The accreditation of CME-CPD in Europe Contributing to

The accreditation of CME-CPD in Europe Contributing to higher standards in medical care The transatlantic cooperation in CME-CPD: The mutual recognition agreement between the AMA and the UEMS-EACCME UEMS Conference, 18 th November, 2011

Contact information Alejandro Aparicio, MD, FACP Director, Div. of Continuing Physician Professional Development American Medical Association 515 N. State Street Chicago, IL 60654 Office: (312) 464 -5531 Alejandro. Aparicio@ama-assn. org 2

Disclosure I have no financial relationship to any commercial interest to disclose. Clinical Assistant Professor of Medicine and Assistant Professor of Medical Education at the University of Illinois at Chicago College of Medicine. Board of Directors of the Global Alliance for Medical Education Member of the Rome Group Chairman, National Task Force on CME Provider/Industry Collaboration 3

Mission of the AMA Promote the art and science of medicine and the betterment of public health 4

The AMA definition of CME consists of educational activities which serve to maintain, develop, or increase the knowledge, skills, and professional performance and relationships that a physician uses to provide services for patients, the public or the profession. The content of CME is the body of knowledge and skills generally recognized and accepted by the profession as within the basic medical sciences, the discipline of clinical medicine, and the provision of health care to the public [AMA House of Delegates policy #300. 988]. 5

The AMA PRA Credit System Evolved to help physicians provide better patient care through engagement in certified CME 6

The AMA PRA Credit System Category 1 (provider) - Live activities, Enduring Materials, Journal-based CME, Test item writing, Manuscript Review, Performance Improvement CME (PI CME), Internet point-of-care (Po. C) Category 1 (AMA) – Teaching at a live activity certified for AMA PRA Category 1 Credit™, publishing articles, poster presentation, medically related advanced degrees, ABMS Board certification, and ACGME accredited graduate medical education program 7

The AMA PRA Credit System Category 2 (Physicians) - Participation in activities that have not been certified for AMA PRA Category 1 Credit™, teaching physicians, residents, medical students or other health professionals, unstructured online searching and learning (i. e. , not Internet Po. C), reading authoritative medical literature, consultation with peers and medical experts, small group discussions, self assessment activities, medical writing, preceptorship participation, research, and peer review and quality assurance participation 8

Some elements for international relationships involving CME credit • Based on mutually acceptable definition of CME • There is a description of a needs assessment and target audience • Educational objectives are communicate to the target audience • Content is factual and adheres to shared definition of CME • Content is free of commercial influence or bias Excerpted from “Process to Establish an International Agreement with the AMA to establish a credit conversion system or to award AMA PRA Category 1 Credit™” Updated 2010 9

Activities eligible for conversion between the two credit systems 1. Live activities and 2. E-learning activities, defined in the 2010 UEMS-EACCME Reference Guide to the Accreditation Process “as covering the delivery of CME/CPD by methods including: recorded audio, recorded visual, recorded on Compact Disc (CD), recorded on Digital Versatile Disc (DVD), available on Personal Digital Assistant (PDA), available online via an educational website, or any mixture of the preceding. ” 10

“Territoriality” • Under the agreement between UEMS-EACCME and the AMA, if UEMS-EACCME approves an activity for UEMS-EACCME credit to take place within the United States, those UEMSEACCME credits cannot be converted to AMA PRA Category 1 Credits(TM). For attendees to receive AMA PRA Category 1 Credits(TM) the activity must be certified for AMA PRA Category 1 Credits(TM) prior to the activity taking place. • Under the agreement between UEMS-EACCME and the AMA, organizations authorized to award AMA PRA Category 1 Credit(TM) may continue to hold certified CME activities anywhere in the world, however, if the organization chooses to hold an activity in a country that is part of the UEMS-EACCME, those AMA PRA Category 1 Credits(TM) cannot be converted to UEMS-EACCME credits. For participants to receive UEMSEACCME credits the activity must be approved by the UEMSEACCME prior to the activity taking place. 11

Effectiveness of CME • Robertson et al. , Impact studies in continuing education for health professions: update J. of Continuing Educ. in the Health Prof 2003; 23(3): 146 -156 • Marinopoulos, SS, Dorman T. Ratanawongsa N. Wilson LM, Ashar BH Magaziner JL, Miller RG, Thomas PA, Prokopowicz GP, Qayyum R, Bass EB. Effectiveness of Continuing Medical Education. Evidence Report/Technology Assessment No. 149 (Prepared by the Johns Hopkins Evidence-based Practice Center, under Contract No. 290 -020018. ) AHRQ Publication No. 07 -E 006. Rockville, MD: Agency for Healthcare Research and Quality. January 2007 • Effectiveness of Continuing Medical Education: American College of Chest Physicians Evidence-Based Educational Guidelines. Chest 2009; 135(suppl) • Forsetlund L, Bjørndal A, Rashidian A, Jamtvedt G, O’Brien MA, Wolf F, Davis D, Odgaard-Jensen J, Oxman AD. Continuing education meetings and workshops: effects on professional practice and health care outcomes. Cochrane Database of Systematic Reviews 2009, Issue 2. Art. No. : CD 003030. DOI: 10. 1002/14651858. CD 003030. pub 2. 12

Resources • Division of Continuing Physician Professional Development (CPPD) – www. ama-assn. org/go/cppd • AMA PRA credit system – www. ama-assn. org/go/prabooklet • Resources for physicians – www. ama-assn. org/go/cme 13

Resources • Information for CME providers – www. ama-assn. org/go/cmeprovider • CPPD Report Newsletter transitioned to the AMA Med. Ed Update – www. ama-assn. org/go/cppdreport • AMA CPPD Webinars – www. ama-assn. org/go/webinarscppd 14

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