations that the company offered kickbacks to medical providers to increase sales of Aranesp (darbepoetin alfa), the New York Attorney General’s office announced. The litigation, launched by 14 states and the District of Columbia, contends that Amgen conspired to offer incentives, such as weekend retreats and nonexistent consultancy agreements, to increase prescriptions for the product.

New York Attorney General Andrew Cuomo also explained that the lawsuit accuses Amgen of encouraging the healthcare providers to seek reimbursement from third-party payers, including Medicaid, for supplies of the anaemia drug that they obtained at no cost. The multi-state legal action joins a whistleblower complaint filed in another federal court in 2006 over allegations that Amgen illegally marketed Aranesp.

In response to the latest news, Amgen commented that it believes “the allegations are without merit.”

CME Reform from People Who Don’t participate in CME.

Pathophilia By bmartin on November 3, 2009

There is a particular irritation to be found in the criticism of continuing medical education (CME) by a nonphysician. There is even more irritation to be found in the criticism of CME by a purveyor of sociology. There may be practical benefits of the so-called science, but its merits have eluded me in a life that’s had its fill of academia.

In the latest issue of JAMA—a journal becoming known for its overbearing editorials—sociologist Eric Campbell, PhD, and health economist Meredith Rosenthal, PhD, condemn the current state of physician CME by applying general critiques from the landmark Flexner Report of 1910. They also advocate investment in something they call “physician human capital,” a term adapted from economists to convey the medical knowledge and skills that are required to provide “high-quality, efficient, and cost-effective care.”

Editors Note: I kinda like this assessment.

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Entry filed under: CME, CME Issues, Continuing Medical Education, Continung Professional Development, Physician Continuing Education. Tags: , , , .

Let’s Adopt a National Model for Overall CME Program Improvement Are You Systematically Engaged in Performance Improvement in Your CME Operation?

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