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Judy Ribble, PhD, FACME President, National Commission for Certification of CME Professionals

PATHWAYS TO COMPETENCE FOR CME PROFESSIONALS : Options & Opportunities for Professional Recognition. Judy Ribble, PhD, FACME President, National Commission for Certification of CME Professionals October 18, 2006 Baltimore. Objectives for this presentation. … you should be able to:

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Judy Ribble, PhD, FACME President, National Commission for Certification of CME Professionals

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  1. PATHWAYS TO COMPETENCEFOR CME PROFESSIONALS:Options & Opportunities for Professional Recognition Judy Ribble, PhD, FACME President, National Commission for Certification of CME Professionals October 18, 2006 Baltimore

  2. Objectives for this presentation … you should be able to: 1. Determine whether CME can be considered a profession  2. Consider certification as an option for recognition of CME professionals

  3. What is an Occupation? • “The principal activity (job, work, calling) that earns money … for a person.” http://en.wikipedia.org/wiki/Occupation

  4. What is a Profession? • “… an occupation that requires extensivetrainingand … specializedknowledge … • … andusually has aprofessional association, ethical codeandprocess ofcertificationorlicensing.” http://en.wikipedia.org/wiki/Profession

  5. Historically there were only three classic professions: ministry, medicine, and law • Members of a profession were expected to profess a higher standard of accountability

  6. Examples of Professions Accounting Medicine Architecture The Military The Clergy Nursing Engineering Pharmacy Finance Teaching Law

  7. Professional Ethics E.g., Responsibilities of Attorneys • act in a professional manner • obey the law • avoid conflicts of interest • put the interests of clients ahead of their own interests

  8. Characteristicsof Professionals • “Profess” a higher standard of accountability • Accountable to the public • Make decisions in complex situations • Possess specialized knowledge • Trained to interpret rules & regulations • Demonstrate defined competencies • Be self-governing within the profession

  9. Characteristics of Professionals “The obligation to educate the client is often seen as a key part of the definition.” http://en.wikipedia.org/wiki/Profession#History

  10. Competence … as defined by George Miller, MD: The competent learner… • … knows (masters content) • … knows how (gains skills) • … demonstrates how (passes tests) • … and does (performs)

  11. Definition of Competence … as defined by the Alliance for CME: • CME professionals are competent “when they use (practice, or apply) the [defined] knowledge, skill, or behavior.” • “This … requires assessmentand performance measurements and some form of certificationprocess, which do not exist currently.” Competency Areas for CME Professionals Alliance for CME Website, www.acme-assn.org

  12. Criticism of Professional Groups • Exclusive “guild mentality” - Laymen can be prohibited from practicing the profession • Entrance into a profession can be limited - Creating a monopoly of initiates • Self-serving - “to enhance position in the labour markets” http://en.wikipedia.org/wiki/Profession#History

  13. Does CME Qualify as a Profession?Is CME“an occupation that requires extensivetraining and … specialized knowledge”? For examples of specialized knowledge required of CME Professionals, go to: 1. www.ACCME.org 2. www.AMA-ASSN.org 3.http://OIG.HHS.GOV/fraud/docs/complianceguidance/042803pharmacymfgnonfr.pdf 4.http://www.fda.gov/cber/gdlns/sciedu.txt

  14. Does CME Qualify as a Profession?Do we have “aprofessional association”? • SACME Society for Academic CME • ACME Alliance for CME • PACME Pharmaceutical Alliance for CME • MECCA Medical Education/Communication Company Alliance • NAAMECC North American Alliance of Medical Communication Companies • CACHE Canadian Association for Health Education • GAME Global Alliance for CME … and others …

  15. Does CME Qualify as a Profession?Do we have “anethical code”? Alliance for CME’s Code of Ethical Conduct • Describes ethical conduct in 11 areas of CME practice http://www.acme-assn.org/about/CodeOfConduct.shtml

  16. Does CME Qualify as a Profession?Do we have “a process of certification or licensing”? Certification of CME Professionals Position Statement “1. The Alliance will focus its efforts on the development of educational programming based on the Alliance’s Competencies…. 2. The Alliance will not develop or offer a formal certification program for CME professionals ….” http://www.acme-assn.org/about/cmecert.pdfEffective January 4, 2006

  17. Opportunities & Options Certification can benefit the CME Professional by: • Positioning CME as a career path • Acknowledging competence; rewarding excellence • Motivating new learning

  18. Opportunities & Options Certification can benefit the employer by: • Providing evidence of continuous improvement • Aiding in recruiting, evaluating, and promoting CME staff • Reducing the risks of non-compliance

  19. Opportunities & Options Certification can benefit the entire CME universe by: • Increasing attendance at workshops and conferences - sponsored by ACCME, SACME, the Alliance, State Societies, and others • Protecting the public’s health

  20. Thank you To download this slide presentation go to: www.NC-CME.org Judy Ribble, PhD, FACME National Commission for Certification of CME Professionals

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