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EMSProfessionals are Fed up with CE           Greg Friese,         MS, NREMT-P
EMSProfessionals are Fed up with CE(and what to do about it)               Greg Friese,             MS, NREMT-P
Greg Friese, MS, NREMT-P
Audience Response Pads   Special thanks to  C3Softworks.com         and  VisualBroccoli.com
Free Food, Donuts and Coffee
Free Food, Come On!
Session DescriptionEMS professionals are fed up with the continuing education theyendure to meet certification and licensu...
Session Objectives• Discuss state of continuing education• Explain pillars of independent learning plan• Describe specific...
State of EMS Continuing Education         Objective 1
EMS CE is Ground Hog Day
EMS CE is Generalized
EMS CE is Shallow
EMS CE is Repetitive         Peds /          OB                  Med   CPR                  Trauma
EMS CE is Poorly Timed
EMS CE Chases Topics
EMS CE Instructor Variability
2012: My Recert Year
I Don’t Have Time           Preparatory             OB/Peds             Medical             Trauma              Airway    ...
Education Hours              Teaching              Ride time              Conference              Articles              Vi...
Registration Time       +              +       -               -     Hours          Minutes
Seat Time             +        +            00 00               60               50               40               30     ...
Reading Time
Reading Time TestA VAD is a mechanical device that’s surgically implanted into the patient’s chest toaugment cardiac outpu...
Reading Time Variability                  WPM                       WPM                        College  8th   grader    25...
Quiz Duration                  +                   -                Minutes
Activity, Not Quality     12 Lead Instruction       Who is teaching?
Paramedic Degree
Time Passes … 2 years later
Time Passes … 4 years later
Time Passes … 6 years later
Time Passes … 10 years later
Time Passes … 20 years later
CE and Degree Completion   AA/AS         BS/BA           MS            RN/BSN   MPH            PA           MBA           ...
College Credit Hour      1 Contact Hour              +      3 hours studying              x          15 weeks             ...
CE Visualization Exercise         Close your            eyes
Pillars of an IndependentLearning Plan          Objective 2
Marathon Training Plan                   Data                Time Goal                 Coach
Default Learning Plan
Training is Homogenous
Actual Conversation      “I need more airway courses.”     “What kind of airway courses?”                 “Airway”     “Ai...
Similar Conversation           “I need more spice.”           “What kind of spice?”                  “Spice”           “Sp...
EMS Training Plan       Experience  Competency Goal     Training Officer
Individual Learning Plan                           A     D         S           S     A         E           S     T        ...
Pillar I: Data         ePCR               CAD                 Bio-             Surveillance
Data from Bio-Surveillance      Best time for training?
Train When Slope Changes                  Training No    Training     Longer Needed    Needed     Now
Available Bio-Surveillance Data What events could you monitor for withexisting data sources?
Adherence to Protocol Data                         50                         40                         30               ...
Protocol Driven TrainingFailure to use EtCO2 triggers:1. Email from medical director2. Google Doc form to explain not usin...
Pediatric Patient Encounters
Skill Proficiency  001   116/80   013   116/80   025   116/80   037   116/80  002   118/80   014   118/80   026   118/80  ...
Pillar II: Self-Directed                        Paramedic Knowledge                   Paramedic Knowledge                 ...
EMS Professional Chooses!    Seminars       Online Courses     Classes      Classroom Courses      Books       Expert Inte...
Learning Plan Self Assessment1. What are you really good at?2. How do you know you are really good at  those things?3. Wha...
Learning Plan Validation
Learning Plan Accountability                             Training              Me                              Officer Co-...
EMS Career Paths     FTO/      Customer                Human      Information  Leadership  Marketing     Finance     Educa...
Pathway to Degree Completion   Paramedic               Bachelors                Degree                           Masters  ...
Pillar III: Assigned
Assigned by Training Officer     Training Need     Deliver to All                      Competent?      Complete
Assigned by Training Officer     Training Need     Competent?          No      Yes            Training      Complete
Distribution of Training Hours100%                                        Training   Training                             ...
Implementation   Strategy          Objective 3
Healthy Training
Begin with End in Mind
Assess Knowledge
Assess Competency
Learning Plan Components             Goals     Tasks and Activities     Timeline t0 Complete           Coaching         Pe...
Stakeholder Support
Data Filtering
Road to Change
Try Something Different100%                  Today?                                   Training                            ...
Session Summary        Have a Goal   Individualize Training  Focus on Competency    Use Available Data        Take Action!
Questions   Search
Connections EMS Today      During             After                 greg@centrelearn.com                  717-227-4655 (of...
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EMS Professionals are Fed Up with CE and What to Do About It

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Slides from 2012 EMS Today Presentation by Greg Friese about EMS Continuing Education.

Published in: Education, Economy & Finance
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EMS Professionals are Fed Up with CE and What to Do About It

  1. 1. EMSProfessionals are Fed up with CE Greg Friese, MS, NREMT-P
  2. 2. EMSProfessionals are Fed up with CE(and what to do about it) Greg Friese, MS, NREMT-P
  3. 3. Greg Friese, MS, NREMT-P
  4. 4. Audience Response Pads Special thanks to C3Softworks.com and VisualBroccoli.com
  5. 5. Free Food, Donuts and Coffee
  6. 6. Free Food, Come On!
  7. 7. Session DescriptionEMS professionals are fed up with the continuing education theyendure to meet certification and licensure requirements. Thecurrent one size fits all model of continuing education delivers abroad reach of content with little depth. Continuing education rarelyaccounts for previous experience or individual performance data. Itdoes not challenge or incentivize EMS professionals to learn morethan what they have already been taught. After briefly reviewing thecurrent state of continuing education the presentation will describea conceptual model of an independent learning plan for EMSprofessionals. The presentation will include specific strategies toimplement the pillars of the learning plan to meet regulatoryrequirements while also delivering continuing education that honorsan EMS professional’s experience, knowledge, and time.
  8. 8. Session Objectives• Discuss state of continuing education• Explain pillars of independent learning plan• Describe specific strategies to implement
  9. 9. State of EMS Continuing Education Objective 1
  10. 10. EMS CE is Ground Hog Day
  11. 11. EMS CE is Generalized
  12. 12. EMS CE is Shallow
  13. 13. EMS CE is Repetitive Peds / OB Med CPR Trauma
  14. 14. EMS CE is Poorly Timed
  15. 15. EMS CE Chases Topics
  16. 16. EMS CE Instructor Variability
  17. 17. 2012: My Recert Year
  18. 18. I Don’t Have Time Preparatory OB/Peds Medical Trauma Airway CE Course
  19. 19. Education Hours Teaching Ride time Conference Articles Videos
  20. 20. Registration Time + + - - Hours Minutes
  21. 21. Seat Time + + 00 00 60 50 40 30 20 10 - - Hours Minutes
  22. 22. Reading Time
  23. 23. Reading Time TestA VAD is a mechanical device that’s surgically implanted into the patient’s chest toaugment cardiac output, or the ability to pump blood. VADs can be used as a“bridge to transplant” or as “destination therapy.” The compact size and portabilityof VADs affords patients the opportunity to be discharged from the hospital andhave an improved survival and quality of life.VADs are used as a bridge to transplant in patients who meet the qualifications forcardiac transplantation but need temporary support to survive their condition until asuitable heart donor becomes available.VADs are also used as destination therapy for patients with advanced heart failurewho are symptomatic despite optimal medical therapy and who don’t meet thequalifications for cardiac transplantation.2 The goal of destination therapy is tominimize heart failure symptoms and improve quality of life. Destination therapymeans that the patient will live with the device for the rest of their life. It’s used notas a temporary solution, but as a permanent therapy to improve quality of life.There’s no expectation or plan to progress to heart transplant. Mean = 1
  24. 24. Reading Time Variability WPM WPM College 8th grader 250 Student (low) 340 College 11th grader 350 student (average) 450 Average College adult 300 student (high) 800
  25. 25. Quiz Duration + - Minutes
  26. 26. Activity, Not Quality 12 Lead Instruction Who is teaching?
  27. 27. Paramedic Degree
  28. 28. Time Passes … 2 years later
  29. 29. Time Passes … 4 years later
  30. 30. Time Passes … 6 years later
  31. 31. Time Passes … 10 years later
  32. 32. Time Passes … 20 years later
  33. 33. CE and Degree Completion AA/AS BS/BA MS RN/BSN MPH PA MBA MD ED/PhD JD
  34. 34. College Credit Hour 1 Contact Hour + 3 hours studying x 15 weeks = 45 hours
  35. 35. CE Visualization Exercise Close your eyes
  36. 36. Pillars of an IndependentLearning Plan Objective 2
  37. 37. Marathon Training Plan Data Time Goal Coach
  38. 38. Default Learning Plan
  39. 39. Training is Homogenous
  40. 40. Actual Conversation “I need more airway courses.” “What kind of airway courses?” “Airway” “Airway courses of what type?” “It needs to be an airway course” “Exactly, a course about airway. I need to know more about what you need.”
  41. 41. Similar Conversation “I need more spice.” “What kind of spice?” “Spice” “Spice of what type?” “It needs to be a spice”“Exactly, a spice. I need to know more about what you need.”
  42. 42. EMS Training Plan Experience Competency Goal Training Officer
  43. 43. Individual Learning Plan A D S S A E S T L I A F N G E D
  44. 44. Pillar I: Data ePCR CAD Bio- Surveillance
  45. 45. Data from Bio-Surveillance Best time for training?
  46. 46. Train When Slope Changes Training No Training Longer Needed Needed Now
  47. 47. Available Bio-Surveillance Data What events could you monitor for withexisting data sources?
  48. 48. Adherence to Protocol Data 50 40 30 20 10 0
  49. 49. Protocol Driven TrainingFailure to use EtCO2 triggers:1. Email from medical director2. Google Doc form to explain not using3. Link to PDF protocol4. Assignment of online lecture5. Competency check at simulator lab
  50. 50. Pediatric Patient Encounters
  51. 51. Skill Proficiency 001 116/80 013 116/80 025 116/80 037 116/80 002 118/80 014 118/80 026 118/80 038 118/80 003 122/82 015 122/82 027 122/82 039 122/82 004 120/82 016 120/82 028 120/82 040 120/82 005 120/78 017 120/78 029 120/78 041 120/78 006 122/70 018 122/70 030 122/70 042 122/70 007 120/80 019 120/80 031 120/80 043 120/80 008 122/86 020 122/86 032 122/86 044 122/86 009 124/78 021 124/78 033 124/78 045 124/78 010 122/80 022 122/80 034 122/80 046 122/80 011 120/78 023 120/78 035 120/78 047 120/78 012 122/84 024 122/84 036 122/84 048 122/84
  52. 52. Pillar II: Self-Directed Paramedic Knowledge Paramedic Knowledge Niche Expert Goes Deep Broad and Shallow 12-Lead ECG Pediatrics
  53. 53. EMS Professional Chooses! Seminars Online Courses Classes Classroom Courses Books Expert Interviews Articles Simulation Site Visits Discussions Testing Case Review
  54. 54. Learning Plan Self Assessment1. What are you really good at?2. How do you know you are really good at those things?3. What do you want to get better at?4. What do you need from the organization to get better at those things?
  55. 55. Learning Plan Validation
  56. 56. Learning Plan Accountability Training Me Officer Co-Workers Social Networks
  57. 57. EMS Career Paths FTO/ Customer Human Information Leadership Marketing Finance Education Billing Preceptor Resources Service Technology Paramedic
  58. 58. Pathway to Degree Completion Paramedic Bachelors Degree Masters Degree ?
  59. 59. Pillar III: Assigned
  60. 60. Assigned by Training Officer Training Need Deliver to All Competent? Complete
  61. 61. Assigned by Training Officer Training Need Competent? No Yes Training Complete
  62. 62. Distribution of Training Hours100% Training Training Training Officer Officer Training Officer Officer Self Training Officer Self50% Self Self Data Data Self Data Data Data 0
  63. 63. Implementation Strategy Objective 3
  64. 64. Healthy Training
  65. 65. Begin with End in Mind
  66. 66. Assess Knowledge
  67. 67. Assess Competency
  68. 68. Learning Plan Components Goals Tasks and Activities Timeline t0 Complete Coaching Peer Review Self-Assessment Documentation
  69. 69. Stakeholder Support
  70. 70. Data Filtering
  71. 71. Road to Change
  72. 72. Try Something Different100% Today? Training Officer Training Self Officer50% Next Self Year? Data Data 0
  73. 73. Session Summary Have a Goal Individualize Training Focus on Competency Use Available Data Take Action!
  74. 74. Questions Search
  75. 75. Connections EMS Today During After greg@centrelearn.com 717-227-4655 (office) CentreLearn 715-204-9874 (mobile) Booth #3122 Facebook.com/gfriese Twitter.com/gfriese Blog.CentreLearn.com

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