• Share
  • Email
  • Embed
  • Like
  • Save
  • Private Content
A study on effect of cme programs in improving doctors medical practice__BHAVIK S AMIN
 

A study on effect of cme programs in improving doctors medical practice__BHAVIK S AMIN

on

  • 634 views

Download this ppt . It is prepared after doing survey of 36 doctors in Ahmedabad circle.It contains useful information on Type ,facilities and current scenerio of CME program and effect of CME program ...

Download this ppt . It is prepared after doing survey of 36 doctors in Ahmedabad circle.It contains useful information on Type ,facilities and current scenerio of CME program and effect of CME program on doctors medical practice.

Statistics

Views

Total Views
634
Views on SlideShare
634
Embed Views
0

Actions

Likes
0
Downloads
8
Comments
0

0 Embeds 0

No embeds

Accessibility

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

    A study on effect of cme programs in improving doctors medical practice__BHAVIK S AMIN A study on effect of cme programs in improving doctors medical practice__BHAVIK S AMIN Presentation Transcript

    • BHAVIK AMIN EXAM NO :05 B PHARM SEMESTER VIII KBIPERPROJECT GUIDEMRS. MALLIKA BABUIN-CHARGE OF DEPARTMENT OF MBA(PHARMA)KBIPER, KSVV,GANDHINAGAR
    • FLOW OF PRESENTATION Introduction to CME program Review of literature Objectives of CME program Research methodology Data Interpretation and Analysis Findings Suggestions Conclusions Strengths and Limitations Bibliography
    • Introduction about project Definition and overview• Both the Accreditation Council for Continuing Medical Education (ACCME) and the American Medical Association define CME as “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”.
    •  CME represents that body of knowledge and skills generally recognized and accepted by the profession as within the basic medical sciences, the discipline of clinical medicine, and the provision of health care to the public. Continuing medical education (CME) refers to a specific form of continuing education (CE) that helps those in the medical field maintain competence and learn about new and developing areas of their field. These activities may take place as live events, written publications, online programs, audio, video, or other electronic media. CME activities are developed and delivered by a variety of organizations, including: Professional Associations Medical Education Agencies Hospitals Educational institutions, including universities, medical and nursing schools.
    • Characteristics of CME program Focus: Physician competence, performance, and patient outcomes. Format: Variable, emphasis on principles of adult learning (E.g. interactive, relevant to practice techniques). Funding: Industry decreasing under influence of AAMC, IOM, Macy Foundation and Pharma. Evidence of effectiveness: CME-effective in acquisition of Knowledge, skills, and performance, but low-quality evidence. Emergence of performance improvement CME (PI-CME).
    • Review of literatureCME techniques that are more effective Interactive learning. Sequenced sessions (CME as a “campaign”, not just one-time only sessions). Accurate Needs Assessment (e.g. based upon measured practice gaps compared with national guidelines) Experiential learning (based upon an individual’s or group’s practice, e.g. PI- CME projects).
    •  Meaning of CME: Continuing medical education is that process within the scope of family medicine which provides information and activities designed to maintain and improve the ability of the family physician to provide high quality patient care. This educational process encompasses all the areas usually encountered by the family physician necessary to carry out these responsibilities. The benefits that are gained from a CME course for physician It makes sure that their personal satisfaction from the job they are doing is maintained without any interruptions. With such courses they can get new skills and also these helps the physician to become more efficient in their work. And they can work better than ever.
    • Environmental Factors Affecting the Future of CME The content of CME is that body of knowledge and skills generally recognized and accepted by the profession as within the basic medical sciences, the discipline of clinical medicine, and the provision of health care to the public. Expectations for physicians to meet licensure and certification requirements and to provide current, patient-focused, evidenced-based care will shape the future of CME. The Impact of Technology •The use of electronic health records and computerized physician order entry systems will become more common and may lead to a standardized format for medical records. Both of these technologies will make it possible for physicians to obtain objective data about all their clinical encounters and prescribing patterns and, therefore, their performance gaps. •For example, providers will benefit from knowing whether an interactive DVD is as effective as simulation in addressing a particular gap in knowledge, skill, attitude, or behavior.
    • The Impact of Licensure As the entity authorized to enforce each states Medical Practice Act, the State Medical Board (SMB) has an obligation to its states citizenry to “ensure that the public is protected from the unprofessional, improper, unlawful, unethical, and/or incompetent practice of medicine. Currently, 60 of the 70 SMBs require CME as part of licensure. The amount of CME required varies, as does the need for specific content. Discussion of other links between CME and licensure are underway, as SMBs consider evolving to continuous maintenance of licensure programs. As licensure requirements change, CME will need to respond in support of new licensing initiatives.
    • The Impact of MOC [MOC means MAINTENANCE OF CERTIFICATION] Today, the MOC program of the American Board of Medical Specialties is the standard. MOC demonstrates a physicians continuing effort to assess and improve knowledge, skills, and performance. MOC expectations and the types of required performance changes will influence CME significantlyJust as physicians are working with more informed patients, CME providers will target engaged physicians who have increased expectations for CME.
    • Objectives of CME program To provide educational activities to physicians and other healthcare professionals that reinforce basic medical knowledge. To introduce new ideas, skills and technology and spread research findings in order to improve the quality of healthcare that is delivered by the participants in CME programs. To provide lifelong learning opportunities to physicians and other health care providers that aim to increase competence, enhance practice performance, and improve the health care status of patients. To suggest ways to make CME more doctor friendly. To understand the frequency needed for CME program. To understand the doctor’s expectation from CME program.
    • Research methodology Data Collection Sources PRIMARY DATA Primary data is gathered from fieldwork (by using questionnaire). Duration of Study - 3 months Target Population - Doctors Sample Size - 36 Sampling Technique - Convenience sampling Sampling Unit - Ahmedabad
    •  SECONDARY DATA•Secondary data is gathered from internet & books.•It is valuable source of new ideas that can be explored later throughprimary research. Research Design: Conclusive Type
    • Analysis and Data Interpretation1) CME programs helps in improving our practice.Data Interpretation: According to survey from doctors, 55.56 % Doctors Strongly Agee that CME Programs help in improving theirpractice. 38.88% Doctors agree that CME Programs help in improving their practice 22.22% Doctors are neutral.
    • 2) I prefer paid CME programs than organized free by companies. Data Interpretation: According to survey from doctors, 13.88 % Doctors strongly agree to prefer with paid CME programs than organized free by companies. 38.88% Doctors agree to prefer with paid CME programs than organized free by companies. 33.33% Doctors are neutral in their opinion. 13.88 % Doctors disagree to prefer with paid CME programs than organized free by companies.
    • 3) I prefer CME programs for a short duration.Data Interpretation:According to survey from doctors30.55% doctors strongly agree that CME programs should be for a short duration.66.67% doctors agree that CME programs should be for a short duration.2.77% doctors are neutral in their opinion.
    • 4)I prefer online CME programs. Data Interpretation: According to survey from doctors, 13.88% doctors strongly agree to prefer online CME programs. 16.66% doctors agree to prefer online CME programs. 38.88% doctors are neutral in their opinion towards online CME programs. 25% doctors disagree to prefer online CME programs. 5.56% doctors strongly disagree to prefer online CME programs.
    • 5)CME motivates us to keep up-to date with medical advances. Data Interpretation: According to survey from doctors, 61.11% doctors strongly agree that CME motivates them to up-to date with medical advance. 13.33% doctors agree that CME motivates them to up-to date with medical advance. 5.56% doctors are neutral in their opinion.
    • 6)CME programs at some popular resorts or holiday spots attract me. Data Interpretation: According to survey from doctors, 16.66% doctors strongly agree that CME program at some popular resorts or holiday spot attracts them. 13.88% doctors agree that CME program at some popular resorts or holiday spot attracts them. 41.66% doctors are neutral in their opinion. 13.88% doctors disagree that CME program at some popular resorts or a holiday spot attracts them. 8.33% doctors strongly disagree that CME program at some popular resorts or a holiday spot attracts them.
    • 7) I need some tailor made CME programs from which I can select one or two.  Data Interpretation:  According to survey from doctors,  19.44% doctors strongly agree that they need some tailor made CME programs from which 1 or 2 can be selected.  52.72% doctors agree that they need some tailor made CME programs from which 1 or 2 can be selected.  11.11% doctors are neutral in their opinion.  11.11% doctors disagree that they need some tailor made CME programs from which 1 or 2 can be selected.
    • 8)Frequency of CME programs should be increased. Data Interpretation: According to survey from doctors, 30.55% doctors strongly agree that frequency of CME programs should be increased. 27.77% doctors agree that frequency of CME programs should be increased. 27.77% doctors are neutral in their opinion. 11.11% doctors disagree that frequency of CME programs should be increased. 2.77% doctors strongly disagree that frequency of CME programs should be increased.
    • 9)Speakers should be international level for CME programs. Data Interpretation: According to survey from doctors, 19.44% doctors strongly agree that speakers should be international level for CME programs. 22.22% doctors strongly agree that speakers should be international level for CME programs. 33.33% doctors are neutral in their opinion. 19.44% doctors disagree that speakers should be international level for CME programs. 5.55% doctors strongly disagree that speakers should be international level for CME programs.
    • 10) Enough materials / hard copies are not provided to doctors after CMEprograms.  Data Interpretation:  According to survey from doctors,  19.44% doctors strongly agree that enough materials/hard copies are not provided to them after CME programs.  30.55% doctors agree that enough materials/hard copies are not provided to them after CME programs.  30.55% doctors are neutral in their opinion.  13.88% doctors disagree that enough materials/hard copies are not provided to them after CME programs.  5.55% doctors disagree that enough materials/hard copies are not provided to them after CME programs.
    • 11)Trade and consumer publications, advertising, textbooks and journals,web, television, patient educations comparatively are less time consumingthan CME programs.  Data Interpretation:  According to survey from doctors,  2.77% doctors strongly agree that trade and consumer publications, advertisements, journals are less time consuming than CME programs.  19.44% doctors agree that trade and consumer publications, advertisements, journals are less time consuming than CME programs.  30.55% doctors are neutral in their opinion.  33.33% doctors disagree that trade and consumer publications, advertisements, journals are less time consuming than CME programs.  13.88% doctors strongly disagree that trade and consumer publications, advertisements, journals are less time consuming than CME programs.
    • 12) Which kind of CME program would you prefer? Why? Data Interpretation: According to survey from doctors, 44.44% doctors prefer WORKSHOP PROGRAM. 33.33% doctors prefer CONFERENCE. 13.88% doctors prefer SEMINAR. 8.33% doctors prefer ONLINE CME PROGRAM.
    • 13) Current CME programs provide satisfaction to doctors? Why?  Data Interpretation:  According to survey from doctors,  80.55% doctors agree that Current CME program provide satisfaction to doctors.  16.66% doctors disagree that Current CME program provide satisfaction to doctors.
    • 14) Which company gives best CME programs? Data Interpretation: According to survey from doctors, 5.55% doctors say that Dr. Reddy Laboratories Company gives best CME program. 8.33% doctors say that Mankind Pharmaceuticals gives best CME program. 5.55% doctors say that GSK (GlaxoSmithKline) company gives best CME program. 11.11% doctors say that Ranbaxy Pharmaceuticals Company gives best CME program. 30.55% doctors say that Torrent Pharmaceuticals gives best CME program. 11.11% doctors say that Cadilla pharmaceuticals gives best CME program. 27.77% doctors say that Cipla pharmaceuticals gives best CME program.
    • Findings More than 90 %( 94.44%) doctors believe that CME program helps in improving their practice. 52.76% doctors prefer paid CME programs than organized free by companies. More than 90 %( 97.22%) doctors prefer CME program for short duration, because of busy schedule in clinic and to avoid mental fatigue. 30.54% doctors prefer online CME programme. The remaining 70% do not prefer online CME program because of lack of interaction between CME program providers and doctors. 74.44 % doctors agree that CME motivates us to keep up-to date with medical advances. Only 30.54% doctors say that CME programs at holiday spots or popular resorts attract them. 72.16% doctors need tailor made programs from 1 or 2 can be selected. 58.32 % doctors believe that frequency of CME programs should be increased. Frequency: 2 or 3 times in a year.
    • Cont…. 41.66 % doctors agree that speakers should be international level for CME programs. 50% doctors agree that enough materials/hard copies are not provided to doctors after CME programs. 22.21% doctors agree that trade and consumer publications, Advertising, textbooks and journals, web, television, patient educations comparatively are less time consuming than CME programs. 44.44% doctors prefer workshop. 33.33% doctors prefer conference. 13.88% doctors prefer Seminar. 8.33% doctors prefer Online CME program. 80.55% doctors agree that current CME programs provide satisfaction to doctors. 30.55% doctors say “TORRENT PHARMACEUTICALS give best CME programs”. 27.77% doctors say “CIPLA PHARMACEUTICALS give best CME programs”.
    • Suggestions 94.44% doctors agree that CME programs helps in improving their practice; so, frequency of CME programs should be increased. Paid CME programs are more preferred , so companies must organize CME for doctors by registering doctors with registration fee(Rs 100-Rs 1000). CME programs must be for short duration because of busy schedule of doctors and also to avoid mental fatigue. Doctors suggest that in online CME programs there will be lack of interaction. Hence, as far as possible, online CME programs must not be organized or frequency of online CME programs must be decreased. Instead of online CME programs, conferences should be organized for the purpose of interaction. Frequency of CME should be increased and also companies should try to make CME programs more effective and provide latest information regarding medical advancements. In the case of CME programs, place (holiday spots, popular resorts) does not matter; knowledge provided by CME program matters..
    • Cont…. A list of programs, e.g., neuro, and cardiac, renal, hepatic, etc. tailor made CME programs can be given to doctors, so as to make their own choice and make CME programs more doctors friendly . Speakers of CME programs should be form their own city,town,or their own city so that language problems does not occur. Good speakers are required in CME programs. Doctors need regular programs with academic touch. CME programs should be more interactive and Brain storming rather than having lecture type CME program. Companies should also take care of some related services during CME programs. The most prominent ones area) Provide quality and hygiene food.b) Good hall with best ventilation and lighting.c) Minimum financial support.d) Good time schedule without disturbing their practice and personal commitments.
    • Conclusions It is well-known to all that CME programs play a major role in pharmaceutical marketing. It takes a dual role in pharmaceutical marketing. It takes a dual role in creating awareness about the new molecules and brands and also helps in improving the medical practice of doctors to a greater extent. It is a tool that doctors depend on to update their knowledge towards ongoing researches and developments. So, this project is carried out to understand the expectations of doctors from pharma companies in organizing better, efficient CME programs. It is clear through the survey that every doctor likes to attend CME programs and companies have to concentrate more on deciding the content and schedule to suit the practioner’s need.
    • Strengths of study Captured feedback from physicians themselves. Low cost. Quantifiable Data; not labor intensive. Rapid results.
    • LimitationsBusy schedule of doctors.Wrong perception of doctors.Rush of patients to the clinic.Unwillingness of respondents to answer the asked questions due toboredom or lack of time. Hence some of them have answeredhaphazardly or randomly.Limited time, region and limited sample size restricts this project to begeneralized.
    • Bibliography1) Davis DA, Thomson MA, Oxman AD, Haynes RB. Evidence for the effectiveness of CME. A review of 50 randomized controlled trials. JAMA. 1992;268(9):1111-1117.2) Thomson. February, 2002. Thomson Job Impact Study: The Next Generation of Corporate Learning.3) Todesco A. September 1997. From Training Evaluation to Outcome Assessment: What Trends and Best Practices Tell Us. The Research Center. http://learnet.gc.ca.4) Davis D, et al. Impact of Formal Continuing Medical Education: Do Conferences, Workshops, Rounds, and Other Traditional Continuing Education Activities Change Physician Behavior on Health Care Outcomes? JAMA.1999;282(9):867-874.
    • WEBSITES1) http://jama.ama-assn.org/content/249/8/1042.abstract visited on 11/02/20122) http://www.ama-assn.org/resources/doc/cme/cppd22.pdf visited on 11/02/20123) http://www.ncqa.org/tabid/1014/Default.aspx visited on 11/02/20124) http://jama.ama-assn.org/content/282/9/867.full visited on 12/02/20125) http://www.ama-assn.org/ama/pub/education-careers/continuing- medical-education.page visited on 12/02/20126) http://www.ahrq.gov/downloads/pub/evidence/pdf/cme/cme.pdf visited on 12/02/20127) http://www.medschool.vcu.edu/cpde/offerings/index.html visited on 12/02/20128) http://medicine.buffalo.edu/cme/planning_cme/cme_types.html visited on 12/02/2012