2. Choices for supporting ACEP
• Go it alone
– High cost ($175 to $200 K) of major program
– Find/locate a vendor
– Maintain and document “hands off” content
• ACCME
• PhRMA Code
• FDA
– No assurance of inclusion messages
• Join with others
– Reduce cost/company/program
– Assure internal review committees of compliance
– Allow mult-product presentations
– Repeat programs by regions/districts
– Engage wider range of faculty
– Year-round messaging
3. Why this proposal for EM?
• By its nature, EM especially amenable
• EM provides us with patient information
– Why they visit?
– What’s their complaint?
– Treatment options
– What should be prescribed?
– Who gets admitted to hospital?
4. The MASTERS Program
Maximizing Awareness of Stroke Treatment
in the Emergency Room Setting
Academic Alliances in Medical Education
5. Incidence of Stroke
Stroke
• Occurs every 45 seconds; death every 3 minutes
• 275,000 deaths/yr
• Third-leading cause of death
• Leading cause of long-term disability
• Costs >$50 billion/yr
• Most occur in >65 yrs of age
• Men are at higher risk, but more women die
• 2x higher incidence among African Americans
6. Stroke in Emergency Medicine:
Overview
Stroke
• Requires immediate treatment
– Improves chances for survival
– Decreases overall morbidity/mortality
• ~88% are ischemic and, if treated early, amenable to
therapy
• Many patients not treated fast enough
• Improvements needed:
– Educate emergency physicians
– Raise public awareness
7. ACEP Recognizes
the Importance of Stroke Education
• Numerous articles in Ann Emerg Med
• Topic at ACEP annual meetings
• EM “core content” reflected in “The Model of the
Clinical Practice of Emergency Medicine (EM)”
• 1 of 13 topics in Nervous System Disorders category
• ABEM weighted the Nervous System Disorders
category as 5% of the ConCert exam
8. Needs Assessment Methodology
Survey ACEP
Membership
Web-Based Focus
Groups
ACEP Newsletter
Survey
Case-Based
Pre-Test
Learning
PreferencesStroke Knowledge Practice Profile
9. • Two Components to the
MASTERS PROGRAM
System Web Site
Live – Chapter Lecture Series
10.
11. Program Overview
Emergency Physician
Educational Needs Assessments
Stroke Emergency Learning
System Web Site
Modular Educational Series Posted
on AAME Site With Link to
www.acep.org
1: Transient Ischemic
Attack: Presentation in
the Emergency
Department
Reprint Lecture Kit Series
2: Role of Paraclinical
Diagnostic Techniques in
Classification and
Treatment of Acute
Cerebrovascular Events
Video Lecture Series
3: Emergency Medicine:
On the Frontlines of
Stroke Management and
Secondary Prevention
Audio-Monograph Series
4: Practical Application of
Evidence-Based
Medicine: Secondary
Prevention of Stroke
Interactive Case Study
Series
5: Advances in
Telemedicine: Expanding
the Scope and Quality of
Emergency Stroke
Management
Expert Panel Discussion
Videos
Management of Time-Critical
Neurological Events: Acute
Ischemic Stroke and Transient
Ischemic Attack
Live Educational Lectures During
ACEP Chapter Annual Meetings
12. Program Overview
Emergency Physician
Educational Needs Assessments
Stroke Emergency Learning
System Web Site
Modular Educational Series Posted
on AAME Site With Link to
www.acep.org
2: Role of Paraclinical
Diagnostic Techniques in
Classification and
Treatment of Acute
Cerebrovascular Events
Video Lecture Series
3: Emergency Medicine:
On the Frontlines of
Stroke Management and
Secondary Prevention
Audio-Monograph Series
4: Practical Application of
Evidence-Based
Medicine: Secondary
Prevention of Stroke
Interactive Case Study
Series
5: Advances in
Telemedicine: Expanding
the Scope and Quality of
Emergency Stroke
Management
Expert Panel Discussion
Videos
Management of Time-Critical
Neurological Events: Acute
Ischemic Stroke and Transient
Ischemic Attack
Live Educational Lectures During
ACEP Chapter Annual Meetings
1: Transient Ischemic
Attack: Presentation in
the Emergency
Department
Reprint Lecture Kit Series
13. Learning System 1:
Transient Ischemic Attack:
Presentation in the Emergency Department
• Reprint Lecture Kit Series
Three modules consisting of:
– 2–3 journal articles in PDF
– Expert-faculty audio commentary
– 6–8 slides with lecture notes (per article)
14. Learning System 1: Modules
Pathophysiologic Mechanisms of the Ischemic Cascade
and Sources of Cerebral Ischemia
Clinical Impressions and Temporal Features of Acute
Ischemic Stroke and Transient Ischemic Attack:
Differentiating Along the Ischemic Continuum
Emergency Assessment of an Acute Neurological Event
16. William G Jochimsen
• 40+ years of pharmaceutical industry experience
– Directly: Abbott, Wallace, Pharmacia, Rhone-Poulence
Rorer, Pfizer
– Consultant: Rorer, Merrell-Dow, GD Searle, Thompson
Medical, Lipha Chemical
• Broad range of experience in several therapeutic areas
– CNS
• Antidepressants, anti-anxiety, sedative hypnotics, analgesics
– NSAIDs, anti-inflammatories, LMWH, anti-diabetics,
topicals, anti-infectives, ophthalmologicals, anti-
hypertensives, gastrointestinals
– Broad range of experience with vendors in a broad range of
meetings
17.
18. Independent Education Process
Needs assessment
• Audience surveys/evaluations
• Expert opinions
• Literature search
• Congress/society feedback
• Learning styles
• Gap analysis
• Patient surveys
Determine learning objectives
Design educational
program
• Identify faculty
• Determine audience
• Design medium – using
learning style and setting
of audience
Implement programs
• Secure venue, generate
audience, develop content
Evaluation/outcome
measures
• Effectiveness of faculty, quality,
and balance of content
• Learning preferences
• Educational needs and
interests for future programs
Submit grant
21. Contact Information
William G. Jochimsen
305 West 55th Street
New York, NY 10019-4557
Phone: 212 957-9536
Cell: 212 729-8298
Fax: 212 957-1373
Email: wgjochimsen@aol.com
Steven Abramson
CMD/AAME
1250 Broadway, 36th Fl
New York, NY 10001
Phone: 212 771-7317
Fax: 212 849-1180
Email: sabramson@cmdny.com
