CME Changes

From the learner perspective it is not readily apparent that ACCME's rules have undergone substantial change in order for providers to qualify as ACCME accredited providers and for ACCME accredited providers to provide AMA PRA Category 1 Credit . Here are the changes you may not have noticed (yet):
  • Upfront more transparent disclosure by speakers
  • Firewall between marketing and CME in providers
  • Knowledge -> Competence, Performance, and Patient Outcomes - rolled out from 2006 to 2010. More of a focus on practice.
  • Measuring outcomes: Starting in July 2011 INTERNET only activities need a post-test
  • Credit vs. Hours - 2007
  • CHPD doesn't have to be AMA PRA Category 1 Credit 
    • MoC not necessarily CME
    • Risk Evaluation and Mitigation Strategies - REMS for opioids - originally not CME but pharma created/delivered.
  • CME delivered more by academia vs. MECCs. Drops in funding are mostly resulting in drops in MECCs - there are likely to be fewer MECCs providing CME in the future.
  • New types of CME: 

Type of CME
Courses
Internet (enduring materials)
Regularly scheduled series
Enduring materials (other)
Journal CME
Internet (live)
Performance improvement
Internet searching and learning
Total
Activities
36,374
23,310
9,740
6,230
3,329
1,767
168
143
81,543
%
44.61%
28.59%
11.94%
7.64%
4.08%
2.17%
0.21%
0.18%
100.00%

References
  1. The Physician’s Recognition Award and credit system: Information for accredited providers and physicians [monograph on the Internet]. Chicago, IL: American Medical Association; 2010. Available from: http://www.ama-assn.org/resources/doc/cme/pra-booklet.pdf.
  2. CME as a bridge to quality: Leadership, learning, and change within the ACCME System [monograph on the Internet]. Chicago, IL: Accreditation Council for Continuing Medical Education; 2008 Jan. Available from: http://www.accme.org/dir_docs/doc_upload/e2843247-7cae-40fe-a0eb-27a982b8fcc0_uploaddocument.pdf
  3. Institute of Medicine. Redesigning Continuing Education in the Health Professions. Washington, DC: National Academies Press; 2009. Available at: http://www.nap.edu/openbook.php?record_id=12704
  4. ACCME. ACCME Essential Areas & Elements (2006 Accreditation Criteria). 2006. Available at: http://www.accme.org/dir_docs/doc_upload/f4ee5075-9574-4231-8876-5e21723c0c82_uploaddocument.pdf
  5. Institute of Medicine. Health Professions Education: A Bridge to Quality. National Academy of Sciences April 18, 2003. Available at: http://iom.edu/Reports/2003/Health-Professions-Education-A-Bridge-to-Quality.aspx
Copyright 2011, Bradley Tanner