o f f i c e o f c o n t i n u i n g m e d i c a l e d u c a t i o n continuing medical education u p...

O f f i c e o f C o n t i n u i n g M e d i c a l E d u c a t i o n

Continuing Medical Education

U P D A T E A Guide for CME Applications

February 2013Used with permission from the author,

Dr. Bharat Gopal


Continuing Medical Education

UIC’s CME program continually seeks to enhance the educational environment for physicians through programming designed to improve the competence of participants, their performance in practice, and the outcomes of the patients they serve.

- UIC CME Mission Statement


University of Illinois College of Medicine

Toward the fulfillment of this mission, we aim to support and facilitate the implementation of learning activities for physicians that address identified clinical, research, and/or administrative practice gaps, relevant to to the professional activities of those who attend our events.


Accreditation Requirements

ACCME – Accreditation Council for Continuing Medical Education

UICOM - University of Illinois College of Medicine

Office of CME at the University of Illinois College of Medicine at Peoria (UICOMP)


Types of CME Activities

Live activities

Enduring materials

Journal-based CME

Case Review

Grand Rounds, M & M, Tumor Board

Performance Improvement CME activity


Types of CME Activities at UICOMP Live activity:

– Certified CME activity occurring at specific time

– Participation may be in person or remotely

Enduring material:

– Certified CME activity enduring over specific time

– Participation may occur at convenience of learner

Performance Improvement CME


UICOMP CME Roles and Responsibilities Lois Hill, CME Coordinator

Manages UICOMP’s CME program to ensure compliance with the UICOMP and ACCME criteria and maintains application files

Dr. Stan Bugaieski, Chair, Advisory Committee on CME

Manages the Advisory Committee on CME and resolves any potential conflicts of interest

Advisory Committee on CME

Reviews all CME applications for the Peoria area and sends those on to the Executive Committee on CME for approval.


UICOMP CME Roles and Responsibilities

Activity Coordinator

Manages individual activities and submits material to CME Office

Activity Director (Physician)

Leads individual activities to ensure high-quality and physician-driven


S T E P O N E

Application Process


Continuing Medical EducationApplication Process Initiate contact with Office of CME

Complete eCME application and corresponding paperwork

Submit draft application and paperwork through eCME

Office of CME reviews and provides recommendations

Submit final draft application and attachments

Review by Advisory Committee on CME

Review by Executive Committee on CME


Continuing Medical EducationApplication Overview

Online application

Meets ACCME and University of Illinois criteria

Detailed instructions and definitions

Several additional attachments required (planning committee and speaker disclosures, evaluation, flyer/brochure)


Part 1General Information

New or renewal application?

Physician activity director?

Planning committee?

Type of activity?

Does this activity meet the definition of CME?

Does this activity meet CME mission statement?


Part 2Target Audience

Who is this activity targeted for?

– Physicians? (Specialty)*

– Other healthcare professionals, such as PA-C, APN’s and nurses?

How many in attendance? (MD/DO and non-MD/DO)


Part 3Gap Analysis

What are the identified professional practice gaps this activity will address?

– Why of activity

– Data with sources (research, performance measures, quality data)


Part 3Gap Analysis

Intimate partner violence (IPV) is a major health concern in the United States. Approximately one in four women in the U.S. report experiences of violence by a current or former intimate partner during her lifetime, with an estimated two million injuries yearly.1 Therefore, based on the 2000 census data for Brown County, approximately 22,000 women in Brown County may be victims of domestic violence.2 Physicians at Memorial Hospital are in unique position to assist victims of intimate partner violence as survivors as they are likely to see patients with injuries and other adverse health problems in practice. During a recent chart audit, Memorial primary care physicians screened only one out of every ten patients for violence and abuse in the home. Therefore, the identified professional practice gap is screening for intimate partner violence.


Part 3Gap Analysis

What is activity trying to do?

– Increase knowledge

– Improve performance

– Improve patient outcomes

Linked to learning objectives and evaluation


Part 3Gap Analysis

State the desired change for educational need selected:

Knowledge: Recognize signs and symptoms of violence

Performance: Increase screening for violence

Patient outcomes: Decrease instance of violence

Knowledge easier to assess Patient outcomes more difficult


Part 3Gap Analysis

What are potential barriers to applying knowledge to change performance or improve patient outcomes?

Why won’t change occur?

What can we do about it?

Time Infrastructure

Money

Resistance

Process Billing

Patient compliance

Societal norms


Part 4Learning Objectives

Fill gap identified in gap analysis

Connect to identified educational need

Use verb list to begin each objective


Part 4Learning Objectives

Knowledge/competence Identify signs and symptoms of hypothyroidism

Performance Perform the diagnostic workup for hypothyroidism

Patient outcomes Decrease adverse outcomes of patient

hypothyroidism


Part 5Desirable Physician Attributes

Activities developed in context of desirable physician attributes in the activity

Articulate how attributes incorporated into planning and content

Developed by Accreditation Council for Graduate Medical Education (ACGME)


Part 5Desirable Physician Attributes

Patient care

Medical knowledge

Practice-based learning and improvement

Interpersonal and communication skills

Professionalism

Systems-based practice


Part 6 Methodology and Format

Rationale for selecting particular activity

Should facilitate expected results

Knowledge• Lecture• Panel

Performance• Simulation• Case studies

Patient outcomes• Performance

improvement


Part 7Faculty

Planning Committee members need to be identified at time of application (usually not the speaker)

Speaker(s), if known, should be identified on brochure/flyer


Part 8Commercial Support

If seeking commercial support for symposium, contact Office of CME for letter of agreement and use of commercial support form

Unrestricted funds must be provided

Contact CME Office for

more information


Part 9Evaluation

1. Standard CME evaluation

2. Optional secondary evaluation to measure learning:

– Follow-up questionnaire

– Patient chart audits

– Collection of quality data

– Pre- and post-test


Part 9Evaluation

Knowledge Performance Patient Outcomes

Pre/post test

Follow-up

Demonstration of skill

Follow-up

Patient chart audits

Collect quality data


Part 10Promotional Materials

Promotion materials must be submitted to Office of CME prior to print/distribution

If advertising for CME, include the following:

UICOMP logo and Organization(s) logo Learning Objectives

# of AMA PRA Category 1 Credits™ Accreditation Information Agenda/Schedule Speakers Date, Place & Time of Event


Accreditation Statement

The University of Illinois at Chicago (UIC) College of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The University of Illinois at Chicago (UIC) College of Medicine designates this live educational activity for a maximum of _____ AMA PRA Category 1 Credit(s)™.


Part 11Disclosure and Resolution of COI

Disclosure forms submitted for coordinator, director, and planning committee with application

Disclosure forms submitted for all faculty two weeks prior to start of activity

If need to resolve conflict of interest, contact Office of CME to guide through process


Part 11Disclosure and Resolution of COI

Ensures educational activity planned without commercial influence

Memo communicates requirements to faculty


Part 12Budget

Include estimation of activity budget in application

Some Regularly Scheduled Sessions (RSS) may be $0

Final budget required at close of activity


S T E P T W O

Approval Process


Review and Approval

Advisory Committee on CME reviews applications monthly

If approved, the application is sent to the Executive Committee on CME

– If approved by the Executive Committee, administrative contact receives reporting requirements for approved CME activity


Accreditation and Designation

Carle Foundation Hospital designates this live activity for a maximum of [insert credits*] AMA PRA Category I Credits(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

*Include number of credits

No advertising can be done with this designation until final approval by the Executive Committee on CME.


Faculty Requirements

Completed Conflict of Interest form

If faculty discloses personal financial relationship related to activity, resolution must occur*

Evidence of communication to faculty member with objectives (template available)


S T E P T H R E E

Event Requirements


Event Requirements

Disclosure communication

Attendance record

Evaluation*

* Required quarterly for RSS’s


Disclosure Expectations

1. Disclosure made to learners of each activity (include name of person, company and relationship)

2. Must disclose if no relationship (include name of person and indication of no relationship)

3. Encourage audience disclosure in writing on printed materials (eg, sign-in sheet or handouts) and send to Office of CME for files


Examples of Language

John Smith, MD, chair discloses no relationships with commercial companies.

Mary Jones, coordinator discloses that she is on the Speakers Bureau for First Medical Supply.


Examples of Disclosure

Written:

– Sign-in sheet

– Handouts (eg, agenda)

– Signs

Oral:

– Slide


Evaluation

Required to evaluate activity using evaluation form after event

Evaluations retained by CME activity host with a summary of all evaluations sent to the Office of CME on a monthly or quarterly basis, depending on frequency of CME activity


S T E P F O U R

Post-Event Wrap-Up


Submission of Materials

Attendance record/sign-in sheet – please be sure these are legible!

Summary of attendance

Evidence of disclosure

Post-activity reports


Regularly Scheduled Series (RSS)

Includes Grand Rounds, Morbidity and Mortality, and other activities

Approved for period of one year with renewal occurring on regular schedule – post-activity reports and narrative summary required annually as well as quarterly.

Required to submit documentation after each iteration of RSS (attendance)


Compliance Assurance

Reminders

– Receive reminders of required paperwork from Office of CME

File audits

– CME Office audits all files and notes any missing documents to activity coordinator

Monitoring

– Activity may be monitored by Office of CME for compliance


Step

oneAPPLICATION

Step

two*

BEFORE

ACTIVITY

Step

threeDURING

ACTIVITY

Step

four

AFTER AC

TIVITY

Submit completed application Include:

Disclosures from planning committee Sources of gap analysis data


Step

oneAPPLICATION

Step

two*

BEFORE

ACTIVITY

Step

threeDURING

ACTIVITY

Step

four

AFTER AC

TIVITY

Promotional materials Completed disclosures for faculty


Step

oneAPPLICATION

Step

two*

BEFORE

ACTIVITY

Step

threeDURING

ACTIVITY

Step

four

AFTER AC

TIVITY

Disclose conflict of interest Sign-in sheet Evaluation


Step

oneAPPLICATION

Step

two*

BEFORE

ACTIVITY

Step

threeDURING

ACTIVITY

Step

four

AFTER AC

TIVITY

Submit materials Sign-in sheet Proof of disclosure (if not using sign-in sheet) Completed evaluation summary Final budget (for courses and symposiums)


Office of CME Responsibilities Track event from start to finish

Maintain files of activity

Ensure ACCME compliance

Manage attendance database

Monitor activities


We are here to help!

The Office of CME will assist you throughout course of application and event, but particularly with:

1. Commercial support

2. Potential conflict of interests


Questions and Answers


What is the role of the activity coordinator?

A. Oversee quality of activity

B. Manages individual activity

C. Oversees ACCME compliance

D. Attends CME Committee meetings


Which of the following is part ofthe UIC-COM CME Application?

A. Needs assessment

B. Gap analysis

C. Promotional materials


What is the purpose of a disclosure?

A. Ensure faculty member is qualified

B. Determine strengths of presentation

C. Evaluate effectiveness of the presentation

D. Identify and resolve conflicts of interest


What would be the most appropriate evaluation to measure knowledge?

A. Patient chart audits

B. Simulation

C. Pre-test and post-test

D. Collection of data


Which of the following must be submittedwith the UIC-COM CME Application?

A. Completed evaluation summary

B. Faculty disclosures

C. Promotional materials


Best Practices

Disclosures:

– Included in PowerPoint

– Included on sign-in sheet

– Included when entering room


Best Practices

Evaluation:

– Complete UIC-COM CME evaluation and sign (required for CME credits to be awarded)

– Provide summary of evaluations to Office of CME


Best Practices

Promotion:

– Submitted in advance

– Used standard UIC-COM statement

– Included all required information


Thank you!

o f f i c e o f c o n t i n u i n g m e d i c a l e d u c a t i o n continuing medical education u p...

Documents

e d i c

e d u c

t i o n uicomp cme roles

cme coordinator

cme applications

medical education u

uicomps cme program

ecme office of cme reviews