My 2007 Alliance for CME conference presentation, later presented as an ACME webinar, that reviews strategies to measure continuing medical education outcomes. Was voted as a "Best of Conference" presentation, and included in the 2007 ACME “Best of Sessions Compilation CD.”
Similar to Alliance 2007 "Best of Conference" Presentation and Webinar: Beyond Theory: Practical Tools to Tackle Educational Outcomes Evaluation, Wendy Turell
Similar to Alliance 2007 "Best of Conference" Presentation and Webinar: Beyond Theory: Practical Tools to Tackle Educational Outcomes Evaluation, Wendy Turell (20)
6. Outcomes-Based Educational Model Design Program for Maximum Impact Needs Assessment Identify Optimal Outcomes (based on educational gap) Outcomes Assessment & Program Evaluation Outcomes-Based Learning Objectives Needs Assessment
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9. Reach for Greater Heights in Measurement LEVEL 5 PATIENT HEALTH LEVEL 4 PERFORMANCE LEVEL 3 LEARNING LEVEL 2 SATISFACTION LEVEL 1 PARTICIPATION LEVEL 6 POPULATION HEALTH Moore DE. A framework for outcomes evaluation. In: Davis D. Barnes BE, Fox R, eds. The Continuing Professional Development of Physicians: From Research to Practice. Chicago: AMA Press: 2003.
13. Sample Study Plan Study Subjects Survey Administration Survey Design Experimental Group Control Group (optional) Case-Based Questions Knowledge- Based Questions Pre-Test Staggered Post-Test Different options to assess learning and behavior change
I Measurement and CME An Outcomes-Based Educational Model Rationale Overview II Educational Outcomes Evaluation: Methodology Pre and Post-testing Experimental and Control Groups III Sample Approaches to Study Design Symposium,Journal Supplement,Online Activity,Podcast IV Questions and Answers
Return on Education (ROE) Educational dollars should be spent on effective education Guide for future programming What formats and strategies work best? Protection within CME guidelines Proof of educational effectiveness
Integrated program planning progress
Levels 1: Participant Satisfaction and Program Quality Measures No longer enough per ACCME and many grantors Level 2: Change (or intent to change) in Knowledge, Attitudes, or Skills Intent to change- has been shown to correlate with actual behavior change Level 3: Self-Reported Behavior Change Can be Captured via “staggered” post-tests administered weeks to months after activity completion Note : just because something is subjective does not mean it’s wrong – We just have less confidence in these results than we would if we used objective variables
Level 4: Change in Practice Ex: chart reviews – may not capture every behavior – record keeping varies by institution & practice Level 5: Change in Treatment Outcomes or Health Status of Patients Best matched with CME activity that has strong impact (multiple exposures, major intervention) -you won’t likely find a change in patient outcome via a one-hour live symposium with 100 participants. Best matched for a series, a larger sweeping initiative in a health-care system, etc.
I would fix the visuals on this and put in a build have different colors for each box- make it a bit more interactive. Make sure you say that when you can recurring medical education initiatives- you must have the same evaluation-same outcomes analysis plan- that you can compare in terms of success to other educational initiatives
mail, online link, snail mail)
You don’t have to poll everyone! Effect Size – magnitude of effect under study Power Calculation How to Estimate without having a statistics degree Rules of Thumb: If you have <30 participants, try to sample all of them
Encourage participation We want to reach our target “n” Recommended If you plan to use a control group Should be “medically relevant” They are permitted in CME AMA guidelines- Incentives not to exceed $100.00 Unwritten guidelines- Do not exceed $25.00/survey Avoid the perception of coercion SAME INCENTIVES TO BOTH GROUPS
Obtaining contact information for pretest contact Live Can offer pre-tests as participants arrive in room, but this may be awkward and logistically difficult ARS Enduring Materials May be more practical to skip the pre-test (validity may suffer) Funding Limitations Grantor concerns Pre-tests Incentives Can always skip incentives (note: validity may suffer due to lower enrollment) Objectivity