Role of CME and professional development. King Fahd Specialist Hospital CME

1. CME & KFSH
Dr. Shad Salim Akhtar
MBBS, MD, MRCP (UK), FRCP (Edin), FACP (USA)
Medical Director
Chairman CME

2. CME - Definition
Education after
certification and
licensure
Davis D et al. BMJ 2003; 327:33

3. CME - AIMS
 Lifelong learning process
 Develop skills needed which include
 Education
 Management
 Training
 IT
 Audit
 Communication
 Team building
Editorial BMJ 2000; 320:393

4. Why Do Physicians Learn?
Patient problems
Revalidation
Recertification
Ego
Juniors ask questions
Patients’ demands (internet)
Pharmaceutical agencies
Shannon S. The Lancet 2003; 361:266

5. Research states that
physicians have 3 to 5 clinical
questions per day that remain
unanswered.
The answers are out there,
…..

6. Why CME BMJ August 2001

7. CME - Flaws
Primarily teacher and learner driven
Does not usually address population
health questions
Driven by CME credit hunting
Disconnected from actual practice
Davis D et al. BMJ 2003; 327:33

8. CME-Is It Effective?
Bums on the seats
Pursuit of credits
No relation to real outcomes
No relation with professional
development
Clair du Boulay BMJ 2000; 320:393

9. Is Traditional CME Effective?
 Since 1970 evidence available that CME is
ineffective
 Does not improve physician performance
 No effect of patient health outcome
 Didactic CME courses have little effect on guideline
adoption
 Opportunities for practice and feedback enhance
change
 Multifaceted interactive interventions better
Journal of Med Internet Res 2003; 5:e20

10. Changing Practice
 Physicians becoming aware of a gap in
knowledge or skill
 Learning changes the practice not
teaching
Shannon S The Lancet 2003; 361:618

11. Reasons for Information
Seeking
Varies from stage to stage
Complex changes in practice
Specific patient problem
Higher qualifications
Higher remuneration
Peer challenge
Journal of Med Internet Res 2003; 5:e20

12. What Should CME Program Do?
 Identify educational needs
 Have specific objectives
 Focus on important issues relevant to
participants’ practice
 Provide evidence based information
 Allow participant interaction
 Give opportunity for practice and feedback
 Provide mechanisms for program follow up
Shannon S The Lancet 2003; 361:618

13. KFSH - CME
 Journal clubs
 Debates
 CPC
 Case presentations
 Departmental activities
 Recent advances
 Practice based sessions