From Research to Practice: How to get the clinical outcomes presented at the congress to the doctor faster

1. The InternationalCongressSpecialist
TheInternationalCongressSpecialist| “We bring theCongressto the Physician”
“We bring the Congress to the Physician”
HOW TO GET THE CLINICAL OUTCOMES PRESENTED
AT THE CONGRESS TO THE DOCTOR
FASTER
FROM RESEARCH TO PRACTICE

2. TheInternationalCongressSpecialist| “We bring theCongressto the Physician”
Agenda
• Scientific publishing process
• Publication times
• How to fill the gap: Congresses
• Conference Reports
• Implementation in clinical practice
• eCME case studies

3. TheInternationalCongressSpecialist| “We bring theCongressto the Physician”
Scientific publishing process

4. TheInternationalCongressSpecialist| “We bring theCongressto the Physician”
Scientific publishing process
Historyanddevelopmentof peerreview
• First Scientific Journal in history:
• Royal Society of London: Philosophical Transactions in 1665
• Review process was solely responsibility of the editor
• In 1752, the Society instituted a review policy
• wherein each manuscript was sent to a small group of experts in the field
before being published
• Since 1752 the peer-review process has remained the same in its essence

5. TheInternationalCongressSpecialist| “We bring theCongressto the Physician”
Scientific publishing process
Despite the digital age we live in, scientists still experience significant delays in
getting their research published in scientific journals.
Some cites from Nature News:
• Scientists are becoming increasingly frustrated by the time it takes to publish a
paper.
• Long wait for publication plagues many journals
• Scientific publishing requires patience, even after a paper has been formally
accepted.
Our concern: delay with which the outcomes of medical research reach the
clinician

6. TheInternationalCongressSpecialist| “We bring theCongressto the Physician”
Scientific publishing process
Image Credit: Nick at http://www.lab-initio.com/

7. TheInternationalCongressSpecialist| “We bring theCongressto the Physician”
Scientific publication process
• Submission
• Editorial decision: reject or review
• Peer review
• Revision
• Acceptance
• Typesetting
• Proofing
• Selection of issue
• Online publication
• Publication in print

8. TheInternationalCongressSpecialist| “We bring theCongressto the Physician”
Scientific publication process
• Study Results
• Daniel Himmelstein analysed publication times
• for around 3 million articles in PubMed
• from over 2700 journals
• Calculating time:
• 1) Between submission and acceptance, and
• 2) Between acceptance and online publication
Source: blog.dhimmel.com/history-of-delays/

9. TheInternationalCongressSpecialist| “We bring theCongressto the Physician”
Acceptance times
Avg. 120 days
Source: blog.dhimmel.com/history-of-delays/

10. TheInternationalCongressSpecialist| “We bring theCongressto the Physician”
ePublication times
Avg. 40 days
Source: blog.dhimmel.com/history-of-delays/

11. TheInternationalCongressSpecialist| “We bring theCongressto the Physician”
Total publication times Nature
Acceptance times
Average around 180 days Average around 50 days
Publication times
Total publication time around 230 days!
Source: blog.dhimmel.com/history-of-delays/

12. TheInternationalCongressSpecialist| “We bring theCongressto the Physician”
Conclusions publication Process
• Submission to acceptance times
• Show now improvement over time
• Average 120 days
• Acceptance to ePublication time
• Has decreased due to online publication
• But still lasts 40 days on average
• Total publication time is 160 days on average
• These times do not include any rejections of articles before being accepted
• In addition, most journals are still not open access
• Access limited to subscribers

13. TheInternationalCongressSpecialist| “We bring theCongressto the Physician”
Agenda
• Scientific publishing process
• Publication times
• How to fill the gap: Congresses
• Conference Reports
• Implementation in clinical practice
• eCME case studies

14. TheInternationalCongressSpecialist| “We bring theCongressto the Physician”
How to fill the gap
• Important research findings are typically reported at the congress
• Selection by the scientific committee of the congress
• Reporting available from the cogress;
• Newsletters from different medcom companies
• Recording of sessions by the organising Society like ESC
• Limited access
• Abundance in content
• But what misses is the scientific rigor introduced by the peer-review process
• Like scientific journals do

15. TheInternationalCongressSpecialist| “We bring theCongressto the Physician”
Medicom Conference Reports

16. TheInternationalCongressSpecialist| “We bring theCongressto the Physician”
Medicom Congress Portal

17. TheInternationalCongressSpecialist| “We bring theCongressto the Physician”
Medicom Conference Reports
• Medicom applies fast lane peer-review
• prepared and peer-reviewed in 6 to 8 weeks
• For each Conference Report an international medical Editor is assigned
• The independent Editor selects the most important sessions
• in collaboration with an independent medical advisory board
• Process is also faster as we work with professional medical writers
• Scientists are better in research than in writing
• Scientific and copyediting by Editorial team
• checking and adding references
• Advisory board peer-reviews the articles
• Editor does final review and approves the Report for publication

18. TheInternationalCongressSpecialist| “We bring theCongressto the Physician”
Medicom Conference Reports
• Featuring
• Interview with Society president or chairman
• top research,
• key findings,
• new guidelines
• late-breaking clinical trials
• video and/or audio recordings
• Conference Report published in three waves:
• 1st wave: Online news directly from the congress
• 2nd wave: Online peer-reviewed full text articles within 6-8 weeks
• 3rd wave: Self assessment Q&A shortly after the full report
• 25 reports in 10 specialtiy area’s:
• Cardio, Onco, Derma, Hemato, Neuro, Gastro, Respiratory, Uro

19. TheInternationalCongressSpecialist| “We bring theCongressto the Physician”
Conclusions publication times
• Submission to Acceptance times average 120 days
• Acceptance to ePublication times
• Decreased due to online publication
• But still lasts 40 days on average
• Total online Publication time is 160 days on average
• Now: Medicom Conference Reports
• Online Publication time 40-60 days
Reduction of Publication Gap by 100 days or more
Contributes to our mission!

20. TheInternationalCongressSpecialist| “We bring theCongressto the Physician”
Agenda
• Scientific publishing process
• Publication times
• How to fill the gap: Congresses
• Conference Reports
• Implementation in clinical practice
• eCME case studies

21. TheInternationalCongressSpecialist| “We bring theCongressto the Physician”
Implementation in clinical practice
Moore's CME outcomes
pyramid
Traditional CME is focused
on levels 1-2 and, at best,
assesses learning in pre-
and post-tests.
Source: 200.98.68.239/eoftalmo/details/91/en-
US/undertaking-effective-continuing-professional-
development-learning-experiences

22. TheInternationalCongressSpecialist| “We bring theCongressto the Physician”
Implementation in clinical practice
• Study in Canada on effectiveness of eCME in changing behaviour
• Aim: to increase physician support parents accepting vaccination
• eLearning was developed:
• Easy to translate into action
• Motivation to act
• Behavioural skills
• 2 groups of physicians participated
• One had followed the eCME programme
• The Control group hadn’t

23. TheInternationalCongressSpecialist| “We bring theCongressto the Physician”
Implementation in clinical practice

24. TheInternationalCongressSpecialist| “We bring theCongressto the Physician”
Implementation in clinical practice

25. TheInternationalCongressSpecialist| “We bring theCongressto the Physician”
Implementation in clinical practice

26. TheInternationalCongressSpecialist| “We bring theCongressto the Physician”
Implementation in clinical practice

27. TheInternationalCongressSpecialist| “We bring theCongressto the Physician”
Implementation in clinical practice
How to apply new guidelines in practice
• Foundational knowledge
• Bringing Congress news to the physician
• Including summaries of new guidelines
• Level 2 or 3: Satisfaction/Learning CME outcomes in Moore's pyramid
• Application of acquired knowledge
• Through case-based e-learning, which we develop with our partner
mdBriefCase
• Level 4 or 5: Competence/Performance in practice CME outcomes

28. TheInternationalCongressSpecialist| “We bring theCongressto the Physician”
Conclusions
• Objective is improving patient care by:
• Getting clinical insights to the doctor faster
• With some treatments this may even save lives
• Affecting the behavioural change by physician and patient
• Getting the insights implemented in daily practice
• How do we get this done?
• Cutting the publication gap by 100 days or more
• Develop case-based eLearning that supports implementation of:
• New clinical insights
• New guidelines

29. TheInternationalCongressSpecialist| “We bring theCongressto the Physician”
Medicom Congress Portal
For more information, please contact
• Mieke Verhamme:
• m.verhamme@medicom-publishers.com
• +32 11 988 255
• Paul Willers:
• paul.willers@medicom-publishers.com
• +31 655 398862