CME 2.0 Are We Close

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CME 2.0 Are We Close

  1. CME/CPD 2.0 Are We Close? Lawrence Sherman, FACME, CCMEP Senior Vice President, Educational Strategy
  2. Who Am I? <ul><li>SVP (~15 yrs in CME overall) </li></ul><ul><li>Fellow, Past MECCA Leader, ACWG </li></ul><ul><li>Clinical Instructor – Center for Learning and Innovation/Emergency Medicine </li></ul><ul><li>Contributing Author </li></ul>
  3. <ul><li>Disclaimer 1: The use of the term 2.0 with regards to CME in this presentation may be wildly different from the use of the term 2.0 elsewhere at this meeting! </li></ul><ul><li>Disclaimer 2: The use of technology is CME has lagged behind the use of technology is almost every other aspect of healthcare. Some have led the way, but there is much room for imrpovement and embellishment! </li></ul><ul><li>Disclaimer 3: I am an educator and former stand up comedian, but not a tech expert…but have always embraced the early adoption of new, innovative and appropriate technologies in CME. </li></ul><ul><li>Dislaimer 4: With over 40 slides and not a long time to present, I hope that you enjoy these slides later and via a different medium! </li></ul>
  4. My Baseline Assessment <ul><li>Are you currently involved in CME? </li></ul><ul><ul><li>What role? </li></ul></ul><ul><li>Have you ever been involved in any aspect of medical education </li></ul><ul><ul><li>What role? </li></ul></ul><ul><li>Can we use the term 2.0 when discussing CME? </li></ul><ul><li>What would you like me to discuss? </li></ul>
  5. CME – Huh? <ul><li>Longest portion of most MD educational timeline </li></ul><ul><ul><li>Undergraduate – graduate – CME </li></ul></ul><ul><li>Lack of consistent structure, guidelines and requirements </li></ul><ul><ul><li>Think obstetricians and prostate cancer (yeah, that’s a mismatch!) </li></ul></ul><ul><li>Has always been learner-controlled but has never really been monitored </li></ul><ul><li>Resources have been available, but many MDs had no idea where to find them </li></ul><ul><ul><li>50% may be using Wikipedia as a medical reference 1 </li></ul></ul><ul><li>Remember, physicians don’t know what they don’t know </li></ul><ul><ul><li>And yes, they really are hundreds of years behind in journal reading </li></ul></ul>1 http://www.livescience.com/health/etc/090729-percent-doctors-use-wikipedia.html
  6. What Has CME Traditionally Been? <ul><li>Live, didactic, non-interactive, based on presumed needs </li></ul><ul><li>Enduring </li></ul><ul><ul><li>Print </li></ul></ul><ul><ul><li>Online </li></ul></ul><ul><ul><ul><li>Mega-sites </li></ul></ul></ul><ul><ul><ul><ul><li>Medscape </li></ul></ul></ul></ul><ul><ul><ul><ul><li>MedPageToday </li></ul></ul></ul></ul><ul><ul><ul><ul><li>MD Briefcase </li></ul></ul></ul></ul><ul><ul><ul><li>Single-topic sites </li></ul></ul></ul><ul><ul><ul><ul><li>Millions! </li></ul></ul></ul></ul><ul><ul><li>Other tech </li></ul></ul><ul><ul><ul><li>Epocrates </li></ul></ul></ul><ul><ul><ul><li>Others? </li></ul></ul></ul><ul><ul><li>Not about patients! </li></ul></ul>
  7. Current Online CME Activity – 2.0??
  8. Current Online Activity – 2.0???
  9. Current Handheld CME – 2.0?
  10. Was/Is Current/Traditional CME Effective <ul><li>What do you think? </li></ul>
  11. Was Traditional CME Effective? <ul><li>What do you think? </li></ul><ul><li>I think: </li></ul><ul><ul><li>It was somewhat effective </li></ul></ul><ul><ul><li>It wasn’t always based on actual needs </li></ul></ul><ul><ul><li>Activities weren’t always evaluated appropriately </li></ul></ul><ul><ul><li>A LOT of great content was never seen </li></ul></ul><ul><ul><ul><li>Invitational challenges </li></ul></ul></ul><ul><ul><ul><li>Participatory challenges </li></ul></ul></ul><ul><ul><ul><li>Faculty challenges </li></ul></ul></ul><ul><ul><ul><li>If you build it, they WON’T come… </li></ul></ul></ul><ul><ul><ul><li>One and done is truly that, done </li></ul></ul></ul>
  12. Integrated CME 2.0 An Example?
  13. ThePractice ™ Virtual Patient CME Activities <ul><li>Virtual Patient Visit Activity Flow </li></ul><ul><li>Visit Introduction </li></ul><ul><li>Reviewing the basics (Pre Test) </li></ul><ul><li>Key Issues </li></ul><ul><li>Information Gathering (Workup) </li></ul><ul><li>Faculty Opinions </li></ul><ul><li>Visit Optimization </li></ul><ul><li>Start your Own Discussions </li></ul><ul><li>Learner Chart Note </li></ul><ul><li>Closing Commentary </li></ul><ul><li>Post Test </li></ul>
  14. Successful Engagements <ul><li>73% of validated Physicians complete activities that they start (all activities are linear - learners cannot skip ahead) </li></ul>
  15. CMECompanion ® Subject Mastery Sample Page <ul><li>Learner Self Assessment, Peer Networking and Performance Benchmarking System </li></ul><ul><li>Integrated into every activity: </li></ul><ul><li>Performance : analyze mastery of particular subject areas for curriculum planning and goal setting </li></ul><ul><li>Peer Networking: communicate with colleagues while taking a course, manage contacts, send invitations, SMS messaging </li></ul><ul><li>CME Planner : search, select and schedule CME activities; plan curricula based on practice composition and clinical needs </li></ul><ul><li>Tracker : tracks completed and open programs, and credits earned to date </li></ul>
  16. Application Examples <ul><li>Virtual Clinics </li></ul><ul><li>Create specialized themed collections of virtual patients/visits with thePractice format </li></ul><ul><li>Focuses on managing a patient in a variety of settings </li></ul><ul><li>Virtual Clinic is Personalized for each learner </li></ul><ul><li>RealCME Live </li></ul><ul><li>Integration of Virtual Patients and Virtual Grand Rounds Activities into live symposia, workshops and meetings </li></ul><ul><li>Connects online and live learning activities </li></ul><ul><li>Establishes and maintains audience connection before, during and after live activities </li></ul>
  17. Application Examples
  18. What Needed (Or Needs) To Be Done? <ul><li>Better assessment of needs </li></ul><ul><li>Better methodology selection </li></ul><ul><ul><li>Linked activities </li></ul></ul><ul><ul><li>“ Community” development </li></ul></ul><ul><ul><li>Adding in social networking/interaction </li></ul></ul><ul><ul><li>PI CME/PoC CME </li></ul></ul><ul><ul><li>QA/MoC/MoL </li></ul></ul><ul><li>Better evaluation </li></ul><ul><ul><li>Competence/performance/patient outcomes </li></ul></ul><ul><ul><li>Aggregating data </li></ul></ul><ul><ul><li>Comparing data </li></ul></ul><ul><li>Prepare MD learners to use Web 2.0 </li></ul><ul><ul><li>And to help patients navigate through the data that they find </li></ul></ul><ul><li>AND THEY MUST KNOW WHERE TO FIND IT! </li></ul>
  19. Use Of LinkedIn In MY Needs Assessment
  20. What Qualifies As CME/CPD 2.0? <ul><li>Your thoughts… </li></ul>
  21. What Qualifies As CME/CPD 2.0? <ul><li>Your thoughts… </li></ul><ul><li>My thoughts and findings… </li></ul><ul><ul><li>Appropriate use of technologies </li></ul></ul><ul><ul><li>Use of social media/social networking as a tool at all stages in CME activities design, development, implementation and evaluation </li></ul></ul><ul><ul><li>True PoC needs based education that is user driven </li></ul></ul><ul><ul><ul><li>Validated references </li></ul></ul></ul><ul><ul><ul><li>Blogs </li></ul></ul></ul><ul><ul><ul><li>Other resources </li></ul></ul></ul><ul><ul><li>It needs to use technologies based on their application to activities, and not simply for the sake of using technologies </li></ul></ul><ul><ul><li>Use ePatients? </li></ul></ul>
  22. But It Isn’t Just About Activity Delivery <ul><li>Use of 2.0 technologies for </li></ul><ul><ul><li>Needs assessments </li></ul></ul><ul><ul><ul><li>Interactive </li></ul></ul></ul><ul><ul><ul><li>Multiple components </li></ul></ul></ul><ul><ul><li>Outcomes measurements </li></ul></ul><ul><ul><ul><li>Post-activity dialog related to impact of education </li></ul></ul></ul><ul><ul><li>Faculty planning and training </li></ul></ul><ul><ul><li>Sharing of data/information </li></ul></ul>
  23. What About Blogging CME
  24. Is Any Of This Being Done? <ul><li>Do you know of examples? </li></ul>
  25. Who Should Be Doing This? <ul><li>Educators! </li></ul><ul><li>CME Providers </li></ul><ul><ul><li>Accreditation matters! </li></ul></ul><ul><li>But they cannot do it alone… </li></ul><ul><ul><li>Collaboration matters </li></ul></ul><ul><ul><ul><li>Audience generation specialists </li></ul></ul></ul><ul><ul><ul><li>Delivery partners (existing audience) </li></ul></ul></ul><ul><ul><ul><li>Measurement partners </li></ul></ul></ul><ul><li>The key will be to move the thought process from where is funding coming from to is this education, is it relevant, and is it embracing current methodologies and technologies </li></ul>
  26. Social Networking in CME: The Path to 2.0?
  27. Is There A Place For Social Networking in Medicine and CME? <ul><li>Physicians and healthcare providers need to communicate </li></ul><ul><ul><li>With each other </li></ul></ul><ul><ul><li>With their patients </li></ul></ul><ul><ul><li>With the public </li></ul></ul><ul><ul><li>With other professionals </li></ul></ul><ul><li>Physicians and healthcare providers represent a “community” </li></ul><ul><li>Needs assessments and professional practice gap analyses consistently identify communications as an area of need </li></ul>
  28. Has Social Networking Existed With Different Names? <ul><li>Perhaps! </li></ul><ul><ul><li>Physicians Online – 1990s </li></ul></ul><ul><ul><ul><li>Online community through subscriptions </li></ul></ul></ul><ul><ul><ul><li>Interactions </li></ul></ul></ul><ul><ul><ul><li>Short of networking </li></ul></ul></ul><ul><ul><li>Medscape </li></ul></ul><ul><ul><ul><li>Huge community – global </li></ul></ul></ul><ul><ul><ul><li>Limited interactions </li></ul></ul></ul><ul><ul><ul><li>No networking per se </li></ul></ul></ul><ul><ul><li>Other similar groups </li></ul></ul><ul><ul><ul><li>MedPage Today </li></ul></ul></ul><ul><ul><ul><li>Epocrates </li></ul></ul></ul><ul><ul><li>Interactions were driven by the “sites” therefore one-way </li></ul></ul><ul><li>What about specialty society web sites/offerings? </li></ul><ul><ul><li>Maybe… </li></ul></ul>
  29. Real Social Networking Emerges… <ul><li>SERMO </li></ul><ul><ul><li>Original mission: Adverse events reporting </li></ul></ul><ul><ul><li>Moved quickly to: Multi-use, physician only community </li></ul></ul><ul><ul><li>No advertising </li></ul></ul><ul><ul><li>Funding model: selling data to pharma, govt, etc. </li></ul></ul><ul><ul><ul><li>Secondary funding model: access to CME providers for audience generation, participation, measurement </li></ul></ul></ul><ul><ul><li>Had partnership with AMA; ended in July 2009 </li></ul></ul><ul><li>Ozmosis </li></ul><ul><li>Syndicom </li></ul><ul><li>LinkedIn </li></ul><ul><li>Others where communities already exist </li></ul><ul><ul><li>Add in where the community has a need </li></ul></ul><ul><ul><li>Useful in CME at many levels </li></ul></ul>
  30. SERMO - What Do We See?
  31. Ozmosis – The Trusted Physician’s Network Ozmosis Powers the Exchange of Timely and Relevant Medical Information
  32. Ozmosis Approach To Ensuring Appropriate Trust and Sharing <ul><ul><li>Ozmosis uses </li></ul></ul><ul><ul><li>real identities </li></ul></ul><ul><li>Only licensed and verified Physicians can join </li></ul><ul><li>Physicians interact free from prying eyes </li></ul>
  33. Ozmosis – Needs Assessment 2.0 Question Discussion Extract current trends, treatments, beliefs from the Community and build highly tailored CME to match it Triptans Tricyclics Coenzyme-Q-10 Intra Nasal Lidocaine Magnesium Calcium Channel Blockers Topamax
  34. The Power Of The Platform <ul><li>CME can be deployed in any form (video, slideshow, podcast, etc) </li></ul><ul><li>The community drives learning and awareness </li></ul><ul><ul><li>Peer-to-Peer interaction influences learning and behavior change – </li></ul></ul><ul><ul><ul><li>Reinforcement of learning through community acceptance </li></ul></ul></ul><ul><ul><li>Immediate feedback - quality of CME product, etc </li></ul></ul><ul><li>Behavior change tracking </li></ul><ul><ul><li>Track over time </li></ul></ul><ul><ul><ul><li>Capture how each physician behaves, reports, and discusses the topic as time goes on </li></ul></ul></ul><ul><ul><ul><ul><li>Do they evangelize the technique/process/treatment/etc </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Do they ask about it again? </li></ul></ul></ul></ul><ul><ul><ul><li>vs. traditional post CME surveys (one and done) </li></ul></ul></ul>
  35. Syndicom Spineconnect – Early and Strong
  36. Social Networking – Helpful For Accredited Providers <ul><li>C2, C4, C5 in 2006 Updated ACCME Criteria could benefit </li></ul><ul><li>Compliance with C16-22 leads to Accreditation with Commendation </li></ul><ul><li>C21 in 2006 Updated ACCME Criteria: </li></ul><ul><ul><li>The provider participates within an institutional or system framework for quality improvement </li></ul></ul><ul><li>Appropriate use of social networking can certainly help! </li></ul>
  37. Where Does Social Network Fit In With CME <ul><li>Needs Assessments </li></ul><ul><ul><li>Sleep/wake and National Sleep Foundation </li></ul></ul><ul><ul><li>Posed barriers to diagnosis/care/outcomes question </li></ul></ul><ul><ul><li>Answers from patients, caregivers, physicians, nurses </li></ul></ul><ul><ul><li>Used information in activity development – can report back too </li></ul></ul>
  38. Many Organizations Set Up Facebook Pages <ul><li>Reach constituency </li></ul><ul><li>Provide access </li></ul><ul><ul><li>Right information </li></ul></ul><ul><ul><li>Right contact data </li></ul></ul><ul><ul><li>Right communities </li></ul></ul><ul><li>Can help to combat false information on the Internet </li></ul>
  39. Use of Facebook in A Needs Assessment
  40. Twitter – Many Uses For CME Providers
  41. Use Of Twitter in MY Needs Assessment
  42. Found On Twitter – Bias Or JIT Reporting?
  43. Found On Twitter – MDs And Twitter http://www.annemergmed.com/article/S0196-0644%2809%2900613-1/fulltext
  44. Found In Traditional Media – MedAdNews August 2009
  45. Conclusions <ul><li>CME 2.0 is still a goal, but providers are beginning to embrace it </li></ul><ul><li>There needs to be a bridging of the gap between CME and the rest of healthcare with respect to 2.0-ability </li></ul><ul><li>The tools, minds, and opportunities exist, but they must be put into practical use </li></ul><ul><li>Will we see CME 2.0 or Med 3.0 first? </li></ul><ul><ul><li>My guess: it’ll be close! </li></ul></ul>
  46. LinkedIn CME Group – Are You Members?
  47. Any Questions? [email_address] twitter.com/meducate Thank You!

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