Cme ppp may 280510

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Author's own remarks and observation after serving at the UAE's Ministry of Health for 5 years and Academia for 2years.

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Cme ppp may 280510

  1. 1. Developing aNational Continuing ProfessionalDevelopment - CME /CPD Program forHealth Professionals <br />Dr. Yousuf H. Qureshi<br />JP MNZIM MD DPH FACP DAB PhD<br />Technical Adviser CME / CPD/ CNE & Advocacy<br />Health Systems Strategy LLC<br />Dubai<br />UAE<br />
  2. 2. Continuing ProfessionalDevelopment (CPD/CME)<br />CPD/CME is a specific form of professional development that helps health professionals maintain competence and learn about new and developing areas of their fields.<br />Continuous updating of professional knowledge and the improvement of professional competence throughout a person’s working life.<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />2<br />
  3. 3. Continuing ProfessionalDevelopment (CPD/CME)<br />Lifelong Learning<br /> Formal Education<br />Birth Death<br /> Continuing Professional<br /> Development<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />3<br />
  4. 4. Continuing ProfessionalDevelopment (CPD/CME)<br />Characteristics of CPD/CME Program<br />Continuous / life long learning;<br />Should be structured / formal;<br />Outcome oriented;<br />Everyone participates;<br />Specific to national healthcare needs;<br />Should not be a costly affair;<br />Voluntary !! / Mandatory!!!!<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />4<br />
  5. 5. (CPD/CME)Existing Global CPD/CME Model<br />In most of the countries with relatively mature CPD/CME Programs:<br />CPD/CME is regulated by the Professional Societies/ Universities / Colleges;<br />CPD/CME is provided by a large number of Medical<br /> Organizations;<br />CPD/CME is accredited by some Accreditation Agencies;<br />CPD/CME is measured in the form of credit hours/points;<br />Recertification and renewal of licenses are being<br /> increasingly linked with formal CPD/CME requirements.<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />5<br />
  6. 6. (CPD/CME)in the UAE<br />Health Professionals in the UAE:<br />> 10,000 Registered Medical Practitioners;<br />Over 1000 Registered Dental Practitioners;<br />Over 2,000 specialist doctors;<br />Over 200 TCAM Practitioners;<br />Tens of thousands of nurses and<br /> technicians<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />6<br />
  7. 7. Continuing ProfessionalDevelopment (CPD/CME)<br />UAE doctors, nurses, technicians<br /> and other health professionals have<br /> life-long learning needs as in any other Civilized Country.<br />A strong CPD/CME Program is needed to<br /> fulfill the learning needs of health professionals practicing in the UAE.<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />7<br />
  8. 8. CME/CPD/CME in the UAE<br />CME/CPD/CNE has always existed in teaching hospitals in the form of medical education activities:<br />Clinico- pathological meetings<br />Mortality & Morbidity meetings<br />Journal clubs<br />Grand rounds<br />Lectures, workshops, seminars.<br />Limited CME/CPD/CNE opportunities for<br />private sector doctors BUT INCREASING!!<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />8<br />
  9. 9. CME/CPD/CNE in the UAE<br />UAE Policy Makers and Decision Makers need to learn from the experiences of others and start a National CPD/CME Program on right lines right from the beginning.<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />9<br />
  10. 10. Proposed Strategy forCPD/CME Program in the UAE<br />Define CPD/CME (from UAE’s CPD/CME needs perspective);<br />Perform assessment of situation (tools like SWOT analysis);<br />Set vision, mission and values of the National CPD/CME program;<br />Set strategies for the National CPD/CME Program;<br />Set rules and regulations for the National CPD/CME Program;<br />Establish infrastructure needs, CPD/CME policy, role and responsibilities<br /> of key stakeholders;<br />Set goals and objectives of the program (Operational plan);<br />Identify funding needs and mechanisms (Financial plan).<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />10<br />
  11. 11. Define CME/CPD/CNE in the UAE<br /> CPD/CME in the UAE means:<br /> Continuous improvement of professional knowledge and competence of ALL health professionals, through an integrated CPD/CME system with a special emphasis on improving the quality of healthcare services through addressing the healthcare needs of the country.<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />11<br />
  12. 12. CME/CPD/CNE in the UAESTRATEGY<br />Vision<br /> UAE will have an integrated CPD/CME system to fulfilling the professional development needs of all health professionals, through a specially designed CPD/CME curriculum specific to the needs of the UAE healthcare system, to improve the health of the nation.<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />12<br />
  13. 13. CME/CPD/CNE in the UAESTRATEGY<br />Mission<br />UAE has a well organized and structured CPD/CME program that integrates key stakeholders to address the lifelong learning needs of its health professionals, in order to improve the health of the nation.<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />13<br />
  14. 14. CME/CPD/CNE in the UAESTRATEGY<br />Values<br />Life long learning for all health professionals;<br />Integrated system;<br />Well regulated system;<br />Addresses the national healthcare needs;<br />Affordable system;<br />Model for developing countries.<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />14<br />
  15. 15. Key Stakeholders inUAE CPD/CNE Program<br />Ministry of Health (largest employer of Health Professionals)<br />Dubai Health Authority<br />Health Authority Abu Dhabi<br />Proposed Health Authority of Northern Emirates<br />Professional and specialty societies (EMA and others).<br />Medical Colleges & Universities <br />Other Institutions – Pharmaceutical Companies etc. etc.<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />15<br />
  16. 16. SWOT Analysis ofthe Existing CPD/CME System<br />Strengths & Weaknesses:<br />Motivated staff eager to learn and improve.<br />Medical Education increasingly being valued at the Medical Colleges/Universities’ level.<br />Fragmented, unstructured CPD/CME system, mostly limited to teaching hospitals;<br />No formal CPD/CME requirements at any level;<br />System is not supported by stakeholders (MOH, DHA, HAAD etc.);<br />Rules and regulations do not exist, universally, to operate the system.<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />16<br />
  17. 17. CME / CPD Requirement <br />A minimum number of credit points are required, within a period of FIVE years<br />Medical & Dental Practitioners: 30 Points /year<br />Pharmacy practitioners:20 Points /year<br />Nurses : 15 Points /year<br />Technicians: 10 Points / year<br />Allied Health Professionals<br />TCAM* 15 Points /year<br />MANDATORY to acquire, at least, 50% points at regular CME activities, designed, for Medical Fraternity<br />(Source: MoH News in Khaleej Times – March 2010)<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />17<br />
  18. 18. SWOT Analysis ofthe Existing CPD/CME System<br />Opportunities and Threats:<br />Enormous opportunities in the field. If we do not act now, others will invade and takeover the system.<br />If the system is not implemented, UAE Health professionals will become isolated from global developments in health services.<br />CME CREDIT POINT SYSTEM is increasingly becoming globalized.<br />UAE Health Professionals will look towards external<br /> sources of CPD/CME in the absence of a National CPD/CME System.<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />18<br />
  19. 19. Setting Strategies forthe UAE CPD/CME Program<br />The DHA should involve key stakeholders (MoH, HAAD. New Authority, Universities) to perform brainstorming and assessment studies to introduce an organized CPD/CME program in the UAE.<br />Review existing global CPD/CME programs at the MoH / DHA / HAAD.<br />Establish rules and regulations for CPD/CME program and define constitutional responsibilities of key stakeholders.<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />19<br />
  20. 20. Setting Strategies forthe UAE CPD/CME Program<br />Establish mechanisms to introduce CPD/CME system in the UAE.<br />Establish CPD/CME Accreditation and Regulatory System through the establishment of UAE Council for Continuing Professional Development.<br />Introduce CPD/CME Curriculum that is based on National Health Policy and Priorities.<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />20<br />
  21. 21. Challenges in ImplementingCPD/CME System in the UAE<br />Bringing key stakeholders on one table (MOH, DHA, HAAD, Medical Universities, EMA , Emirate Nursing Council etc.);<br />Defining the role of different stakeholders;<br />Developing law, rules and regulations for CPD/CME system;<br />Developing an affordable CPD/CME system;<br />Defining country specific CPD/CME curriculum;<br />CPD/CME outreach program to capture all health professionals in different beurucraticlocations.<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />21<br />
  22. 22. CME / CPD Present Points Awarding Structure <br />To gain the credit hours / points the CME activities are divided into 3 Categories<br />Category 1<br />Be sponsored by an organization accredited by the MoH.<br />Conform to the Definition of CME / CPD.<br />Be based on a perceived or demonstrated educational need which is documented<br />Be intended to meet the continuing educationneeds of an individual physician or specific group of participants<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />22<br />
  23. 23. CME / CPD Present Points Awarding Structure <br />Category 1 (Continued)<br />Have stated educational objectives for the activity<br />Have content which is appropriate for the specified objectives<br />Use teaching/learning methodologies and techniques which are suitable for the objectives and format of the activity<br />Use evaluation mechanisms defined to assess the quality of the activity and its relevance to the stated needs and objectives<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />23<br />
  24. 24. CME / CPD Present Points Awarding Structure <br />Category 2<br />Category 2 activities are not formally designated  <br />Online Medical research and study <br />Using non-designated enduring materials <br />Teaching of medical or healthcare professionals <br />Reading authoritative medical literature <br />Attendance at conferences, lectures, and seminars not designated in Category 1.<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />24<br />
  25. 25. CME / CPD Present Points Awarding Structure <br />Category 3<br />Category 3 activities are not designated in either categories 1 & 2 and cater, solely, for research oriented CME activities<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />25<br />
  26. 26. CME / CPD Present Points Awarding Structure <br />Table1. Menu of CME / CPD Activities <br />Category 1<br />Type of Activity CME / CPD credit points / hour or part of<br />Workshops An hour /More than one hour 1 Credit point <br />Lecture series 1 credit point<br />Symposia 1 credit point<br />Seminars 1 credit point<br />Group Learning Sessions/Group Activities 0.5 cr. point<br />Practical Training Sessions 0.5 credit point<br />Clinical Training Sessions 0.5 credit point<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />26<br />
  27. 27. CME / CPD Present Points Awarding Structure <br />Table 2. Menu of CME / CPD Activities<br />Category 2:<br />Type of Activity CME / CPD credit points / hour or part of<br />Patient care review meetings 0.5 point<br />Teaching –<br />Medical & Other Health Professionals 0.5 point<br />Writing Questions for Examinations 0.5 point <br />Journal Clubs 0.5 point<br />Self Assessment Examinations 0.5 point<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />27<br />
  28. 28. CME / CPD Present Points Awarding Structure <br />Category 2 (Continued)<br />Type of Activity CME / CPD credit points / hour or part <br />of<br />Approved Self Instructions 0.5 credit point<br />Computer Assisted Instructions 0.5 credit point<br />Audio- Visual Instructions 0.5 credit point<br />Distance Learning / Web based Learning 0.5 credit point<br />Reading scientific Papers for Journals 0.5 credit point<br />Self – directed Study for Examinations 0.5 credit point<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />28<br />
  29. 29. CME / CPD Present Points Awarding Structure <br />Table 3. Research & Related<br />Category 3<br />Type of Activity CME / CPD credit points<br />Scientific Papers published in related journals<br /> - 1st or Single Author (solo) 5 credit points <br /> - 2nd Author 3 credit points<br /> - 3rd Author 2 credit points <br />Review Articles in related specialty<br /> - 1st (Or Single) author 5 credit points <br /> - 2nd author 3 credit points <br /> - 3rd author 2 credit points <br />5/29/2010<br />Dr Yousuf H. Qureshi<br />29<br />
  30. 30. CME / CPD Present Points Awarding Structure <br />Table 3. Research & Related <br />Category 3<br />Chapters in a book in related specialty<br /> - 1st (Or Single) author 5 credit points <br /> - 2nd author 3 credit points <br /> - 3rd author 2 credit points <br />Scientific Paper presentations in related specialty<br /> - International Conference 5 credit points <br /> - Local, Regional or National level 3 credit points <br /> - Chairing / Co chairing a session 2 credit points <br /> - Writing a book in related specialty 10 credit points<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />30<br />
  31. 31. CME/CPD/CNE in the UAESTRATEGY<br />Key stakeholders MUST unite to introduce structured CPD/CME Program in the UAE<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />31<br />
  32. 32. CME/CPD/CNE in the UAE<br />Mistakes are painful when they happen.<br />BUT YEARS LATER COLLECTION OF<br />MISTAKES IS CALLED EXPERIENCE,<br />WHICH SHOULD LEAD TO SUCCESS.<br />WE CANNOT AFFORD MAKING MORE<br />MISTAKES….<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />32<br />
  33. 33. CME/CPD/CNE in the UAE<br />NO ONE CAN GO BACK AND CHANGE A BAD BEGINNING BUT<br />ANYONE CAN START NOW AND CREATE A SUCCESSFUL ENDING<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />33<br />
  34. 34. CONCLUSION<br />CPD/CME System is already in crises in the UAE.<br />We DO NOT have a system to address the professional development needs of our fellow colleagues.<br />Our Healthcare leadership must wake up NOW to establish the system before it is too late….<br />Who will take the lead ?<br />MOH ?<br />DHA ?<br />HAAD ?<br />EMA ?<br />ACADEMIC Institutions<br />Someone else?<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />34<br />
  35. 35. Food for Thought<br />Responsible and accurate portrayal of best clinical practice in the context of Evidence Based Medicine, using current clinical practice as a reference point.<br />Transparency on relationships and matters of conflict of interest.<br />Structures in place to avoid potential influence from commercial supporters or single issue organizations.<br />Expert authors of the appropriate level of expertise and relevance to the target audience.<br />(European CME-CPD Academy)<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />35<br />
  36. 36. Food for Thought<br />Clarity of support and involvement: all institutions and supporters are clearly identified and differentiated where they have had any involvement and under what conditions.<br />Clearly laid out learning objectives and expectations for participation in order to complete the activity, including timings and evaluation or testing requirement.<br />All our programs are accredited for CME or approved for CPD by the relevant authority to the target audience profile of each individual activity.<br />(European CME-CPD Academy)<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />36<br />
  37. 37. Food for Thought<br />European CME-CPD Academy is dedicated to the delivery of high quality accredited continuing education for healthcare professionals in Europe.<br />Can we form an Academy, here, in the UAE that would serve all the GCC Countries, other neighboring countries and Indo - Pak Subcontinent.<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />37<br />
  38. 38. Revenue Generation by CME<br />Any organization wish to use DHA/MoH /HAAD Logo MUST be charged x – y K depending on the size of the event and worth of the organization.<br />IF DHA/MoH /HAAD facilities are used for any CME activity they should levy some charges.<br />All certificates issued by the organizers MUST be charged a Prorate say 50 dirham / certificate (Irrespective whether the organizers are charging the participants or NOT) DHA/MoH /HAAD fraternity exempted.<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />38<br />
  39. 39. CME/CPD/CNE in the UAE<br />THANK YOU<br />5/29/2010<br />Dr Yousuf H. Qureshi<br />39<br />

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